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---
type: "Bill"
title: "Severe Maternal Mortality Surveillance and Review Program; established."
description: "Severe Maternal Morbidity Surveillance and Review Program established; duties; report. Creates the Severe Maternal Morbidity Surveillance and Review Program (SMM Program) to identify, analyze, and review instances of severe maternal morbidity. The bill directs the Department of Health to develop a reporting system for hospitals and freestanding birthing centers to report findings and recommendations, as well as a model protocol for conducting reviews of severe maternal morbidity. The bill requires all hospitals and freestanding birthing centers to participate in the SMM Program and report their findings and recommendations to the Department of Health on an annual basis. The bill has a delayed effective date of September 1, 2026."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2026"
identifier: "HB 1403"
citation: "Virginia HB 1403 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Margaret A. Franklin"]
version_count: 7
action_count: 41
vote_count: 11
first_action: "2026-01-22"
last_action: "2026-04-13"
source: "openstates"
source_identifier: "ocd-bill/93513e59-9444-43ac-8ac6-c8e17bf7d0a7"
source_url: "https://lis.virginia.gov/bill-details/20261/HB1403"
source_hash: "25e6988e13b278e4cad1d0a9af271586ac0383b921550c4f1ef7c995d7449b32"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-va"]
---
# Virginia HB 1403 (2026) — Severe Maternal Mortality Surveillance and Review Program; established.
Severe Maternal Morbidity Surveillance and Review Program established; duties; report. Creates the Severe Maternal Morbidity Surveillance and Review Program (SMM Program) to identify, analyze, and review instances of severe maternal morbidity. The bill directs the Department of Health to develop a reporting system for hospitals and freestanding birthing centers to report findings and recommendations, as well as a model protocol for conducting reviews of severe maternal morbidity. The bill requires all hospitals and freestanding birthing centers to participate in the SMM Program and report their findings and recommendations to the Department of Health on an annual basis. The bill has a delayed effective date of September 1, 2026.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](https://lis.blob.core.windows.net/files/1093736.PDF)
2. **Appropriations Amendment** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1142111.HTML)
3. **Appropriations Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1143054.PDF)
4. **Behavioral Health Subcommittee Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1128549.PDF)
5. **Health & Human Resources Subcommittee Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1143050.PDF)
6. **Health and Human Services Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1136610.PDF)
7. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1212515.PDF)
## Votes
- Constitutional reading dispensed (on 2nd reading) — **370** (pass) · upper
- Subcommittee recommends reporting with substitute — **71** (pass) · lower
- Reported from Appropriations with substitute — **220** (pass) · lower
- Reported from Health and Human Services with substitute — **211** (pass) · lower
- Reported from Finance and Appropriations — **140** (pass) · upper
- Passage R — **400** (pass) · upper
- Passage R — **390** (pass) · upper
- Reconsider R — **400** (pass) · upper
- Subcommittee recommends reporting with substitute — **70** (pass) · lower
- Reported from Education and Health — **150** (pass) · upper
- H VOTE: — **942** (pass) · lower
## Sponsors
- Margaret A. Franklin — primary (person)
- Bonita G. Anthony — cosponsor (person)
- Debra D. Gardner — cosponsor (person)
- Kathy K.L. Tran — cosponsor (person)
- May Nivar — cosponsor (person)
- Rae Cousins — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2026-01-22** Presented and ordered printed 26105745D `introduction`
- **2026-01-22** Referred to Committee on Health and Human Services `referral-committee`
- **2026-01-27** Assigned sub: Behavioral Health `referral-committee`
- **2026-02-02** Fiscal Impact Statement from Department of Planning and Budget (HB1403)
- **2026-02-05** House subcommittee offered
- **2026-02-05** Subcommittee recommends reporting with substitute and referring to Appropriations (7-Y 1-N) `substitution`
- **2026-02-10** Reported from Health and Human Services with substitute and referred to Appropriations (21-Y 1-N) `committee-passage`
- **2026-02-10** Committee substitute printed 26107290D-H1 `substitution`
- **2026-02-10** Assigned HAPP sub: Health & Human Resources `referral-committee`
- **2026-02-10** Fiscal Impact Statement from Department of Planning and Budget (HB1403)
- **2026-02-11** Subcommittee recommends reporting with substitute (7-Y 0-N) `substitution`
- **2026-02-11** House subcommittee offered
- **2026-02-11** Reported from Appropriations with substitute (22-Y 0-N) `committee-passage`
- **2026-02-12** Committee substitute printed 26107849D-H2 `substitution`
- **2026-02-13** Read first time `reading-1`
- **2026-02-13** Fiscal Impact Statement from Department of Planning and Budget (HB1403)
- **2026-02-16** Read second time `reading-2`
- **2026-02-16** committee substitute rejected
- **2026-02-16** committee substitute agreed to `substitution`
- **2026-02-16** Engrossed by House - committee substitute `substitution`
- **2026-02-17** Read third time and passed House (95-Y 2-N 0-A) `passage, reading-3`
- **2026-02-18** Constitutional reading dispensed (on 1st reading)
- **2026-02-18** Referred to Committee on Education and Health `referral-committee`
- **2026-02-24** Assigned Education sub: Health `referral-committee`
- **2026-02-26** Reported from Education and Health and rereferred to Finance and Appropriations (15-Y 0-N) `committee-passage`
- **2026-03-09** Reported from Finance and Appropriations (14-Y 0-N) `committee-passage`
- **2026-03-10** Rules suspended
- **2026-03-10** Constitutional reading dispensed (on 2nd reading) (37-Y 0-N 0-A)
- **2026-03-10** Passed by for the day (Voice Vote)
- **2026-03-11** Read third time `reading-3`
- **2026-03-11** Passed Senate Block Vote (39-Y 0-N 0-A) `passage`
- **2026-03-11** Reconsideration of Senate passage agreed to by Senate (40-Y 0-N 0-A)
- **2026-03-11** Passed Senate Block Vote (40-Y 0-N 0-A) `passage`
- **2026-03-30** Enrolled `enrolled`
- **2026-03-30** Bill text as passed House and Senate (HB1403ER) `passage`
- **2026-03-30** Signed by President `passage`
- **2026-03-31** Fiscal Impact Statement from Department of Planning and Budget (HB1403)
- **2026-03-31** Signed by Speaker `passage`
- **2026-03-31** Enrolled Bill communicated to Governor on March 31, 2026 `enrolled, executive-receipt`
- **2026-03-31** Governor's Action Deadline 11:59 p.m., April 13, 2026 `executive-receipt`
- **2026-04-13** Approved by Governor-Chapter 842 (effective 7/1/2026) `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/93513e59-9444-43ac-8ac6-c8e17bf7d0a7`. Confidence: reported (aggregated from official Virginia legislature records).