SB 421 Virginia Senate · 2026 Regular Session

Pharmacist; remote verification and counseling in opioid treatment programs.

Summary
Remote pharmacist verification and counseling in opioid treatment programs. Authorizes a pharmacist licensed in the Commonwealth to exercise verification, counseling, and supervision duties remotely when a pharmacy technician or other authorized personnel dispenses medication prescribed for the management of opioid use disorder at a federally certified opioid treatment program.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
Senate Passage
Mar 2026
House of Delegates Passage
Mar 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 · 6 edits
MODERATE
This bill was formally enacted into law as Chapter 345 of the 2026 Virginia Acts of Assembly. It authorizes pharmacists to remotely supervise and counsel patients at federally certified opioid treatment programs, allowing pharmacy technicians to dispense medication under these specific remote conditions. The law also mandates the Board of Pharmacy to create new regulations regarding technology standards, staff training, and recordkeeping for these remote operations.
Scope change
The bill's scope expanded to explicitly permit remote pharmacist supervision and counseling for opioid treatment programs, an exception to the general rule requiring pharmacists to be physically present on-site.
REQUIREMENT

New section 54.1-3303.2 allows pharmacists to provide remote supervision and counseling via real-time audiovisual communication at federally certified opioid treatment programs.

Pharmacy technicians are now authorized to dispense methadone and other opioid medications if a licensed pharmacist is immediately available for remote visual supervision.

The Board of Pharmacy is required to promulgate regulations covering technology standards, personnel training, documentation, and patient privacy for remote verification.

Pharmacists serving as pharmacist-in-charge at multiple locations within an opioid treatment program may be required to be physically present on-site for at least one day per calendar month.

ENFORCEMENT

Section 54.1-3432 was amended to explicitly exempt opioid treatment programs from the standard requirement that a pharmacist must be physically present on the premises, referencing the new remote supervision section.

TECHNICAL

The document format changed from an 'Enrolled' draft to a 'Chaptered' final law, including the official chapter number (345) and the approval date (April 6, 2026).

Floor votes · Senate Feb 6, 2026 · House of Delegates Feb 27, 2026

How they voted

380
Passed · 1 other
Total votes 39
Feb 6, 2026
D Democratic20
20 Yea
100% Yea
R Republican19
18 Yea 1
94% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
30
Key actions
11
Committee
7
Apr 6, 2026
Signed into law
Approved by Governor-Chapter 345 (effective 7/1/2026)
executive
Mar 4, 2026
Upper · Passed
Signed by President
upper
Mar 4, 2026
Lower · Passed
Signed by Speaker
lower
Mar 4, 2026
Upper · Passed
Bill text as passed Senate and House (SB421ER)
upper
Feb 27, 2026
Lower · Passed
Passed House (91-Y 5-N 0-A)
lower
Feb 24, 2026
Lower · Passed
Reported from Health and Human Services (19-Y 3-N)
lower
Feb 19, 2026
Lower · Passed
Subcommittee recommends reporting (10-Y 0-N)
lower
Feb 16, 2026
Committee
Assigned sub: Health Professions
lower
Feb 13, 2026
Committee
Referred to Committee on Health and Human Services
lower
Feb 10, 2026
Upper · Passed
Read third time and passed Senate (40-Y 0-N 0-A)
upper
Feb 6, 2026
Upper · Passed
Passed by for the day
upper
Feb 6, 2026
Upper · Passed
Passed by for the day (Voice Vote)
upper
Feb 5, 2026
Upper · Passed
Reported from Education and Health (14-Y 0-N)
upper
Jan 30, 2026
Committee
Assigned Education sub: Health Professions
upper
Jan 13, 2026
Committee
Referred to Committee on Education and Health
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Barbara Favola
Barbara Favola
DDemocratic
VA
40