Summary: State plan for medical assistance services;fertility preservation treatments; genetic material misuse; penalty. Directs the Board of Medical Assistance Services to amend the stateplan for medical assistance services to include a provision for paymentof medical assistance for coverage of fertility preservation for individuals diagnosed with cancer who need treatment for that cancerthat may cause a substantial risk of sterility or iatrogenic infertility,as defined in the bill, including surgery, radiation, or chemotherapy.The bill also establishes that it is a Class 3 felony for a healthcare provider to provide assisted conception treatment to a patientand use the health care provider's own gamete without the writtenconsent of the patient.

Summary: Department of General Services; Office of PharmaceuticalServices; report. Establishes in the Department of General Servicesan Office of Pharmaceutical Services to develop and execute a planto consolidate state agency prescription drug purchasing and pharmacy benefit management programs to increase efficiency in prescriptiondrug purchasing and constrain spending on prescription drugs. Thebill directs the Department to provide to the Governor and the GeneralAssembly an interim report on the development of the plan by November1, 2024, and a final report on the plan by November 1, 2025.

Summary: Commissioner of Behavioral Health and Developmental Services; inclusive housing plan; individuals with disabilities. Directs the Commissioner of Behavioral Health and Developmental Services (the Commissioner) to work with stakeholders to develop a plan to ensure that people with disabilities across the Commonwealth, including individuals affected by the Settlement Agreement entered into on August 23, 2012, pursuant to U.S. of America v. Commonwealth of Virginia, have an opportunity to access affordable and inclusive housing, as defined in the bill. The bill requires the Commissioner to present the plan to the Chairmen of the House Committee on Health and Human Services and the Senate Committee on Education and Health by November 1, 2025.

Summary: Department of Behavioral Health and Developmental Services; facilities licensed to provide inpatient substance use disorder treatment; valid discharge plans. Directs the Department of Behavioral Health and Developmental Services to amend its regulations to require that any facility licensed by the Department to provide inpatient substance use disorder treatment be required to prepare and record a valid discharge plan upon the discharge or withdrawal of any individual from the facility who has received substance use disorder treatment while admitted to such facility. The bill requires such discharge plan to include the provision of funds withheld from the individual's prior payments to the facility to assist the individual in the execution of such discharge plan. The bill requires the regulations to provide that failure by a facility to prepare and record valid discharge plans may result in civil penalties, license suspension, or license revocation.

Summary: Community services boards; core of services. Adds to the list of the core services to be provided by community services boards (i) crisis services for individuals with a mental illness or substance use disorder, (ii) outpatient mental health and substance abuse services, (iii) psychiatric rehabilitation services, (iv) peer support and family support services, (v) mental health services for members of the armed forces located 50 miles or more from a military treatment facility and veterans located 40 miles or more from a Veterans Health Administration medical facility, and (vi) care coordination services. The bill removes language that conditions the duty of community services boards to provide case management services on the availability of funding. The bill further requires community services boards to provide any such services (a) to every adult who has a serious mental illness, child who has or is at risk of serious emotional disturbance, and individual who has a substance use disorder and (b) in a timely manner and at a location that is near the individual. The bill has a delayed effective date of July 1, 2026, for most provisions.

Summary: Board of Medicine; continuing education; implicitbias and cultural competency in health care. Requires the Boardof Medicine to adopt and implement policies that require each practitionerlicensed by the Board who has direct contact with persons who areor may become pregnant to complete two hours of continuing educationrelated to implicit bias, defined in the bill, and cultural competencyin health care at least once every other license renewal cycle.

Summary: Civil immunity; dentists and dental hygienists; mental health treatment for health care professionals; reporting requirements. Adds dentists and dental hygienists to the list of providers who are immune from civil liability for any act done or made in performance of his duties while serving as a member of or consultant to an entity that functions primarily to review, evaluate, or make recommendations on a professional program to address issues related to career fatigue and wellness in health care professionals. The bill also extends civil immunity to certain providers for any act done or made in performance of his duties while serving as a member of or consultant to an entity that functions primarily to arrange for or provide outpatient health care for health care professionals. The bill also revises the Board of Medicine reporting requirements when a health care professional is admitted for mental health treatment. Under the bill, if a health care professional is voluntarily admitted to a health care institution for treatment of a substance abuse or psychiatric illness and is no longer believed to be a danger within 30 days then no report will be made to the Board of Medicine. This bill is identical to SB 629.

Summary: Physicians; informed consent; procedure observationby students or trainees for teaching purposes. Requires physiciansto notify patients that students or trainees may observe a procedureand requires physicians to obtain informed consent before such observationmay occur.

Summary: Simon's Law; health care; life-sustaining treatmentfor minors; exceptions. Requires a physician to obtain the written permission from at least one parent or legal guardian of a minor,defined in the bill as an unemancipated individual who is youngerthan 18 years of age and not under juvenile court supervision or on active duty with the Armed Forces of the United States, before instituting a Do Not Resuscitate order or similar physician's order.The bill creates an exception for when a physician is unable tocontact a parent or legal guardian of such minor within 72 hoursof the initial contact attempt. The bill also prevents a physicianfrom interfering with such parent's or legal guardian's efforts toobtain other medical opinions, hindering or delaying the necessarymeasures to facilitate a transfer of such minor to another medicalfacility, or refusing to continue providing life-sustaining treatmentto such minor when such a transfer is imminent. Under the bill, suchparent or legal guardian maintains all rights to determine whetherlife-sustaining treatment and cardiopulmonary resuscitation are used on such minor unless a court of law or equity determines that thereis destruction of the circulatory system, respiratory system, andthe entire brain. A parent or legal guardian may also request disclosureof the physician's policies involving cardiopulmonary resuscitationand life-sustaining treatment.

Summary: Dental hygienists; remote supervision. Extendsfrom 90 days to 180 days the period during which a dental hygienistpracticing under remote supervision may continue to treat a patient,after which period the supervising dentist shall conduct an examinationor refer the patient to another dentist to conduct an examination. Under current law, a dental hygienist practicing under remote supervisionmay continue to treat a patient for 90 days.

Summary: Board of Medicine; Board of Dentistry; Board of Optometry; Boards of Medicine and Nursing; patient counseling; treatment with opioids. Directs the Board of Medicine, the Board of Dentistry, the Board of Optometry, and the Boards of Medicine and Nursing to amend their regulations to require the provision of certain information to patients being prescribed an opioid for the treatment of acute or chronic pain. The bill requires that the regulations include an exception to the required provision of such information for patients who are (i) in active treatment for cancer, (ii) receiving hospice care from a licensed hospice or palliative care, (iii) residents of a long-term care facility, (iv) being prescribed an opioid in the course of treatment for substance abuse or opioid dependence, or (v) receiving treatment for sickle cell disease. The bill directs the Boards to adopt emergency regulations to implement the provisions of the bill.

Summary: Board of Medicine; executive director; qualifications.Allows attorneys to serve as the executive director for the Boardof Medicine. Under current law, the executive director for the Boardof Medicine must be a physician.

Summary: Pharmacy technicians; expansion of allowable duties. Allows pharmacy technicians to clarify quantity or refills for a prescription issued for a Schedule VI drug. Current law only allows pharmacy technicians to accept refill authorizations. The bill also allows pharmacy technicians to accept electronic transfer of a refill for a Schedule VI drug upon order of the pharmacist-in-charge or pharmacist on duty if the refill is not an on-hold prescription. The bill defines "on-hold prescription" as a valid prescription that is received and maintained at the pharmacy for initial dispensing on a future date.

Summary: Board of Medicine; continuing education; unconscious bias and cultural competency. Directs the Board of Medicine to require unconscious bias and cultural competency training as part of the continuing education requirements for renewal of licensure. The bill specifies requirements for the training and requires the Board of Medicine to report on the training to the Department of Health and the Virginia Neonatal Perinatal Collaborative. This bill is identical to SB 35.

Summary: Barrier crimes; adult substance abuse and mental health services; exception. Permits the Department of Behavioral Health and Developmental Services, providers of substance abuse or mental health services to adults, and community services boards and behavioral health authorities to hire applicants convicted of certain barrier crimes of misdemeanor assault and battery or involving controlled substances provided that such conviction occurred more than four years prior to the application date for employment. This bill is identical to SB 626.

Summary: Board of Medicine; breast implant patient decision checklist required. Directs the Board of Medicine to developa patient decision checklist for procedures involving breast implantsthat informs patients of the potential risks of breast implants. The bill requires physicians to obtain an executed breast implantpatient decision checklist from the patient before conducting anyprocedure that involves breast implants.

Summary: Prescribed Pediatric Extended Care Centers;licensure; regulation. Authorizes the Board of Health to license prescribed pediatric extended care centers. The bill establishesthe scope of services offered by such centers and requirements foroperation, management, staffing, facilities, and maintenance anddirects the Board to promulgate regulations to implement the provisionsof the bill.

Summary: Administrative Process Act; exemptions; limitations; appeals of case decisions regarding benefits sought. Provides that in appeals of case decisions regarding the grant or denial of Temporary Assistance to Needy Families (TANF), Medicaid, Supplemental Nutrition Assistance Program (SNAP) benefits, general relief, auxiliary grants, or state-local hospitalization, the review shall be based upon the agency record and the court may enter intermediate relief. The bill also provides that in such appeals, unless an error of law appears, the court shall enter judgment by dismissing the review action or affirming the agency regulation or decision.

Summary: Comprehensive children's health care coverage program. Directs the Department of Medical Assistance Services to establish a program to provide state-funded comprehensive health care coverage for individuals in the Commonwealth who (i) are under 19 years of age, (ii) are not covered under a group health plan or health insurance coverage, and (iii) but for their immigration status would be eligible for medical assistance services through the Commonwealth's program of medical assistance services established pursuant to Title XIX or XXI of the Social Security Act. The bill also requires the Department to ensure that all program information is made available in a manner that is accessible to individuals with limited English proficiency and individuals with disabilities through the provision of language access services, including oral interpretation and written translations, free of charge and to ensure that information obtained by the program remains confidential and is not disclosed for any purpose not related to the administration of the program or any purpose related to civil immigration enforcement unless the subject of the information consents to such disclosure or the requesting agency presents a valid judicial order, subpoena, or warrant.The bill also requires the Department to (a) establish a work group composed of individuals with direct and lived experience with the program eligibility criteria established by the bill and individuals with experience conducting outreach to individuals who are eligible for the program established by the bill to advise and assist the Department in carrying out marketing and outreach activities required by the bill and (b) seek all federal waivers and other approvals necessary to maximize federal financial participation in the cost of carrying out the program established by the bill.

Summary: Children's advocacy centers; definitions; investigations by local departments of social services. Replaces the term "child advocacy center" with "children's advocacy center" and defines such term. The bill provides that if it is determined during a human trafficking assessment that a forensic interview of the child is needed, such interview may be conducted by a children's advocacy center within the jurisdiction; however, if the interview cannot be completed within 14 days, the forensic interview may be conducted by a children's advocacy center located in another jurisdiction. This bill is identical to SB 12.

Summary: Fostering Futures program; eligibility; agelimit. Increases from 21 to 23 the age at which an individualmay no longer participate in the Fostering Futures program.

Summary: Local departments of social services; employeecriminal background checks. Establishes a process for local departmentsof social services to conduct background checks for current or prospectiveemployees and prohibits local departments from employing any personwho has been convicted of a criminal offense that relates to hisemployment. The bill includes criteria for the local department toconsider when deciding if a criminal offense related to employmentis relevant when hiring a specific employment position.

Summary: Social services; Dynamic Benefit AdjustmentSystem. Establishes a Dynamic Benefit Adjustment System thatgradually reduces public assistance benefits in response to beneficiaries'earned income. The bill requires the Department of Social Servicesto establish the formula for the system, collect and analyze dataon the System, and make regular reports on the System's performanceto the General Assembly.

Summary: Department of Professional and OccupationalRegulation; Department of Health Professions; certain suspensionsnot considered disciplinary action. Prohibits any board of theDepartment of Professional and Occupational Regulation or the Departmentof Health Professions issuing a suspension upon any regulant of suchboard pursuant to such regulant's having submitted a check, moneydraft, or similar instrument for payment of a fee required by statuteor regulation that is not honored by the bank or financial institutionnamed from considering or describing such suspension as a disciplinaryaction.

Summary: Chief Medical Examiner; Maternal Mortality Review Team; work group; expansion plan; report. Directs the Office of the Chief Medical Examiner and the Maternal Mortality Review Team to convene a work group to expand the work of the Maternal Mortality Review Team. The bill directs the work group to develop criteria and procedures related to the collection of maternal morbidity data. The bill specifies that the Maternal Mortality Review Team's expansion plan shall include certain plans for data collection, data review, and development and implementation of policies and recommendations. The work group is required to report its findings and provide its plan to the Chairmen of the House Committees on Appropriations and Health and Human Services and the Senate Committees on Finance and Appropriations and Education and Health by July 1, 2026.

Summary: Board of Pharmacy; use of automated dispensing systems and remote dispensing systems in certain facilities. Defines "remote dispensing system" as a profile-driven automated drug dispensing system that performs operations or activities relative to the storage, packaging, labeling, or dispensing of medications employing bidirectional and audio-visual technology to facilitate pharmacist communication with a patient, an authorized agent of a patient, or a person licensed to administer drugs, and collects, controls, and maintains all transaction information. The bill allows for the use of remote dispensing systems in hospitals, state facilities licensed pursuant to Title 37.2, services licensed by the Department of Behavioral Health and Developmental Services as a site-based crisis stabilization unit, and any other facility authorized by the Board of Pharmacy in regulation wherein drugs are administered only by persons licensed to administer drugs and where the pharmacist-in-charge can ensure the security and environmental integrity of the drugs and devices. The bill extends the use of automated drug dispensing systems from use only in hospitals to use in each such facility listed above. This bill was incorporated into HB 1336.

Summary: Drug Control Act; Schedule I; Schedule II; Schedule IV; Schedule V. Adds certain chemicals to Schedules I, II, IV, and V of the Drug Control Act. The Board of Pharmacy has added these substances in an expedited regulatory process. A substance added via this process is removed from the schedule after 18 months unless a general law is enacted adding the substance to the schedule. This bill incorporates HB 1450 and is identical to SB 111.

Summary: Crisis stabilization services; facilities licensed by Department of Behavioral Health and Developmental Services; nursing homes; dispensing and administration of drugs; emergency. Permits facilities licensed by the Department of Behavioral Health and Developmental Services that provide crisis stabilization services to maintain a stock of Schedules II through VI controlled substances necessary for immediate treatment of patients admitted to such facility. Under current law, maintenance of a stock of Schedule VI controlled substances is allowed under certain conditions, but a stock of Schedules II through V controlled substances may be maintained only if authorized by federal law and Board of Pharmacy regulations. The bill also allows automated drug dispensing systems and remote dispensing systems to be used by state facilities established pursuant to Title 37.2 (Behavioral Health and Developmental Services), facilities that provide crisis stabilization services, nursing homes, and other facilities authorized by the Board of Pharmacy that meet certain conditions. The bill contains an emergency clause, directs the Board of Pharmacy to adopt emergency regulations to implement the provisions of the bill, incorporates HB 1038, and is identical to SB 568.

Summary: Drug Control Act; Schedule I; Schedule II; Schedule IV; Schedule V. Adds certain chemicals to Schedules I, II, IV, and V of the Drug Control Act. The Board of Pharmacy has added these substances in an expedited regulatory process. A substance added via this process is removed from the schedule after 18 months unless a general law is enacted adding the substance to the schedule. This bill was incorporated into HB 1333.

Summary: Adult day care centers; name change. Renames "adult day care centers" as "adult day centers" throughout the Code of Virginia. This bill is identical to SB 173.