Nursing homes; standards of care and staff requirements, regulations. (HB646)

Introduced By

Del. Betsy Carr (D-Richmond) with support from co-patron Del. Kaye Kory (D-Falls Church)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Nursing home standards of care and staff requirements; regulations. Requires the State Board of Health to establish staffing and care standards in nursing homes to require a minimum of direct care services to each resident per 24-hour period as follows: (i) a minimum of 2.8 direct care hours provided by a nurse aide per resident, per day; (ii) a minimum of 1.3 direct care hours provided by a registered nurse or licensed practical nurse per resident, per day; and (iii) a minimum of 0.75 hours out of total 4.1 required direct hours provided by a registered nurse per resident, per day. The bill requires nursing homes to provide quarterly staff training on first aid, medication administration, and compliance with nursing home policies and procedures. Additionally, the bill removes language requiring that each hospital, nursing home, and certified nursing facility establish protocols for patient visits from a rabbi, priest, minister, or clergy of any religious denomination or sect during a declared public health emergency related to a communicable disease of public health threat. Read the Bill »


01/21/2022: Awaiting a Vote in the Health, Welfare and Institutions Committee


01/11/2022Prefiled and ordered printed; offered 01/12/22 22103792D
01/11/2022Referred to Committee on Health, Welfare and Institutions
01/21/2022Assigned HWI sub: Subcommittee #3
01/26/2022Impact statement from DPB (HB646)
02/08/2022House subcommittee amendments and substitutes offered
02/08/2022Subcommittee recommends continuing to 2023
02/10/2022Continued to 2023 in Health, Welfare and Institutions