Hospitals; urine drug screening to include testing for fentanyl.
Summary
Malcolm's Law; hospitals; urine drug screening; fentanyl. Requires hospitals with an emergency department, when conducting a urine drug screening, as defined in the bill, to assist in diagnosing a patient's condition, to include testing for fentanyl in such urine drug screening. The bill has a delayed effective date of January 1, 2026.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Feb 2025
House of Delegates Passage
Mar 2025
Senate Passage
Mar 2025
Signed into Law
Mar 2025
Introduced Jan 17, 2025
Signed Mar 21, 2025
Maddy AI version diff · 3 comparisons
What changed between versions
Enrolled
→
Chaptered
·
2 edits
MINOR
This bill was formally enacted into law (Chapter 238) and will become effective on January 1, 2026. The substantive policy content remains unchanged from the enrolled version, with the primary difference being the addition of official chapter formatting, approval dates, and page numbering typical of enacted legislation. No new requirements, exemptions, or policy changes were introduced during the final chaptering process.
TECHNICAL
Added official chapter formatting including approval date (March 21, 2025), chapter number (238), and page breaks that are standard for enacted Virginia laws.
EFFECTIVE_DATE
Confirmed the effective date of January 1, 2026, which was already established in the enrolled version and remains unchanged in the chaptered version.
Floor votes · Senate Feb 18, 2025 · House of Delegates Feb 4, 2025
How they voted
40–0
Passed
Total votes 40
Feb 18, 2025
D
Democratic21
100% Yea
R
Republican19
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
33
Key actions
12
Committee
7
Amendments
2
Mar 21, 2025
Signed into law
Approved by Governor-Chapter 238 (Effective 01/01/26)
executive
Mar 10, 2025
Upper · Passed
Signed by President
upper
Mar 7, 2025
Lower · Passed
Signed by Speaker
lower
Mar 7, 2025
Lower · Passed
Bill text as passed House and Senate (HB2742ER)
lower
Feb 18, 2025
Upper · Passed
Passed Senate (40-Y 0-N)
upper
Feb 17, 2025
Upper · Passed
Passed by for the day
upper
Feb 13, 2025
Upper · Passed
Reported from Education and Health (15-Y 0-N)
upper
Feb 11, 2025
Committee
Assigned Education sub: Health
upper
Feb 5, 2025
Committee
Referred to Committee on Education and Health
upper
Feb 4, 2025
Lower · Passed
Passed House (99-Y 0-N)
lower
Feb 4, 2025
Lower · Passed
Read third time and passed House (97-Y 0-N)
lower
Feb 3, 2025
Introduced
Engrossed by House as amended
lower
Feb 3, 2025
Lower · Passed
Health and Human Services Amendment agreed to
lower
Jan 30, 2025
Lower · Passed
Reported from Health and Human Services with amendment(s) (21-Y 0-N)
lower
Jan 28, 2025
Lower · Passed
Subcommittee recommends reporting with amendment(s) (8-Y 0-N)
lower
Jan 24, 2025
Committee
Assigned sub: Health
lower
Jan 17, 2025
Committee
Referred to Committee on Health and Human Services
lower
Jan 17, 2025
Introduced
Presented and ordered printed 25104621D
lower
1 primary · 3 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Irene Shin
DDemocratic
Co
Chad Green
RRepublican
Co
Cia Price
DDemocratic
Co
Elizabeth Bennett-Parker
DDemocratic
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