School Nurse Sickle Cell Disease Training Requirement
Summary
Virginia HB1446 requires school nurses to complete sickle cell disease recognition and management training within six months of employment and every three years thereafter. The training must be approved by the Board in collaboration with the Department of Health. Local school divisions must ensure compliance with these training requirements.
What changed
Virginia HB1446 mandates that local school divisions require their school nurses to complete an approved training course on sickle cell disease recognition and management. The bill specifies that nurses must complete initial training within six months of employment and renewal training at least every three years thereafter. The Board of Nursing will approve courses in coordination with the Department of Health.
Local school division administrators and health services coordinators must identify approved training providers and establish tracking systems to ensure all nurses meet the training deadlines. School divisions should verify that existing staff complete their three-year renewal on schedule while ensuring new hires complete initial training within six months of starting. Non-compliance with these training requirements may result in disciplinary action against nurses and potential liability for school divisions.
What to do next
- Verify approved training courses from the Board of Nursing and Department of Health
- Establish tracking system for nurse training deadlines and renewals
- Ensure newly hired nurses complete training within six months of employment
Source document (simplified)
VA HB1446 | 2026 | Regular Regular Session
Virginia House Bill 1446
VA State Legislature page for HB1446
- Summary
- Sponsors
- Texts
- Votes
- Research
- Comments
- Track
Status
Sponsorship: Partisan Bill (Democrat 52)
Status: Enrolled on March 30 2026 - 75% progression
Action: 2026-03-30 - Bill text as passed House and Senate (HB1446ER)
Text: Latest bill text (Enrolled) [HTML]
Summary
School nurses; sickle cell disease training. Directs local school divisions to require school nurses to complete, within six months of employment and at least every three years thereafter, an online or in-person course of instruction approved by the Board in collaboration with the Department of Health regarding recognition and management of sickle cell disease.
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Title
School nurses; sickle cell disease training.
Sponsors
| Del. Briana Sewell [D] | Del. Jessica Anderson [D] | Del. Bonita Anthony [D] | Sen. Elizabeth Bennett-Parker [D] |
| Del. Gretchen Bulova [D] | Del. Katrina Callsen [D] | Del. Karen Carnegie [D] | Del. Betsy Carr [D] |
| Del. Stacey Annie Carroll [D] | Del. Laura Jane Cohen [D] | Del. Joshua Cole [D] | Del. Nicole Cole [D] |
| Del. Rae Cousins [D] | Del. Karrie Delaney [D] | Del. Lindsey Dougherty [D] | Del. Mark Downey [D] |
| Del. Michael Feggans [D] | Del. Lily Franklin [D] | Del. Margaret Franklin [D] | Del. Debra Gardner [D] |
| Del. Jackie Glass [D] | Del. Elizabeth Guzman [D] | Del. C.E. Hayes [D] | Del. Rozia Henson [D] |
| Del. Phil Hernandez [D] | Del. Charniele Herring [D] | Del. Patrick Hope [D] | Del. Karen Keys-Gamarra [D] |
| Del. Amy Laufer [D] | Del. Destiny LeVere Bolling [D] | Del. Alfonso Lopez [D] | Del. Michelle Maldonado [D] |
| Del. Marty Martinez [D] | Del. Adele McClure [D] | Del. Delores McQuinn [D] | Del. Leslie Chambers Mehta [D] |
| Del. May Nivar [D] | Del. Kimberly Pope Adams [D] | Del. Marcia Price [D] | Del. Sam Rasoul [D] |
| Del. Atoosa Reaser [D] | Del. Charlie Schmidt [D] | Del. Irene Shin [D] | Del. Marcus Simon [D] |
| Del. J.J. Singh [D] | Del. Joshua Thomas [D] | Del. Virgil Thornton [D] | Del. Luke Torian [D] |
| Del. Kathy Tran [D] | Del. Jeion Ward [D] | Del. Vivian Watts [D] | Del. Rodney Willett [D] |
Roll Calls
2026-03-09 - Senate - Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A) (Y: 40 N: 0 NV: 0 Abs: 0) [PASS]
2026-03-06 - Senate - Reported from Finance and Appropriations (14-Y 0-N) (Y: 14 N: 0 NV: 0 Abs: 1) [PASS]
2026-02-26 - Senate - Reported from Education and Health and rereferred to Finance and Appropriations (14-Y 0-N) (Y: 14 N: 0 NV: 0 Abs: 1) [PASS]
2026-02-17 - House - Read third time and passed House Block Vote (97-Y 0-N 0-A) (Y: 97 N: 0 NV: 0 Abs: 3) [PASS]
2026-02-13 - House - Reported from Appropriations (22-Y 0-N) (Y: 22 N: 0 NV: 0 Abs: 0) [PASS]
2026-02-13 - House - Subcommittee recommends reporting (7-Y 0-N) (Y: 7 N: 0 NV: 0 Abs: 0) [PASS]
2026-02-11 - House - Reported from Education and referred to Appropriations (21-Y 0-N) (Y: 21 N: 0 NV: 0 Abs: 1) [PASS]
2026-02-10 - House - Subcommittee recommends reporting and referring to Appropriations (10-Y 0-N) (Y: 10 N: 0 NV: 0 Abs: 0) [PASS]
History
| Date | Chamber | Action |
| --- | --- | --- |
| 2026-03-30 | House | Bill text as passed House and Senate (HB1446ER) |
| 2026-03-30 | House | Enrolled |
| 2026-03-10 | Senate | Passed Senate Block Vote (40-Y 0-N 0-A) |
| 2026-03-10 | Senate | Read third time |
| 2026-03-09 | Senate | Passed by for the day Block Vote (Voice Vote) |
| 2026-03-09 | Senate | Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A) |
| 2026-03-09 | Senate | Rules suspended |
| 2026-03-06 | Senate | Reported from Finance and Appropriations (14-Y 0-N) |
| 2026-02-26 | Senate | Reported from Education and Health and rereferred to Finance and Appropriations (14-Y 0-N) |
| 2026-02-18 | Senate | Referred to Committee on Education and Health |
| 2026-02-18 | Senate | Constitutional reading dispensed (on 1st reading) |
| 2026-02-17 | House | Read third time and passed House Block Vote (97-Y 0-N 0-A) |
| 2026-02-16 | House | Read second time and engrossed |
| 2026-02-15 | House | Read first time |
| 2026-02-13 | House | Reported from Appropriations (22-Y 0-N) |
| 2026-02-13 | House | Subcommittee recommends reporting (7-Y 0-N) |
| 2026-02-11 | House | Assigned HAPP sub: Elementary & Secondary Education |
| 2026-02-11 | House | Reported from Education and referred to Appropriations (21-Y 0-N) |
| 2026-02-10 | House | Subcommittee recommends reporting and referring to Appropriations (10-Y 0-N) |
| 2026-02-05 | House | Assigned HED sub: K-12 Subcommittee |
| 2026-02-04 | House | Fiscal Impact Statement from Department of Planning and Budget (HB1446) |
| 2026-01-22 | House | Referred to Committee on Education |
| 2026-01-22 | House | Presented and ordered printed 26105335D |
Virginia State Sources
| Type | Source |
| --- | --- |
| Summary | https://lis.virginia.gov/bill-details/20261/HB1446 |
| Text | https://lis.virginia.gov/bill-details/20261/HB1446/text/HB1446 |
| Text | https://lis.virginia.gov/bill-details/20261/HB1446/text/HB1446ER |
| Supplement | https://lis.blob.core.windows.net/files/1127914.PDF |
| Roll Call | https://lis.virginia.gov/vote-details/HB1446/20261/H09001V2612487 |
| Roll Call | https://lis.virginia.gov/vote-details/HB1446/20261/H09V2612679 |
| Roll Call | https://lis.virginia.gov/vote-details/HB1446/20261/H02003V2613187 |
| Roll Call | https://lis.virginia.gov/vote-details/HB1446/20261/H02V2613264 |
| Roll Call | https://lis.virginia.gov/vote-details/HB1446/20261/26110289 |
| Roll Call | https://lis.virginia.gov/vote-details/HB1446/20261/S4V2099 |
| Roll Call | https://lis.virginia.gov/vote-details/HB1446/20261/S5V2686 |
| Roll Call | https://lis.virginia.gov/vote-details/HB1446/20261/SV1073 |
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