Virginia 2026 Regular Session

Virginia Senate Bill SB421

Introduced
1/13/26  
Refer
1/13/26  
Report Pass
2/5/26  
Engrossed
2/9/26  
Refer
2/13/26  
Report Pass
2/24/26  
Enrolled
3/4/26  
Chaptered
4/6/26  
Passed
4/6/26  
Chaptered
4/6/26  

Caption

An Act to amend and reenact ยง 54.1-3432 of the Code of Virginia and to amend the Code of Virginia by adding a section numbered 54.1-3303.2, relating to remote pharmacist verification and counseling in opioid treatment programs.

Impact

The passage of SB421 will significantly impact the practice of pharmacy in Virginia, particularly within opioid treatment programs. It amends existing laws regarding the supervision of pharmacy operations, providing greater flexibility in how pharmacists can oversee the dispensation of critical medications like methadone. The Board of Pharmacy will also be tasked with promulgating regulations that will ensure the safe and effective use of remote technologies, mandating standards related to equipment used for remote verification, training for personnel, and patient privacy.

Summary

SB421 is a bill amending the Code of Virginia to allow remote pharmacist verification and counseling in opioid treatment programs. The bill enables pharmacists to provide counseling and verify the dispensation of medications used to manage opioid use disorder through real-time audiovisual communication. The intent behind this legislation is to facilitate better access to care, particularly in light of the ongoing opioid crisis, by allowing pharmacists to supervise medication dispensation from a distance while ensuring regulatory compliance with federal requirements.

Sentiment

Overall, the sentiment surrounding SB421 appears to be positive, particularly among healthcare providers and advocates for opioid use disorder treatment. Proponents view the bill as a step towards improving access and efficiency in administering treatments, which is especially crucial as many individuals struggle with the impact of opioid addiction. However, there may be some concerns regarding the adequacy of remote supervision and the potential risks involved with telehealth practices, highlighting a need for stringent regulatory oversight.

Contention

While the bill has garnered broad support, some contention may arise around the practical implementation of remote verification systems and the assurance of quality care. Concerns may also be raised about the responsibilities of pharmacy technicians who will dispense medications under remote supervision and the potential challenges in ensuring that such remote systems maintain the standards of care expected within traditional pharmacy practices. This legislation, if enacted, may reshape how pharmacists engage with patients in opioid treatment, necessitating a careful balance between accessibility and safety.

Companion Bills

No companion bills found.

Previously Filed As

VA SB1035

Opioid antagonists; dispensing and administration by person acting on behalf of an organization.

VA HB1637

Opioid antagonists; dispensing and administration by person acting on behalf of an organization.

VA SB790

Opioid antagonists; dispensing and administration by person acting on behalf of an organization.

VA SB1257

Student & campus safety; opioid antagonist administration training for resident assistants required.

VA SB841

Opioid treatment programs; dispensing, medications from mobile units.

VA HB1582

Pharmacists; collaborative agreements, drug therapy.

VA SB876

Virginia Freedom of Information Act; public bodies to post agenda on website prior to meetings.

VA HB1590

Virginia Freedom of Information Act; exclusions; apprenticeship programs; minors.

VA HJR644

Commending the Substance Abuse and Addiction Recovery Alliance of Virginia.

VA SB1063

College and Career Ready Virginia Program; changes to Program and duties of certain entities.

Similar Bills

NJ A3359

Regulates provision of pharmaceutical services in nursing homes.

NJ S2990

Regulates provision of pharmaceutical services in long-term care facilities.

CA AB1366

Reimbursement for pharmacist services.

CA AB2571

Reimbursement for pharmacist services.

HI SB1245

Relating To Pharmacists.

TX HB3540

Relating to the regulation of pharmacists and the practice of pharmacy, including the administration of a medication and the ordering and administration of an immunization or vaccination by a pharmacist.

HI SB324

Relating To Pharmacists.

HI SB324

Relating To Pharmacists.