HB 746 VA

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Became Law

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.

• Rozia A. Henson, Jr. Democratic · primary

1. Jan 13, 2026 Prefiled and ordered printed; Offered 01-14-2026 26105086D · lower
2. Jan 13, 2026 Referred to Committee on Health and Human Services · lower
3. Jan 21, 2026 Assigned sub: Health Professions · lower
4. Feb 9, 2026 Fiscal Impact Statement from Department of Planning and Budget (HB746) · lower
5. Feb 10, 2026 House subcommittee offered · lower
6. Feb 10, 2026 Subcommittee recommends reporting with substitute (10-Y 0-N) · lower
7. Feb 12, 2026 Reported from Health and Human Services with substitute (21-Y 0-N) · lower
8. Feb 12, 2026 Committee substitute printed 26107501D-H1 · lower
9. Feb 15, 2026 Read first time · lower
10. Feb 16, 2026 Read second time · lower
11. Feb 16, 2026 committee substitute agreed to · lower
12. Feb 16, 2026 Engrossed by House - committee substitute · lower
13. Feb 17, 2026 Read third time and passed House (97-Y 0-N 0-A) · lower
14. Feb 17, 2026 Fiscal Impact Statement from Department of Planning and Budget (HB746) · lower
15. Feb 18, 2026 Constitutional reading dispensed (on 1st reading) · upper
16. Feb 18, 2026 Referred to Committee on Education and Health · upper
17. Feb 26, 2026 Reported from Education and Health (13-Y 1-N 1-A) · upper
18. Feb 27, 2026 Rules suspended · upper
19. Feb 27, 2026 Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A) · upper
20. Feb 27, 2026 Passed by for the day Block Vote (Voice Vote) · upper
21. Mar 2, 2026 Read third time · upper
22. Mar 2, 2026 Passed by for the day · upper
23. Mar 3, 2026 Motion to recommit to Education and Health agreed to · upper
24. Mar 3, 2026 Recommitted to Education and Health · upper
25. Mar 5, 2026 Senate committee offered · upper
26. Mar 5, 2026 Reported from Education and Health with amendment (14-Y 0-N 1-A) · upper
27. Mar 6, 2026 Passed by for the day Block Vote (Voice Vote) · upper
28. Mar 9, 2026 Read third time · upper
29. Mar 9, 2026 Education and Health Amendment agreed to · upper
30. Mar 9, 2026 Engrossed by Senate as amended · upper
31. Mar 9, 2026 Passed Senate with amendment (38-Y 2-N 0-A) · upper
32. Mar 10, 2026 Senate amendment agreed to by House (99-Y 0-N 0-A) · lower
33. Mar 30, 2026 Enrolled · lower
34. Mar 30, 2026 Bill text as passed House and Senate (HB746ER) · lower
35. Mar 30, 2026 Signed by President · upper
36. Mar 31, 2026 Fiscal Impact Statement from Department of Planning and Budget (HB746) · lower
37. Mar 31, 2026 Signed by Speaker · lower
38. Mar 31, 2026 Enrolled Bill communicated to Governor on March 31, 2026 · lower
39. Mar 31, 2026 Governor's Action Deadline 11:59 p.m., April 13, 2026 · executive
40. Apr 8, 2026 Approved by Governor-Chapter 418 (effective 7/1/2026) · executive
41. Apr 8, 2026 Acts of Assembly Chapter text (CHAP0418) · 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
• Senate Amendment · HTML
• Education and Health Amendment · HTML
• Education and Health Amendment · HTML
• Health and Human Services Substitute · PDF
• Health and Human Services Substitute · HTML
• Health and Human Services Substitute · PDF
• Health and Human Services Substitute · HTML
• Health Professions Subcommittee Substitute · PDF
• Health Professions Subcommittee Substitute · HTML
• Introduced · PDF
• Introduced · HTML