Six-year financial plan. Modifies the requirements for the six-year financial plan submitted by the Governor to the General Assembly by (i) requiring that such plan be submitted on or before the first day of each regular session of the General Assembly instead of on or before the first day of each regular session of the General Assembly held in an even-numbered year as required by current law and (ii) providing that such plan ensure structural balance between projected revenues and expenditures for the six-year period.

Department of General Services and Department of Transportation; regulations and requirements; transit and school bus shelters; concrete pad construction. Directs the Department of General Services and the Department of Transportation to amend and conform the regulations and requirements for localities and transit agencies constructing concrete pad foundations for school bus shelters, public transit shelters, and rideshare stations.

Bonds for public institutions of higher learning; emergency. Authorizes issuance of bonds in an amount up to $124,285,000 for revenue-producing capital projects at James Madison University, Virginia State University, and The College of William and Mary in Virginia.

State Air Pollution Control Board; motor vehicle emissions standards. Repeals the requirement that the State Air Pollution Control Board implement a low-emissions and zero-emissions vehicle program for motor vehicles with a model year of 2025 and later. The bill prohibits the Board from adopting or enforcing any model year standards related to control of emissions from new motor vehicles or new motor vehicle engines, including low-emission vehicle and zero-emission vehicle standards pursuant to the federal Clean Air Act and prohibits the Commonwealth from requiring any new motor vehicle or new motor vehicle engine to be certified as compliant with model year standards related to the control of emissions adopted by California for which a waiver has been granted pursuant to the federal Clean Air Act. The bill has a delayed effective date that is contingent upon the Virginia Automobile Dealers Association certifying to the Virginia Code Commission that total annual sales of zero-emission vehicles have not met the annual standards adopted by regulation by the California Air Resources Board.

Board of Medicine; Board of Dentistry; Board of Optometry; Boards of Medicine and Nursing; patient counseling; treatment with opioids. Directs the Board of Medicine, the Board of Dentistry, the Board of Optometry, and the Boards of Medicine and Nursing to amend their regulations to require the provision of certain information to patients being prescribed an opioid for the treatment of acute or chronic pain. The bill requires that the regulations include an exception to the required provision of such information for patients who are (i) in active treatment for cancer, (ii) receiving hospice care from a licensed hospice or palliative care, (iii) residents of a long-term care facility, (iv) being prescribed an opioid in the course of treatment for substance abuse or opioid dependence, or (v) receiving treatment for sickle cell disease. The bill directs the Boards to adopt emergency regulations to implement the provisions of the bill. Board of Medicine; Board of Dentistry; Board of Optometry; Boards of Medicine and Nursing; patient counseling; treatment with opioids. Directs the Board of Medicine, the Board of Dentistry, the Board of Optometry, and the Boards of Medicine and Nursing to amend their regulations to require the provision of certain information to patients being prescribed an opioid for the treatment of acute or chronic pain. The bill requires that the regulations include an exception to the required provision of such information for patients who are (i) in active treatment for cancer, (ii) receiving hospice care from a licensed hospice or palliative care, (iii) residents of a long-term care facility, (iv) being prescribed an opioid in the course of treatment for substance abuse or opioid dependence, or (v) receiving treatment for sickle cell disease. The bill directs the Boards to adopt emergency regulations to implement the provisions of the bill.

Elections; absentee voting; counting ballots prior to the close of polls. Allows officers of election at a central absentee precinct to begin ascertaining and recording the number of votes cast by absentee ballots at any time after noon on the day of the election. Under current law, absentee ballots that are counted by hand may be tallied, but not counted, at any time after noon on the day of the election, and no ballot totals for any absentee ballots shall be ascertained until after polls close. The bill also clarifies that vote totals for absentee ballots cast in person on voting systems cannot be determined until the day of the election. The bill also requires that general registrars begin processing absentee ballots on the fourteenth day prior to the day of the election. Under current law such processing is not required until the seventh day prior to the day of the election.

National Teacher Certification Incentive Reward Program and Fund; eligibility; incentive grant awards. Renames the National Teacher Certification Incentive Reward Program and Fund as the National Board Certification Incentive Reward Program and Fund, expands eligibility for incentive grant awards from such Fund pursuant to such Program from solely teachers who have obtained national certification from the National Board for Professional Teaching Standards to (i) all public school staff who are candidates for initial national certification or maintenance of national certification to cover certain costs of obtaining or maintaining such certification and (ii) all public school staff who have successfully obtained or maintained such certification. The bill also declares as eligible for an annual incentive grant award in the amount of $7,500 all public school staff who have obtained or maintained such certification. Current law declares as eligible for an annual incentive grant award of $5,000 in the first year and $2,500 in each subsequent year all teachers who have obtained or maintained such certification.

Establishment of recovery high schools; authorization in certain Superintendent's regions. Authorizes any school board that governs a school division located in Superintendent's Region 2, 4, or 7 to establish a recovery high school in the relevant school division as a year-round high school (i) for which enrollment is open to any high school student who resides in the relevant Superintendent's region and is in the early stages of recovery from substance use disorder or dependency and (ii) for the purpose of providing such students with the academic, emotional, and social support necessary to make progress toward earning a high school diploma and reintegrating into a traditional high school setting.

Synthetic media; penalty. Expands the applicability of provisions related to defamation, slander, and libel to include synthetic media, defined in the bill. The bill makes it a Class 1 misdemeanor for any person to use any synthetic media for the purpose of committing any criminal offense involving fraud, constituting a separate and distinct offense with punishment separate and apart from any punishment received for the commission of the primary criminal offense. The bill also authorizes the individual depicted in the synthetic media to bring a civil action against the person who violates such prohibition to recover actual damages, reasonable attorney fees, and such other relief as the court determines to be appropriate. The bill directs the Attorney General to convene a work group to study and make recommendations on the current enforcement of laws related to the use of synthetic media, including deepfakes, and any further action needed to address the issue of such use in fraudulent acts. Synthetic media; penalty. Expands the applicability of provisions related to defamation, slander, and libel to include synthetic media, defined in the bill. The bill makes it a Class 1 misdemeanor for any person to use any synthetic media for the purpose of committing any criminal offense involving fraud, constituting a separate and distinct offense with punishment separate and apart from any punishment received for the commission of the primary criminal offense. The bill also authorizes the individual depicted in the synthetic media to bring a civil action against the person who violates such prohibition to recover actual damages, reasonable attorney fees, and such other relief as the court determines to be appropriate. The bill directs the Attorney General to convene a work group to study and make recommendations on the current enforcement of laws related to the use of synthetic media, including deepfakes, and any further action needed to address the issue of such use in fraudulent acts.

Short-term rentals; registration; civil penalty. Directs the Department of Taxation to establish a registry of short-term rental properties and require accommodations providers and intermediaries to register. Under the bill, an accommodations provider shall provide to the Department its name and the address of each property it offers for short-term rental. The bill states that the Department shall issue each such accommodations provider a unique numerical identifier for each such property. Furthermore, an accommodations intermediary shall provide the Department with its name and the contact information for the individual responsible for liaising with state and local officials regarding noncompliant short-term rental listings. The bill states that as a condition of listing a short-term rental on its platform, an accommodations intermediary shall require each accommodations provider to provide such provider's name and the unique numerical identifier and specific address for each short term-rental offered. Under the bill, such information, as well as information regarding receipts and taxes paid, shall be provided to the Department by the accommodations intermediary on a quarterly basis. Short-term rentals; registration; civil penalty. Directs the Department of Taxation to establish a registry of short-term rental properties and require accommodations providers and intermediaries to register. Under the bill, an accommodations provider shall provide to the Department its name and the address of each property it offers for short-term rental. The bill states that the Department shall issue each such accommodations provider a unique numerical identifier for each such property. Furthermore, an accommodations intermediary shall provide the Department with its name and the contact information for the individual responsible for liaising with state and local officials regarding noncompliant short-term rental listings. The bill states that as a condition of listing a short-term rental on its platform, an accommodations intermediary shall require each accommodations provider to provide such provider's name and the unique numerical identifier and specific address for each short term-rental offered. Under the bill, such information, as well as information regarding receipts and taxes paid, shall be provided to the Department by the accommodations intermediary on a quarterly basis. The bill states that the Department shall provide the commissioner of the revenue for each locality with access to the registry and information contained therein. The commissioner of the revenue shall notify an accommodations intermediary of any short-term rental on its platform that is not lawfully authorized to be offered on its platform, and the accommodations intermediary shall remove any such listing from its platform. Under the bill, any accommodations intermediary who does not remove such a listing from its platform shall be subject to a civil penalty of $1,000, to be paid into the Virginia Housing Trust Fund.

Personal property tax; classification; sunset date. Removes the sunset date from the provision of law that authorizes localities to classify most motor vehicles as a class of property subject to a different rate of tax or rate of assessment from the rate applicable to the general class of tangible personal property. Under current law, such classification would expire beginning with taxable years beginning on or after January 1, 2025.

Virginia Tourism Authority; powers; historically accurate advertising. Requires the Virginia Tourism Authority, in consultation with The Library of Virginia, the Virginia African American Advisory Board, and other subject matter experts, to create guidelines for the Authority's publications and advertising materials to ensure the accurate representation in such publications and advertising materials of the experiences of enslaved persons at and the contributions of enslaved persons to properties in the Commonwealth with a historic link to slave ownership. Virginia Tourism Authority; powers; historically accurate advertising. Requires the Virginia Tourism Authority, in consultation with The Library of Virginia, the Virginia African American Advisory Board, and other subject matter experts, to create guidelines for the Authority's publications and advertising materials to ensure the accurate representation in such publications and advertising materials of the experiences of enslaved persons at and the contributions of enslaved persons to properties in the Commonwealth with a historic link to slave ownership.

Health insurance; coverage for doula care services. Requires health insurers, corporations providing health care subscription contracts, and health maintenance organizations whose policy, contract, or plan includes coverage for obstetrical services to provide coverage for doula care services provided by a state-certified doula. The bill requires such coverage to include coverage for at least eight visits during the antepartum or postpartum period and support during labor and delivery. The bill provides that health insurance carriers are (i) not required to pay for duplicate services actually rendered by both a state-certified doula and another health care provider and (ii) prohibited from requiring supervision, signature, or referral by any other health care provider as a condition of reimbursement for doula care services, except when those requirements are also applicable to other categories of health care providers. Such provisions of the bill are subject to a reenactment clause. The bill also requires the Health Insurance Reform Commission to consider coverage for doula care services in its review of the essential health benefits benchmark plan and to include such coverage in its recommendation to the General Assembly unless a compelling reason for excluding such coverage is identified.

Liquid nicotine and nicotine vapor products; certification and directory; penalties. Requires every manufacturer of liquid nicotine or nicotine vapor products that are sold for retail sale in the Commonwealth to certify to the Attorney General that (i) the manufacturer has received a marketing authorization or similar order for the liquid nicotine or nicotine vapor product from the U.S. Food and Drug Administration (FDA) or (ii) (a) the liquid nicotine or nicotine vapor product was marketed in the United States as of August 8, 2016, or (b) the manufacturer submitted a premarket tobacco product application for the liquid nicotine or nicotine vapor product to the FDA on or before September 9, 2020, and such application either remains under review by the FDA or a final decision on the application has not otherwise taken effect. The bill requires a manufacturer to submit such a form for each liquid nicotine or nicotine vapor product that such manufacturer sells for retail sale in the Commonwealth. Under the bill, any manufacturer that falsely represents any of the information required by the certification requirement is guilty of a Class 3 misdemeanor for each false representation. Liquid nicotine and nicotine vapor products; certification and directory; penalties. Requires every manufacturer of liquid nicotine or nicotine vapor products that are sold for retail sale in the Commonwealth to certify to the Attorney General that (i) the manufacturer has received a marketing authorization or similar order for the liquid nicotine or nicotine vapor product from the U.S. Food and Drug Administration (FDA) or (ii) (a) the liquid nicotine or nicotine vapor product was marketed in the United States as of August 8, 2016, or (b) the manufacturer submitted a premarket tobacco product application for the liquid nicotine or nicotine vapor product to the FDA on or before September 9, 2020, and such application either remains under review by the FDA or a final decision on the application has not otherwise taken effect. The bill requires a manufacturer to submit such a form for each liquid nicotine or nicotine vapor product that such manufacturer sells for retail sale in the Commonwealth. Under the bill, any manufacturer that falsely represents any of the information required by the certification requirement is guilty of a Class 3 misdemeanor for each false representation. The bill requires the Attorney General to establish and maintain a directory that lists all liquid nicotine or nicotine vapor product manufacturers and liquid nicotine and nicotine vapor products for which current and accurate certification forms have been submitted. The bill requires the Attorney General to remove or exclude from such directory any such product that is not in compliance and to notify the manufacturer of such noncompliance. The bill allows a 10-business-day period for a manufacturer to establish compliance. The bill requires that any such products that are removed from the list be sold or removed from retail sale within 30 days or become subject to seizure and requires a manufacturer, wholesaler, or retail dealer to notify each purchaser of a removed product that it has been removed from the directory at the time of delivery of such product. The bill entitles such a purchaser to a refund of the purchase price and creates a cause of action to recover such refund. The bill prohibits the sale, distribution, importation, or offer for sale of any liquid nicotine or nicotine vapor product that is not listed in the directory. The bill provides for a civil penalty of $1,000 per day for each product offered for sale in violation of the bill's provisions until the offending product is removed from the market or until the offending product is properly listed on the directory. The bill requires any person that receives, stores, sells, handles, or transports liquid nicotine or nicotine vapor products to preserve all records relating to the purchase, sale, exchange, receipt, or transportation of all liquid nicotine or nicotine vapor products for a period of three years. The bill provides that all such records are subject to audit or inspection at any time by any duly authorized representative of the Attorney General. Any person who violates the recordkeeping provisions of the bill is guilty of a Class 2 misdemeanor. Additionally, the bill provides that the Department of Taxation, the Attorney General, any other law-enforcement agency of the Commonwealth, or any federal law-enforcement agency conducting a criminal investigation involving the trafficking of liquid nicotine or nicotine vapor products may access at any time such records. The bill requires the Department of Taxation to impose a penalty of $1,000 for each day that a person fails or refuses to allow or cooperate with an audit, inspection, or investigation of such records. The bill authorizes any attorney for the Commonwealth, or the attorney for any city, county, or town to cause an action to enjoin any violation of the provisions of the bill. The circuit courts are authorized by the bill to (a) issue temporary or permanent injunctions to restrain and prevent violations of the provisions of the bill and (b) order forfeiture of any property seized for such a violation. Under the bill, any retailer and wholesaler that sells or distributes any liquid nicotine or nicotine vapor product in the Commonwealth is subject to scheduled or unscheduled compliance checks carried out by the Attorney General, or an agent thereof, for enforcement purposes. The bill requires the Attorney General to provide an annual report to the General Assembly regarding the status of the directory, manufacturers and products included in the directory, and revenues and expenditures related to and enforcement activities undertaken pursuant to the requirements of the bill. Finally, the bill makes a violation of its provisions a prohibited practice under the Virginia Consumer Protection Act. This bill has a delayed effective date of July 1, 2025 and is identical to

Postural Orthostatic Tachycardia Syndrome Awareness Day. Designates October 25, in 2024 and in each succeeding year, as Postural Orthostatic Tachycardia Syndrome Awareness Day in Virginia.