SB 641 VA

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Became Law

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 HB 712.

• Todd E. Pillion Republican · primary

1. Jan 14, 2026 Prefiled and ordered printed; Offered 01-14-2026 26104754D · upper
2. Jan 14, 2026 Referred to Committee on Education and Health · upper
3. Jan 21, 2026 Fiscal Impact Statement from Department of Planning and Budget (SB641) · upper
4. Jan 30, 2026 Assigned Education sub: Health Professions · upper
5. Feb 5, 2026 Reported from Education and Health (14-Y 0-N) · upper
6. Feb 6, 2026 Rules suspended · upper
7. Feb 6, 2026 Constitutional reading dispensed (on 1st reading) (39-Y 0-N 0-A) · upper
8. Feb 6, 2026 Passed by for the day (Voice Vote) · upper
9. Feb 6, 2026 Passed by for the day · upper
10. Feb 9, 2026 Read second time · upper
11. Feb 9, 2026 Engrossed by Senate (Voice Vote) · upper
12. Feb 10, 2026 Read third time and passed Senate (40-Y 0-N 0-A) · upper
13. Feb 13, 2026 Placed on Calendar · lower
14. Feb 13, 2026 Read first time · lower
15. Feb 13, 2026 Referred to Committee on Health and Human Services · lower
16. Feb 19, 2026 Reported from Health and Human Services (21-Y 0-N) · lower
17. Feb 23, 2026 Read second time · lower
18. Feb 24, 2026 Read third time · lower
19. Feb 24, 2026 Passed House (98-Y 0-N 0-A) · lower
20. Feb 26, 2026 Enrolled · upper
21. Feb 26, 2026 Bill text as passed Senate and House (SB641ER) · upper
22. Feb 26, 2026 Signed by Speaker · lower
23. Feb 26, 2026 Signed by President · upper
24. Mar 2, 2026 Fiscal Impact statement From DPB (3/2/2026 2:20 pm) · upper
25. Mar 10, 2026 Enrolled Bill communicated to Governor on March 10, 2026 · upper
26. Mar 10, 2026 Governor's Action Deadline 11:59 p.m., April 13, 2026 · executive
27. Apr 6, 2026 Approved by Governor-Chapter 208 (effective 7/1/2026) · executive
28. Apr 6, 2026 Acts of Assembly Chapter text (CHAP0208) · executive

The published texts of this bill as it moves through the legislature. Each links to the official document on the state legislature site. Data from OpenStates.

• Chaptered · PDF
• Chaptered · HTML
• Enrolled · PDF
• Enrolled · HTML
• Introduced · PDF
• Introduced · HTML