SB641Introduced in the Senate
Office-based buprenorphine treatment; Board of Medicine to amend regulations.
Introduced by Todd Pillion, District 6
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
Board of Medicine; office-based buprenorphine treatment; counseling. Directs the Board of Medicine to amend its regulations regarding office-based buprenorphine treatment to require providers to offer counseling or referral to counseling to each patient as clinically necessary and mutually agreed-upon. The bill specifies that a patient's refusal of counseling does not preclude the patient from receiving office-based buprenorphine treatment for opioid use disorder. This bill is a recommendation of the Joint Commission on Health Care and is identical to HB 712.
Where it stands
Acts of Assembly Chapter text (CHAP0208)
April 6, 2026
How did lawmakers vote?
House of Delegates votes
2 recorded votes · each counted separately
Senate votes
3 recorded votes · each counted separately
House of DelegatesStage: Passed House (98-Y 0-N 0-A) · February 24, 2026
98
Yes
0
No
1
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 26104754D
Referred to Committee on Education and Health
Fiscal Impact Statement from Department of Planning and Budget (SB641)
Assigned Education sub: Health Professions
Reported from Education and Health (14-Y 0-N)
Rules suspended
Constitutional reading dispensed (on 1st reading) (39-Y 0-N 0-A)
Passed by for the day (Voice Vote)
Passed by for the day
Read second time
Engrossed by Senate (Voice Vote)
Read third time and passed Senate (40-Y 0-N 0-A)
Placed on Calendar
Read first time
Referred to Committee on Health and Human Services
Reported from Health and Human Services (21-Y 0-N)
Read second time
Read third time
Passed House (98-Y 0-N 0-A)
Enrolled
Bill text as passed Senate and House (SB641ER)
Signed by Speaker
Signed by President
Fiscal Impact statement From DPB (3/2/2026 2:20 pm)
Enrolled Bill communicated to Governor on March 10, 2026
Governor's Action Deadline 11:59 p.m., April 13, 2026
Approved by Governor-Chapter 208 (effective 7/1/2026)
Acts of Assembly Chapter text (CHAP0208)
Verify the information
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