Public schools; guidelines and policies regarding school-connected overdoses; parental notification; response and prevention. Directs the Board of Education to develop and distribute to each local school board guidelines on policies and procedures relating to school-connected overdose response and prevention. The bill requires each school board to notify the parent of each student in the local school division of any school-connected overdose within 24 hours of such overdose occurring and permits each school board to provide such notification through telephone, email, or other methods of notification, provided that such method of notification is consistent with the guidelines developed by the Board. Finally, the bill directs each school board to fully implement the provisions of the bill by the 2024-2025 school year. Public schools; guidelines and policies regarding school-connected overdoses; parental notification; response and prevention. Directs the Board of Education to develop and distribute to each local school board guidelines on policies and procedures relating to school-connected overdose response and prevention. The bill requires each school board to notify the parent of each student in the local school division of any school-connected overdose within 24 hours of such overdose occurring and permits each school board to provide such notification through telephone, email, or other methods of notification, provided that such method of notification is consistent with the guidelines developed by the Board. Finally, the bill directs each school board to fully implement the provisions of the bill by the 2024-2025 school year.

Health Insurance Reform Commission; assessment of certain legislation. Requires the Health Insurance Reform Commission, whenever the Chairman of the House Committee on Labor and Commerce or the Senate Committee on Commerce and Labor requests that the Commission assess a legislative measure containing a mandated health insurance benefit or provider, to complete its assessment and submit a report for each such request within 24 months.

Absentee voting in person; available beginning on the fourteenth day prior to election; hours of operation. Limits absentee voting in person to the two weeks immediately preceding an election. During these two weeks, the bill requires that absentee voting in person be available Monday through Saturday, from 7:00 a.m. to 7:00 p.m. each day.

Department of Medical Assistance Services; Department of Behavioral Health and Developmental Services; 1915(c) Home and Community-Based Services Medicaid Waivers; state plan amendments; program rule modifications. Directs the Department of Medical Assistance Services and the Department of Behavioral Health and Developmental Services to seek to modify the program rules for certain 1915(c) Home and Community-Based Services Medicaid Waivers to eliminate the requirement that in order for a legally responsible individual to receive reimbursement for personal care services, no one else be available to provide such services to the Medicaid member.

Obscene materials; restrictions on purchase, distribution, exhibition, or loan; exceptions; libraries and schools. Modifies the exceptions to restrictions on the purchase, distribution, exhibition, or loan of obscene materials by providing that schools supported by public appropriation are not subject to the exceptions and limiting the exception applicable to libraries supported by public appropriation only to obscene material that is available exclusively in a section of the library to which access is restricted by age.

Maximum number of authorized judgeships in each judicial district. Increases from six to seven the number of authorized general district court judgeships and increases from five to seven the number of authorized juvenile and domestic relations district court judgeships in the Thirteenth Judicial District.

Virginia College Savings Plan; renamed Commonwealth Savers Plan. Renames the Virginia College Savings Plan as the Commonwealth Savers Plan.

Health insurance; prior authorization. Requires that any provider contract between a carrier and a participating health care provider contain specific provisions that require that if a prior authorization request is approved for prescription drugs and such prescription drugs have been scheduled, provided, or delivered to the patient consistent with the authorization, the carrier shall not revoke, limit, condition, modify, or restrict that authorization unless (i) there is evidence that the authorization was obtained based on fraud or misrepresentation; (ii) final actions by the U.S. Food and Drug Administration, other regulatory agencies, or the manufacturer remove the drug from the market, limit its use in a manner that affects the authorization, or communicate a patient safety issue that would affect the authorization alone or in combination with other authorizations; (iii) a combination of drugs prescribed would cause a drug interaction; or (iv) a generic or biosimilar is added to the prescription drug formulary. The bill provides that such provisions do not require a carrier to cover any benefit not otherwise covered or cover a prescription drug if the enrollee is no longer covered by a health plan on the date the prescription drug was scheduled, provided, or delivered.

Study; JLARC; scope and cost of penalizing possession of drugs as a felony. Directs the Joint Legislative Audit and Review Commission to study the scope and cost of the current laws in the Commonwealth penalizing possession of drugs as a felony.

Children's advocacy centers; definitions; investigations by local departments of social services. Replaces the term "child advocacy center" with "children's advocacy center" and defines such term. The bill provides that if it is determined during a human trafficking assessment that a forensic interview of the child is needed, such interview may be conducted by a children's advocacy center within the jurisdiction; however, if the interview cannot be completed within 14 days, the forensic interview may be conducted by a children's advocacy center located in another jurisdiction.

Consultation with federally recognized Tribal Nations in the Commonwealth; permits and reviews with potential impacts on environmental, cultural, and historic resources. Requires the Department of Conservation and Recreation, the Department of Environmental Quality, the Department of Historic Resources, and the Virginia Marine Resources Commission to establish policies and procedures for consulting with federally recognized Tribal Nations in the Commonwealth when evaluating certain permits and reviews relating to environmental, cultural, or historic resources that potentially impact those federally recognized Tribal Nations in the Commonwealth. The bill directs the Secretary of the Commonwealth to designate an Ombudsman for Tribal Consultation to facilitate communication and consultation with federally recognized Tribal Nations in the Commonwealth and requires the Ombudsman to develop by January 1, 2025, a list of localities in which federally recognized Tribal Nations in the Commonwealth shall be consulted to effectuate the provisions of the bill. The bill codifies Executive Order 82 (2021). Consultation with federally recognized Tribal Nations in the Commonwealth; permits and reviews with potential impacts on environmental, cultural, and historic resources. Requires the Department of Conservation and Recreation, the Department of Environmental Quality, the Department of Historic Resources, and the Virginia Marine Resources Commission to establish policies and procedures for consulting with federally recognized Tribal Nations in the Commonwealth when evaluating certain permits and reviews relating to environmental, cultural, or historic resources that potentially impact those federally recognized Tribal Nations in the Commonwealth. The bill directs the Secretary of the Commonwealth to designate an Ombudsman for Tribal Consultation to facilitate communication and consultation with federally recognized Tribal Nations in the Commonwealth and requires the Ombudsman to develop by January 1, 2025, a list of localities in which federally recognized Tribal Nations in the Commonwealth shall be consulted to effectuate the provisions of the bill. The bill codifies Executive Order 82 (2021).

Establishing the Rules of the Senate.

Board of Health; Department of Health Professions; Prescription Monitoring Program; overdose information. Directs the Board of Health to report Admit, Transfer, and Discharge data elements on patients who overdose on opioids to the Department of Health Professions for use in the Prescription Monitoring Program. The bill requires practitioners to obtain such data when prescribing opioids. Board of Health; Department of Health Professions; Prescription Monitoring Program; overdose information. Directs the Board of Health to report Admit, Transfer, and Discharge data elements on patients who overdose on opioids to the Department of Health Professions for use in the Prescription Monitoring Program. The bill requires practitioners to obtain such data when prescribing opioids.

Reduction of speed limits; local authority. Expands the current authority of any locality to reduce the speed limit to less than 25 miles per hour, but not less than 15 miles per hour, on highways within its boundaries that are located in a business district or residence district to include highways within the state highway system, provided that such reduced speed limit is indicated by lawfully placed signs. The bill authorizes a locality to restore a speed limit that has been reduced pursuant to this authority and requires the locality to notify the Commissioner of Highways of a change in speed limit.

Study; JLARC; effect of salaries, employment benefits, and other relevant factors on teacher recruitment and retention; report. Directs the Joint Legislative Audit and Review Commission to study the effect of salaries, employment benefits, and other relevant factors on recruiting and retaining high-quality, fully licensed teachers, including (i) examining salaries, employment benefits, and other financial benefits and incentives available to teachers in relation to teacher recruitment and retention in each local school division; (ii) identifying disparities in salaries, employment benefits, and other financial benefits and incentives available to teachers in relation to teacher recruitment and retention rates between high-poverty and rural school divisions, high-income school divisions, and the Commonwealth on average; (iii) reviewing salaries, employment benefits, and other financial benefits and incentives available to teachers in relation to the rates of teacher recruitment and retention and the numbers of fully licensed teachers in adjoining states and the District of Columbia; and (iv) identifying factors that positively impact the recruitment and retention of high-quality, fully licensed teachers.