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---
type: "Bill"
title: "Health, State Board of, regulations; standards for levels of neonatal care."
description: "State Board of Health regulations; standards for levels of neonatal care. Directs the State Board of Health to establish standards for designation of care in neonatal services consistent with, but not necessarily identical to, standards published by the American Academy of Pediatrics. The bill directs the Board of Health to promulgate regulations to implement the provisions of the bill by July 1, 2027, and prohibits enforcement of such regulations until July 1, 2029. This bill is identical to SB 291."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2026"
identifier: "HB 456"
citation: "Virginia HB 456 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Rodney T. Willett"]
version_count: 6
action_count: 30
vote_count: 6
first_action: "2026-01-12"
last_action: "2026-04-06"
source: "openstates"
source_identifier: "ocd-bill/c5e8dff3-0a94-438c-97a2-4619c8297230"
source_url: "https://lis.virginia.gov/bill-details/20261/HB456"
source_hash: "bb045a89d28a79369faa0993d82542073b55046ee80c024e1a26522afadb47d9"
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 456 (2026) — Health, State Board of, regulations; standards for levels of neonatal care.
State Board of Health regulations; standards for levels of neonatal care. Directs the State Board of Health to establish standards for designation of care in neonatal services consistent with, but not necessarily identical to, standards published by the American Academy of Pediatrics. The bill directs the Board of Health to promulgate regulations to implement the provisions of the bill by July 1, 2027, and prohibits enforcement of such regulations until July 1, 2029. This bill is identical to SB 291.
## 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/1084522.PDF)
2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1216669.PDF)
3. **Engrossed** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1145726.PDF)
4. **Health Subcommittee Amendment** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1139387.HTML)
5. **Health and Human Services Amendment** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1143331.HTML)
6. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1193863.PDF)
## Votes
- Subcommittee recommends reporting with amendment(s) — **80** (pass) · lower
- Reported from Health and Human Services with amendment(s) — **210** (pass) · lower
- Constitutional reading dispensed (on 2nd reading) — **370** (pass) · upper
- Passage R — **400** (pass) · upper
- Reported from Education and Health — **150** (pass) · upper
- H VOTE: — **960** (pass) · lower
## Sponsors
- Rodney T. Willett — primary (person)
- Bonita G. Anthony — cosponsor (person)
- Destiny LeVere Bolling — cosponsor (person)
- Elizabeth B. Bennett-Parker — cosponsor (person)
- Jessica L. Anderson — cosponsor (person)
- Joshua G. Cole — cosponsor (person)
- Karen R. "Kacey" Carnegie — cosponsor (person)
- Mark C. Downey — cosponsor (person)
- Marty Martinez — cosponsor (person)
- Michelle Lopes Maldonado — cosponsor (person)
- Nadarius E. Clark — cosponsor (person)
- Nicole Cole — cosponsor (person)
- Rozia A. Henson, Jr. — cosponsor (person)
- Shelly A. Simonds — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2026-01-12** Prefiled and ordered printed; Offered 01-14-2026 26101249D `filing, introduction`
- **2026-01-12** Referred to Committee on Health and Human Services `referral-committee`
- **2026-01-21** Assigned sub: Health `referral-committee`
- **2026-01-23** Fiscal Impact Statement from Department of Planning and Budget (HB456)
- **2026-02-10** House subcommittee offered
- **2026-02-10** Subcommittee recommends reporting with amendment(s) (8-Y 0-N)
- **2026-02-12** Reported from Health and Human Services with amendment(s) (21-Y 0-N) `committee-passage`
- **2026-02-15** Read first time `reading-1`
- **2026-02-16** Read second time `reading-2`
- **2026-02-16** committee amendments agreed to `amendment-passage`
- **2026-02-16** Engrossed by House as amended
- **2026-02-17** Read third time and passed House (97-Y 0-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`
- **2026-02-19** Fiscal Impact Statement from Department of Planning and Budget (HB456)
- **2026-02-26** Reported from Education and Health (15-Y 0-N) `committee-passage`
- **2026-02-27** Rules suspended
- **2026-02-27** Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A)
- **2026-02-27** Passed by for the day Block Vote (Voice Vote)
- **2026-03-02** Read third time `reading-3`
- **2026-03-02** Passed Senate (40-Y 0-N 0-A) `passage`
- **2026-03-05** Enrolled `enrolled`
- **2026-03-05** Bill text as passed House and Senate (HB456ER) `passage`
- **2026-03-05** Fiscal Impact Statement from Department of Planning and Budget (HB456)
- **2026-03-05** Signed by Speaker `passage`
- **2026-03-05** Signed by President `passage`
- **2026-03-10** Enrolled Bill communicated to Governor on March 10, 2026 `enrolled, executive-receipt`
- **2026-03-10** Governor's Action Deadline 11:59 p.m., April 13, 2026 `executive-receipt`
- **2026-04-06** Approved by Governor-Chapter 145 (effective 7/1/2026) `executive-signature`
- **2026-04-06** Acts of Assembly Chapter text (CHAP0145)
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c5e8dff3-0a94-438c-97a2-4619c8297230`. Confidence: reported (aggregated from official Virginia legislature records).