Hospitals and nursing homes; licensure and inspection fees.

Changed the bill title from 'Senator Srinivasan Substitute' to 'Health and Human Services Substitute', reflecting a transfer of sponsorship from the individual senator to the House committee.

Removed the original Senate bill header information including bill number 25106642D and the original Senate-only designation.

Added an amendment to § 32.1-130 to establish or modify the Hospital and Nursing Home Licensure and Inspection Program Fund, expanding the bill's scope beyond just § 2.2-4006 and § 32.1-127.

Changed the bill date from February 3, 2025 to February 11, 2025, reflecting the new House committee submission date.

The document header was changed from 'Senate Substitute' to 'Floor Amendment in the Nature of a Substitute' and the sponsor attribution was updated from the Senate Committee to Senator Srinivasan personally.

Page numbering and line formatting were reorganized, with the bill number and session information repositioned within the document structure.

The bill's effective date reference was updated from January 30, 2025 to February 3, 2025 in the amendment proposal date.

The document was reformatted from an Enrolled bill to a Substitute bill, changing the header information and page numbering while maintaining the same legislative content.

Requires all hospitals with emergency departments to establish security plans with trained security personnel or off-duty law enforcement present at all times based on security risk assessments.

Mandates smoke evacuation systems for all planned surgical procedures likely to generate surgical smoke to protect patients from exposure.

Expands visitation protocols during public health emergencies to specifically allow religious clergy (rabbi, priest, minister) to visit patients, with provisions for virtual visits if needed.

Requires hospitals to inform patients about air medical transportation options and costs before arranging non-emergency air medical transport.

Mandates hospitals performing surgery to inform patients about expected need for outpatient physical therapy and require them to select a provider before discharge.

Requires nursing homes to provide full refunds of unexpended patient funds within 30 days of discharge or death, with specific exceptions for continuing care fees.

Mandates that hospitals making health records available online must also make them accessible to parents or guardians of minor patients through the same secure website.

Updates the Hospital and Nursing Home Licensure and Inspection Program Fund provisions to clarify fee collection and fund management procedures.