HB 2468 Virginia House of Delegates · 2025 Regular Session

Advanced registered medication aides; administration of drugs.

Summary
Advanced registered medication aides; administration of drugs. Specifies that advanced registered medication aides may administer drugs to long-term care residents who do not have a clinical condition that requires evaluation by a registered nurse or licensed practical nurse for the administration of medications. The bill also limits the practice of advanced registered medication aides to nursing homes licensed by the Department of Health and permits advanced registered medication aides to administer drugs determined permissible by the Board of Nursing. The bill directs the Department of Health, the Board of Nursing, and the Board of Pharmacy to promulgate regulations to be effective as of December 15, 2025, pertaining to the administration of drugs to residents in nursing homes by advanced registered medication aides.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Feb 2025
House of Delegates Passage
Mar 2025
Senate Passage
Mar 2025
Signed into Law
Mar 2025
Introduced Jan 8, 2025 Signed Mar 21, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Enrolled Chaptered · 7 edits
MODERATE
This bill amends Virginia laws related to emergency medical services, medication administration, and hospital regulations. The primary changes involve updating effective dates for medication aide registration, clarifying naloxone administration protocols, and adding new requirements for hospital security and patient visitation policies.
Scope change
The bill expands the scope of who can administer certain medications (naloxone, epinephrine, insulin) in various settings including schools, restaurants, and public accommodations, while also updating the effective date for medication aide registration from July 1 to December 15, 2025.
TIMELINE

Changed the effective date for medication aide registration and related regulations from July 1, 2025 to December 15, 2025.

REQUIREMENT

Added new requirements for hospitals to establish security plans with off-duty law enforcement or trained security personnel in emergency departments.

Added new requirements for hospitals to inform patients about air medical transportation options and costs before arranging such services.

Added new requirements for nursing homes and certified nursing facilities to establish visitation protocols during public health emergencies, including provisions for virtual visits and minimum visit frequencies.

Added new requirements for hospitals to establish protocols for organ donation and coordination with organ procurement organizations.

ELIGIBILITY

Expanded eligibility for naloxone administration to include additional personnel such as law enforcement officers, firefighters, and school employees beyond those previously authorized.

Modified dental hygiene practice rules to allow remote supervision by dentists for dental hygienists in specific settings like schools and free clinics.

Floor votes · Senate Feb 18, 2025 · House of Delegates Feb 3, 2025

How they voted

400
Passed
Total votes 40
Feb 18, 2025
D Democratic21
21 Yea
100% Yea
R Republican19
19 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
33
Key actions
12
Committee
7
Amendments
2
Mar 21, 2025
Signed into law
Approved by Governor-Chapter 277 (Effective 07/01/25)
executive
Mar 10, 2025
Upper · Passed
Signed by President
upper
Mar 7, 2025
Lower · Passed
Signed by Speaker
lower
Mar 7, 2025
Lower · Passed
Bill text as passed House and Senate (HB2468ER)
lower
Feb 18, 2025
Upper · Passed
Passed Senate (40-Y 0-N)
upper
Feb 17, 2025
Upper · Passed
Passed by for the day
upper
Feb 13, 2025
Upper · Passed
Reported from Education and Health (15-Y 0-N)
upper
Feb 7, 2025
Committee
Assigned Education sub: Health Professions
upper
Feb 4, 2025
Committee
Referred to Committee on Education and Health
upper
Feb 3, 2025
Lower · Passed
Read third time and passed House (99-Y 0-N)
lower
Feb 3, 2025
Lower · Passed
Read third time and passed House (98-Y 0-N)
lower
Jan 31, 2025
Introduced
Engrossed by House as amended
lower
Jan 31, 2025
Lower · Passed
Health and Human Services Amendment agreed to
lower
Jan 28, 2025
Lower · Passed
Reported from Health and Human Services with amendment(s) (21-Y 0-N)
lower
Jan 23, 2025
Lower · Passed
Subcommittee recommends reporting (8-Y 0-N)
lower
Jan 21, 2025
Committee
Assigned sub: Health Professions
lower
Jan 8, 2025
Committee
Referred to Committee on Health and Human Services
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of J.R. Henson
J.R. Henson
DDemocratic
VA
19