Bill Commons

VA HB 746

enacted

Physician assistants; authorization to practice without a practice agreement.

Virginia · 2026 Regular Session · lower

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Quick answers

Did VA HB 746 pass?

Yes. VA HB 746 has been enacted into law. 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

Newest first

  1. 2026-04-08

    Acts of Assembly Chapter text (CHAP0418)

  2. 2026-04-08

    Approved by Governor-Chapter 418 (effective 7/1/2026)

    executive-signature

  3. 2026-03-31

    Governor's Action Deadline 11:59 p.m., April 13, 2026

    executive-receipt

  4. 2026-03-31

    Enrolled Bill communicated to Governor on March 31, 2026

    enrolled,executive-receipt

  5. 2026-03-31

    Signed by Speaker

    passage

  6. 2026-03-31

    Fiscal Impact Statement from Department of Planning and Budget (HB746)

  7. 2026-03-30

    Signed by President

    passage

  8. 2026-03-30

    Bill text as passed House and Senate (HB746ER)

    passage

  9. 2026-03-30

    Enrolled

    enrolled

  10. 2026-03-10

    Senate amendment agreed to by House (99-Y 0-N 0-A)

    amendment-passage

  11. 2026-03-09

    Passed Senate with amendment (38-Y 2-N 0-A)

    passage

  12. 2026-03-09

    Engrossed by Senate as amended

  13. 2026-03-09

    Education and Health Amendment agreed to

    amendment-passage

  14. 2026-03-09

    Read third time

    reading-3

  15. 2026-03-06

    Passed by for the day Block Vote (Voice Vote)

  16. 2026-03-05

    Reported from Education and Health with amendment (14-Y 0-N 1-A)

    committee-passage

  17. 2026-03-05

    Senate committee offered

  18. 2026-03-03

    Recommitted to Education and Health

  19. 2026-03-03

    Motion to recommit to Education and Health agreed to

  20. 2026-03-02

    Passed by for the day

  21. 2026-03-02

    Read third time

    reading-3

  22. 2026-02-27

    Passed by for the day Block Vote (Voice Vote)

  23. 2026-02-27

    Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A)

  24. 2026-02-27

    Rules suspended

  25. 2026-02-26

    Reported from Education and Health (13-Y 1-N 1-A)

    committee-passage

  26. 2026-02-18

    Referred to Committee on Education and Health

    referral-committee

  27. 2026-02-18

    Constitutional reading dispensed (on 1st reading)

  28. 2026-02-17

    Fiscal Impact Statement from Department of Planning and Budget (HB746)

  29. 2026-02-17

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

    passage,reading-3

  30. 2026-02-16

    Engrossed by House - committee substitute

    substitution

  31. 2026-02-16

    committee substitute agreed to

    substitution

  32. 2026-02-16

    Read second time

    reading-2

  33. 2026-02-15

    Read first time

    reading-1

  34. 2026-02-12

    Committee substitute printed 26107501D-H1

    substitution

  35. 2026-02-12

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

    committee-passage

  36. 2026-02-10

    Subcommittee recommends reporting with substitute (10-Y 0-N)

    substitution

  37. 2026-02-10

    House subcommittee offered

  38. 2026-02-09

    Fiscal Impact Statement from Department of Planning and Budget (HB746)

  39. 2026-01-21

    Assigned sub: Health Professions

    referral-committee

  40. 2026-01-13

    Referred to Committee on Health and Human Services

    referral-committee

  41. 2026-01-13

    Prefiled and ordered printed; Offered 01-14-2026 26105086D

    filing,introduction

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

https://lis.virginia.gov/bill-details/20261/HB746

Attribution

Data from openstates_bulk_csv, retrieved 2026-07-24T05:35:59.552682Z

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