2025 Code of Virginia
Title 32.1 - Health
Chapter 5 - Regulation of Medical Care Facilities and Services

Article 1. Hospital and Nursing Home Licensure and Inspection

• § 32.1-123. (Effective until January 1, 2026) Definitions
• § 32.1-123. (Effective January 1, 2026) Definitions
• § 32.1-124. Exemptions
• § 32.1-125. Establishment or operation of hospitals and nursing homes prohibited without license or certification; licenses not transferable
• § 32.1-125.01. Failing to report; penalty
• § 32.1-125.1. Inspection of hospitals by state agencies generally
• § 32.1-125.2. Disclosure of other providers of services
• § 32.1-125.3. Bed capacity and licensure in hospitals designated as critical access hospitals; designation as rural hospital
• § 32.1-125.4. Retaliation or discrimination against complainants
• § 32.1-125.5. Confidentiality of complainant's identity
• § 32.1-126. Commissioner to inspect and to issue licenses to or assure compliance with certification requirements for hospitals, nursing homes, and certified nursing facilities; notice of denial of license; consultative advice and assistance; notice to electric utilities
• § 32.1-126.01. Employment for compensation of persons convicted of barrier crimes prohibited; criminal records check required; suspension or revocation of license
• § 32.1-126.02. Hospital pharmacy employees; criminal records check required
• § 32.1-126.1. Asbestos inspection for hospitals
• § 32.1-126.2. Fire suppression systems required in nursing facilities and nursing homes
• § 32.1-126.3. Fire suppression systems required in hospitals
• § 32.1-126.4. Hospital standing orders or protocols for certain vaccinations
• § 32.1-126.5. Consolidation of inspections
• § 32.1-127. (Effective until January 1, 2026) Regulations
• § 32.1-127. (Effective January 1, 2026) Regulations
• § 32.1-127.001. Certain design and construction standards to be incorporated in hospital and nursing home licensure regulations
• § 32.1-127.01. Regulations to authorize certain disciplinary actions and guidelines
• § 32.1-127.1. Immunity from liability for routine referral for organ and tissue donation
• § 32.1-127.1:01. Record storage
• § 32.1-127.1:02. Repealed
• § 32.1-127.1:03. Health records privacy
• § 32.1-127.1:04. Use or disclosure of certain protected health information required
• § 32.1-127.1:05. Breach of medical information notification
• § 32.1-127.2. Repealed
• § 32.1-127.3. Immunity from liability for certain free health care services
• § 32.1-128. Applicability to hospitals and nursing homes for practice of religious tenets
• § 32.1-129. Application for license
• § 32.1-130. Fees; Hospital and Nursing Home Licensure and Inspection Program Fund
• § 32.1-131. Expiration and renewal of licenses
• § 32.1-132. (Expires July 1, 2028) Alterations or additions to hospitals and nursing homes; when new license required; use of inpatient hospital beds for furnishing skilled care services
• § 32.1-132. (Effective July 1, 2028) Alterations or additions to hospitals and nursing homes; when new license required; use of inpatient hospital beds for furnishing skilled care services
• § 32.1-133. Display of license
• § 32.1-133.1. Human trafficking hotline; posted notice required; civil penalty
• § 32.1-134. Family planning information in hospitals providing maternity care
• § 32.1-134.01. Certain information required for maternity patients
• § 32.1-134.02. Infants; blood sample provided to parents
• § 32.1-134.03. Maternal health; protocols and resources for hospitals and outpatient providers; report
• § 32.1-134.1. When denial, etc., to duly licensed physician of staff membership or professional privileges improper
• § 32.1-134.2. Clinical privileges for certain practitioners
• § 32.1-134.3. Response to applications for clinical privileges
• § 32.1-134.4. Right of podiatrists or advanced practice registered nurses to injunction
• § 32.1-135. Revocation or suspension of license or certification of hospital or certified nursing facility; restriction or prohibition of new admissions to certified nursing facility
• § 32.1-135.1. Certain advertisements prohibited
• § 32.1-135.2. Offer or payment of remuneration in exchange for referral prohibited
• § 32.1-136. Violation; penalties
• § 32.1-137. Certification of medical care facilities under Title XVIII of Social Security Act
• § 32.1-137.01. Posting of charity care policies
• § 32.1-137.02. Hospital discharge procedures
• § 32.1-137.03. Discharge planning; designation of individual to provide care
• § 32.1-137.04. Patient notice of observation or outpatient status
• § 32.1-137.05. Information regarding standard charges; advance estimate of patient payment amount for elective procedure, test, or service
• § 32.1-137.06. Lyme disease test result information
• § 32.1-137.07. Violations of certain provisions; penalty
• § 32.1-137.08. Medical care facilities; persons with disabilities; designated support persons
• § 32.1-137.09. Hospital emergency department CPT code data reporting
• § 32.1-137.010. Financial assistance; payment plans
• § 32.1-137.011. Childbirth; postpartum process; doulas

Article 1.1. Certificate of Quality Assurance of Managed Care Health Insurance Plan Licensees

• § 32.1-137.1. Definitions
• § 32.1-137.2. Certification of quality assurance; application; issuance; denial; renewal
• § 32.1-137.3. Regulations
• § 32.1-137.4. Examination, review or investigation
• § 32.1-137.5. Civil penalties; probation; suspension; restriction or prohibition of new enrollments to managed care health insurance plan licensee; revocation or nonrenewal of certificate of quality assurance; appeal process; correction
• § 32.1-137.6. Complaint system

Article 1.2. Utilization Review Standards and Appeals

• § 32.1-137.7. Definitions
• § 32.1-137.8. Application to and compliance by utilization review entities
• § 32.1-137.9. Requirements and standards for utilization review entities
• § 32.1-137.10. Utilization review plan required
• § 32.1-137.11. Accessibility of utilization review entity
• § 32.1-137.12. Emergencies; extensions; access to and confidentiality of patient-specific medical records and information
• § 32.1-137.13. Adverse determination
• § 32.1-137.14. Reconsideration of adverse determination
• § 32.1-137.15. Adverse determination; appeal
• § 32.1-137.16. Records
• § 32.1-137.17. Limitation on Commissioner's jurisdiction

Article 2. Rights and Responsibilities of Patients in Nursing Homes

• § 32.1-138. Enumeration; posting of policies; staff training; responsibilities devolving on guardians, etc.; exceptions; certification of compliance
• § 32.1-138.1. Implementation of transfer and discharge policies
• § 32.1-138.2. Certain contract provisions prohibited
• § 32.1-138.3. Third party guarantor prohibition
• § 32.1-138.4. Retaliation or discrimination against complainants
• § 32.1-138.5. Confidentiality of complainant's identity
• § 32.1-138.5:1. (Effective pursuant to Acts 2025, c. 432, cl. 2) Electronic monitoring in resident rooms

Article 2.1. Private Review Agents

• § 32.1-138.6. Definitions
• § 32.1-138.7. Certificates of registration required; issuance; transferability; regulations
• § 32.1-138.8. Consultation with health regulatory boards
• § 32.1-138.9. Standards for approval
• § 32.1-138.10. Expiration; renewal
• § 32.1-138.11. Denial; revocation
• § 32.1-138.12. Waiver of requirements of article
• § 32.1-138.13. Access to and confidentiality of patient-specific medical records and information
• § 32.1-138.14. No private right of action created
• § 32.1-138.15. Regulations

Article 3. Blood Banks

• § 32.1-139. Repealed

Article 4. Midwives

• § 32.1-145. Repealed

Article 5. Emergency Medical Service Vehicles

• § 32.1-148. Repealed

Article 6. Home Health Agency Licensing

• § 32.1-157. Repealed

Article 7. Hospice Program Licensing

• § 32.1-162.1. Definitions
• § 32.1-162.2. Exemptions from article
• § 32.1-162.3. License required for hospice programs; notice of denial of license; renewal thereof
• § 32.1-162.4. Inspections
• § 32.1-162.5. Regulations
• § 32.1-162.5:1. Notice to dispenser of patient's death; disposition of dispensed drugs
• § 32.1-162.6. Revocation or suspension of license
• § 32.1-162.6:1. Possession or administration of cannabis oil

Article 7.1. Home Care Organization Licensing

• § 32.1-162.7. Definitions
• § 32.1-162.8. Exemptions from article
• § 32.1-162.9. Licenses required; renewal thereof
• § 32.1-162.9:1. Employment for compensation of persons convicted of barrier crimes prohibited; criminal records check required; drug testing; suspension or revocation of license
• § 32.1-162.10. Inspections; fees
• § 32.1-162.11. Liability insurance required
• § 32.1-162.12. Regulations
• § 32.1-162.13. Revocation or suspension of license
• § 32.1-162.14. Repealed
• § 32.1-162.15. Violation; penalties
• § 32.1-162.15:1. Unlawful advertising as a home care organization

Article 7.2. Prescribed Pediatric Extended Care Center Licensing

• § 32.1-162.15:1.1. (Effective July 1, 2026) Definitions
• § 32.1-162.15:1.2. (Effective July 1, 2026) Licensure
• § 32.1-162.15:1.3. (Effective July 1, 2026) Application fees; use of fees
• § 32.1-162.15:1.4. (Effective July 1, 2026) Licenses required; issuance, expiration, and renewal; maximum number of children; posting of licenses
• § 32.1-162.15:1.5. (Effective July 1, 2026) Inspection on receipt of application
• § 32.1-162.15:1.6. (Effective July 1, 2026) Issuance or refusal of license; notification; provisional and conditional licenses
• § 32.1-162.15:1.7. (Effective July 1, 2026) Compliance with Uniform Statewide Building Code
• § 32.1-162.15:1.8. (Effective July 1, 2026) Inspections and interviews
• § 32.1-162.15:1.9. (Effective July 1, 2026) Records and reports
• § 32.1-162.15:1.10. (Effective July 1, 2026) Background check upon application for licensure; penalty
• § 32.1-162.15:1.11. (Effective July 1, 2026) Scope and duration of services; individualized plans of care
• § 32.1-162.15:1.12. (Effective July 1, 2026) Operation and management; staffing
• § 32.1-162.15:1.13. (Effective July 1, 2026) Facilities and maintenance; regulations
• § 32.1-162.15:1.14. (Effective July 1, 2026) Confidentiality of complainant's identity
• § 32.1-162.15:1.15. (Effective July 1, 2026) Retaliation or discrimination against complainants
• § 32.1-162.15:1.16. (Effective July 1, 2026) Retaliation against reports of child or adult abuse or neglect
• § 32.1-162.15:1.17. (Effective July 1, 2026) Employment for compensation of persons or use of volunteers convicted of certain offenses prohibited; background check required; penalty
• § 32.1-162.15:1.18. (Effective July 1, 2026) Revocation or denial of renewal based on background checks; failure to obtain background check
• § 32.1-162.15:1.19. (Effective July 1, 2026) Offenses; penalty
• § 32.1-162.15:1.20. (Effective July 1, 2026) Disciplinary action; civil penalties
• § 32.1-162.15:1.21. (Effective July 1, 2026) Summary suspension; privately operated Centers
• § 32.1-162.15:1.22. (Effective July 1, 2026) Summary suspension; Centers operated by an agency of the Commonwealth
• § 32.1-162.15:1.23. (Effective July 1, 2026) Right to appeal notice of imposition of disciplinary action; Centers operated by agencies of the Commonwealth

Article 8. Services for Sexual Assault Patients

• § 32.1-162.15:2. Definitions
• § 32.1-162.15:3. Services for sexual assault patients; plan required
• § 32.1-162.15:4. Treatment services
• § 32.1-162.15:5. Transfer services
• § 32.1-162.15:6. Services for pediatric sexual assault patients; plan required
• § 32.1-162.15:7. Inspections; report required
• § 32.1-162.15:8. Storage, retention, and dissemination of photographic documentation
• § 32.1-162.15:9. Submission of evidence
• § 32.1-162.15:10. Complaints
• § 32.1-162.15:11. Repealed
• § 32.1-162.15:12. Virginia Forensic Nursing Advisory Council