VA HB 746
enactedPhysician assistants; authorization to practice without a practice agreement.
Virginia · 2026 Regular Session · lower
Quick answers
Did VA HB 746 pass?
Yes. VA HB 746 has been enacted into law as of 2026-04-08. Latest recorded action (2026-04-08): Acts of Assembly Chapter text (CHAP0418)
What is VA HB 746 about?
Physician assistants; authorization to practice without a practice agreement. Authorizes a physician assistant with at least three years of full-time clinical experience to practice without a practice agreement upon receipt of an attestation from a patient care team physician or patient care team podiatrist who provided collaboration and consultation to such physician assistant verifying the length and nature of the physician assistant's practice. The bill establishes methods for a physician assistant who is unable to obtain the required attestation to submit other evidence that the physician assistant meets the requirements to practice without a practice agreement and establishes a method for physician assistants who obtain licensure by endorsement to practice without a practice agreement if they meet the applicable requirements. The bill also establishes a scope of practice for physician assistants who practice without a practice agreement. The bill specifies that the effective date of the foregoing provisions are contingent upon the Board of Medicine adopting regulations to implement the bill's provisions and to establish processes for granting authorization to physician assistants to practice without a practice agreement.
Who sponsors VA HB 746?
Rozia A. Henson, Jr. is the primary sponsor of VA HB 746, joined by 2 cosponsors.
Description
Physician assistants; authorization to practice without a practice agreement. Authorizes a physician assistant with at least three years of full-time clinical experience to practice without a practice agreement upon receipt of an attestation from a patient care team physician or patient care team podiatrist who provided collaboration and consultation to such physician assistant verifying the length and nature of the physician assistant's practice. The bill establishes methods for a physician assistant who is unable to obtain the required attestation to submit other evidence that the physician assistant meets the requirements to practice without a practice agreement and establishes a method for physician assistants who obtain licensure by endorsement to practice without a practice agreement if they meet the applicable requirements. The bill also establishes a scope of practice for physician assistants who practice without a practice agreement. The bill specifies that the effective date of the foregoing provisions are contingent upon the Board of Medicine adopting regulations to implement the bill's provisions and to establish processes for granting authorization to physician assistants to practice without a practice agreement.
- Introduced
- 2026-01-13
- Latest action
- 2026-04-08 — Acts of Assembly Chapter text (CHAP0418)
- Bill type
- bill
- Last updated
- —
Sponsors
- Rozia A. Henson, Jr.primary
- Charlie Schmidtcosponsor
- Nadarius E. Clarkcosponsor
Committees
Not provided by source.
Action timeline
2026-01-13
Prefiled and ordered printed; Offered 01-14-2026 26105086D
filing,introduction
2026-01-13
Referred to Committee on Health and Human Services
referral-committee
2026-01-21
Assigned sub: Health Professions
referral-committee
2026-02-09
Fiscal Impact Statement from Department of Planning and Budget (HB746)
2026-02-10
House subcommittee offered
2026-02-10
Subcommittee recommends reporting with substitute (10-Y 0-N)
substitution
2026-02-12
Reported from Health and Human Services with substitute (21-Y 0-N)
committee-passage
2026-02-12
Committee substitute printed 26107501D-H1
substitution
2026-02-15
Read first time
reading-1
2026-02-16
Read second time
reading-2
2026-02-16
committee substitute agreed to
substitution
2026-02-16
Engrossed by House - committee substitute
substitution
2026-02-17
Read third time and passed House (97-Y 0-N 0-A)
passage,reading-3
2026-02-17
Fiscal Impact Statement from Department of Planning and Budget (HB746)
2026-02-18
Constitutional reading dispensed (on 1st reading)
2026-02-18
Referred to Committee on Education and Health
referral-committee
2026-02-26
Reported from Education and Health (13-Y 1-N 1-A)
committee-passage
2026-02-27
Rules suspended
2026-02-27
Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A)
2026-02-27
Passed by for the day Block Vote (Voice Vote)
2026-03-02
Read third time
reading-3
2026-03-02
Passed by for the day
2026-03-03
Motion to recommit to Education and Health agreed to
2026-03-03
Recommitted to Education and Health
2026-03-05
Senate committee offered
2026-03-05
Reported from Education and Health with amendment (14-Y 0-N 1-A)
committee-passage
2026-03-06
Passed by for the day Block Vote (Voice Vote)
2026-03-09
Read third time
reading-3
2026-03-09
Education and Health Amendment agreed to
amendment-passage
2026-03-09
Engrossed by Senate as amended
2026-03-09
Passed Senate with amendment (38-Y 2-N 0-A)
passage
2026-03-10
Senate amendment agreed to by House (99-Y 0-N 0-A)
amendment-passage
2026-03-30
Enrolled
enrolled
2026-03-30
Bill text as passed House and Senate (HB746ER)
passage
2026-03-30
Signed by President
passage
2026-03-31
Fiscal Impact Statement from Department of Planning and Budget (HB746)
2026-03-31
Signed by Speaker
passage
2026-03-31
Enrolled Bill communicated to Governor on March 31, 2026
enrolled,executive-receipt
2026-03-31
Governor's Action Deadline 11:59 p.m., April 13, 2026
executive-receipt
2026-04-08
Approved by Governor-Chapter 418 (effective 7/1/2026)
executive-signature
2026-04-08
Acts of Assembly Chapter text (CHAP0418)
Versions
Documents
Votes
Subcommittee recommends reporting with substitute
2026-02-10 · pass · 10-0
Member-level votes (10)
- Marcia S. "Cia" Price: yes
- C.E. Cliff Hayes, Jr.: yes
- Kathy K.L. Tran: yes
- Joshua G. Cole: yes
- Nicole Cole: yes
- Mark C. Downey: yes
- Garrett McGuire: yes
- M. Keith Hodges: yes
- Mike A. Cherry: yes
- Wren M. Williams: yes
Reported from Health and Human Services with substitute
2026-02-12 · pass · 21-0
Member-level votes (22)
- Rodney T. Willett: yes
- Kathy K.L. Tran: yes
- Patrick A. Hope: yes
- Marcia S. "Cia" Price: yes
- C.E. Cliff Hayes, Jr.: yes
- Sam Rasoul: yes
- Charniele L. Herring: yes
- Irene Shin: yes
- Joshua G. Cole: yes
- Rozia A. Henson, Jr.: yes
- Debra D. Gardner: yes
- Laura Jane Cohen: yes
- Mark C. Downey: yes
- Nicole Cole: yes
- Garrett McGuire: yes
- M. Keith Hodges: yes
- Wendell S. Walker: yes
- Mike A. Cherry: yes
- Phillip A. Scott: yes
- H. Otto Wachsmann, Jr.: yes
- Mitchell Cornett: yes
- Wren M. Williams: not voting
H VOTE:
2026-02-17 · pass · 96-0
Member-level votes (99)
- Jessica L. Anderson: yes
- Bonita G. Anthony: yes
- Alex Q. Askew: yes
- Terry L. Austin: yes
- Jason S. Ballard: yes
- Robert S. Bloxom, Jr.: yes
- Gretchen M. Bulova: yes
- Katrina Callsen: yes
- Karen R. "Kacey" Carnegie: yes
- Betsy B. Carr: yes
- Stacey Annie Carroll: yes
- Mike A. Cherry: yes
- Nadarius E. Clark: not voting
- Laura Jane Cohen: yes
- Joshua G. Cole: yes
- Nicole Cole: yes
- Kelly K. Convirs-Fowler: yes
- Mitchell Cornett: yes
- Rae Cousins: yes
- Will Davis: yes
- Karrie K. Delaney: yes
- Lindsey Dougherty: yes
- Mark C. Downey: yes
- Michael B. Feggans: yes
- Hyland F. "Buddy" Fowler, Jr.: yes
- Lily V. Franklin: yes
- Margaret A. Franklin: yes
- Debra D. Gardner: yes
- Thomas A. Garrett, Jr.: yes
- Jackie H. Glass: yes
- Timothy P. Griffin: yes
- Elizabeth R. Guzman: yes
- Karen Hamilton: yes
- C.E. Cliff Hayes, Jr.: yes
- Dan I. Helmer: yes
- Rozia A. Henson, Jr.: yes
- Phil M. Hernandez: yes
- Charniele L. Herring: yes
- M. Keith Hodges: yes
- Patrick A. Hope: yes
- Hillary Pugh Kent: yes
- Karen Keys-Gamarra: yes
- Terry G. Kilgore: yes
- Barry D. Knight: not voting
- Paul E. Krizek: yes
- Amy J. Laufer: yes
- James A. "Jay" Leftwich: yes
- Destiny LeVere Bolling: yes
- Alfonso H. Lopez: yes
- Michelle Lopes Maldonado: yes
- Marty Martinez: yes
- John Chilton McAuliff: not voting
- Adele Y. McClure: yes
- Garrett McGuire: yes
- Ellen H. McLaughlin: yes
- Joseph P. McNamara: yes
- Delores L. McQuinn: yes
- Leslie Chambers Mehta: yes
- James W. Morefield: yes
- May Nivar: yes
- Delores Oates: yes
- Israel D. O'Quinn: yes
- Justin Pence: yes
- Eric Phillips: yes
- Kimberly Pope Adams: yes
- Marcia S. "Cia" Price: yes
- Sam Rasoul: yes
- Atoosa R. Reaser: yes
- David A. Reid: yes
- Chris S. Runion: yes
- Charlie Schmidt: yes
- Don Scott: yes
- Phillip A. Scott: yes
- Holly M. Seibold: yes
- Briana D. Sewell: yes
- Irene Shin: yes
- Marcus B. Simon: yes
- Shelly A. Simonds: yes
- JJ Singh: yes
- Richard C. "Rip" Sullivan, Jr.: yes
- Anne Ferrell Tata: yes
- Joshua E. Thomas: yes
- Virgil Thornton: yes
- Luke E. Torian: yes
- Kathy K.L. Tran: yes
- H. Otto Wachsmann, Jr.: yes
- Wendell S. Walker: yes
- Jeion A. Ward: yes
- R. Lee Ware: yes
- Vivian E. Watts: yes
- Michael J. Webert: yes
- Madison Whittle: yes
- Bill Wiley: yes
- Rodney T. Willett: yes
- Wren M. Williams: yes
- Tony O. Wilt: yes
- Thomas C. Wright, Jr.: yes
- Scott A. Wyatt: yes
- Eric R. Zehr: yes
Reported from Education and Health
2026-02-26 · pass · 13-1
Member-level votes (15)
- Barbara A. Favola: yes
- L. Louise Lucas: yes
- Mamie E. Locke: yes
- David R. Suetterlein: yes
- Mark J. Peake: yes
- Todd E. Pillion: yes
- Jennifer B. Boysko: yes
- Lamont Bagby: yes
- Christopher T. Head: yes
- Lashrecse D. Aird: abstain
- Schuyler T. VanValkenburg: yes
- Tara A. Durant: yes
- Stella G. Pekarsky: no
- Christie New Craig: yes
- Russet Perry: yes
Constitutional reading dispensed (on 2nd reading)
2026-02-27 · pass · 37-0
Member-level votes (40)
- Lashrecse D. Aird: yes
- Lamont Bagby: yes
- Elizabeth B. Bennett-Parker: yes
- Jennifer B. Boysko: yes
- Jennifer D. Carroll Foy: yes
- Luther Cifers, III: yes
- Christie New Craig: yes
- R. Creigh Deeds: yes
- Bill DeSteph: yes
- J.D. "Danny" Diggs: yes
- Tara A. Durant: not voting
- Barbara A. Favola: yes
- Timmy French: yes
- T. Travis Hackworth: yes
- Christopher T. Head: yes
- Michael J. Jones: yes
- Emily M. Jordan: yes
- Mamie E. Locke: yes
- L. Louise Lucas: yes
- David W. Marsden: yes
- Ryan T. McDougle: yes
- Jeremy S. McPike: yes
- Tammy Brankley Mulchi: yes
- Mark D. Obenshain: yes
- Mark J. Peake: yes
- Stella G. Pekarsky: not voting
- Russet Perry: yes
- Todd E. Pillion: yes
- Bryce E. Reeves: yes
- Danica A. Roem: not voting
- Aaron R. Rouse: yes
- Saddam Azlan Salim: yes
- Kannan Srinivasan: yes
- William M. Stanley, Jr.: yes
- Richard H. Stuart: yes
- Glen H. Sturtevant, Jr.: yes
- David R. Suetterlein: yes
- Scott A. Surovell: yes
- Schuyler T. VanValkenburg: yes
- Angelia Williams Graves: yes
Reported from Education and Health with amendment
2026-03-05 · pass · 14-0
Member-level votes (15)
- Barbara A. Favola: yes
- L. Louise Lucas: yes
- Mamie E. Locke: yes
- David R. Suetterlein: yes
- Mark J. Peake: yes
- Todd E. Pillion: yes
- Jennifer B. Boysko: yes
- Lamont Bagby: yes
- Christopher T. Head: yes
- Lashrecse D. Aird: abstain
- Schuyler T. VanValkenburg: yes
- Tara A. Durant: yes
- Stella G. Pekarsky: yes
- Christie New Craig: yes
- Russet Perry: yes
Passage R
2026-03-09 · pass · 38-2
Member-level votes (40)
- Lashrecse D. Aird: no
- Lamont Bagby: yes
- Elizabeth B. Bennett-Parker: yes
- Jennifer B. Boysko: yes
- Jennifer D. Carroll Foy: yes
- Luther Cifers, III: yes
- Christie New Craig: yes
- R. Creigh Deeds: yes
- Bill DeSteph: yes
- Christopher T. Head: yes
- Michael J. Jones: yes
- Emily M. Jordan: yes
- Mamie E. Locke: yes
- L. Louise Lucas: yes
- David W. Marsden: yes
- Ryan T. McDougle: yes
- Jeremy S. McPike: yes
- Tammy Brankley Mulchi: yes
- J.D. "Danny" Diggs: yes
- Tara A. Durant: yes
- Barbara A. Favola: yes
- Timmy French: yes
- T. Travis Hackworth: yes
- Mark D. Obenshain: yes
- Mark J. Peake: yes
- Stella G. Pekarsky: yes
- Russet Perry: yes
- Todd E. Pillion: yes
- Bryce E. Reeves: yes
- Danica A. Roem: yes
- Aaron R. Rouse: yes
- Saddam Azlan Salim: yes
- Kannan Srinivasan: yes
- William M. Stanley, Jr.: yes
- Richard H. Stuart: yes
- Glen H. Sturtevant, Jr.: yes
- David R. Suetterlein: yes
- Scott A. Surovell: yes
- Schuyler T. VanValkenburg: yes
- Angelia Williams Graves: no
H VOTE:
2026-03-10 · pass · 99-0
Member-level votes (99)
- Jessica L. Anderson: yes
- Bonita G. Anthony: yes
- Alex Q. Askew: yes
- Terry L. Austin: yes
- Jason S. Ballard: yes
- Robert S. Bloxom, Jr.: yes
- Gretchen M. Bulova: yes
- Katrina Callsen: yes
- Karen R. "Kacey" Carnegie: yes
- Betsy B. Carr: yes
- Stacey Annie Carroll: yes
- Mike A. Cherry: yes
- Nadarius E. Clark: yes
- Laura Jane Cohen: yes
- Joshua G. Cole: yes
- Nicole Cole: yes
- Kelly K. Convirs-Fowler: yes
- Mitchell Cornett: yes
- Rae Cousins: yes
- Will Davis: yes
- Karrie K. Delaney: yes
- Lindsey Dougherty: yes
- Mark C. Downey: yes
- Michael B. Feggans: yes
- Hyland F. "Buddy" Fowler, Jr.: yes
- Lily V. Franklin: yes
- Margaret A. Franklin: yes
- Debra D. Gardner: yes
- Thomas A. Garrett, Jr.: yes
- Jackie H. Glass: yes
- Timothy P. Griffin: yes
- Elizabeth R. Guzman: yes
- Karen Hamilton: yes
- C.E. Cliff Hayes, Jr.: yes
- Dan I. Helmer: yes
- Rozia A. Henson, Jr.: yes
- Phil M. Hernandez: yes
- Charniele L. Herring: yes
- M. Keith Hodges: yes
- Patrick A. Hope: yes
- Hillary Pugh Kent: yes
- Karen Keys-Gamarra: yes
- Terry G. Kilgore: yes
- Paul E. Krizek: yes
- Amy J. Laufer: yes
- James A. "Jay" Leftwich: yes
- Destiny LeVere Bolling: yes
- Alfonso H. Lopez: yes
- Michelle Lopes Maldonado: yes
- Marty Martinez: yes
- John Chilton McAuliff: yes
- Adele Y. McClure: yes
- Garrett McGuire: yes
- Ellen H. McLaughlin: yes
- Joseph P. McNamara: yes
- Kirk McPike: yes
- Delores L. McQuinn: yes
- Leslie Chambers Mehta: yes
- James W. Morefield: yes
- May Nivar: yes
- Delores Oates: yes
- Israel D. O'Quinn: yes
- Justin Pence: yes
- Eric Phillips: yes
- Kimberly Pope Adams: yes
- Marcia S. "Cia" Price: yes
- Sam Rasoul: yes
- Atoosa R. Reaser: yes
- David A. Reid: yes
- Chris S. Runion: yes
- Charlie Schmidt: yes
- Don Scott: yes
- Phillip A. Scott: yes
- Holly M. Seibold: yes
- Briana D. Sewell: yes
- Irene Shin: yes
- Marcus B. Simon: yes
- Shelly A. Simonds: yes
- JJ Singh: yes
- Richard C. "Rip" Sullivan, Jr.: yes
- Anne Ferrell Tata: yes
- Joshua E. Thomas: yes
- Virgil Thornton: yes
- Luke E. Torian: yes
- Kathy K.L. Tran: yes
- H. Otto Wachsmann, Jr.: yes
- Wendell S. Walker: yes
- Jeion A. Ward: yes
- R. Lee Ware: yes
- Vivian E. Watts: yes
- Michael J. Webert: yes
- Madison Whittle: yes
- Bill Wiley: yes
- Rodney T. Willett: yes
- Wren M. Williams: yes
- Tony O. Wilt: yes
- Thomas C. Wright, Jr.: yes
- Scott A. Wyatt: yes
- Eric R. Zehr: yes
Related bills
No related bills recorded for this bill.
Official source
Attribution
Data from openstates_bulk_csv, retrieved 2026-07-24T05:35:59.552682Z
Inspect retained evidence for changes recorded after evidence tracking began:
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