Virginia bills · 2026 Regular Session
Virginia HB 746
Physician assistants; authorization to practice without a practice agreement.
- Introduced
- In committee
- Passed House
- Passed Senate
- To Governor
- Became law
Sponsors
- Rozia A. Henson, Jr. (Democratic)
Cosponsors (2)
- Charlie Schmidt
- Nadarius E. Clark (Democratic)
Summary
Official abstract published by the Virginia legislature· SUMMARY AS PASSED
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.
Text versions
- Introduced
- Health Professions Subcommittee Substitute
- Health and Human Services Substitute
- Education and Health Amendment
- Senate Amendment
- Enrolled
- Chaptered
Roll-call votes
State vote data last updated Oct 15, 2026, 8:06 AM.
| Date | Vote | Result | Your legislators |
|---|---|---|---|
| Mar 10, 2026 House | H VOTE: | pass | Set your home in Virginia to see |
| Mar 9, 2026 Senate | Passage R | pass | Set your home in Virginia to see |
| Mar 5, 2026 Senate | Reported from Education and Health with amendment | pass | Set your home in Virginia to see |
| Feb 27, 2026 Senate | Constitutional reading dispensed (on 2nd reading) | pass | Set your home in Virginia to see |
| Feb 26, 2026 Senate | Reported from Education and Health | pass | Set your home in Virginia to see |
| Feb 17, 2026 House | H VOTE: | pass | Set your home in Virginia to see |
| Feb 12, 2026 House | Reported from Health and Human Services with substitute | pass | Set your home in Virginia to see |
| Feb 10, 2026 House | Subcommittee recommends reporting with substitute | pass | Set your home in Virginia to see |
Actions
- Apr 8, 2026
Acts of Assembly Chapter text (CHAP0418) - Apr 8, 2026
Approved by Governor-Chapter 418 (effective 7/1/2026) - Mar 31, 2026
Governor's Action Deadline 11:59 p.m., April 13, 2026 - Mar 31, 2026 · House
Enrolled Bill communicated to Governor on March 31, 2026 - Mar 31, 2026 · House
Signed by Speaker - Mar 31, 2026 · House
Fiscal Impact Statement from Department of Planning and Budget (HB746) - Mar 30, 2026 · Senate
Signed by President - Mar 30, 2026 · House
Bill text as passed House and Senate (HB746ER) - Mar 30, 2026 · House
Enrolled - Mar 10, 2026 · House
Senate amendment agreed to by House (99-Y 0-N 0-A) - Mar 9, 2026 · Senate
Passed Senate with amendment (38-Y 2-N 0-A) - Mar 9, 2026 · Senate
Engrossed by Senate as amended - Mar 9, 2026 · Senate
Education and Health Amendment agreed to - Mar 9, 2026 · Senate
Read third time - Mar 6, 2026 · Senate
Passed by for the day Block Vote (Voice Vote) - Mar 5, 2026 · Senate
Reported from Education and Health with amendment (14-Y 0-N 1-A) - Mar 5, 2026 · Senate
Senate committee offered - Mar 3, 2026 · Senate
Recommitted to Education and Health - Mar 3, 2026 · Senate
Motion to recommit to Education and Health agreed to - Mar 2, 2026 · Senate
Passed by for the day - Mar 2, 2026 · Senate
Read third time - Feb 27, 2026 · Senate
Passed by for the day Block Vote (Voice Vote) - Feb 27, 2026 · Senate
Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A) - Feb 27, 2026 · Senate
Rules suspended - Feb 26, 2026 · Senate
Reported from Education and Health (13-Y 1-N 1-A) - Feb 18, 2026 · Senate
Referred to Committee on Education and Health - Feb 18, 2026 · Senate
Constitutional reading dispensed (on 1st reading) - Feb 17, 2026 · House
Fiscal Impact Statement from Department of Planning and Budget (HB746) - Feb 17, 2026 · House
Read third time and passed House (97-Y 0-N 0-A) - Feb 16, 2026 · House
Engrossed by House - committee substitute - Feb 16, 2026 · House
committee substitute agreed to - Feb 16, 2026 · House
Read second time - Feb 15, 2026 · House
Read first time - Feb 12, 2026 · House
Committee substitute printed 26107501D-H1 - Feb 12, 2026 · House
Reported from Health and Human Services with substitute (21-Y 0-N) - Feb 10, 2026 · House
Subcommittee recommends reporting with substitute (10-Y 0-N) - Feb 10, 2026 · House
House subcommittee offered - Feb 9, 2026 · House
Fiscal Impact Statement from Department of Planning and Budget (HB746) - Jan 21, 2026 · House
Assigned sub: Health Professions - Jan 13, 2026 · House
Referred to Committee on Health and Human Services - Jan 13, 2026 · House
Prefiled and ordered printed; Offered 01-14-2026 26105086D