Virginia 2024 Regular Session Status: Enacted

HB 349 — Advanced registered medication aides; aides who administer drugs in certified nursing facilities.

Last action — Acts of Assembly Chapter text (CHAP0284)

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House of Delegates
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 05, 2024. Enacted.

Signed by Governor Glenn Youngkin (Republican) on April 02, 2024.

Prognosis

Likely to advance 80% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 6 sponsors

    1 primary, 5 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 6 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Advanced registered medication aides; certified nursing facilities; work group; report. Requires advanced registered medication aides who administer drugs that would otherwise be self-administered to residents in a certified nursing facility licensed by the Department of Health to register with the Board of Nursing. Under the bill, an advanced registered medication aide who is registered to administer drugs to residents in a certified nursing facility shall also be eligible to administer drugs that would otherwise be self-administered to residents in an assisted living facility. The foregoing provisions of the bill have a delayed effective date of July 1, 2025. The bill also requires the Board of Nursing to convene a work group to develop recommendations to enable such medication aides to administer drugs to residents in a certified nursing facility and to report such recommendations to the Chairmen of the Senate Committee on Education and Health and the House Committee on Health and Human Services by November 1, 2024. Finally, the bill requires the Department of Health to promulgate regulations to authorize such medication aides to administer prescription drugs to residents in certified nursing facilities. The bill directs the Board of Nursing to adopt regulations to implement the provisions of the bill to be effective as of July 1, 2025.

Bill Text

What changed in the latest version

69 added · 67 removed

Plain-language change summary

The recent changes to HB 349 clarify the registration process for medication aides in Virginia. Notably, the distinction between standard medication aides and advanced registered medication aides has been refined, making it clear that those with advanced registration can administer medication in both certified nursing facilities and assisted living facilities. This matters because it helps ensure that staff are appropriately trained and authorized to provide medication assistance, improving the quality of care for residents in these facilities.

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SESSION ENROLLED VIRGINIA ACTS OF ASSEMBLY –– CHAPTER E An Act to amend and reenact §§ 54.1-3041 and 54.1-3042 of the Code of Virginia, relating to N medication aides;
VIRGINIA ACTS OF ASSEMBLY -- 2024 SESSION CHAPTER 284 An Act to amend and reenact §§ 54.1-3041 and 54.1-3042 of the Code of Virginia, relating to medication aides;
R O [H 349] Approved L L Be it enacted by the General Assembly of Virginia:
[H 349] Approved April 2, 2024 Be it enacted by the General Assembly of Virginia:
That §§ 54.1-3041 and 54.1-3042 of the Code of Virginia are amended and reenacted as followsE § 54.1-3041.
That §§ 54.1-3041 and 54.1-3042 of the Code of Virginia are amended and reenacted as follows:
§ 54.1-3041.
D an assisted living facility licensed by the Department of Social Services shall be registered by the Board as a registered medication aide.
A.
A medication aide who administers drugs that would otherwise be self-administered to residents in an assisted living facility licensed by the Department of Social Services shall be registered by the Board as a registered medication aide.
A medication aide who administers drugs as determined permissible by the Board for administration to residents in a certified nursing facility licensed by the Department of Health shall be registered by the Board as an advanced registered medication aide.
A medication aide who administers drugs as determined permissible by the Board for registered by the Board as an advanced registered medication aide.ed by the Department of Health shall be C.
C.
An advanced registered medication aide who is registered to administer drugs to residents in a certified nursing facility shall also be authorized to administer drugs to residents in an assisted living facility.
An advanced registered medication aide who is registered to administer drugs to residents in a certified nursing facility shall also be authorized to administer drugs to residents in an assiHted living facility.
§ 54.1-3042.
3 A.
Application for registration by competency evaluation.
A.
R 1.
1.
combined classroom instruction and clinical skills practice curriculum, and for an advanced registered medication aide the number of additional hours as determined by the Board;
a.
A medication aide education or training program approved by the Board that shall be 68 hours combined classroom instruction and clinical skills practice curriculum, and for an advanced registered medication aide the number of additional hours as determined by the Board;
In the case of medication aides who will administer drugs as determined permissible by the Board for administration to residents in a certified nursing facility licensed by the Department of Health, has successfully completed all educational requirements established by the Board for administering drugs in certified nursing facilities and the resulting medication regime for that population.ation found in B.
In the case of medication aides who will administer drugs as determined permissible by the Board for administration to residents in a certified nursing facility licensed by the Department of Health, has successfully completed all educational requirements established by the Board for administering drugs in a certified nursing facility, which shall reflect the medically complex patient population found in certified nursing facilities and the resulting medication regime for that population.
The Board shall (i) make the written examination available in both electronic and non-electronic format, (ii) provide sufficient locations for the administration of any written examination required for registration under this section, to ensure adequate access to the written examination for all applicants, (iii) establish a procedure pursuant to which an examination shall be offered at or near the location of an education or training course, upon the request of five or more applicants, provided that the security of the examination and the integrity of the administration of the examination are ensured and that any additional costs are born by the requesting applicants, and (iv) provide written notice to applicants of the the examination.ompetency examination completed by the applicants within seven days of completion of C.
B.
The Board shall (i) make the written examination available in both electronic and non-electronic format, (ii) provide sufficient locations for the administration of any written examination required for registration under this section, to ensure adequate access to the written examination for all applicants, (iii) establish a procedure pursuant to which an examination shall be offered at or near the location of an education or training course, upon the request of five or more applicants, provided that the security of the examination and the integrity of the administration of the examination are ensured and that any additional costs are born by the requesting applicants, and (iv) provide written notice to applicants of the results of any competency examination completed by the applicants within seven days of completion of the examination.
C.
Any applicant under this section who shall apply by endorsement from any state or the District of Columbia that requires registration of medication aides who has met the requirements of registration in section, subject to approval of the Board.o sit for the competency evaluation required pursuant to this 2.
Any applicant under this section who shall apply by endorsement from any state or the District of Columbia that requires registration of medication aides who has met the requirements of registration in such jurisdiction may be deemed eligible to sit for the competency evaluation required pursuant to this section, subject to approval of the Board.
2.
of 2 3.
3.
That the Board of Nursing (the Board) shall convene a work group of stakeholders, including the Virginia Health Care Association, the Virginia Nurses Association, and LeadingAge Virginia, to develop recommendations to enable medication aides registered by the Board to administer drugs to residents in a certified nursing facility licensed by the Department of Health.
That the Board of Nursing (the Board) shall convene a work group of stakeholders, including the Virginia Health Care Association, the Virginia Nurses Association, and LeadingAge Virginia, of 2 to develop recommendations to enable medication aides registered by the Board to administer drugs to residents in a certified nursing facility licensed by the Department of Health.
That the Department of Health shall promulgate regulations to authorize medication aides registered by the Board of Nursing to administer drugs as determined permissible by the Board for administration to residents in a certified nursing facility licensed by the Department of Health to be effective as of July 1, 2025.
That the Department of Health shall promulgate regulations to authorize medication aides registered by the Board of Nursing (the Board) to administer drugs as determined permissible by the Board for administration to residents in a certified nursing facility licensed by the Department of Health to be effective as of July 1, 2025.
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Action History

  1. Acts of Assembly Chapter text (CHAP0284)

  2. Approved by Governor-Chapter 284 (effective - 7/1/25)

  3. Governor's Action Deadline 11:59 p.m., April 8, 2024

  4. Enrolled Bill communicated to Governor on March 11, 2024

  5. Signed by President

  6. Signed by Speaker

  7. Impact statement from DPB (HB349ER)

  8. Bill text as passed House and Senate (HB349ER)

  9. Enrolled

  10. Passed Senate (40-Y 0-N)

  11. Read third time

  12. Constitutional reading dispensed (38-Y 0-N)

  13. Reported from Education and Health (14-Y 0-N)

  14. Assigned Education and Health Sub: Health Professions

  15. Referred to Committee on Education and Health

  16. Constitutional reading dispensed

  17. VOTE: Passage (95-Y 3-N)

  18. Impact statement from DPB (HB349E)

  19. Read third time and passed House (95-Y 3-N)

  20. Printed as engrossed 24100783D-E

  21. Engrossed by House as amended HB349E

  22. Committee amendments agreed to

  23. Read second time

  24. Read first time

  25. Reported from Health and Human Services with amendment(s) (21-Y 1-N)

  26. Impact statement from DPB (HB349)

  27. Subcommittee recommends reporting with amendments (8-Y 0-N)

  28. House subcommittee amendments and substitutes offered

  29. Assigned sub: Health Professions

  30. Referred to Committee on Health and Human Services

  31. Prefiled and ordered printed; offered 01/10/24 24100783D

Sponsors

Sponsorship breakdown

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1 sponsors · 5 co-sponsors · 142 not signed on · 3 voted No

Sponsors (1)

Co-sponsors (5)

Not signed on (142)

142 members have not signed on to this bill.

Show all 142 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed Senate (40-Y 0-N)

Passed 40 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 40000
Total 40000
% of votes cast 100%0%0%0%
How each member voted (40)
Member Party Vote
Aaron R. Rouse — Yea
Angelia Williams Graves — Yea
Barbara A. Favola — Yea
Bill DeSteph — Yea
Bryce E. Reeves — Yea
Carroll Foy, Jennifer D. — Yea
Christie New Craig — Yea
Christopher T. Head — Yea
Danica A. Roem — Yea
David R. Suetterlein — Yea
David W. Marsden — Yea
Ebbin, Adam P. — Yea
Emily M. Jordan — Yea
Glen H. Sturtevant, Jr. — Yea
Hashmi, Ghazala F. — Yea
J.D. "Danny" Diggs — Yea
Jennifer B. Boysko — Yea
Jeremy S. McPike — Yea
L. Louise Lucas — Yea
Lamont Bagby — Yea
Lashrecse D. Aird — Yea
Mamie E. Locke — Yea
Mark D. Obenshain — Yea
Mark J. Peake — Yea
McGuire, John J., III — Yea
R. Creigh Deeds — Yea
Richard H. Stuart — Yea
Russet Perry — Yea
Ryan T. McDougle — Yea
Saddam Azlan Salim — Yea
Schuyler T. VanValkenburg — Yea
Scott A. Surovell — Yea
Stella G. Pekarsky — Yea
Subramanyam, Suhas — Yea
T. Travis Hackworth — Yea
Tammy Brankley Mulchi — Yea
Tara A. Durant — Yea
Timmy French — Yea
Todd E. Pillion — Yea
William M. Stanley, Jr. — Yea

Official roll call →

Constitutional reading dispensed (38-Y 0-N)

Passed 38 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 38002
Total 38002
% of votes cast 95%0%0%5%
How each member voted (40)
Member Party Vote
Aaron R. Rouse — Yea
Angelia Williams Graves — Yea
Barbara A. Favola — Yea
Bill DeSteph — Yea
Bryce E. Reeves — Yea
Carroll Foy, Jennifer D. — Yea
Christie New Craig — Yea
Christopher T. Head — Yea
Danica A. Roem — Yea
David R. Suetterlein — Yea
David W. Marsden — Yea
Ebbin, Adam P. — Yea
Emily M. Jordan — Yea
Glen H. Sturtevant, Jr. — Yea
Hashmi, Ghazala F. — Yea
J.D. "Danny" Diggs — Yea
Jennifer B. Boysko — Yea
Jeremy S. McPike — Yea
L. Louise Lucas — Yea
Lamont Bagby — Yea
Lashrecse D. Aird — Yea
Mamie E. Locke — Yea
Mark D. Obenshain — Yea
Mark J. Peake — Not Voting
McGuire, John J., III — Yea
R. Creigh Deeds — Yea
Richard H. Stuart — Yea
Russet Perry — Yea
Ryan T. McDougle — Yea
Saddam Azlan Salim — Yea
Schuyler T. VanValkenburg — Yea
Scott A. Surovell — Yea
Stella G. Pekarsky — Yea
Subramanyam, Suhas — Yea
T. Travis Hackworth — Yea
Tammy Brankley Mulchi — Yea
Tara A. Durant — Yea
Timmy French — Not Voting
Todd E. Pillion — Yea
William M. Stanley, Jr. — Yea

Official roll call →

Reported from Education and Health (14-Y 0-N)

Passed 14 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 14001
Total 14001
% of votes cast 93%0%0%7%
How each member voted (15)
Member Party Vote
Barbara A. Favola — Yea
Christie New Craig — Yea
Christopher T. Head — Yea
David R. Suetterlein — Not Voting
Hashmi, Ghazala F. — Yea
Jennifer B. Boysko — Yea
L. Louise Lucas — Yea
Lamont Bagby — Yea
Lashrecse D. Aird — Yea
Mamie E. Locke — Yea
Mark J. Peake — Yea
Schuyler T. VanValkenburg — Yea
Stella G. Pekarsky — Yea
Tara A. Durant — Yea
Todd E. Pillion — Yea

Official roll call →

VOTE: Passage (95-Y 3-N)

Passed 94 Yea · 3 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 94302
Total 94302
% of votes cast 95%3%0%2%
How each member voted (99)
Member Party Vote
Adele Y. McClure — Yea
Alex Q. Askew — Yea
Alfonso H. Lopez — Yea
Amy J. Laufer — Yea
Anne Ferrell Tata — Yea
Arnold, Jonathan, E. P. — Yea
Atoosa R. Reaser — Yea
Batten, Amanda E. — Yea
Betsy B. Carr — Yea
Bill Wiley — Yea
Bonita G. Anthony — Yea
Briana D. Sewell — Yea
Bulova, David L. — Yea
C.E. Cliff Hayes, Jr. — Yea
Charniele L. Herring — Yea
Chris S. Runion — Yea
Convirs-Fowler, Kelly K. — Yea
Cordoza, A.C. — Yea
Coyner, Carrie E. — Yea
Dan I. Helmer — Yea
David A. Reid — Yea
Debra D. Gardner — Yea
Delores L. McQuinn — Not Voting
Delores Oates — Yea
Earley, Mark L., Jr. — Yea
Elizabeth B. Bennett-Parker — Yea
Ellen H. McLaughlin — Yea
Ennis, N. Baxter — Yea
Eric Phillips — Yea
Eric R. Zehr — Yea
Fowler, Hyland F."Buddy," Jr. — Yea
Freitas, Nicholas J. — Yea
Gilbert, C. Todd — Yea
Green, W. Chad — Yea
H. Otto Wachsmann, Jr. — Nay
Higgins, Geary — Yea
Holly M. Seibold — Yea
Irene Shin — Yea
Israel D. O'Quinn — Yea
Jackie H. Glass — Yea
James A. "Jay" Leftwich — Yea
James W. Morefield — Yea
Jason S. Ballard — Yea
Jeion A. Ward — Yea
Joseph P. McNamara — Yea
Joshua E. Thomas — Yea
Joshua G. Cole — Yea
Kannan Srinivasan — Yea
Karen Keys-Gamarra — Yea
Karrie K. Delaney — Yea
Kathy K.L. Tran — Yea
Katrina Callsen — Yea
Kent, Hillary Pugh — Yea
Knight, Barry D. — Yea
Laura Jane Cohen — Yea
LeVere Bolling, Destiny — Yea
Lovejoy, Ian T. — Yea
Luke E. Torian — Yea
M. Keith Hodges — Yea
Maldonado, Michelle Lopes — Yea
Marcia S. "Cia" Price — Yea
Marcus B. Simon — Yea
Marshall, Daniel W., III — Yea
Marty Martinez — Yea
Michael B. Feggans — Yea
Michael J. Jones — Yea
Michael J. Webert — Yea
Mike A. Cherry — Yea
Milde, Paul V. — Yea
Mundon King, Candi — Yea
Nadarius E. Clark — Yea
Obenshain, Chris — Yea
Orrock, Robert D., Sr. — Yea
Owen, David — Yea
Patrick A. Hope — Yea
Paul E. Krizek — Yea
Phil M. Hernandez — Yea
Phillip A. Scott — Yea
R. Lee Ware — Yea
Rae Cousins — Yea
Richard C. "Rip" Sullivan, Jr. — Yea
Robert S. Bloxom, Jr. — Yea
Rodney T. Willett — Yea
Rozia A. Henson, Jr. — Yea
Sam Rasoul — Yea
Scott A. Wyatt — Yea
Shelly A. Simonds — Yea
Sickles, Mark D. — Yea
Taylor, Kim A. — Yea
Terry G. Kilgore — Yea
Terry L. Austin — Yea
Thomas A. Garrett, Jr. — Nay
Thomas C. Wright, Jr. — Not Voting
Timothy P. Griffin — Nay
Tony O. Wilt — Yea
Vivian E. Watts — Yea
Wendell S. Walker — Yea
Will Davis — Yea
Wren M. Williams — Yea

Official roll call →

Reported from Health and Human Services with amendment(s) (21-Y 1-N)

Passed 21 Yea · 1 Nay
Party YeaNayPresentNot Voting
Unaffiliated 21100
Total 21100
% of votes cast 95%5%0%0%
How each member voted (22)
Member Party Vote
C.E. Cliff Hayes, Jr. — Yea
Charniele L. Herring — Yea
Debra D. Gardner — Yea
Ennis, N. Baxter — Yea
H. Otto Wachsmann, Jr. — Nay
Higgins, Geary — Yea
Irene Shin — Yea
Joshua G. Cole — Yea
Kannan Srinivasan — Yea
Kathy K.L. Tran — Yea
M. Keith Hodges — Yea
Marcia S. "Cia" Price — Yea
Mike A. Cherry — Yea
Orrock, Robert D., Sr. — Yea
Owen, David — Yea
Patrick A. Hope — Yea
Phillip A. Scott — Yea
Rodney T. Willett — Yea
Rozia A. Henson, Jr. — Yea
Sickles, Mark D. — Yea
Taylor, Kim A. — Yea
Wendell S. Walker — Yea

Official roll call →

Subjects

healthcare labor
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Frequently asked questions

What does HB 349 do?
Advanced registered medication aides; certified nursing facilities; work group; report. Requires advanced registered medication aides who administer drugs that would otherwise be self-administered to residents in a certified nursing facility licensed by the Department of Health to register with the Board of Nursing. Under the bill, an advanced registered medication aide who is registered to administer drugs to residents in a certified nursing facility shall also be eligible to administer drugs that would otherwise be self-administered to residents in an assisted living facility. The foregoing provisions of the bill have a delayed effective date of July 1, 2025. The bill also requires the Board of Nursing to convene a work group to develop recommendations to enable such medication aides to administer drugs to residents in a certified nursing facility and to report such recommendations to the Chairmen of the Senate Committee on Education and Health and the House Committee on Health and Human Services by November 1, 2024. Finally, the bill requires the Department of Health to promulgate regulations to authorize such medication aides to administer prescription drugs to residents in certified nursing facilities. The bill directs the Board of Nursing to adopt regulations to implement the provisions of the bill to be effective as of July 1, 2025.
Who sponsors HB 349?
HB 349 is sponsored by Rozia A. Henson, Jr., Nadarius E. Clark, Irene Shin, Saddam Azlan Salim, Kelly K. Convirs-Fowler, and Orrock, Robert D., Sr..
What is the current status of HB 349?
This bill has been enacted into law. Introduced January 05, 2024. Enacted.
Where can I track HB 349?
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