Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026)
SB 293 requires nursing homes, assisted living facilities, and nurse midwives to notify residents and prospective residents in writing if they lack professional liability insurance or if coverage has lapsed without renewal. For prospective residents, notification must occur at the first visit during a coverage gap or at the time of application; current residents must be notified within 30 days of a lapse. Facilities without coverage must also post a conspicuous notice visible to residents and guests. This law aims to increase transparency about insurance coverage for individuals receiving care in these settings.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
Apr 2026
Senate Passage
Apr 2026
House of Delegates Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Jan 21, 2026
Signed Apr 14, 2026
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What changed between versions
First - Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, and Nurse Midwives - Disclosure
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Third - Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026)
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3 edits
MINOR
The bill was amended to expand its scope by adding 'Licensed Certified Midwives' to the list of healthcare providers required to disclose professional liability insurance status. Additionally, the bill was renumbered to reflect its progression from the first to the third reading in the legislative process, and the committee report indicates it was adopted with amendments.
Scope change
The bill now applies to Licensed Certified Midwives in addition to nursing homes, assisted living facilities, and nurse midwives.
SCOPE
Added 'Licensed Certified Midwives' to the list of entities required to provide professional liability insurance disclosures.
TECHNICAL
Updated bill metadata to reflect the third reading status and the inclusion of the 'Nyeli Rose Lewis Act of 2026' title.
Added a reference to a new code section (8-6D-15) regarding Health Occupations, expanding the legislative amendments beyond the original sections.
Floor votes · Senate Feb 14, 2026 · House of Delegates Mar 17, 2026
How they voted
45–0
Passed · 4 other
Total votes 49
Feb 14, 2026
D
Democratic36
91% Yea
R
Republican13
92% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
17
Key actions
10
Committee
6
Apr 14, 2026
Signed into law
Approved by the Governor - Chapter 32
executive
Apr 3, 2026
Upper · Passed
Returned Passed
upper
Apr 2, 2026
Lower · Passed
Third Reading Passed
lower
Apr 1, 2026
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Apr 1, 2026
Lower · Passed
Favorable Report by Health
lower
Mar 17, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (135-0-7)
house of delegates
Feb 20, 2026
Committee
Referred Health
lower
Feb 19, 2026
Upper · Passed
Third Reading Passed
upper
Feb 17, 2026
Upper · Passed
Favorable with Amendments {
upper
Feb 16, 2026
Upper · Passed
Favorable with Amendments Report by Finance
upper
Feb 14, 2026
Senate · Passed
Senate Vote: pass (45-0-4)
senate
Jan 21, 2026
Committee
First Reading Finance
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Carl Jackson
DDemocratic
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