HB746Introduced in the House of Delegates
Physician assistants; authorization to practice without a practice agreement.
Introduced by Rozia Henson, District 19
What does this bill do?
Plain-English breakdown
Writing a plain-English summary of this bill… this can take a few seconds the first time.
Official description
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.
Where it stands
Acts of Assembly Chapter text (CHAP0418)
April 8, 2026
How did lawmakers vote?
House of Delegates votes
4 recorded votes · each counted separately
Senate votes
4 recorded votes · each counted separately
House of DelegatesStage: Senate amendment agreed to by House (99-Y 0-N 0-A) · March 10, 2026
99
Yes
0
No
0
Absent or Not Voting
99 delegates recorded in this House of Delegates vote. Colors show vote categories only, not whether a vote was good or bad.
See how each delegate voted
| Delegate | District | Vote |
|---|---|---|
| Patrick Hope | 1 | Yes |
| Adele McClure | 2 | Yes |
| Alfonso Lopez | 3 | Yes |
| Charniele Herring | 4 | Yes |
| Kirk McPike | 5 | Yes |
| Richard Sullivan | 6 | Yes |
| Karen Keys-Gamarra | 7 | Yes |
| Irene Shin | 8 | Yes |
| Karrie Delaney | 9 | Yes |
| Dan Helmer | 10 | Yes |
Bill history
Prefiled and ordered printed; Offered 01-14-2026 26105086D
Referred to Committee on Health and Human Services
Assigned sub: Health Professions
Fiscal Impact Statement from Department of Planning and Budget (HB746)
House subcommittee offered
Subcommittee recommends reporting with substitute (10-Y 0-N)
Reported from Health and Human Services with substitute (21-Y 0-N)
Committee substitute printed 26107501D-H1
Read first time
Read second time
committee substitute agreed to
Engrossed by House - committee substitute
Read third time and passed House (97-Y 0-N 0-A)
Fiscal Impact Statement from Department of Planning and Budget (HB746)
Constitutional reading dispensed (on 1st reading)
Referred to Committee on Education and Health
Reported from Education and Health (13-Y 1-N 1-A)
Rules suspended
Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A)
Passed by for the day Block Vote (Voice Vote)
Read third time
Passed by for the day
Motion to recommit to Education and Health agreed to
Recommitted to Education and Health
Senate committee offered
Reported from Education and Health with amendment (14-Y 0-N 1-A)
Passed by for the day Block Vote (Voice Vote)
Read third time
Education and Health Amendment agreed to
Engrossed by Senate as amended
Passed Senate with amendment (38-Y 2-N 0-A)
Senate amendment agreed to by House (99-Y 0-N 0-A)
Enrolled
Bill text as passed House and Senate (HB746ER)
Signed by President
Fiscal Impact Statement from Department of Planning and Budget (HB746)
Signed by Speaker
Enrolled Bill communicated to Governor on March 31, 2026
Governor's Action Deadline 11:59 p.m., April 13, 2026
Approved by Governor - Chapter 418 (effective - see bill)
Acts of Assembly Chapter text (CHAP0418)
Verify the information
- Official page on the Virginia Legislature website
- Education and Health Amendment (amendment)
- Education and Health Amendment (amendment)
- Senate Amendment (amendment)
- Fiscal Note/Analysis (supplement)
- Fiscal Note/Analysis (supplement)
- Fiscal Note/Analysis (supplement)
- Introduced (text)
- Comm Sub (text)
- Comm Sub (text)
- Comm Sub (text)
- Enrolled (text)
- Chaptered (text)
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