HB 232 Virginia House of Delegates · 2026 Regular Session

Collaborative agreements; removes registered nurses from list of practitioners, etc.

Summary

Collaborative agreements; practitioners; diagnosis. Removes registered nurses from the list of practitioners whose diagnoses may form the basis of drug therapy conducted pursuant to a collaborative agreement between a practitioner and a pharmacist.

Issues: ✗ Healthcare

Bill status signed all 5 stages cleared

Introduction

Jan 2026

Committee Review

Feb 2026

House of Delegates Passage

Mar 2026

Senate Passage

Mar 2026

Signed into Law

Apr 2026

Introduced Jan 8, 2026 Signed Apr 6, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

Enrolled → Chaptered · 2 edits

MINOR

This bill transitions HB 232 from an approved legislative draft to an official chapter in the Virginia Acts of Assembly. The substantive legal text regarding pharmacist collaborative agreements remains unchanged, but the document now includes the official chapter number (Chapter 94) and the specific approval date of April 6, 2026, making it a permanent part of state law.

TECHNICAL

Added the official chapter number (Chapter 94) and the specific approval date (April 6, 2026) to finalize the bill as enacted law.

Reformatted the text to align with the standard layout of the Virginia Acts of Assembly, including spacing and indentation changes.

Floor votes · Senate Feb 27, 2026 · House of Delegates Feb 17, 2026

How they voted

36–0

Passed · 3 other

Total votes 39

Feb 27, 2026

D Democratic20

18 Yea 2

90% Yea

R Republican19

18 Yea 1

94% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 6, 2026

Signed into law

Approved by Governor-Chapter 94 (effective 7/1/2026)

executive

Mar 6, 2026

Upper · Passed

Signed by President

upper

Mar 6, 2026

Lower · Passed

Signed by Speaker

lower

Mar 6, 2026

Lower · Passed

Bill text as passed House and Senate (HB232ER)

lower

Mar 2, 2026

Upper · Passed

Passed Senate (40-Y 0-N 0-A)

upper

Feb 27, 2026

Upper · Passed

Passed by for the day Block Vote (Voice Vote)

upper

Feb 26, 2026

Upper · Passed

Reported from Education and Health (15-Y 0-N)

upper

Feb 20, 2026

Committee

Assigned Education sub: Health Professions

upper

Feb 18, 2026

Committee

Referred to Committee on Education and Health

upper

Feb 17, 2026

Lower · Passed

Read third time and passed House (97-Y 0-N 0-A)

lower

Feb 12, 2026

Lower · Passed

Reported from Health and Human Services (21-Y 0-N)

lower

Feb 10, 2026

Lower · Passed

Subcommittee recommends reporting (10-Y 0-N)

lower

Jan 16, 2026

Committee

Assigned sub: Health Professions

lower

Jan 8, 2026

Committee

Referred to Committee on Health and Human Services

lower

1 primary · 0 co-sponsors