HB 300 Virginia House of Delegates · 2026 Regular Session

Expiration of cooperative agreements; period of oversight by VDH Commissioner, transfer of records.

Summary
Expiration of cooperative agreements; period of oversight by Commissioner of Health; transfer of records. Establishes that cooperative agreements approved pursuant to the recommendation of the Southwest Virginia Health Authority shall automatically expire on June 30, 2028. The bill directs the Department of Health to transfer all records related to the approval and supervision of any cooperative agreement to the Commissioner of Health within 60 days of such expiration, establishes a five-year supervision period after such expiration during which the Commissioner supervises any managed care pricing restrictions in effect at the time of expiration pursuant to an agreement, and requires the Commissioner to report annually the status of its supervision to the Attorney General. The bill directs the Department of Health to repeal the provisions of 12VAC5-221 of the Virginia Administrative Code upon the expiration of cooperative agreements pursuant to the bill.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
House of Delegates Passage
Feb 2026
Senate Passage
Governor
Introduced Jan 9, 2026 Last action Feb 26, 2026
Maddy AI version diff · 3 comparisons

What changed between versions

Health Subcommittee Substitute Education and Health Substitute · 5 edits
MODERATE
The bill was transferred from the Health Committee to the Education and Health Committee, expanding its scope to include the Southwest Virginia Health Authority and adding new definitions. The expiration date for the cooperative agreement was clarified to depend on whichever date is later: June 30, 2028, or the expiration of a certificate from another state. A new section was added to impose civil penalties for violations, and the reimbursement cap was made flexible with a 90-day notice requirement for exceeding the limit.
Scope change
The bill's scope expanded to explicitly include the Southwest Virginia Health Authority and added definitions for terms like 'Authority' and 'Participating locality' that were previously missing.
DEFINITION

Added new definitions for 'Authority', 'Bond', 'Commissioner', 'Cooperative agreement', 'Hospital', 'Participating locality', and 'Pricing restrictions' to clarify the bill's application.

TIMELINE

Changed the expiration trigger to the later of June 30, 2028, or the expiration of a certificate of public advantage issued by another state.

ENFORCEMENT

Added a new section allowing the Commissioner to impose civil penalties of up to $50,000 per violation of pricing restrictions.

FISCAL

Modified the reimbursement cap for supervision costs to allow amounts exceeding $200,000 annually if the Commissioner provides 90 days' notice to the parties.

ADDED

Added a requirement that civil penalties be used exclusively to support health improvement efforts identified by the Southwest Virginia Health Authority.

Floor votes · House of Delegates Feb 11, 2026

How they voted

8015
Passed · 3 other
Total votes 98
Feb 11, 2026
D Democratic62
61 Yea 1
98% Yea
R Republican36
19 Yea 15 Nay 2
52% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
18
Key actions
4
Committee
7
Feb 24, 2026
Upper · Passed
Senate subcommittee offered
upper
Feb 24, 2026
Committee
Assigned Education sub: Health
upper
Feb 12, 2026
Committee
Referred to Committee on Education and Health
upper
Feb 11, 2026
Lower · Passed
Read third time and passed House (81-Y 15-N 0-A)
lower
Feb 5, 2026
Lower · Passed
Reported from Health and Human Services with substitute (20-Y 1-N)
lower
Feb 3, 2026
Lower · Passed
House subcommittee offered
lower
Jan 16, 2026
Committee
Assigned sub: Health
lower
Jan 9, 2026
Committee
Referred to Committee on Health and Human Services
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Patrick Hope
Patrick Hope
DDemocratic
VA
1