Summary: Adult protective services; central registry.Creates a central registry of substantiated complaints of adult abuse,neglect, and exploitation to be maintained by the Department forAging and Rehabilitative Services. The bill establishes (i) investigation requirements for local departments of social services related toreports of adult abuse, neglect, and exploitation; (ii) record retentionand disclosure requirements for the Department for Aging and RehabilitativeServices and local departments of social services; (iii) notice requirementsrelated to findings by local departments and central registry entries;and (iv) an appeals process to contest the findings of a local departmentrelated to substantiated reports of adult abuse, neglect, or exploitation.

Summary: Department of Health; certain communicationprohibited. Prohibits any person employed by or who has enteredinto a contract to provide services on behalf of the Department ofHealth or a local department of health from initiating communicationregarding health-related matters with a minor on behalf of the Departmentor local department of health without the consent of the minor'sparent, except as otherwise required by law.

Summary: Barrier crimes; removing offenses involvingpossession, use, manufacturing, etc., of controlled substances. Removes nonviolent offenses involving the possession, use, manufacturing, distributing, selling, etc., of controlled substances from the listof crimes that constitute a barrier to employment.

Summary: Unaccompanied homeless youth; consent to medicalcare. Provides that except for the purposes of sterilizationor abortion, a minor who is 14 years of age or older and who is an unaccompanied homeless youth shall be deemed an adult for the purposeof consenting to surgical or medical examination or treatment, includingdental examination and treatment, for himself or his minor child.The bill describes evidence sufficient to determine that a minoris an unaccompanied homeless youth and provides that no health careprovider shall be liable for any civil or criminal action for providingsurgical or medical treatment to an unaccompanied homeless youthor his minor child without first obtaining the consent of his parentor guardian provided in accordance with the law, with the exceptionof liability for negligence in the diagnosis or treatment of suchunaccompanied homeless youth.

Summary: Department of Health; evidence-based best practicesfor opioid-related emergencies in the emergency department. Requireshospitals to establish and implement policies and protocols consistentwith evidence-based best practices for opioid-related emergenciesin the emergency department published and regularly updated by theDepartment of Health.

Summary: Children's Services Act; parent representatives; community policy and management teams; family assessment and planning teams. Removes provisions that prohibit a parent representative from serving as a member of a community policy and management team (CPMT) or a family assessment and planning team (FAPT) if such parent representative is employed by a public or private program that receives funds pursuant to the law or agencies represented on a FAPT or CPMT and interacts directly on a regular and daily basis with children or supervises employees who interact directly on a regular basis with children; however, the bill directs prioritization of participation by parent representatives who are not employed by a public or private program that receives funds pursuant to the law or agencies represented on a FAPT or CPMT. The bill directs the State Executive Council for Children's Services to inventory current efforts to recruit and retain parent representatives on CPMTs and FAPTs and compile a list of best practices for including and elevating parent voices within CPMTs and FAPTs for distribution to local Children's Services Act programs. The bill requires the State Executive Council for Children's Services to provide a copy of this report to the Chairmen of the Senate Committee on Rehabilitation and Social Services and the House Committee on Health, Welfare and Institutions no later than November 1, 2022. This bill is identical to SB 435.

Summary: State plan for medical assistance services; eligibility; social security disability income. Directs the State Board of Medical Assistance Services to amend the state plan for medical assistance to disregard, for the purposes of eligibility determination, any social security disability income received by the person.

Summary: Possession of controlled substances; barriercrimes. Removes from the definition of barrier crime a felonyviolation of possession of a controlled substance.

Summary: Department of Behavioral Health and DevelopmentalServices; work group; strategies to meet behavioral health safety net workforce needs; report. Directs the Department of BehavioralHealth and Developmental Services to establish a work group, whichshall include representatives of the Department of Health Professions,the Virginia Association of Community Services Boards, the VirginiaArea Health Education Centers Program and regional area health educationcenters, the Virginia Community College System, the State Councilof Higher Education for Virginia, and other relevant stakeholders,to develop a strategy to address the behavioral health safety networkforce shortage in the Commonwealth. The bill directs the workgroup to report its findings and recommendations to the Governor andthe General Assembly by November 1, 2022.

Summary: Mandatory outpatient treatment. Reorganizes and clarifies provisions governing mandatory outpatient treatment. The bill also eliminates provisions allowing for a single order for a period of involuntary inpatient treatment followed by a period of mandatory outpatient treatment and instead requires entry of separate orders for involuntary inpatient and mandatory outpatient treatment in all cases. The bill has a delayed effective date of October 1, 2022.

Summary: Facilities for civilly committed sexually violent predators; reports to the Commonwealth's designated protection and advocacy system. Adds persons who are civilly committed sexually violent predators to the categories of persons for whom the Commonwealth's designated advocacy and protection system provides oversight, provided that funding for such purpose is provided by the General Assembly. The bill also requires state facilities to which sexually violent predators are civilly committed to notify in writing the Director of the Commonwealth's designated protection and advocacy system within 48 hours of critical incidents or deaths of individuals receiving services in the state facility, and requires the Commissioner of the Department of Behavioral Health and Developmental Services to provide to the Director a written report setting forth the known facts of critical incidents or deaths of individuals receiving services in facilities to which sexually violent predators are civilly committed within 15 working days of such critical incident or death.

Summary: Assisted living facilities; involuntary dischargeof a resident. Provides that an assisted living facility shallnot involuntary discharge a patient except (i) in cases in whichthe resident's condition presents an immediate and serious risk tothe health, safety, or welfare of the resident or others and emergencydischarge is necessary to protect the health, safety, or welfareof the resident or others; (ii) for nonpayment of contracted charges;or (iii) for failure of the resident to substantially comply withthe terms and conditions of the lease agreement between the residentand the assisted living facility. The bill requires an assisted livingfacility to take steps to prevent the involuntary discharge, requiresan assisted living facility to provide at least 30 days' notice ofthe involuntary discharge, and requires the assisted living facilityto provide a discharge plan for the resident prior to involuntary discharge. The bill also requires the Department of Social Servicesto establish a process by which a resident or the resident's representativemay appeal the decision of the assisted living facility to involuntarilydischarge a resident to the Department and requires the Departmentto conduct a review to determine whether the assisted living facilityhas complied with the requirements of the bill.

Summary: Board of Pharmacy; safe sharps disposal.Directs the Board of Pharmacy to amend its regulations to requireall pharmacies to provide and maintain a safe sharps disposal containeron the premises of the pharmacy for public use.

Summary: Kinship foster care; notice and appeal. Requires local boards of social services (local boards), upon receiving a request from a child's relative to become a kinship foster parent, to provide the relative with any forms and materials that must be submitted to become a kinship foster parent within 15 days. The bill requires local boards, upon denying a relative's request to become a kinship foster parent, to provide to the relative (i) a clear and specific explanation of the reasons for denial, (ii) a statement that such denial is appealable, and (iii) information regarding the procedure for filing such appeal. The bill allows relatives to file an appeal regarding such decisions with the Commissioner of Social Services and requires the Board of Social Services to adopt certain regulations regarding the timeline of such appeals. This bill is identical to SB 307.

Summary: Unaccompanied homeless youths; services; consent. Provides that an unaccompanied homeless youth shall be deemed an adult for the purpose of consenting to housing, including emergency shelter, and establishes requirements for providers of housing, including emergency shelter, for unaccompanied homeless youths. The bill directs the Board of Social Services to adopt regulations for implementation of the bill and directs the Department of Social Services to establish a work group to make recommendations to the Board regarding such regulations and to develop recommendations regarding authorizing unaccompanied homeless youth to consent to medical care.

Summary: Department of Health; onsite sewage system pump-out oversight; certain localities. Requires the Department of Health (the Department), effective July 1, 2023, to manage and enforce onsite sewage system pump-out compliance for Accomack, Essex, Gloucester, King and Queen, King William, Lancaster, Mathews, Middlesex, Northampton, Northumberland, Richmond, and Westmoreland Counties and the incorporated towns within those counties. The bill requires licensed operators conducting onsite sewage system pump-outs that are managed by the Department in these localities to provide a report on the results of the site visit using a web-based reporting system developed by the Department. The bill also requires the Board of Health to establish a uniform schedule of civil penalties for violations of onsite treatment system pump-out requirements in localities in which compliance with such requirements is managed and enforced by the Department and provides that any person who violates such requirements in a locality in which compliance is managed and enforced by the Department is guilty of a Class 3 misdemeanor.

Summary: Freestanding emergency departments. Requiresthe Board of Health to promulgate regulations related to freestandingemergency departments, defined in the bill as facilities locatedin the Commonwealth that (i) provide emergency services, (ii) areowned and operated by a licensed hospital and operate under the hospital'slicense, and (iii) are located on separate premises from the primarycampus of the hospital. The bill also requires freestanding emergencydepartments to make certain disclosures to patients, in advertisements,and on any online platforms associated with such emergency department.

Summary: Barrier crimes. Eliminates certain crimes from the definition of "barrier crime" and requires the State Board of Behavioral Health and Developmental Services, the Board of Education, the State Board of Health, and the State Board of Social Services to each adopt regulations that develop and implement a waiver process for individuals who have been convicted of a barrier crime and who serve in a position or seek to serve in a position with any qualified entity subject to the regulations of the board. The bill eliminates current exceptions and time limit mandates, as such information is required to be set out in each agency's waiver process. The bill sets out information to be included in the regulations of the individual boards. The bill also directs the Departments of Behavioral Health and Developmental Services, Education, Health, and Social Services to each publish information about the agency's waiver process in an easily accessible format on a website maintained by the department. The bill includes additional requirements for each waiver process, such as if an individual's application for a waiver is denied, the department must state the basis for denial in writing and provide such explanation to the individual. The bill provides that although a waiver granted to an individual by one department shall not be transferrable to a position under another department, proof of receipt of a waiver from one department shall be considered positively by another department when reviewing an application for a waiver. Additionally, each department is required to notify the Department of State Police when a waiver has been granted within 10 days of issuing the decision in writing to the person who was subject to the waiver. In cases where a waiver has been granted, the bill also prohibits any business screening service from disseminating information regarding the barrier crime conviction that was the subject of such waiver unless it is clearly indicated that the waiver was granted, and the bill sets out a penalty for any business screening service that violates that prohibition. The bill prohibits any qualified entity from discharging or otherwise discriminating against a person for any reason concerning solely the barrier crime conviction that was the subject of a waiver that has been granted. The bill also exempts all documents relating to a waiver application from the Virginia Freedom of Information Act except for an application cover sheet and whether the waiver has been granted or denied or if the application is pending. Additionally, the bill eliminates the state-level barrier crimes requirements for foster and adoptive parents and provides that a child-placing agency shall not approve a foster or adoptive home if any individual has been convicted of crimes prohibited under federal law or is the subject of a founded complaint of abuse or neglect as maintained in registries pursuant to state and federal law. The bill has a delayed effective date of the earlier of (i) the first day of the fourth month following notification of the Chairmen of the Senate Committee on the Judiciary and the House Committee for Courts of Justice by the Superintendent of State Police that the Department of State Police has implemented the necessary system upgrades as required by this act or (ii) July 1, 2025; however, the provisions related to foster and adoptive parents become effective on July 1, 2022. The bill requires the Boards of Behavioral Health and Developmental Services, Education, Health, and Social Services to promulgate regulations by December 1, 2024, to implement the provision of the bill. The bill also requires the Secretaries of Education, Health and Human Resources, and Labor to provide recommendations on the development of a navigation system no later than July 1, 2024, for assisting applicants in navigating the waiver processes across each department. Individuals with barrier crime convictions serving in a position pursuant to a currently existing exception, waiver, or screening process that the bill eliminates shall continue to be subject to such exception, waiver, or screening process and shall not be terminated upon enactment of the bill or required to apply for a barrier crime conviction waiver so long as he continues to be employed by the same employer. The bill also permits the boards to have a phased implementation of the regulations not to exceed two years after the bill's enactment in order to prevent overwhelming department resources for receiving applications and to ensure that applications are answered in a timely manner. The bill also directs the Department of State Police to implement any necessary enhancements to the Criminal History and Rap Back Information System by the effective date of the first enactment of this act.  

Summary: Criminal history background checks. Movesto separate sections of the Code of Virginia provisions governingbackground checks for individuals providing substance abuse and mentalhealth services for adults. Currently, provisions governing backgroundchecks for individuals providing substance abuse and mental healthservices for adults are included together with provisions governingbackground checks for providers of substance abuse and mental healthservices for children and providers of developmental services for individuals of all ages.

Summary: Public health emergency; hospital or nursing home; addition of beds. Creates an exemption from the requirement for a certificate of public need or a license for the temporary addition of beds located in a temporary structure or satellite location by a hospital or nursing home in cases in which the Board of Health or the Commissioner of Health (the Commissioner) has entered an emergency order for the purpose of suppressing a nuisance dangerous to public health or a communicable, contagious, or infectious disease or other danger to the public life and health, provided that the ability remains to safely staff services across the existing hospital or nursing home, and provides that such exemption shall apply for the duration of the emergency order plus 30 days. The bill also expands the duration of the existing exemption from the requirement for a certificate of public need or a license for the addition of temporary beds when the Commissioner has determined that a natural or man-made disaster has caused the evacuation of a hospital or nursing home and that a public health emergency exists due to a shortage of hospital or nursing home beds to the duration of such determination plus 30 days and makes clear that such exemption shall apply to the temporary addition of beds located in a temporary structure or satellite location by a hospital or nursing home. This bill is identical to SB 130.

Summary: Human research; research involving minors; requirements. Establishes additional requirements for human research involvinga minor as a human subject, defined in the bill, including requirements related to review of proposed and continuing research by institutionalreview boards and requirements related to parental consent to humanresearch involving a minor.

Summary: Certain health professions; licensure by endorsement.Requires the Boards of Dentistry, Medicine, and Nursing to grantan application by endorsement to any applicant who is licensed, certified,or registered in another state, the District of Columbia, or a UnitedStates territory or possession upon submission of evidence satisfactory to such board. Currently, the Boards of Dentistry, Medicine, andNursing are authorized but not required to grant a license, certification,or registration by endorsement for applicants wishing to practiceregulated professions.

Summary: Hospitals; direct readmission of certain postpartum patients. Directs the Department of Health (the Department) to develop recommendations for protocols for hospitals that provide obstetrical services for (i) admission or transfer of any pregnant woman who presents herself while in labor or while experiencing a perinatal emergency and (ii) direct readmission, if appropriate, to the hospital of any patient who received obstetrical services from the hospital, experiences postpartum complications requiring immediate medical care, and is referred to the hospital by the patient's health care provider. The bill requires the Department to make such recommendations available to every hospital in the Commonwealth that provides obstetrical services by December 15, 2022.

Summary: Child abuse and neglect; valid complaint. Removesfrom the elements of a valid complaint or report of child abuse orneglect the requirement that the alleged abuser be the alleged victimchild's parent or caretaker. The bill requires a local departmentof social services (local department) that receives a complaint orreport of child abuse or neglect over which it does not have jurisdictionto forward such complaint or report to the appropriate local department.

Summary: Out-of-state health care practitioners; temporary authorization to practice; licensure by reciprocity for physicians; emergency. Allows a health care practitioner licensed in another state or the District of Columbia who has submitted an application for licensure to the appropriate health regulatory board to temporarily practice for a period of 90 days pending licensure, provided that certain conditions are met. The bill directs the Board of Medicine to pursue reciprocity agreements with jurisdictions that surround the Commonwealth to streamline the application process in order to facilitate the practice of medicine. The bill requires the Department of Health Professions to annually report to the Chairmen of the Senate Committee on Education and Health and the House Committee on Health, Welfare and Institutions the number of out-of-state health care practitioners who have utilized the temporary authorization to practice pending licensure and have not subsequently been issued full licensure. The bill contains an emergency clause and is identical to SB 317.

Summary: Department for Aging and Rehabilitative Services;training; powers and duties of guardian; annual reports by guardians;information required. Directs the Department for Aging and RehabilitativeServices to develop and provide training for court-appointed guardians.The bill requires an appointed guardian and any staff employed bysuch guardian to perform guardianship duties to complete the initialtraining developed by the Department within four months of the dateof the initial court order of appointment and to include certainadditional information in the annual report that the guardian is requiredunder current law to submit to the local department of social services.

Summary: Board of Pharmacy; pharmacy work environment requirements. Directs the Board of Pharmacy to promulgate regulations related to work environment requirements for pharmacy personnel that protect the health, safety, and welfare of patients. The bill directs the Board of Pharmacy to adopt emergency regulations to implement the provisions of the bill.

Summary: Child abuse and neglect; valid complaint. Amendsthe definition of "abused or neglected child" to include a childwho is sexually exploited or abused by an intimate partner of thechild's parent or caretaker and allows a complaint of child abuseor neglect to be deemed valid by a local department of social services(local department) in such instances. The bill allows a complaintof child abuse or neglect that alleges child trafficking to be deemedvalid regardless of who the alleged abuser is or whether the alleged abuser has been identified. The bill requires a local departmentthat receives a complaint or report of child abuse or neglect overwhich it does not have jurisdiction to forward such complaint orreport to the appropriate local department, if the local departmentthat does have jurisdiction is located in the Commonwealth.