Office-based buprenorphine treatment; Board of Medicine to amend regulations.
Summary
Board of Medicine; office-based buprenorphine treatment; counseling. Directs the Board of Medicine to amend its regulations regarding office-based buprenorphine treatment to require providers to offer counseling or referral to counseling to each patient as clinically necessary and mutually agreed-upon. The bill specifies that a patient's refusal of counseling does not preclude the patient from receiving office-based buprenorphine treatment for opioid use disorder. This bill is a recommendation of the Joint Commission on Health Care and is identical to SB 641.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
House of Delegates Passage
Feb 2026
Senate Passage
Feb 2026
Signed into Law
Apr 2026
Introduced Jan 13, 2026
Signed Apr 6, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
Enrolled
→
Chaptered
·
1 edit
MINOR
The bill was formally enacted into law as Chapter 207 of the 2026 Virginia Acts of Assembly. The core policy text remains unchanged, requiring the Board of Medicine to mandate counseling or referrals for patients receiving office-based buprenorphine treatment.
Scope change
The bill's scope and applicability remain unchanged; it continues to apply to providers of office-based buprenorphine treatment in Virginia.
TECHNICAL
The text was updated from 'Enrolled' status to 'Chaptered' status, indicating the bill has been officially signed into law and assigned Chapter 207.
Floor votes · Senate Feb 20, 2026 · House of Delegates Feb 2, 2026
How they voted
39–0
Passed
Total votes 39
Feb 20, 2026
D
Democratic20
100% Yea
R
Republican19
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
26
Key actions
10
Committee
6
Apr 6, 2026
Signed into law
Approved by Governor-Chapter 207 (effective 7/1/2026)
executive
Feb 25, 2026
Upper · Passed
Signed by President
upper
Feb 25, 2026
Lower · Passed
Signed by Speaker
lower
Feb 25, 2026
Lower · Passed
Bill text as passed House and Senate (HB712ER)
lower
Feb 23, 2026
Upper · Passed
Passed Senate (38-Y 0-N 0-A)
upper
Feb 20, 2026
Upper · Passed
Passed by for the day (Voice Vote)
upper
Feb 19, 2026
Upper · Passed
Reported from Education and Health (13-Y 0-N)
upper
Feb 3, 2026
Committee
Referred to Committee on Education and Health
upper
Feb 2, 2026
Lower · Passed
Read third time and passed House (99-Y 0-N 0-A)
lower
Jan 27, 2026
Lower · Passed
Reported from Health and Human Services (22-Y 0-N)
lower
Jan 22, 2026
Lower · Passed
Subcommittee recommends reporting (10-Y 0-N)
lower
Jan 21, 2026
Committee
Assigned sub: Health Professions
lower
Jan 13, 2026
Committee
Referred to Committee on Health and Human Services
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Otto Wachsmann
RRepublican
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