ChangeBridge / Virginia / SB641 Signed by Governor
SB641 Senate Bill
Signed by Governor
2026-04-06

Office-based buprenorphine treatment; Board of Medicine to amend regulations.

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.

Bill Details

State

Virginia

Session

2026 Regular Regular Session

Chamber

Senate

Official Source

lis.virginia.gov/bill-details/20261/SB641

LegiScan

View on LegiScan

Sponsors

Todd Pillion (Sen - R)
Luther Cifers (Sen - R)
Christie New Craig (Sen - R)
Timmy French (Sen - R)
Travis Hackworth (Sen - R)
Ryan McDougle (Sen - R)
Tammy Brankley Mulchi (Sen - R)
Mark Obenshain (Sen - R)
Mark Peake (Sen - R)
Bryce Reeves (Sen - R)
William Stanley (Sen - R)
Richard Stuart (Sen - R)
Glen Sturtevant (Sen - R)

Action History

2026-04-06 Approved by Governor-Chapter 208 (effective 7/1/2026)
2026-04-06 Approved by Governor-Chapter 208 (effective 7/1/2026)
2026-03-10 Governor's Action Deadline 11:59 p.m., April 13, 2026
2026-03-10 S Enrolled Bill communicated to Governor on March 10, 2026
2026-03-02 S Fiscal Impact statement From DPB (3/2/2026 2:20 pm)
2026-02-26 S Signed by President
2026-02-26 H Signed by Speaker
2026-02-26 S Bill text as passed Senate and House (SB641ER)
2026-02-26 S Enrolled
2026-02-24 H Passed House (98-Y 0-N 0-A)
2026-02-24 H Read third time
2026-02-23 H Read second time
2026-02-19 H Reported from Health and Human Services (21-Y 0-N)
2026-02-13 H Referred to Committee on Health and Human Services
2026-02-13 H Read first time
2026-02-13 H Placed on Calendar
2026-02-10 S Read third time and passed Senate (40-Y 0-N 0-A)
2026-02-09 S Engrossed by Senate (Voice Vote)
2026-02-09 S Read second time
2026-02-06 S Passed by for the day
2026-02-06 S Passed by for the day (Voice Vote)
2026-02-06 S Constitutional reading dispensed (on 1st reading) (39-Y 0-N 0-A)
2026-02-06 S Rules suspended
2026-02-05 S Reported from Education and Health (14-Y 0-N)
2026-01-30 S Assigned Education sub: Health Professions
2026-01-21 S Fiscal Impact Statement from Department of Planning and Budget (SB641)
2026-01-14 S Referred to Committee on Education and Health
2026-01-14 S Prefiled and ordered printed; Offered 01-14-2026 26104754D

Votes

2026-02-05 Reported from Education and Health (14-Y 0-N) Yea: 14 Nay: 0
2026-02-06 Constitutional reading dispensed (on 1st reading) (39-Y 0-N 0-A) Yea: 39 Nay: 0
2026-02-10 Read third time and passed Senate (40-Y 0-N 0-A) Yea: 40 Nay: 0
2026-02-19 Reported from Health and Human Services (21-Y 0-N) Yea: 21 Nay: 0
2026-02-24 Passed House (98-Y 0-N 0-A) Yea: 98 Nay: 0

Committee Referrals

2026-01-14 S Education and Health
2026-01-30 S Education: Health Professions
2026-02-13 H Health and Human Services

Bill Text Versions

2026-01-14 Introduced
2026-02-12 Comm Sub
2026-02-26 Enrolled

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