Virginia 2026 Session Status: Enacted

HB605 — Nursing facilities; Joint Commission on Health Care shall evaluate workforce, report.

Last action — Acts of Assembly Chapter text (CHAP0407)

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  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 13, 2026. Enacted.

Signed by Governor Glenn Youngkin (Republican) on March 14, 2026.

Prognosis

Likely to advance 70% · 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.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 8 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

Nursing facilities; Joint Commission on Health Care shall evaluate workforce, report.

Bill Text

We don't have the full text on file for this bill yet.

Read HB605 on the official Virginia source →

How this bill changes current law

13 changes Share ↗

Compared against the Code of Virginia as published AI-generated reading aid — verify against the official bill.

This bill amends 2 section(s) of the Code of Virginia: 32.1-27.2, 32.1-127.

  • 32.1-27.2

    32 → 35

    Replaces “32” with “35”.

  • 32.1-27.2

    32 → 35

    Replaces “32” with “35”.

  • 32.1-27.2

    32 → 35

    Replaces “32” with “35”.

  • 32.1-27.2

    32 → 35

    Replaces “32” with “35”.

  • 32.1-27.2

    32 → 35

    Replaces “32” with “35”.

  • 32.1-27.2

    32 → 35

    Replaces “32” with “35”.

  • 32.1-27.2

    32 → 35

    Replaces “32” with “35”.

  • 32.1-27.2

    32 → 35

    Replaces “32” with “35”.

  • 32.1-27.2

    32 → 35

    Replaces “32” with “35”.

  • 32.1-27.2

    32 → 35

    Replaces “32” with “35”.

  • 32.1-127

    and

    Strikes “and”.

  • 32.1-127

    ; and

    Inserts “; and”.

  • 32.1-127

    35. Shall require each certified nursing facility eligible to participate in the Virginia Medicaid Nursing Facility Value-Based Purchasing (VBP) program, as referenced in Chapter 2 of the Acts of Assembly of 2022, Special Session I, to provide at least 3.25 hours of case mix-adjusted total nurse staffing hours per resident per day on average as determined annually by the Department of Medical Assistance Services for use in the VBP program, utilizing job codes for the calculation of total nurse staffing hours per resident per day following the Centers for Medicare and Medicaid Services definitions as of January 1, 2022, used for similar purposes and including certified nursing assistants, licensed practical nurses, and registered nurses. No additional reporting shall be required by a certified nursing facility under this subdivision

    Inserts “35. Shall require each certified nursing facility eligible to participate in the Virginia Medicaid Nursing Facility Value-Based Purchasing (VBP) program, as referenced in Chapter 2 of the Acts of Assembly of 2022, Special Session I, to provide at least 3.25 hours of case mix-adjusted total nurse staffing hours per resident per day on average as determined annually by the Department of Medical Assistance Services for use in the VBP program, utilizing job codes for the calculation of total nurse staffing hours per resident per day following the Centers for Medicare and Medicaid Services definitions as of January 1, 2022, used for similar purposes and including certified nursing assistants, licensed practical nurses, and registered nurses. No additional reporting shall be required by a certified nursing facility under this subdivision”.

Action History

  1. Acts of Assembly Chapter text (CHAP0407)

  2. Approved by Governor-Chapter 407 (effective 7/1/2026)

  3. Governor's Action Deadline 11:59 p.m., April 13, 2026

  4. H Enrolled Bill communicated to Governor on March 25, 2026

  5. H Fiscal Impact Statement from Department of Planning and Budget (HB605)

  6. S Signed by President

  7. H Signed by Speaker

  8. H Bill text as passed House and Senate (HB605ER)

  9. H Enrolled

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

  11. S Read third time

  12. S Passed by for the day Block Vote (Voice Vote)

  13. S Constitutional reading dispensed Block Vote (on 2nd reading) (39-Y 0-N 0-A)

  14. S Rules suspended

  15. S Reported from Education and Health (15-Y 0-N)

  16. S Assigned Education sub: Health Professions

  17. S Referred to Committee on Education and Health

  18. S Constitutional reading dispensed (on 1st reading)

  19. H Read third time and passed House (97-Y 0-N 0-A)

  20. H Engrossed by House - committee substitute

  21. H committee substitute agreed to

  22. H committee substitute rejected

  23. H Read second time

  24. H Fiscal Impact Statement from Department of Planning and Budget (HB605)

  25. H Read first time

  26. H Committee substitute printed 26107976D-H2

  27. H Reported from Appropriations with substitute (22-Y 0-N)

  28. H Subcommittee recommends reporting with substitute (7-Y 0-N)

  29. H Placed on Appropriations Agenda

  30. H Assigned HAPP sub: Health & Human Resources

  31. H Referred to Committee on Appropriations

  32. H Reported from Health and Human Services with substitute and referred to Appropriations (21-Y 0-N)

  33. H Committee substitute printed 26107613D-H1

  34. H Placed on Health and Human Services Agenda

  35. H Fiscal Impact Statement from Department of Planning and Budget (HB605)

  36. H Subcommittee recommends reporting with substitute and referring to Appropriations (10-Y 0-N)

  37. H House subcommittee offered

  38. H Placed on Health and Human Services Agenda

  39. H Assigned sub: Health Professions

  40. H Referred to Committee on Health and Human Services

  41. H Prefiled and ordered printed; Offered 01-14-2026 26101934D

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 147 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (147)

147 members have not signed on to this bill.

Show all 147 →

"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

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
Christie New Craig — Yea
Christopher T. Head — Yea
Danica A. Roem — Yea
David R. Suetterlein — Yea
David W. Marsden — Yea
Elizabeth B. Bennett-Parker — Yea
Emily M. Jordan — Yea
Glen H. Sturtevant, Jr. — Yea
J.D. "Danny" Diggs — Yea
Jennifer B. Boysko — Yea
Jennifer D. Carroll Foy — Yea
Jeremy S. McPike — Yea
Kannan Srinivasan — Yea
L. Louise Lucas — Yea
Lamont Bagby — Yea
Lashrecse D. Aird — Yea
Luther Cifers, III — Yea
Mamie E. Locke — Yea
Mark D. Obenshain — Yea
Mark J. Peake — Yea
Michael J. Jones — 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
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 Block Vote (on 2nd reading)

Passed 39 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 39001
Total 39001
% of votes cast 98%0%0%3%
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
Christie New Craig — Yea
Christopher T. Head — Yea
Danica A. Roem — Yea
David R. Suetterlein — Yea
David W. Marsden — Yea
Elizabeth B. Bennett-Parker — Yea
Emily M. Jordan — Yea
Glen H. Sturtevant, Jr. — Yea
J.D. "Danny" Diggs — Yea
Jennifer B. Boysko — Yea
Jennifer D. Carroll Foy — Yea
Jeremy S. McPike — Yea
Kannan Srinivasan — Yea
L. Louise Lucas — Yea
Lamont Bagby — Yea
Lashrecse D. Aird — Yea
Luther Cifers, III — Yea
Mamie E. Locke — Yea
Mark D. Obenshain — Yea
Mark J. Peake — Yea
Michael J. Jones — 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
T. Travis Hackworth — Not Voting
Tammy Brankley Mulchi — Yea
Tara A. Durant — Yea
Timmy French — Yea
Todd E. Pillion — Yea
William M. Stanley, Jr. — Yea

Official roll call →

Reported from Education and Health

Passed 15 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 15000
Total 15000
% of votes cast 100%0%0%0%
How each member voted (15)
Member Party Vote
Barbara A. Favola — Yea
Christie New Craig — Yea
Christopher T. Head — Yea
David R. Suetterlein — Yea
Jennifer B. Boysko — Yea
L. Louise Lucas — Yea
Lamont Bagby — Yea
Lashrecse D. Aird — Yea
Mamie E. Locke — Yea
Mark J. Peake — Yea
Russet Perry — Yea
Schuyler T. VanValkenburg — Yea
Stella G. Pekarsky — Yea
Tara A. Durant — Yea
Todd E. Pillion — Yea

Official roll call →

Read third time and passed House

Passed 97 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 97003
Total 97003
% of votes cast 97%0%0%3%
How each member voted (100)
Member Party Vote
Adele Y. McClure — Yea
Alex Q. Askew — Yea
Alfonso H. Lopez — Yea
Amy J. Laufer — Yea
Anne Ferrell Tata — Yea
Atoosa R. Reaser — Yea
Barry D. Knight — Not Voting
Betsy B. Carr — Yea
Bill Wiley — Yea
Bonita G. Anthony — Yea
Briana D. Sewell — Yea
C.E. Cliff Hayes, Jr. — Yea
Charlie Schmidt — Yea
Charniele L. Herring — Yea
Chris S. Runion — Yea
Dan I. Helmer — Yea
David A. Reid — Yea
Debra D. Gardner — Yea
Delores L. McQuinn — Yea
Delores Oates — Yea
Destiny LeVere Bolling — Yea
Don Scott — Yea
Elizabeth B. Bennett-Parker — Yea
Elizabeth R. Guzman — Yea
Ellen H. McLaughlin — Yea
Eric Phillips — Yea
Eric R. Zehr — Yea
Garrett McGuire — Yea
Gretchen M. Bulova — Yea
H. Otto Wachsmann, Jr. — Yea
Hillary Pugh Kent — Yea
Holly M. Seibold — Yea
Hyland F. "Buddy" Fowler, Jr. — Yea
Irene Shin — Yea
Israel D. O'Quinn — Yea
JJ Singh — Yea
Jackie H. Glass — Yea
James A. "Jay" Leftwich — Yea
James W. Morefield — Yea
Jason S. Ballard — Yea
Jeion A. Ward — Yea
Jessica L. Anderson — Yea
John Chilton McAuliff — Not Voting
Joseph P. McNamara — Yea
Joshua E. Thomas — Yea
Joshua G. Cole — Yea
Justin Pence — Yea
Karen Hamilton — Yea
Karen Keys-Gamarra — Yea
Karen R. "Kacey" Carnegie — Yea
Karrie K. Delaney — Yea
Kathy K.L. Tran — Yea
Katrina Callsen — Yea
Kelly K. Convirs-Fowler — Yea
Kimberly Pope Adams — Yea
Laura Jane Cohen — Yea
Leslie Chambers Mehta — Yea
Lily V. Franklin — Yea
Lindsey Dougherty — Yea
Luke E. Torian — Yea
M. Keith Hodges — Yea
Madison Whittle — Yea
Marcia S. "Cia" Price — Yea
Marcus B. Simon — Yea
Margaret A. Franklin — Yea
Mark C. Downey — Yea
Marty Martinez — Yea
May Nivar — Yea
Michael B. Feggans — Yea
Michael J. Webert — Yea
Michelle Lopes Maldonado — Yea
Mike A. Cherry — Yea
Mitchell Cornett — Yea
Nadarius E. Clark — Not Voting
Nicole Cole — 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
Stacey Annie Carroll — Yea
Terry G. Kilgore — Yea
Terry L. Austin — Yea
Thomas A. Garrett, Jr. — Yea
Thomas C. Wright, Jr. — Yea
Timothy P. Griffin — Yea
Tony O. Wilt — Yea
Virgil Thornton — Yea
Vivian E. Watts — Yea
Wendell S. Walker — Yea
Will Davis — Yea
Wren M. Williams — Yea

Official roll call →

Reported from Appropriations with substitute

Passed 22 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 22000
Total 22000
% of votes cast 100%0%0%0%
How each member voted (22)
Member Party Vote
Alex Q. Askew — Yea
Amy J. Laufer — Yea
Betsy B. Carr — Yea
Bill Wiley — Yea
Briana D. Sewell — Yea
C.E. Cliff Hayes, Jr. — Yea
Charniele L. Herring — Yea
David A. Reid — Yea
Delores L. McQuinn — Yea
Ellen H. McLaughlin — Yea
James W. Morefield — Yea
Joshua E. Thomas — Yea
Kathy K.L. Tran — Yea
Luke E. Torian — Yea
M. Keith Hodges — Yea
Marcia S. "Cia" Price — Yea
Paul E. Krizek — Yea
Robert S. Bloxom, Jr. — Yea
Rodney T. Willett — Yea
Scott A. Wyatt — Yea
Shelly A. Simonds — Yea
Terry L. Austin — Yea

Official roll call →

Reported from Health and Human Services with substitute and referred to Appropriations

Passed 21 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 21001
Total 21001
% of votes cast 95%0%0%5%
How each member voted (22)
Member Party Vote
C.E. Cliff Hayes, Jr. — Yea
Charniele L. Herring — Yea
Debra D. Gardner — Yea
Garrett McGuire — Yea
H. Otto Wachsmann, Jr. — Yea
Irene Shin — Yea
Joshua G. Cole — Yea
Kathy K.L. Tran — Yea
Laura Jane Cohen — Yea
M. Keith Hodges — Yea
Marcia S. "Cia" Price — Yea
Mark C. Downey — Yea
Mike A. Cherry — Yea
Mitchell Cornett — Yea
Nicole Cole — Yea
Patrick A. Hope — Yea
Phillip A. Scott — Yea
Rodney T. Willett — Yea
Rozia A. Henson, Jr. — Yea
Sam Rasoul — Yea
Wendell S. Walker — Yea
Wren M. Williams — Not Voting

Official roll call →

Subcommittee recommends reporting with substitute and referring to Appropriations

Passed 10 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 10001
Total 10001
% of votes cast 91%0%0%9%
How each member voted (11)
Member Party Vote
C.E. Cliff Hayes, Jr. — Yea
Garrett McGuire — Yea
Joshua G. Cole — Yea
Kathy K.L. Tran — Yea
M. Keith Hodges — Yea
Marcia S. "Cia" Price — Yea
Mark C. Downey — Yea
Mike A. Cherry — Yea
Nicole Cole — Yea
Rodney T. Willett — Not Voting
Wren M. Williams — Yea

Official roll call →

Subjects

healthcare labor
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Frequently asked questions

What does HB605 do?
Nursing facilities; Joint Commission on Health Care shall evaluate workforce, report.
Who sponsors HB605?
HB605 is sponsored by Rodney T. Willett.
What is the current status of HB605?
This bill has been enacted into law. Introduced January 13, 2026. Enacted.
Where can I track HB605?
Track HB605 free on One Click Politics — get push/email alerts when it moves.

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