HB476 • 2026

Continuing care providers; quarterly meeting requirements.

An Act to amend and reenact § 38.2-4910 of the Code of Virginia, relating to continuing care providers; quarterly meeting requirements.

Elections Healthcare

Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor: Watts
Last action: 2026-04-13
Official status: Acts of Assembly Chapter
Effective date: Not listed

Plain English Breakdown

The official source material does not provide details on enforcement mechanisms for non-compliance by providers.

Quarterly Meetings for Continuing Care Providers

This act changes rules about meetings between continuing care facility providers and residents, requiring at least two quarterly meetings per year to be open to all residents.

What This Bill Does

Requires at least two of the quarterly meetings per year to be open to all residents of a continuing care facility.
Recommends that certain individuals from the provider's board or governing body attend in person at least two meetings each year, with one being open to all residents.

Who It Names or Affects

Continuing care facility providers
Residents of continuing care facilities

Terms To Know

continuing care facility: A place that provides long-term healthcare and support services to residents.
resident representative: A resident chosen by other residents to speak on their behalf during meetings with the facility's management, in a non-voting advisory capacity.

Limits and Unknowns

The bill does not specify what happens if a provider fails to follow these requirements.
It is unclear how often or under what circumstances the board of directors can meet without resident representatives present.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

HB476AC

2026-03-12 • Conference

Conference Report

Plain English: The amendment recommends rejecting a previous Senate proposal and accepting a new substitute amendment to resolve disagreements about House Bill No. 476.

Rejects the Senate's initial proposed changes (Senate Amendment in the Nature of a Substitute).
Accepts a new substitute amendment to address the differences between the House and Senate versions.

The official text does not provide details about what specific changes are made by the accepted substitute amendment.
Without additional information, it is unclear exactly how this will affect continuing care providers' quarterly meeting requirements.

HB476H2

2026-03-12 • Conference

Conference Report Substitute

Plain English: The amendment requires continuing care facility providers to include a resident representative elected by independent living residents in their board meetings if requested.

Providers must include a non-voting, advisory resident representative in their board meetings if requested by the resident council or a majority of independent living residents.

The amendment does not specify how often these resident representatives are required to attend meetings beyond at least two per year.
It is unclear what specific criteria are used for electing the resident representative.

Bill History

2026-04-13 Governor
Approved by Governor-Chapter 620 (effective 7/1/2026)
2026-04-13 Governor
Approved by Governor-Chapter 620 (effective 7/1/2026)
2026-04-13 Governor
Acts of Assembly Chapter text (CHAP0620)
2026-03-31 House
Enrolled Bill communicated to Governor on March 31, 2026
2026-03-31 Governor
Governor's Action Deadline 11:59 p.m., April 13, 2026
2026-03-31 House
Signed by Speaker
2026-03-31 House
Enrolled Bill communicated to Governor on March 31, 2026
2026-03-31 Governor
Governor's Action Deadline 11:59 p.m., April 13, 2026
2026-03-30 Senate
Signed by President
2026-03-30 House
Enrolled
2026-03-30 House
Bill text as passed House and Senate (HB476ER)
2026-03-13 House
Conference report agreed to by House (85-Y 10-N 0-A)
2026-03-13 Senate
Conference report agreed to by Senate (39-Y 0-N 0-A)
2026-03-12 Conference
Conference Report released
2026-03-09 House
Conferees appointed by House
2026-03-09 House
House Conferees: Watts, Willett, Walker
2026-03-06 Senate
Conferees appointed by Senate
2026-03-06 Senate
Senate Conferees: McDougle, McPike, Bagby
2026-03-06 Senate
Senate Conferees:
2026-03-05 House
House acceded to request
2026-03-04 Senate
Senate requested conference committee
2026-03-04 Senate
Senate insisted on amendment Block Vote (40-Y 0-N 0-A)
2026-03-03 Commerce and Labor
Fiscal Impact Statement from State Corporation Commission (HB476)
2026-03-02 House
Senate substitute rejected by House (3-Y 96-N 0-A)
2026-02-26 Senate
Read third time
2026-02-26 Senate
Engrossed by Senate - committee substitute
2026-02-26 Commerce and Labor
Commerce and Labor Substitute agreed to
2026-02-26 Senate
Passed Senate with substitute Block Vote (40-Y 0-N 0-A)
2026-02-25 Senate
Rules suspended
2026-02-25 Senate
Passed by for the day
2026-02-25 Senate
Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)
2026-02-25 Senate
Passed by for the day Block Vote (Voice Vote)
2026-02-24 Commerce and Labor
Committee substitute printed 26108394D-S1
2026-02-23 Commerce and Labor
Reported from Commerce and Labor with substitute (15-Y 0-N)
2026-02-12 Senate
Constitutional reading dispensed (on 1st reading)
2026-02-12 Commerce and Labor
Referred to Committee on Commerce and Labor
2026-02-11 House
Read third time and passed House (83-Y 14-N 0-A)
2026-02-10 House
Read second time
2026-02-10 House
committee substitute agreed to
2026-02-10 House
Engrossed by House - committee substitute
2026-02-09 House
Read first time
2026-02-05 Labor and Commerce
Reported from Labor and Commerce with substitute (18-Y 4-N)
2026-02-05 Labor and Commerce
Committee substitute printed 26107041D-H1
2026-02-03 Subcommittee #1
Subcommittee recommends reporting with substitute (9-Y 0-N)
2026-02-03 Subcommittee #1
House subcommittee offered
2026-01-19 Subcommittee #1
Assigned HCL sub: Subcommittee #1
2026-01-12 House
Prefiled and ordered printed; Offered 01-14-2026 26102489D
2026-01-12 Labor and Commerce
Referred to Committee on Labor and Commerce

Official Summary Text

Continuing care providers; quarterly meeting requirements.
Amends the quarterly meeting requirements for continuing care facilities to provide that at least two of such meetings per year shall be open to all residents and that certain individuals shall participate in at least two of such meetings per year. The bill also requires, if requested by the resident council or a majority of the independent living residents of a continuing care facility, the provider to include as a participant in the meetings of its board of directors or other governing body a resident representative elected by a majority of such residents, who shall participate in a non-voting, advisory capacity. This bill is identical to SB 358.

Current Bill Text

Read the full stored bill text

An Act to amend and reenact §
38.2-4910
of the Code of Virginia, relating to continuing care providers; quarterly meeting requirements.
Be it enacted by the General Assembly of Virginia:
1. That §
38.2-4910
of the Code of Virginia is amended and reenacted as follows:
§
38.2-4910
. Right of organization.
A. Residents shall have the right of self-organization. No retaliatory conduct shall be permitted against any resident for membership or participation in a residents' organization or for filing any complaint. The provider shall be required to provide to the organization a copy of all submissions to the Commission.
B. The board of directors
, its designated representative
or other such governing body of a continuing care facility
, or the designated representative of such board or governing body who is not the executive director or an employee of such facility,
shall hold meetings at least quarterly with the residents or representatives elected by the residents of the continuing care facility for the purpose of free discussion of issues relating to the facility. These issues may include income, expenditures
,
and financial matters as they apply to the facility and proposed changes in policies, programs, facilities
,
and services. Residents shall be entitled to seven days' notice of each meeting
, and at least two of such meetings per year shall be open to all residents of the facility
.
The following individuals shall participate in person in at least two of such meetings each year, at least one of which shall be open to all residents of the facility: (i) a member of the board of directors or other governing body of the provider other than a member who is employed at the facility and (ii) the chief executive officer or equivalent officer of the provider.
C. If requested by either the resident council of a continuing care facility incorporated in the Commonwealth or a majority of such continuing care facility's independent living residents, the provider shall include as a participant in the meetings of its board of directors or other such governing body a resident representative of the continuing care facility who is elected by a majority of such residents, who shall participate in a non-voting, advisory capacity. No provision of this section shall prohibit such board or governing body, or any subcommittee or committee thereof, from convening in executive session as described in subsection C of §
55.1-1816
without the presence of such resident representative.