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VA HB486

VA HB486
Medical care facilities; expanded access to medical cannabis for terminally ill patients.


summary

Introduced
01/12/2026
In Committee
01/12/2026
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Regular Session

Bill Summary

Medical care facilities; expanded access to medical cannabis for terminally ill patients. Requires medical care facilities to permit terminally ill patients, as defined in the bill, to use medical cannabis. The bill requires medical care facilities to adopt policies facilitating the use of medical cannabis. The provisions of the bill do not apply to the provision of emergency medical services, including in emergency departments of hospitals. The bill requires compliance with applicable drug and medication requirements, specifies that compliance with its provisions shall not be a condition of obtaining, retaining, or renewing a license as a medical care facility, and establishes a protocol for noncompliance in the event of intervention by the federal government. The bill has a delayed effective date contingent on the federal rescheduling of marijuana from a Schedule I to a Schedule III drug. This bill was incorporated into HB 75.

AI Summary

This bill requires medical care facilities in Virginia to establish policies allowing terminally ill patients, defined as individuals 18 or older, residents of Virginia, diagnosed with a terminal disease confirmed by a consulting healthcare provider after an in-person examination and medical record review, to use medical cannabis during an inpatient stay, provided it's not smoked or vaped, is documented in their medical records, and they provide a written certification for its use. The bill also mandates reasonable restrictions on how patients store and use their medical cannabis, such as requiring it to be kept in a locked container, to ensure safety and compliance with other laws, and requires facilities to develop and share guidelines for its use. Importantly, these provisions do not apply to emergency medical services or hospital emergency departments, and compliance with this bill will not affect a facility's license. The bill also outlines a protocol for facilities to suspend compliance if federal agencies like the U.S. Department of Justice (DOJ) or the Centers for Medicare and Medicaid Services (CMS) take enforcement actions or issue rules prohibiting medical cannabis use in such facilities, but it clarifies that facilities cannot prohibit use solely because cannabis is a Schedule I drug under federal law or due to other pre-existing federal constraints. The entire act will only take effect once marijuana is federally rescheduled from a Schedule I to a Schedule III drug under the Controlled Substances Act.

Committee Categories

Health and Social Services

Sponsors (4)

Last Action

Incorporated by Health and Human Services (HB75-Keys-Gamarra) (Voice Vote) (on 02/12/2026)

bill text


bill summary

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bill summary

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bill summary

Document Type Source Location
State Bill Page https://lis.virginia.gov/bill-details/20261/HB486
BillText https://lis.virginia.gov/bill-details/20261/HB486/text/HB486HC1
Fiscal Note/Analysis - Fiscal Impact Statement from Department of Planning and Budget (HB486) https://lis.blob.core.windows.net/files/1104760.PDF
BillText https://lis.virginia.gov/bill-details/20261/HB486/text/HB486
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