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SB359 • 2026

Health care; decision-making, end of life, penalties.

<p class=ldtitle>A BILL to amend and reenact § 8.01-622.1 of the Code of Virginia and to amend the Code of Virginia by adding in Chapter 29 of Title 54.1 an article numbered 11, consisting of sections numbered 54.1-2999 through 54.1-2999.9, relating to health care; decision-making; end of life; penalties.</p>

Crime Healthcare
Enacted

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

Sponsor
Boysko
Last action
2026-02-05
Official status
Failed
Effective date
Not listed

Plain English Breakdown

The official source material does not provide information about the consequences of misuse or specific measures regarding implicit bias training.

Health Care Decisions at the End of Life

This law allows adults with a terminal illness to request medication to end their life, sets rules for making such requests, and protects those who follow these rules from legal consequences.

What This Bill Does

  • Allows an adult diagnosed with a terminal disease to request self-administered aid in dying medication.
  • Requires the patient's request to be given twice verbally and once in writing, signed by the patient and one witness.
  • Gives patients the chance to change their mind about ending their life at any time.
  • Makes it illegal (a serious crime) for someone to alter or destroy a patient’s request or try to force them into making such a decision.
  • Protects health care providers from legal trouble if they follow this law and allows them to choose not to participate in providing the medication.

Who It Names or Affects

  • Adult patients with terminal illnesses
  • Health care providers who treat terminally ill patients

Terms To Know

Terminal illness
A disease that cannot be cured and will lead to death.
Self-administered aid in dying medication
Medication given to a patient by themselves, with the purpose of ending their life.

Limits and Unknowns

  • The bill does not specify what happens if someone tries to misuse the law.
  • It is unclear how this will affect health care providers who refuse to participate in providing aid-in-dying medication.

Amendments

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

SB359ASC1

2026-02-03

Education and Health Amendment

Plain English: The amendment suggests adding a requirement for healthcare providers to complete implicit bias training when they give medical aid in dying to eligible patients.

  • Requires attending healthcare providers who provide medical aid in dying to take evidence-based implicit bias training.
  • The exact details of the implicit bias training and how it will be implemented are not specified in the amendment text.
SB359AS1

2026-02-06 • Committee

Education and Health Amendment

Plain English: The amendment adds a requirement for healthcare providers who give medical aid in dying to take special training to recognize and reduce hidden biases that could impact patient care.

  • Requires attending health care providers to complete implicit bias training when providing medical aid in dying.
  • The exact details of the implicit bias training are not specified, such as what it covers or how often it needs to be completed.

Bill History

  1. 2026-02-05 Education and Health

    Failed to report from Education and Health with amendments (7-Y 8-N)

  2. 2026-02-05 Senate

    Fiscal Impact Statement from Department of Planning and Budget (SB359)

  3. 2026-02-03 Health

    Assigned Education sub: Health

  4. 2026-02-03 Health

    Senate subcommittee amendments offered

  5. 2026-01-20 Senate

    Fiscal Impact statement From VCSC (1/20/2026 1:39 pm)

  6. 2026-01-13 Senate

    Prefiled and ordered printed; Offered 01-14-2026 26105032D

  7. 2026-01-13 Education and Health

    Referred to Committee on Education and Health

Official Summary Text

Health care; decision-making; end of life; penalties.
Allows an adult diagnosed with a terminal disease to request and an attending health care provider to prescribe self-administered aid in dying medication for the purpose of ending the patient's life. The bill requires that a patient's request for self-administered aid in dying medication to end his life be given orally on two occasions and in writing, signed by the patient and one witness, and that the patient be given an express opportunity to rescind his request at any time. The bill makes it a Class 2 felony (i) to willfully and deliberately alter, forge, conceal, or destroy a patient's request, or rescission of request, for self-administered aid in dying medication to end his life with the intent and effect of causing the patient's death; (ii) to coerce, intimidate, or exert undue influence on a patient to request self-administered aid in dying medication for the purpose of ending his life or to destroy the patient's rescission of such request with the intent and effect of causing the patient's death; or (iii) to coerce, intimidate, or exert undue influence on a patient to forgo self-administered aid in dying medication for the purpose of ending the patient's life. The bill also grants immunity from civil or criminal liability and professional disciplinary action to any person who complies with the provisions of the bill and allows health care providers to refuse to participate in the provision of self-administered aid in dying medication to a patient for the purpose of ending the patient's life.

Current Bill Text

Read the full stored bill text
(SB359)
AMENDMENT(S) PROPOSED BY THE SENATE
EDUCATION AND HEALTH
1. Line 324, introduced, after
patients;
strike
and

EDUCATION AND HEALTH
2. Line 326, introduced, after
section
insert
; and
4. Recommend that attending health care providers who provide medical aid in dying to qualifying patients complete evidence-based implicit bias training to better identify and address unconscious prejudices that may affect patient care and contribute to health disparities