SB 1152: Nursing homes and certified nursing facilities; professional liability insurance, proof of coverage. - Virginia

Health and Human Services Substitute → Chaptered · 5 edits

MODERATE

This bill converts a House substitute version of SB 1152 into a chaptered act, making it official law. The substantive content remains the same, with 32 new regulatory requirements for Virginia hospitals, nursing homes, and certified nursing facilities covering organ donation, patient visitation, security protocols, staffing, insurance, and other operational standards effective July 1, 2025.

Scope change

The bill's scope remains unchanged as it applies to the same facilities (hospitals, nursing homes, and certified nursing facilities) under the same Code section (§ 32.1-127). The change is purely procedural, converting the bill from a substitute version to enacted law.

TECHNICAL

Converted from House substitute format to chaptered act format, adding official chapter number (Chapter 330), approval date (March 21, 2025), and proper legislative formatting while maintaining identical substantive text.

REQUIREMENT

Established 32 new regulatory requirements for healthcare facilities including organ donation protocols, security plans for emergency departments, visitation policies for religious clergy, insurance coverage minimums, and staffing standards for Medicaid-participating nursing facilities.

Required hospitals to establish protocols for organ donation, substance abuse discharge planning, air medical transportation notices, and security risk assessments with trained personnel presence.

Mandated nursing homes to provide case mix-adjusted nurse staffing hours for Medicaid Value-Based Purchasing program and maintain specific insurance coverage amounts.

Added requirements for patient visitation rights including access to religious clergy, intelligent personal assistant devices, and secure health record access for minors.

Health and Human Services Subcommittee Substitute → Health and Human Services Substitute · 2 edits

MINOR

The bill text was reformatted from a 'Substitute' version to a 'House Substitute' version with updated dates (February 13, 2025) and bill tracking numbers. The substantive legislative content regarding nursing home regulations, organ donation protocols, security requirements, and insurance mandates remains unchanged.

TECHNICAL

Header information was updated to reflect House Substitute status with new date (February 13, 2025) and bill tracking number (25107157D) instead of the previous Substitute version dated February 11, 2025.

Page layout and formatting were adjusted with added spacing and page number indicators, but no substantive policy text was added, removed, or altered.

Education and Health Substitute → Health and Human Services Subcommittee Substitute · 5 edits

MODERATE

The bill was amended to change the committee from Education and Health to Health and Human Services, update the effective date from January 30, 2025 to February 11, 2025, and reformat the document for the House Committee. The substantive policy content regarding nursing home regulations, insurance requirements, and patient care protocols remains unchanged.

TECHNICAL

Changed the proposing committee from Senate Committee on Education and Health to House Committee on Health and Human Services

Reformatted the document layout and page numbering for House Committee review

Removed the '2025 SESSION' and 'SENATE SUBSTITUTE' headers

Added 'OFFERED FOR CONSIDERATION' and draft page markers for House consideration

TIMELINE

Updated the amendment date from January 30, 2025 to February 11, 2025

SEH Sub: Health Professions Substitute → Education and Health Substitute · 3 edits

MINOR

The bill text was updated to reflect a new submission date of January 30, 2025, and the committee attribution was changed from 'Patron Prior to Substitute - Senator Obenshain' to 'Proposed by the Senate Committee on Education and Health on January 30, 2025.' The substantive legislative content regarding nursing home regulations, patient rights, and facility requirements remains unchanged.

TECHNICAL

Submission date changed from January 24, 2025 to January 30, 2025.

Committee attribution changed from 'Patron Prior to Substitute - Senator Obenshain' to 'Proposed by the Senate Committee on Education and Health on January 30, 2025.'

Added multiple blank lines and page number formatting markers throughout the document.

Enrolled → SEH Sub: Health Professions Substitute · 3 edits

MINOR

The bill text was converted from an Enrolled version to a Senate Substitute version, which includes minor formatting changes and a key modification to the effective date of the regulations. The substantive policy content regarding nursing home and hospital regulations remains largely unchanged, but the effective date was altered from July 1, 2025 to 'until July 1, 2025', indicating the regulations will remain in effect until that date rather than starting on it.

Scope change

The scope of the bill's applicability remains the same, covering nursing homes, certified nursing facilities, and hospitals in Virginia. The primary change is technical, relating to the effective date language of the regulations.

TIMELINE

The effective date of the regulations was changed from 'Effective July 1, 2025' to 'Effective until July 1, 2025', which alters when the regulatory requirements begin versus when they expire.

TECHNICAL

The bill format was changed from an Enrolled Act to a Senate Substitute, with added header information including committee and sponsor details.

The chapter designation and approval language from the Enrolled version were removed in the Substitute version.

Introduced → Enrolled · 10 edits · Mar 21, 2025

MAJOR

This bill amends Virginia's nursing home and hospital regulations to add new requirements for patient safety, staffing, and care protocols. The changes include mandatory security plans for emergency departments, new visitation protocols for religious clergy during health emergencies, requirements for physical therapy referrals after surgery, and specific staffing hour requirements for Medicaid-participating nursing facilities. These updates aim to improve patient care standards, enhance facility security, and ensure adequate staffing levels.

Scope change

The bill applies to all licensed hospitals, nursing homes, and certified nursing facilities in Virginia. It specifically targets facilities participating in Virginia Medicaid's Value-Based Purchasing program for staffing requirements.

REQUIREMENT

Requires hospitals with emergency departments to establish security plans including off-duty law enforcement or trained security personnel based on security risk assessments

Mandates protocols allowing religious clergy visitation during declared public health emergencies related to communicable diseases

Requires hospitals to inform patients scheduled for elective surgery that they will need outpatient physical therapy and must select a provider before discharge

Establishes minimum staffing requirement of 3.08 hours per resident per day for certified nursing facilities participating in Virginia Medicaid's Value-Based Purchasing program

Requires nursing homes to provide full refunds of unexpended patient funds within 30 days of discharge or death request

Mandates hospitals establish protocols for organ donation, including agreements with organ procurement organizations and tissue/eye banks

Requires hospitals to notify community services boards when substance-abusing postpartum women are identified for discharge planning purposes

Allows nursing home staff to administer cannabis oil to residents with valid written certification

Requires hospitals to provide notice about air medical transportation options and costs for non-emergency medical conditions

TIMELINE

Changes effective date from July 1, 2025 to apply to all provisions, whereas earlier version had some provisions effective until July 1, 2025

Nursing homes and certified nursing facilities; professional liability insurance, proof of coverage.

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