Severe Maternal Mortality Surveillance and Review Program; established.

The bill header was updated to reflect the Appropriations Substitute status and included a specific date (February 11, 2026) for the proposal.

Minor formatting adjustments were made to the layout and line numbering of the document to align with standard legislative formatting for the Appropriations Substitute.

The effective date for the closed meeting provisions in § 2.2-3711 was changed from 'until July 1, 2026' to 'July 1, 2026', indicating a shift in how the temporary provisions are structured.

The document structure was updated to include 'HOUSE SUBSTITUTE' headers, page numbers, and bill identifiers (e.g., 26107290D), while the actual legal text and policy provisions were not altered.

The effective date of the act was moved from July 1, 2026, to September 1, 2026.

A new provision was added allowing the State Board of Elections to hold closed meetings to review complaints about the personal use of campaign funds.

The text was reformatted to include page numbers, draft headers, and committee attribution, reflecting its status as a substitute bill.

Added a new section (32.1-73.33) establishing a 'Severe Maternal Morbidity Surveillance and Review Program' to track and analyze severe maternal morbidity cases alongside maternal deaths.

Changed the effective date for closed meeting exemptions in § 2.2-3711 from 'until July 1, 2026' to 'July 1, 2026' to clarify the transition period.

Converted the document from a draft bill format to the official enrolled format used for legislative enactment.