I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

Chairman and Member of the Committee, My name is Lilia Keys. I represent AARP . I'm sorry that I cannot address you in person but I'd like to declare that we strongly support House Hill 98. If you have any questions please notify our state Advocacy Director, Natalie Snider at AARP. Thank you very much.

Good Afternoon Mr. Chairman and committee members. My name is Yolanda Bell. I am a Veteran who comes from a family of veterans and first responders. I reside in Manassas and I am a constituent of Del Roem. I thank you for allowing me to speak today. I have come to testify in favor of guardianship reform for the last three years. A centralized APS registry is desperately needed. My sister Anastasia Adams lost her life in a hospital guardianship. Vulnerable individuals, especially those who are unable to speak for themselves, require frequent and regular visits. APS is meant to be that additional set of eyes to protect the vulnerable, the elderly and disabled. When my sister was taken and placed in a hospital guardianship I reported her numerous injuries to APS. Fairfax APS did absolutely nothing. When Anastasia was moved to Alexandria I was told by APS personnel that they knew her guardians well and worked with them frequently. Alexandria at least sent someone out to visit my sister. In response to the APS investigators questions regarding apparent injuries and visitation, the critical care nurse I hired to sit with my sister overheard nursing home administrators tell the investigator that they “had to do what the guardians told them to do.” There was no further inquiry into my sisters broken hip/femur or ankle that was never treated or fixed, the bruises, or other injuries; no follow up or plans put into place to protect her from further risk. My sister was 120+lbs when the guardians took her.  She weighed a mere 87lbs nine months later when they ended her life. She had no terminal illness. This is what happens when wards are allowed to be isolated from loving family and friends, when a guardian can just move a ward into another APS jurisdiction knowing there is no centralized data. It is what happens when reporting requirements and oversight of guardians and by guardians is lax and almost nonexistent vulnerable wards suffer, are abused, neglected, and die. Anastasia literally had 13 holes in her body and too many bruises to count. A centralized registry would have shown there had been previous complaints of injuries and safety concerns. It would have shown the police were called to investigate the injuries enabling the next APS office to prevent more abuse and neglect. And maybe helped to save my sisters life. What was done to my sister Anastasia will haunt me for the rest of my life. Please do not let this happen to anyone else. I implore you to unanimously pass HB98. Thank you for your time and attention. Sincerely, Yolanda Bell Anastasia’s Voice

Please support HB191. With mental healthcare facilities understaffed, this is a step in the right direction to provide a direct line to the governor of effective changes that need to be made. Please support HB98. Obtaining guardianship is a difficult process. The more open and easier to navigate will help families in crisis.

Re: HB94 - Overall, AARP Virginia supports the creation of the Public Guardianship and Conservator Ombudsman Office, but we strongly encourage inclusion of monitoring and oversight of private, as well as public, guardians. Re: HB98 - Creation of an APS Central Registry complies with our policy of using multi-disciplinary team approaches to fight abuse by bad actors, and AARP has supported similar efforts in other states. We understand that other organizations may have concerns over the broad scope of this publicly-accessible registry and would like to more narrowly tailor it to ensure that only those intending to do harm are included. While AARP Virginia would not oppose the bill without those concerns being addressed, as the current language does include an appeals process, we would be supportive of that more narrow scope.

Please consider the protection of our seniors and pass this bill. Thank you.

Please move to report HB102 and 306, out of respect for those who have religious beliefs. This country has been known for religious tolerance, please vote to keep it that way.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Dear Delegate, Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times. Thank you, Kellie M. Good

Correction: Please vote YES for house bill 306! No one should be punished for exercising their right to religious freedom!!!!!

Please vote YES for house bill 106! No one should be punished for exercising their right to religious freedom!!!!!

HB102 everyone does it. HB306 people with religious beliefs can be accommodated.

HB102 codifies a practice that has been out there forever. HB306 move to report to respect religious beliefs (1st amendment). 783 for same reason.

Comments Document

This text box DOES NOT WORK. It repeatedly says the submission is greater than 3500 characters when it is not. Please FIX IT. It has been very frustrating making something fit your requirements only to have this technical error. Please see attached PDF (more than 3500 characters only because of added headings and date) /dar

Comments Document

THIS TEXT BOX DOES NOT WORK. SEE ATTACHED PDF. I WAS UNDER 3500 characters but told I was over, and therefore disallowed from submission.

I am really wanting you all not to pass this bill because Oxford House gives me a place to live at a price I can afford on disability it gives me stability Oxford House I would be homeless and if the bill does pass that means I rent would go up and I would be homeless again and I am doing very well I enjoy living in the Oxford House we have meetings once a week for our house and we have committee meetings and everything So please do not pass this bill I in begging you

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

I support this bill. The department should not be advocating and referring children to organizations that may not be supported by the guardians. For example, the text listed below is on the website. Where can I learn more about sexual health and pregnancy/STI prevention? "If your question isn't answered here, try one of the following resources: Roo (or text “Roo” to 22422) is an online chatbot powered by Planned Parenthood that can answer many of your questions about sexual health, relationships, growing up and more. Want to talk to an actual person? No problem - visit Planned Parenthood’s live chat tool or text “PPNOW” to 774636. Scarleteen is a website with answers to all of your sexual health questions. If you need some assistance finding the right information, text your question to (206) 866-2279. One of the organization’s staff or volunteers can help point you in the right direction. Sex Etc is a sexual health website made by teens, for teens" Additional language on the site also seems to encourage the minors to seek care without parental consent.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Dear Delegate, Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times. Thank you, Kellie M. Good

Correction: Please vote YES for house bill 306! No one should be punished for exercising their right to religious freedom!!!!!

Please vote YES for house bill 106! No one should be punished for exercising their right to religious freedom!!!!!

Please consider the results of this bill. Ultimately you are allowing decreased education and responsibility for people to practice medicine when they actually have no training to do so. This will learn to a class Denver if healthcare where only the rich or the nearly killed by providers without any medical education/training/responsibility (NP/PA) will be able to have access to medical care. Non physician providers were designed to extend not replace physicians. With this bill you will be replacing physicians. Additional bills that require increased and prolonging physician training demonstrates that you are aware of the difference in roles but have not looked into rate of opiod prescribers or antibiotic, numbers of required consults which delays medical care or rate of polypharmacy-- all of which are greater in an NP managed patient. Additionally, requiring medical doctors to carry increased financial responsibility will further deter physicians from considering practice in your state. This further limiting medical access. Studies show that increased NP autonomy does not increase rural access but does inflate cost of healthcare. To improve MEDICAL access, may I suggest creating a more physician friendly environment, one that supports them with the same-- or at least equal-- as not medically trained non physician providers. May I also recommend that unless you and your entire family consistently get the lower and poorer "healthcare" providers by NP, it is hypocritical and irresponsible for you to force this on the people in your state. And perhaps you should consider how your loyalty has been purchased.

I am really wanting you all not to pass this bill because Oxford House gives me a place to live at a price I can afford on disability it gives me stability Oxford House I would be homeless and if the bill does pass that means I rent would go up and I would be homeless again and I am doing very well I enjoy living in the Oxford House we have meetings once a week for our house and we have committee meetings and everything So please do not pass this bill I in begging you

While adding a religious exemption is a positive step forward as an exception to these powers, a better solution would be to remove the commissioner's power to mandate vaccines by amending Virginia Statute § 32.1-43. to strikeout the word "immunization" as shown below. § 32.1-43. Authority of State Health Commissioner to require quarantine, etc. The State Health Commissioner shall have the authority to require quarantine, isolation, decontamination, or treatment of any individual or group of individuals ... **Immunizations cause risk of injury and death. In 2011, the Supreme Court ruled them unavoidably unsafe. The Supreme Court of the United States. BRUESEWITZ ET AL. v. WYETH LLC, FKA WYETH, INC., ET AL. February, 22, 2011.

We would like to amend HB 306 by REMOVING the authority of the state health commission to mandate any vaccines under any circumstances. Amend HB22 in that we have the right to be free from any medical mandates in regards to vaccines. Amend HB 962 to state that all vaccine injuries must be reported and the pharmaceutical company will need to be responsible financially for any damages caused.

Please amend this bill for the following reasons. The Commissioner should not have the authority to require immunization. Only support systems that allow for fully informed consent prior to vaccination which includes the ability to deny or delay a vaccine without penalty. Vaccines can cause injury and death. While adding a religious exemption is a positive step forward as an exception to these powers, a better solution would be to remove the commissioner's power to mandate vaccines by amending Virginia Statute § 32.1-43. to strikeout the word "immunization" as shown below. § 32.1-43. Authority of State Health Commissioner to require quarantine, etc. The State Health Commissioner shall have the authority to require quarantine, isolation, immunization, decontamination, or treatment of any individual or group of individuals when he determines any such measure to be necessary to control the spread of any disease of public health importance and the authority to issue orders of isolation pursuant to Article 3.01 (§ 32.1-48.01 et seq.) of this chapter and orders of quarantine and orders of isolation under exceptional circumstances involving any communicable disease of public health threat pursuant to Article 3.02 (§ 32.1-48.05 et seq.) of this chapter. Thank you, Ninon Estinto

AMEND this is we are born free and according to the Constitution should not be forced in ANY WAY to have to get a vaccine. You will not and cannot require immunizations. NO TO MANDATES! They are illegal!

Comments Document

As a physician, mandating vaccines without safety data is dangerous. Look at the significant increase in morbidity reported recently by the military. This bill limits those who are sincerely naïve from inducing harm on the innocent. Please, pay attention.

Request that you continue to protect the rights of citizens to choose for themselves their health care decisions and NOT allow the government to require any citizen to comply with mandates for health care.

Article I Section XVI of the Commonwealth's Constitution seems quite plain and obvious regarding this matter. All Delegates when assuming office make a promise to never support a bill that violates the Constitution nor oppose a bill that supports it. HB306 supports the Commonwealth's Constitution. Therefore, HB306 must pass without hesitation and without amendment.

Dear House Health, Welfare, and Institutions Committee, I am writing to express my support for HB 306. I am including further thoughts for consideration below. HB 306, AMEND: Allows religious exemption to vaccine mandates by the State Health Commissioner during an epidemic. • The Commissioner should not have the authority to require immunization. I do not support vaccine mandates and only support systems that allow for fully informed consent prior to vaccination which includes the ability to deny or delay a vaccine without penalty. Vaccines can cause injury and death. • While adding a religious exemption is a positive step forward as an exception to these powers, a better solution would be to remove the commissioner's power to mandate vaccines by amending Virginia Statute § 32.1-43. to strikeout the word "immunization" as shown in the edited passage below. § 32.1-43. Authority of State Health Commissioner to require quarantine, etc. The State Health Commissioner shall have the authority to require quarantine, isolation, " ", decontamination, or treatment of any individual or group of individuals when he determines any such measure to be necessary to control the spread of any disease of public health importance and the authority to issue orders of isolation pursuant to Article 3.01 (§ 32.1-48.01 et seq.) of this chapter and orders of quarantine and orders of isolation under exceptional circumstances involving any communicable disease of public health threat pursuant to Article 3.02 (§ 32.1-48.05 et seq.) of this chapter. Code 1950, § 32-8; 1979, c. 711; 1990, c. 958; 2004, cc. 773, 1021.

Regarding HB306, it needs to be AMENDED please. As I understand, this bill allows religious exemption to vaccine mandates by the State Health Commissioner during an epidemic. The Commissioner should not have the authority to require immunization. I do not support vaccine mandates, and I only support systems that allow for fully informed consent prior to vaccination which includes the ability to deny or delay a vaccine without penalty. Vaccines can cause injury and death. I agree that while adding a religious exemption is a positive step forward as an exception to these powers, a better solution would be to remove the commissioner's power to mandate vaccines by amending Virginia Statute § 32.1-43. to strikeout the word "immunization" as shown in brackets below. § 32.1-43. Authority of State Health Commissioner to require quarantine, etc. The State Health Commissioner shall have the authority to require quarantine, isolation . . . DELETE THE FOLLOWING WORD IN BRACKETS {immunization}, . . . . decontamination, or treatment of any individual or group of individuals when he determines any such measure to be necessary to control the spread of any disease of public health importance and the authority to issue orders of isolation pursuant to Article 3.01 (§ 32.1-48.01 et seq.) of this chapter and orders of quarantine and orders of isolation under exceptional circumstances involving any communicable disease of public health threat pursuant to Article 3.02 (§ 32.1-48.05 et seq.) of this chapter. Code 1950, § 32-8; 1979, c. 711; 1990, c. 958; 2004, cc. 773, 1021. Thank you for all that you do for the people of our great state of Virginia. I am praying for you.

I urge our delegates and members of the committee to support HB306. There should never be any emergency that is used to suspend our God-given, Constitutionally-protected rights. The past 2 years have been shameful and have harmed many with bad policies. All people are created equal and have certain unalienable rights endowed by our Creator and protected by the Constitution of Virginia and of the united States, and bodily autonomy is very high on that list of rights. If we have no say in what goes into (or on) our bodies, we really have no rights. Our founders knew the importance of these natural or God-given rights that no government has authority to remove, yet we've seen over the last 2 years how some of those who were elected to serve the people have abused their positions. We've just witnessed 2 years of inexcusable abuses in the name of "safety." Benjamin Franklin was pretty clear about people trading Liberty for temporary safety not deserving either. We must guard Liberty jealously in order to keep what remains of the Constitutional Republic that has afforded the most Liberty to people than anywhere in the world. We were to be the shining example to all nations. Dr. Benjamin Rush, physician, medical professor, an early surgeon general to all Continental armies, and signer of the Declaration of Independence said, "Unless we put medical freedom into the Constitution, the time will come when medicine will organize into an undercover dictatorship to restrict the art of healing to one class of Men and deny equal privileges to others; the Constitution of the Republic should make a Special privilege for medical freedoms as well as religious freedom." There are still injustices needing to be addressed, like military members and healthcare workers being denied Religious Exemptions to COVID19 vaccines and other unlawful measures. Honestly, no one should need an exemption to refuse a medical intervention. What happened to informed consent (or refusal)? No means No. We need to right these wrongs and assure that they are not repeated. It's past time for all who hold office, elected to speak on behalf of the people and protect their rights, remember the sworn oath to uphold and defend the Constitution against all enemies, foreign or domestic. Support bills like HB306 and others that further protect the rights of the people.

Please move to report HB102 and 306, out of respect for those who have religious beliefs. This country has been known for religious tolerance, please vote to keep it that way.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Please vote yes in HB 306. Our religious freedoms must be protected. There are aborted fetuses used in vaccine research and development.

Support the amended bill to allow for a religious exemption to vaccines during an epidemic. It is imperative that every citizen has a right to research ingredients and review the research process of the vaccine to see if aborted fetuses were used. Christians do not believe in abortion and do not support injecting a product that has aborted fetal tissue in the product or was used to develop the product. The decision as to what I inject into my body is between me and my creator. Government must respect religious exemptions.

We need to keep the religious exemption in Virginia. There are a lot of us that dont agree with some of the ingredients that they are putting in vaccines and that goes for all of them not just the covid mrna gene therapy one. the other vaccines have what they call HK293 . in case you dont know what that is here is a brief explanation on just doing a normal search. What does HEK-293 stand for? Human embryonic kidney 293 cells, also often referred to as HEK 293, HEK-293, 293 cells, or less precisely as HEK cells, are a specific cell line originally derived from human embryonic kidney cells grown in tissue culture. HEK 293 cells have been widely used in cell biology research for many years,... Now this human embryo comes from abortions which to many religions is against their religious beliefs. and it is not right to force these people to take these vaccines with this in it. plus it is and always should be up to the parent or guardian to state what they want put into their childs body. it is not up to the state. We need medical and religious exemptions in VA. When parents take their children to get these vaccines they are not told what is in them. which to me is against the Nuremberg code. We also need for the hcq and ivermectin to be able to be prescribed in VA as well. to hold these from the VA citizens should be treated as crimes against humanity.

I am writing to implore the members of the Health, Welfare and Institutions Committee to VOTE YES on HB 306 supporting religious freedom for individuals as they make health decisions for themselves and/or for their children. To do otherwise is a violation of a fundamental right enshrined in the Constitution of this great nation. Under no circumstance should one be forced to violate their religious beliefs. House Bill 306 would enshrine religious exemption in law and that is the right thing to do. VOTE YES on HB 306!!

Act now to preserve our religious freedom from encroachment. Vote yes to HB 306.

Please vote YES on Bill 306 to protect our religious freedom enshrined in the Constitution.

Please support this bill, thank you

Yes for HB 306!

Please no vaccine mandates!!!

Please vote YES to HB 306. We the people of Virginia value religious freedom and the right to choose what’s best for one’s own health.

Please Vote YES to Bill HB 306 to protect our rights and religious freedoms and stop the tyranny of mandating vaccines!!! Thank you!

Please vote in favor of House Bill 306.

The State Health Commissioner should never have the power to mandate a vaccine on every single man, woman and child in the Commonwealth of Virginia any time government bureaucrats declare a public health emergency. Failure to comply with this tyranny could lead to misdemeanor charges and financial penalties of up to $25,000 per violation. This is unconstitutional and unacceptable. House Bill 306 would preserve religious exemption in law and necessarily abd justifiably limit the Commissioner's power. I strongly urge our state elected delegates to pass House Bill 306 NOW!

HB 306 is necessary to create a religious exemption from a potential vaccine mandate from the State Health Commissioner. It should be a citizen's choice and decision as to whether a vaccine is in his or her best interest. Please support democracy by supporting this bill.

Please support HB 306 for religious exemptions for vaccines. It is imperative that we retain our religious freedom in Virginia. The covid shot was made with stem cells from aborted babies. It is against the scriptures to be vaccinated with this gene therapy. We know it has nothing to do with covid. The purpose of this gene therapy is to subjugate the people and put an unfair tax on us if we refuse the treatment.

Please vote yes HB306

VOTE YES ON HB 306

Please vote FOR this bill!

Our constitutional right of religious freedom needs to be upheld.

Please vote yes and protect us and our freedom.

I’m FOR this

No attachment. Please vote to keep our religious exemptions. Thanks.

Dear Delegate, Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times. Thank you, Kellie M. Good

Please please support Bill HB306! This Bill made it possible for my son to continue to attend Virginia Tech in 2021. He’s worked very hard to be at this University and we have fought hard this year for Freedom of Choice. Thank you for all you do for the state of Virginia and please keep and make this Bill HB306 possible for others who believe in Religious Freedom. Thank you! Katie Furr

Vote yes for religious freedom!!!

vote YES on HB 306!! My religious convicts should be upheld!! Thank you!!

Please vote YES for HB 306. We cannot allow tyrannical overreach of government on a citizens private medical decisions. Religious freedom is essential to a free society. History had already shown that we cannot entrust governments and institutions with decisions about our health.

I am submitting my support for this bill. We must protect our religious freedom and Freitas' bill will help push back on an ever encroaching government seeking to limit our freedoms.

We are people of faith and feel that everyone has a right to decide what goes into their body Therefore we are for religious exemptions against the vaccine mandates Voting For Religious Exemptions

We should all have the right to our rights Therefore I am FOR HB 306

We stand against tyranny of any kind, but we stand even stronger when you come after our bodies! You must stand up for religious exemptions and protect our religious freedom rights!

Vote yes for bill 306!!!

Please vote yes for these. People should have a choice on what to inject into their bodies and the bodies of their children. I for one will not inject a experimental vaccine or one that contains aborted babies. I feel abortion in murder and I will not condone that.

Stop the medical tyranny!

I strongly encourage you to vote YES on this bill. Religious freedom in all it’s forms should be respected in our State and Nation. Thank you kindly.

People's rights to religious freedom must be upheld including people's rights to decide what goes in his/her body including vaccines, medical procedures, etc. Please uphold people's religious beliefs and ability to choose whether or not they want vaccines even if your idea of health and reasoning is different.

VOTE YES to Bill HB306

Please vote yes in support of religious freedom and Liberty. Thank you. Laurie Castonguay

We are FOR house bill 306. It is important to have religious liberty and protection of those rights in the United States as well as in my personal home state of Virginia. The constitution protects my right to religious freedom and that includes vaccinations as well. This is in regard to any vaccine that the state health commissioner or any other government official tries to mandate which goes against my religious beliefs as a citizen of the United States of America. Thank you.

Correction: Please vote YES for house bill 306! No one should be punished for exercising their right to religious freedom!!!!!

Please vote YES for house bill 106! No one should be punished for exercising their right to religious freedom!!!!!

As a believer in Jesus Christ it becomes incumbent upon me to Be a steward of my body as if it were the temple of the Holy Spirit according to: 1 Corinthians 6:19–20 (NKJV) Or do you not know that your body is the temple of the Holy Spirit who is in you, whom you have from God, and you are not your own? For you were bought at a price; therefore glorify God in your body and in your spirit, which are God’s. I have investigated these experimental mRNA "vaccines" to a degree sufficient to understand that human abortive tissue was involved in their creation. The abortion of humans is tantamount to murder in my belief system. I cannot live before my God and inject this substance into my body which is His temple.

I feel that this bill orders a choice for American people

I support this bill

This is vital to our freedoms as Americans.

Vote YES on HB 306. Free Americans already have the right to govern our own decisions about health, including medical and religious exemptions. Each individual has unique circumstances that mandates do not take into account. Mandates are tyranny and need to be rejected.

Please vote in favor of protecting religious freedom

I urge you to consider passing Bill 306 to ensure the religious freedoms of those who hold the strongest values to their inalienable rights to decide what goes into their bodies and their childrens bodies and support religious freedoms given to us by God and not government. There is no such thing as freedom if we don’t have the ability to individually decide our own health decisions.

Our family and community strongly support this bill to provide religious exemptions. Thank you! The Dalrymples on Nokesville

YES

My name is Sarah Sanchez, and I am a resident of Prince William County. I urge our delegates to support HB 306 in protecting religious exemptions during an epidemic. I have always followed the recommended vaccination schedules from our doctor, but watching the forced vaccines during the covid pandemic has concerned me. The way that religious exemptions were denied in the healthcare system, the military, etc. is truly terrifying. Liberties should not be set aside in times of crisis, or leaders will be given the incentive to create crises all the time. Denying these liberties thus far has shaken my confidence in our government and in our healthcare system. The very powers that have tried to force these vaccines on people are held harmless for any negative outcome. Unless we act now to protect religious freedom, we risk broadening the numbers of people who would have to object to such treatments (not only because of their ingredients, but because the unethical ways they are developed and delivered) for their convictions' sake. Please protect religious exemptions and support HB306.

Please vote Yes on HB 306. Our First Amendment rights apply at all times. Our religious freedoms don’t end just because government bureaucrats declare a public health emergency.

Please vote YES for HB 306. It's a shame this bill even needs to be considered but we have seen how dangerous politics have overrun Virginian's freedoms over the past two years. Our religious freedom does not end just because government bureaucrats declare a public health emergency. It's sad that we even need to advocate for this bill to be passed in VA but the truth is that people are no longer as trusting of governments and legislators as we (collectively) had been in the past. You were elected to protect and represent your constituents, voting YES to HB 306 ensures that the rights of all of your constituents and Virginians are protected.

Please vote yes on this bill

Please vote YES for our religious freedoms especially regarding healthcare decisions. After the last two years, it is painfully obvious that those decisions cannot be a one size fits all mandate.

Please vote YES on HB306 as religious Exemption is an enormous importance to our faith. We do not want forced vaccinations and every religion should be respected! Our founding fathers fought for this so let's honor this basic right, the right for religion! Thank you!

Giving the health commissioner the unilateral power to mandate (not a LAW) a medical procedure (vaccine) while ignoring religious beliefs goes against the spirit of the law documented in the US constitution and the civil rights act. It also conflicts with several commonwealth statutes. This tyrannical practice needs to end. Support HB 306.

Vote yes on religious freedom and stop covid vaccine mandates. They are hurting Virginia. Yes HB 306.

Please pass HB 306. The first amendment to the Constitution says in part, "Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof." We have the right to claim our religious exemption so PLEASE SUPPORT HB 306. Thank you! Jeanne Ostrich

We should have our rights upheld no matter the circumstances. We should always have the option of religious exemption even if a health emergency is called. Going against this goes against our founding.

Please vote yes to protect our freedoms and choices that we make for our children.

I urge you to vote YES on HB 306 - keeping personal medical decisions in the hands of individuals, and if minors, their parents - whose authority is not to be usurped by any state, local, or federal government.

Over the last two years local, state, and federal government have worked diligently to erode free United States citizens constitutional rights under the guise of COVID. It is time for politicians and lawmakers to respect their oath of office and realize that they work FOR the people and not the party. I respectfully request that free citizens religious freedom rights be preserved and that those rights not be circumvented through the use of emergency powers and under the guise COVID. The government is supposed to operate of, by, and for the people and it has gone off track.

I implore you to protect the rights of religious freedom that the Constitution of the United States allows at a state level. Do not allow the Virginia Health Commissioner to infringe upon our bodily autonomy, so that we can make medical decisions for ourselves in guidance with our religious beliefs

Protections for a person's religious beliefs are enshrined in our Constitution and it is a violation of those protections to provide anything less than full and lenient exemptions based on religious or conscientious objector standards. The government does NOT own our bodies, and there should be NO MANDATE to put *anything* in our bodies against our will. Government is not an entity - a government is merely made up of people working in various roles. Why should those people have any say over what I do with my body? Are they not fallible? Do they not have political biases? Are they more concerned with my individual impact on the society around me than I am? Are they all more intelligent than I? What gives these people the right to PERMANENTLY change my body? YES to Religious exemptions ... To ANY and EVERY exemption. NO to vaccine mandates, vaccine passports, ANY vaccine-based limitations. Thank you.

Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times.

You must PASS HB306! No citizen or legal resident of this state, or country for that matter, should be forced to accept any kind of medical treatment. Religious exemptions should be accepted and made part of Virginia’s law. Not to pass this law would invite even more tyranny than we have experienced during this so-called pandemic. The people have spoken! Represent US!

VOTE YES on House Bill 306! The State Health Commissioner currently has the power to mandate an injection for every single man, woman and child in the Commonwealth of Virginia any time government bureaucrats declare a public health emergency! Failure to comply could lead to misdemeanor charges and financial penalties of up to $25,000 per violation! This is tyranny and unacceptable. House Bill 306 would enshrine religious exemption in law (from a potential Commissioner's order, and limit the Commissioner's power). As with the current Covid19 situation new facts come to light every day that destroy yesterday's information, making them false, misinformed, or plainly wrong. Every person is responsible for their own health and the associated expenses with it. If someone gets hurt by a misinformed Health Commissioner's mandate, none you, nor the government will pay for that person's medical bills or lost wages or ruined life. It MUST be an individual choice.

As a free country we have the right what we do with our lives. This includes our bodies. As with medication, vaccines are not a one size fits all medical procedure. As a human being we have the right and freedom to decide what medical procedures we have, this is no different and should stay that way. Vote YES for HB306

Vote FOR!

I am Voting yes! Religious exemptions are important to maintain as a balance between state and church.

Religious beliefs are protected under the constitution, regardless of emergency or situation. This is a fantastic law to bring in to protect Americans against things that violate the constitution. Please stand with our countries values, and give power to the people!

I urge all of you to vote YES on House Bill 306.

I strongly support Bill 306. It is unethical and a violation of what freedoms we have in this country to limit religious exemptions for vaccinations.

While I understand the importance of being safe from COVID-19 and other variants, I would like to point out that America is the land of the free. Mandatory vacation does not sound very free to me. Please do everything in your power to not make this vaccine mandatory!

Freedom to choose what goes into our bodies is a fundamental right. Please uphold this. Everyone’s bodies are different and medical decisions should never be governed by the government but should be assessed individually with a persons doctor.

My faith, my religious believe are very true, real and important for my life and my children please help us to keep our freedom religious rights

Vote “Yes”! It is insane that we even need a bill to clarify our constitutional religious rights and rights over our own person! “My body, my rights,” is something that has been ranted for decades and lifted up by many to protect themselves. The excuse of “emergency” status should never override someone’s rights over their body, their children’s body and their religious convictions.

I ask that you vote YES to HB306. No one person should have the authority to demand that we inject anything into our bodies that we are not comfortable with. Please vote yes so that Religious Exemption can always be an option regarding tyrannical edicts. Thank you.

Religious freedom is of utmost importance. It is a direct violation of our Constitution to force someone to do something that violates religious freedom. Please vote for religious exemption.

Please pass this bill. No one should be forced into putting experimental drugs into their body, especially ones that are so quickly concocted for a pandemic without the appropriate amount of trials, testing and research done. My employer and my government does not control my body,

I request that HB-306 be voted ‘YES’ on and passed to protect the religious freedom guaranteed to every citizen of the great common wealth of Virginia. Please. 🙏🏽🧘🏽‍♂️🙏🏽

Freedom to follow one’s conscience is essential to the God given rights of the individual. Please vote “YES” on HB 306!!

I am astonished that this violation of rights is still being considered. When we start to consider taking away any of the liberties our country was founded on that is when we start destroying what has made this country great...a world leader. Why would this even be a consideration anymore? The Covid vaccine is not effective against the current variant anyway. I personally know more vaccinated people that have turned up positive for Covid-19 than unvaccinated. There has been a significant amount of data showing that this strain does not cause the same lower respiratory illness and inflammation. Corona viruses have been around for decades and will always be around. Just like any virus they mutate and change their virulence and every now and then you have a severe strain. That has passed and we need to stop ruining our country by living in fear....a fear that is based on very little actual facts. Thank you for your time.

VOTE YES TO 306. Good grief. Find some other bs to worry about it. Leave our freedoms alone.

Please vote YES on HB306!

Vote Yes on HB 306. Religious freedom is a paramount right we all have! No one should be able to take away this right from us. Religious exemptions need to be allowed & accommodations made for those with deeply held beliefs.

Religious exemption should be honored

Vote YES on HB306

Vote Yes on Bill 306

Vote YES on Bill 306

Please support HB306!!

Please vote to preserve religious freedoms and First Amendment rights for all Virginians. One person’s fear should never cause another person to lose their religious liberty. Remember the Oath of Office you swore upon taking office to support the United States Constitution, Constitution of the Commonwealth of Virginia, and to faithfully and impartially perform your duties. While vaccines may provide people with a sense of security and help them reduce seriousness of a virus, it is important to remember this can harm your fellow Virginia (a neighbor, a friend, a foe, classmate, colleague, medical professional, or a family member) from freely exercising their religious beliefs. As a Nation and a Commonwealth we stand strongest when we stand with those we disagree with to preserve their fundamental rights. Please vote yes on HB 306 today and let your constituents and all Virginians know you will stand shoulder to shoulder with them to ensure their freedom of religion.

Religious freedom is embedded i. Our US Constitution and that of Virginia. As such every Virginian has a right to chose what they put in their body. When vaccines utilize aborted fetus cells it goes against the religious beliefs of many many Americans. The State Health Commissioner currently has the power to mandate an injection for every single man, woman and child in the Commonwealth of Virginia any time government bureaucrats declare a public health emergency! Failure to comply could lead to misdemeanor charges and financial penalties of up to $25,000 per violation! This is tyranny and unacceptable. House Bill 306 would enshrine religious exemption in law (from a potential Commissioner's order, and limit the Commissioner's power). I urge you to pass House Bill 306 NOW! Thank you for your help supporting religious freedom!

PLEASE VOTE YES TO HB306! CITIZENS OF VA SHOULD NEVER BE FORCED TO INJECT AN UNWANTED SUBSTANCE INTO THEIR BODIES! THANK YOU FOR STANDING UP FOR MEDICAL FREEDOM!

I am a Virginia resident and support anything that promotes health freedom.  And that you urge Delegate X to vote yes on HB 306.

Please pass bill HB 306

Vote YES !!!!!!

Hello to whom it may concern! I am a very religious person as well as all of my family members in my home please consider to pass this bill HB306! Thanks so much!

PLEASE vote YES on HB 306.

Please vote FOR this bill to help protect everyone who wants medical freedom and who believes their body is their holy temple. We want to keep our medical freedom we love so much.

We support HB306. No one, especially someone who is not elected, has the right to pick and choose when religious freedom should be upheld. This is a sacred, personally held strong conviction, and the state needs to steer clear of determining when it is recognized and when it is not.

Please VOTE YES on House Bill 306. It is your duty as an elected official to uphold the Constitution of the United States of America. No one should ever be forced to do something! Everyone has a natural right and free will to do what they feel is best for themselves and their own families.

Religious exemptions are essential for Virginians. We have a God-given right to be protected from tyranny and to practice our religion and uphold our religious beliefs.

Yes on 306! No one person should be able to punish families or individuals for their religious beliefs, including ones that relate to medical procedures.

Vote Yes

Please vote to keep religious exemptions! Religious freedoms are important to our state!

Under NO circumstances does the government have more authority than God. Under no pandemic - real or misconstrued and weaponized- can anyone be forced to agreeing to a medical intervention. This bill must pass.

I am an ICU who has been at the bedside for more than 20 year here in Loudoun county. I have an approved religious exemption against vaccines. I want the Virginia government to stay out of my business on how I practice my faith, or interfere with my religious rights to refuse any medical treatment, including this experimental Covid vaccine.

I don’t go by pronouns

Yes to all exemptions. Medical freedom is what separates us from the Nazis. It was wrong when they forced drugs and procedures on unwilling victims just as it was wrong for the CIA to do it in the 60s and if you don't do everything you can to stop this violence every chance you get then you're no better than Mengele himself. There's no room for complacency on this slippery slope.

I am urging everyone to vote in favor of keeping religious exemptions (which in truth becomes a medical freedom issue) in place. It should always be up to an individual (or their guardian of under age 18) to choose what is injected into our bodies. Many have definitive religious objections for various reasons. Others, like myself, have learned things about our bodies and genetics and how various ingredients in vaccinations may negatively affect our health either now or in the future. (MTHFR gene mutation). The more research I do and the more observations of the medical community as a whole, the less I trust my doctors to make decisions on what is best for me. We no longer build long-standing relationships with our physicians. Instead we seek specialists for each individual need and there is often no real communication between them. Only I can know my body and it’s conditions the best and I demand the right to choose what is put into it, especially in light of newer vaccinations that our government and the CDC, FDA, NIH have shown they will attempt to force on us regardless of proper safety trials not being finished. Each of us deserves the right of refusal for any medical preventative or treatment. Please vote for my freedoms.

Pass HB306 for religious exemptions. No big written speech or pleas, just do that your constituents hired you to do. Pass the bill.

Please support and pass HB306 allowing Virginia citizens the right to religious freedom that we've always been afforded until now.

Please vote YES on HB 306. Preserve our First Amendment liberties! Government cannot and should not EVER usurp inalienable rights. I will be watching the hearing and sharing the votes and comments with my many contacts across Virginia gained during 50+ years of engagement in civic affairs. Thank you.

I should be allowed o decide what I put 8n my body. The government should not be able to force me to get a vaccine

I am a Virginia resident who supports legislation that promotes health freedom.  I urge delegates to vote yes on HB 306.

I'm writing to support Bill 306 that protects our religious exemptions. Everyone should be alarmed that this exemption is suddenly coming under fire because of the concern "vaccine hesitancy" posing a health threat. Our American right to exercise religious freedom should not have conditions placed upon it. Please vote in favor of this bill

Religious exemption

Please support HB306 to add religious exemptions for vaccines called for by the Health Commissioner. In reality, the Health Commissioner should not have any power to force any type of medical treatment (vaccine or otherwise) during an epidemic or not during an epidemic. A more complete solution would be a bill for bodily autonomy/medical rights for every citizen of Virginia (and the U.S.). However, in lieu of a full medical freedom bill, please support HB306. You and I each decide what goes into our bodies, not anyone else, especially a government official.

Our right to a religious and medical exemption from any vaccine needs to be upheld.

It is important that HB306 pass to protect individual rights to manage personal health with only the doctor-patient relationship.

As a healthcare provider in Northern, Va, every person in the Commonwealth should have the freedom of choice. I am pressing on you dear delegates to represent for me on this. Please say yes to this bill. It is important religious exemption bill to be voted on in committee gathering today! May Our Lord enlighten you for the good of the people of VA! Please VOTE YES on House Bill 306! It is so important to me and the constituents of VA for the State Health Commissioner who is currently has the power to mandate an injection for every single man, woman and child in the Commonwealth of Virginia any time government bureaucrats declare a public health emergency! Thank you for your help supporting religious freedom!

Please vote yes on Bill 306. Our US Constitution provides for the free expression and exercise of our religious beliefs, and nowhere does it state that a in health emergency we can be forced to relinquish those rights. Forcing any medical procedure on a person without their consent is tantamount to a clear violation of his/her civil rights at the least. In addition, medical procedures which have not been thoroughly tested, studied and the results clearly established as to both their safety and effectiveness, when forced upon an uniformed public is a violation of the religious tenants of some faiths, as well as a violation of the Nuremberg Code. It is both your duty and your obligation to vote yes to give people the opportunity to exercise their religious beliefs regarding the utilization of procedure that is to invade their physical body.

Please vote YES for HB 306.

I am in favor of anything that promotes and sustains freedom in this bill 306 with delegate Fritas. I am a Virginia resident for 37 years and we must get back to individual freedom especially ones that are protected in the constitution

We need to protect religious freedoms.

Vote yes on HB306. Thank you!

No person should be forced to inject or put anything into their body against their wishes. The Bible makes it very clear that our bodies are temples to God. I support that religious and medical exemption a should be allowed. People deserve the right to make this choice.

My religion (Catholic) teaches that I have a moral obligation to avoid using vaccine developed using aborted fetus since the virus it is said to protect against (but has proven not to protect) is virtually no threat to my healthy body. I am called to encourage the use of other morally acceptable protection.

I am writing today in support of having religious exemptions accepted. It is unconscienceable to force anyone to go against their faith, as well as, question the sincerity of one's beliefs. It isn't up to any mere human to decide how deeply dear people hold fast to their faith, that work is for God alone. Thank you for your time. Respectfully, Diane Montgomery

This is absoletly necessary to protect the "religious liberty" our constitution was based and founded on. Please. Thank you.

I am asking for support of this bill. No one should be able to tell another person, here in the United States of America, that they must submit to medical procedures if it goes against their beliefs. Our entire nation was founded on religious freedom. If I am unable to actually exercise my belief system in my own body then that religious freedom no longer exist. Religious exemptions are a must to protect our freedom!!

Please protect religious freedom and vote yes to this bill. No one should have control over what goes in one’s body other than the one who God gave it to.

Vote YES on HB 306

All men are created equal means no human has any more power than another human!!! Why does "my body, my choice" apply when it comes to murdering babies?!? God gave me this body t do with it as I deem fit and necessary!!

Please vote YES on bill 306! Religious exemption must be upheld and protected in this country. It is what our forefathers labored so long for and what so many have given their lives for. We are entitled to this freedom in this country! Please protect our right to protect our religious beliefs from mandates that would go against them.

Religious freedoms must be preserved. This bill would protect mandates that require medical treatments that don't align with an individual's religious beliefs and, therefore, must be supported and passed!

Please support this bill and do not allow the law to infringe upon religious rights!

Vote yes for bill 306!

I urge you to pass HB306. We live in the United States of America where freedom of choice used to freely exist. Is we do not pass this into law we will be one step closer to living in a tyrannical dictatorship.

Dear delegates We need choices in this country and freedom to decide how we want to make our own health decisions. Vote for religious exemptions please. Thank you

I am writing to provide support FOR HB 306 Freitas. Under the 1st Amendment of US Constitution all people have have right to freely exercise their religious beliefs. Fir some that means the wish to not have anything injected into their body against their beliefs. In addition many believe in the powers of the Creator to protect and or heal them. Please pass this bill which will show your support for and belief in our Constitution. Thank you.

Please vote yes to ensure religious exemptions!

Please vote yes

Please pass this bill to support the people, this is very important for people who need continued support for freedom in this state.

I am I full support of this legislation and ask that you move this forward. Please vote Yes.

Hello, I am a Virginia resident and I support anything that promotes health freedom. I urge Delegate Clinton L Jenkins and all Delegates to vote YES ON HB 306.

Please votes yes for this bill. I do not believe we should have to have any excuse to opt out of any type of mandate, I do believe religious liberties should not be infringed upon.

Agreed ww all should be able to be exempted from the vaccine if that is our choice! I stand with Delegate Freitas.

Vote yes. This is so important to honor religious freedom. Thank you

I support religious freedom for all, please votes YES on HB306!

Have not read the exact details of the bill being proposed.... But it's for my understanding and my life there's a conscience objection as well to prevent any government entity from compelling someone from doing something like this.... I'm all for a religious exemption I'm not sure what that is but freedom of conscience and freedom from government mandating things for your body I absolutely support...

Dear Delegates, You Must Vote YES on House Bill 306: Below you will find just some proof to protect Our Religious Freedom in The Constitution and Laws of the Land you Took Oaths to uphold. President Donald J. Trump instructed the Attorney General to issue guidance interpreting religious liberty protection in federal law, as appropriate Executive Order 13798 Sec 4 in 2017. Pursuant to that instruction and consistent with authority to provide advice and opinions on questions of existing law to the Executive Branch, the Attorney General issued a memorandum which included the following . . . Religious Liberty is not merely a right to personal religious beliefs or even to worship in a sacred place. It also encompasses religious observance and practice. Federal Law Protections for Religious Liberty Title VII’s protection extends to discrimination on the basis of religious observance or practice as well as belief. The freedom of religion is a fundamental right of paramount importance, expressly protected by federal law. The free exercise of religion includes the right to act or abstain from action in accordance with one’s religious beliefs. The freedom of religion extends to persons and organizations. Americans do not give up their Constitutional Protections of Freedom of Religion by participating in the marketplace, partaking of the public square, or interacting with government. ~~~~ FYI: Our Constitution was written during an emergency, an active war was going on . . . You must protect Our Freedoms from tyrants and mandates, the U.S. Supreme Court agrees: Emergency power does not create power. emergency does not increase granted power or remove or diminish the restrictions imposed upon power granted or reserved. The Constitution was adopted in a period of grave emergency. Its grants of power to the Federal Government and its limitations of the power of the States were determined in the light of emergency, AND THEY ARE NOT ALTERED BY EMERGENCY. What power was thus granted and what limitations were thus imposed are questions which have always been, and always will be, the subject of close examination under our constitutional system. While emergency does not create power, emergency may furnish the occasion for the exercise of power. Home Building & Loan Ass’n v. Blaisdell 290 U.S. 398, 425-426 (1934) ~~~~ CONGRESS SHALL MAKE NO LAW RESPECTING AN ESTABLISHMENT OF RELIGION, OR PROHIBITING THE FREE EXERCISE THEREOF; OR ABRIDGING THE FREEDOM OF SPEECH, OR OF THE PRESS; OR THE RIGHT OF THE PEOPLE PEACEABLY TO ASSEMBLE, AND TO PETITION THE GOVERNMENT FOR A REDRESS OF GRIEVANCES. ~~~~ 18 U.S. Code §245 makes it a crime for a person acting under color of any law to willfully deprive a person of a right or privilege protected by the Constitution or laws of the United States. ~~~~ Human Rights Act of 1998 . . . Article 1: “Everyone’s right to live shall be protected by law” ~~~~ Additionally, in our Holy Bible, Psalm 91 declares that our Creator, the Lord Jesus Christ, is our protector, both from tyrants as well as pestilences, and I, we the people, are exempt from any mandate requiring you to do anything pushed upon you during this planned criminal "pandemic" under the protections of the First Amendment. Respectfully Submitted, André Du Mont

Dear Members, I am writing to ask that you support HB-306. I am the mother of a special needs child residing in VA. To mandate a medical protocol that has be demonstrated to cause serious physical harm is unconscionable. This C-19 shot has been shown to cause myocarditis, blood clots, strokes, Bell’s Palsey, miscarriage and stillborn births. And it causes death. That proven and safe remedies are being withheld, such as Ivermectin is frightening. Thank you for protecting our rights under the U.S. Constitution! Most sincerely, Mrs. Mary Frame

Please vote to give us "Religious Exemption". My health and my spiritual beliefs are being threatened if we don't get this. Be a part of the vote that keep us and our grandchildren free.

Vote YES!! My body my choice! That doesn't end when there is an emergency. Furthermore, start recommending or requiring people to live a healthy lifestyle not pump people full of chemicals!!

Please pass this bill. Ryan Sudki

I urge you to pass this bill. Thank you. Alexandra Walge Ashburn, VA

On behalf of the world's oldest health freedom organization, and as a Virginian, I urge support of Delegate Freitas' bill to protect Thomas Jefferson's Religious Freedom Right when it comes to emergency declared vaccination mandates. The censored questions from respected doctors and scientists on vaccines makes questionable the trust that government deserves for any mandated vaccine, especially ones in experimental status. Public Health's traditional power to quarantine serves as a sufficient guard against infectious diseases - and even that power must be limited, such as requiring a court order before depriving a citizen of liberty. Ones deeply held religious convictions against certain medical interventions can never morally or constitutionally be disrespected. Pass HB 306 into law, please.

Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times.

Vote YES.

1. This bill should protect bodily autonomy on the grounds of being American, if people don't like that, then they should move to where people are not American. 2. This bill should protect peoples medical privacy. They should not even be asked if they are among the "clean" vaccinated people, 3. This bill should PROHIBIT anybody to ask why somebody made a medical choice for themselves, religious or not. 4. This bill should PROHIBIT anybody from taking action against any person because of a medical choice they made for themselves, or minors in their care for ANY reason. IT'S NONE OF THEIR BUSINESS!! You might as well protect religious liberties in our state. Those of us who truly do take issue with the way a vaccine is tested and/or produced, or the recklessness in the way it was tested and/or produced and rushed into the populace, will not ever be forced to comply, no matter what you try to take away from us. And those who were in power and allowed this to happen in the first place should be held accountable, because they failed to protect freedom, which is all they were supposed to do in the first place. How many college kids put that experiment in their arms to stay in school? Nurses to keep a job? Factory workers? Police? Fire Fighters? Etc...? We are supposed to be able to TALK about what's going on, collect data ourselves without obstruction, and make decisions as free people, not owned slaves of the overlords. My religion is Reformed Baptist, and I am a convicted believer who believes we are under judgement unless we are brought to repentance by our God and believe on the Lord Jesus Christ and TRUST in Him, but that is not the only reason medical tyranny should never happen. I am American, born in the land of the free. I choose for myself according to my own convictions. So vote to protect freedom like you should, because ultimately, we decide for ourselves anyways.

RELIGIOUS FREEDOM is vital for individual rights

It is imperative that we maintain the American right of religious freedom!

It’s time to end ALL vaccine mandates! .Anyone with half a brain can see these shots are driven by big pharma, and money. NO ONE should be forced to take this EXPERIMENTAL vaccine against their beliefs! Maybe ask why Doctors aren’t allowed to prescribe safe, proven, effective early treatment! What is being allowed in this country is criminal!

I support religious freedom, please vote Yes on H.B. 306 !!!

As a lifelong Virginia resident and mother of 4, I implore you to protect religious exemptions from awful government mandates in Virginia. Vote YES for HB 306!!!

This MUST be supported

Virginian for religious freedom! My body is provided for in the glory of God. My body contains all the medicine it needs via the most amazing “scientist” and healer.

For HB 306

Testimony: Robert Marshall (House of Delegates January, 1992 to January, 2018. Every FDA Emergency Use Authorization or FDA “Licensed” Covid 19 Vaccine had its origin linked to being tested with or derived from the killing of a child via abortion. That is a major source of concern for Virginians opposed to abortion in addition to the gene altering potential of the mRNA “Gene Therapy” which some think is an attempt to alter the Number of a Man thorough gene modification. For Virginia to not provide a religious exemption to vaccinations is virtually identical to present US Navy vaccine mandate policy which does NOT grant religious exemptions to the abortion linked Covid 19 vaccines. This policy was enjoined recently (1/3/22) by federal district Judge, Reed O’Connor, in a case involving 35 Navy Seals who sued President Biden for routinely denying religious exemptions for Covid “vaccinations.” Judge O’Connor noted: “The Navy provides a religious accommodation process, but by all accounts, it is theater. The Navy has not granted a religious exemption to any vaccine in recent memory. It merely rubber stamps each denial. The Navy service members in this case seek to vindicate the very freedoms they have sacrificed so much to protect. Religious exemptions to the vaccine requirement are virtually non-existent. In the past seven years, the Navy has not granted a religious exemption to any vaccine requirement.” (US Navy Seals v. Joseph Biden, civil action, 4:21-cv-01236-O) President Biden’s Solicitor General Elizabeth Prelogar recently said “Some people have deeply held religious beliefs and are entitled to religious exemptions.” (NFIB V. OSHA) She did not exempt Virginians from her statement. The Religious exemption is needed because while Virginia law does allow for medical exemptions to vaccines attested to by a medical doctor, but with the widespread pressure to take the Covid 19 vaccines, now many physicians will write such an exemption in the present coercive atmosphere? In another case in Florida involving Service members being denied religious exemptions U. S. District Court Judge Allen Winsor’s order noted: [Doe v. Austin, 3:21-cv-01211] • “… the DOD is requiring injections from vials not labeled ‘Comirnaty.’ … defense counsel could not even say whether vaccines labeled “Comirnaty” exist … DOD … said it had an adequate Comirnaty supply, it later clarified that it was mandating vaccines from EUA-labeled vials. …” • “ … DOD argues that once the FDA licensed Comirnaty, all EUA-labeled vials essentially became Comirnaty, even if not so labeled. … as a legal matter, vaccines sent before August 23—and vaccines produced after August 23 in unapproved facilities—remain “product[s] authorized for emergency use under … the Federal Food, Drug, and Cosmetic Act.” • “… there is no indication that all EUA-labeled vials are from *BLA-approved facilities. … the DOD concedes that some of its current vials are not BLA-compliant, and that there is no policy to ensure that service members get only BLA-compliant vaccines … The DOD claims it possesses ‘hundreds of thousands of BLA-compliant vaccine doses that are EUA-labeled, and is using them.’” • “… as things now stand, the DOD cannot mandate vaccines that only have an EUA.” *Biologics License Application

I served our country in multiple actions overseas to help preserve the freedom represented by enduring and abiding religious freedom, all religious expressions, barring actual and physical aggressive harm to self or neighbor. Tolerance must also come from government.

There have been so many attacks on religious freedom in the recent past. It is so great to know that the HB306 Freitas bill is working towards defending that freedom assuring that a person has the right to refuse being forced to do things by the government when his or her beliefs require that he or she not do that particular thing. Thank you, Mr. Nick Freitas!

Dear Health, Welfare, and Institutions Committee, Please protect religious freedom, vote YES for HB 306! Our religious beliefs and freedoms do not cease because government officials declare a public health emergency. Our First Amendment rights apply at all times. Please vote yes on HB 306. Thank you

Please vote yes on HB 306

Religious freedoms must be protected in America. It is literally the purpose of our nation to allow all citizens to freely practice and adhere to their personal religious tenets. No government entity has the right to override or violate our religious principles per our Founding documents.

Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times.

Please vote YES on this bill. To not do so would be a great injustice to all Virginians!

Protecting our religious liberty is essential. How many people these shots violate matters of deep conscience and faith. There must remain a religious exemption.

It is of utmost importance that there remains an option of religious exemption for our college students

FOR HB 306 Freitas

Vote yes on 306 - Freedom of Religion must always be our right. Protect the 1st Amendment.

Vote FOR HB306

Hello, I am requesting for all Committee Members to vote YES on HB306. As a born and raised Virginian and Christian, as well being in a military family that has served through generations, it is imperative that we are allowed to keep our religious freedoms. Without it we are no longer Virginians or Americans being that religious freedom is a foundation of our country. As individuals and citizens of Virginia, and America, we have a right to decide and make our own health choices without being made into criminals. My faith and health are personal, they are mine, not the government's. An elected, or appointed, official should not be deciding what is best for me, that is between me, my doctor, and God. Thank you for your time and attention, Please vote YES to HB306 Sincerely, MaryEllen Wooten

Protect religious exemption!

Pass he 306 freitas

The right to religious freedom is a founding principal of our nation and passing HB 306 will enshrine that fundamental right for all Virginians. Government officials should never be allowed to mandate a vaccine under any circumstance on residents of the Commonwealth of Virginia. Please vote YES on HB 306!

It is imperative that All mandates in VA needs to be eliminated as it’s unconstitutional and violates all citizens rights. Please it’s time to protect all citizens of these tyrannical mandates. It’s unlawful!

I support HB 306. This would protect people with certain religious beliefs who otherwise would be forced to comply. I do not believe anyone should be forced to do anything if it is against their beliefs, no matter the religion. Unfortunately we saw this with mask mandates. Many schools and employers were not honoring medical and religious exemptions. We also saw this with the covid shots in the work place. This goes against the constitution and its a shame. Please pass HB 306!!!

It is imperative that this bill is passed. Too many of our God given freedoms are being taken away by our Government.

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Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times.

I'm a born again spirit filled Christian. Government shouldn't have a say on mandates that conflict with personal convictions and standards of living. In fact, this type of tyranny would force many to break the law. Please pass HB306. Thank you

There should be no vaccine mandates at all.

HB102 everyone does it. HB306 people with religious beliefs can be accommodated.

Please vote yes on HB306 and preserve Virginia's religious exemption for vaccination mandates.

I was on the call this morning but you apparently could not hear me when called, so I am providing this written comment. The fact that this Bill is needed is damning. The fact that 3 Delegates voted against it is frightening. The Virginia Constitution's religious freedom clause goes back as far as Thomas Jefferson and is broader than the First Amendment of the US Constitution. The colleges and universities (UVA in particular) have violated the Virginia Constitution with their so-called Covid religious exemption request forms. In the prior sane world we lived in, medical and religious exemptions were routinely granted and nobody cared. I certainly didn't. It is no one else's business and an affront to Virginians' natural liberty. Of all the Bills in response to the Covid overreach, this Bill should be the least objectionable as the Virginia Constitution alone should be a complete bar to any such authority of any governmental authority. Walter Smith

On behalf of the Virginia members and supporters of Americans United for Separation of Church and State, I write to express our opposition to HB 306 and HB 783, each of which would create a blanket religious exemption to immunization requirements imposed by the State Health Commissioner during an epidemic. The First Amendment to the U.S. Constitution does not require the legislature to grant such exemptions—indeed, it prohibits granting a blanket exemption like the one in this bill. For more than a century, the United States Supreme Court has made clear that the government has the authority to protect public health through appropriate measures, including requiring vaccinations. In 1905, in Jacobson v. Massachusetts, the Court upheld a mandatory vaccination law, explaining that “a community has the right to protect itself against an epidemic of disease which threatens the safety of its members.” The Court rejected claims that vaccination requirements violated individual liberties, holding that “[r]eal liberty for all could not exist under the operation of a principle which recognizes the right of each individual person to use his own [liberty], . . . regardless of the injury that may be done to others. In Prince v. Massachusetts, the Court explicitly held that vaccine requirements do not violate religious freedom: one “cannot claim freedom from compulsory vaccination . . . on religious grounds” because “the right to practice religion freely does not include liberty to expose the community . . . to communicable disease or . . . to ill health or death.” The holding in Prince was reaffirmed in Employment Division v. Smith, a 1990 opinion written by Justice Antonin Scalia. The Smith Court reaffirmed that the Free Exercise Clause does not “require[ ] religious exemptions from . . . health and safety regulation such as . . . compulsory vaccination laws.” The Constitution actually prohibits the government from granting a blanket religious exemption from vaccination requirements. In Estate of Thornton v. Caldor, the Supreme Court, in an 8-1 opinion, struck down a Connecticut law granting employees “an absolute and unqualified right not to work on their Sabbath.” In ruling that the law violated the Establishment Clause, the Court focused on the fact that the right not to work was granted “no matter what burden or inconvenience this imposes on the employer or fellow workers.” The law provided “no exception,” and no account of “the imposition of significant burdens.” The “unyielding weighting in favor of Sabbath observers over all other interests contravenes a fundamental principle of the Religion Clauses,” and is unconstitutional. Like the law struck down in Caldor, HB 306 and HB 783 would require the State Health Commissioner to grant a religious exemption no matter the burden it would have on the health of other Virginians. Granting religious exemptions during an epidemic would allow a virus to spread more quickly, which would cause more Virginians to get sick or worse. It would also likely make it harder for communities to reach herd immunity, which would only prolong the epidemic. For all these reasons, Americans United urges you to oppose HB 306 and HB 783.

Comments Document

Dear Committee. I hope you will consider that your constituents in large, are a Christian population. According to this study from the University of Virginia in 2021, 73% of Virginians. https://shar.es/aWOo8G Christians, if you didn't know, believe their bodies are given to them by their creator and are a temple to the Holy Spirit. It is not only necessary for Christians to maintain bodily autonomy, it is part of our religious doctrine and bonified religious beliefs. It is critical to the practice of our religion and thusly our first amendment rights. Your constituents,73%, must be able to DECIDE what enters their temple that they have been entrusted by GOD. Now that we have been through this crisis anyone that has been through high school statistics can easily see, while serious, Covid-19 is not of statistical fatal significance. In fact, it's only been fatal in about 0.18% of our population in VA. Yet here we are with a state of emergence and several mitigations measures. These are all wonderful and no doubt slowed the spread and saved lives. However, for many, this was not serious enough to warrant taking something into their temple in which God asked them not to. Even if it was, who is anyone to override another soul's CREATOR? That is why it's important to uphold the first amendment rights to religion and thusly our right to choose what enters our body, even in a state of emergency. Your constituents, all 73% of us are counting on you to protect us or we will take this decision with us to the next election and find good Virginians that will look out of the overwhelming majority in Virginia. Thank you.

HB102 codifies a practice that has been out there forever. HB306 move to report to respect religious beliefs (1st amendment). 783 for same reason.

Hello Members of the House, It is imperative that this Bill be passed on a bipartisan basis. Lawmakers cannot take certain rights away from individuals, which would happen without HB306. “all men are equally entitled to the free exercise of religion [...] all men shall be free to profess and by argument to maintain their opinions in matters of religion, and the same shall in nowise diminish, enlarge, or affect their civil capacities.” In the event of a public health crisis, I do not feel my right to religious freedom should be trampled on. As it stands, a mandate on vaccines could give rise to an infringement of rights that were protected (and deemed specifically important) by our forefathers. No matter your party, it is your duty to protect the rights of the citizens. There ought to be limits to government, and this is one of many that is long overdue. Being treated as a second class citizen, having civil liberties taken away, disruption of employment, as well as impeding on the education of the Virginian people, have all come to pass under the guise of “public safety.” Not all persons can or should ever fall under one blanket mandate by whomever is in power. Lastly, if there is one thing I will never cave to, it would be my religion. No mandate would supersede my God. The power lies with the people, and our voices. Please remember that the voice of change was heard across the Commonwealth! Again, I would like to stress the importance of supporting this bill so that the rights that ought to be protected, are, and to allow for a clearer provision for the higher courts to make rulings on. Thank you for your time, Chelsea Quintern

My name is christie Scarborough, a Frederick County resident, and I am in support of HB306. It is critical that we recognize those who hold religious beliefs against vaccinations in all employment settings. My family hold strong beliefs that our bodies, designed by god, we’re not created to anticipate pathogens that suddenly appear intramuscular. Our bodies were designed to anticipate pathogens via blood borne and airborne vectors only. We believe vaccines to be haram. Meaning impure, unclean, and sinful. My family wants the ability to religiously opt out of vaccinations on a religious basis. Failure to provide that ability to the people will infringe on their right to the due process of law, as we will be forced to incur liability as we can’t sue the vaccine manufacturers. It will also infringe on the establishment clause for imposing an official government religion in the people. Vaccinations are in fact a belief system. There is no scientific proof that shows vaccinations are 100% safe or effective for their intend use.

I urge you to support the 1st Amendment Rights of Virginians closely held religious beliefs from persecution by government officials and employers and not force people of conscience to choose between their beliefs and their livelihood.

I strongly support HB 306 and encourage the committee to vote "YES" for its passing.

I am really wanting you all not to pass this bill because Oxford House gives me a place to live at a price I can afford on disability it gives me stability Oxford House I would be homeless and if the bill does pass that means I rent would go up and I would be homeless again and I am doing very well I enjoy living in the Oxford House we have meetings once a week for our house and we have committee meetings and everything So please do not pass this bill I in begging you

We strongly support every state hospital providing video visitation in the manner as provided for under HB388. Long distance transportation is hard for some family members, and video visitation allows for the ability to see and hear a loved one for those who do not have the means for regular in-person visits. These visits can be life saving by providing contact with family and hope for recovery. Life during the pandemic has shown have effective and cost saving the technology can be when used in this way. Bruce Cruser, Executive Director Mental Health America of Virginia

As a SALT (Social Action Linking Together) and Cornerstones advocate, I encourage you to support HB 484, with Delegate Dan Helmer as patron. This legislation exempts from mandatory participation in the Virginia Initiative for Education and Work recipients of Temporary Assistance for Needy Families those enrolled full-time in an accredited public institution of higher education or other postsecondary school licensed or certified by the Board of Education or the State Council of Higher Education for Virginia and are taking courses as part of a curriculum that leads to a postsecondary credential, such as a degree or an industry-recognized credential, certification, or license. Passing this legislation would make moving off welfare into the workforce a much easier task, which would be a win-win for both those receiving TANF and taxpayers. Post-secondary education, GED, vocational education, and most credentialing programs, as well as apprenticeships, require more than 24 months for the screening, access and completion process. Eliminating the two-year limit is the right thing to do. Preparing adult TANF recipients for jobs to fully support their families should be a primary goal for Virginia. Attaining this goal would be a win-win for both TANF recipients and taxpayers. However, the current two-year time limit on the continuous receipt of TANF benefits is an impediment, making that goal unattainable. Regards, Sarah Newman

I support video visitation in state facilities.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I SUPPORT HB 388, 481, 484, 538, 877, 878, 1012, 1105, 1106, 1211, 1329, and 1342. Also, I object to the language used to describe non-citizens - the word "alien" is dehumanizing and I suggest retiring it permanently when referring to non-citizens. I OPPOSE HB 937 and 1359. It is everybody's right to control their own fertility and to NOT be forced to carry an unwanted pregnancy to term. Both of these bills directly or indirectly undermine that right.

Support HB 388 – Family Video Visitation Should Continue Permanently (also see my statement attached) HB 388 helps ensure that Zoom-type video visitation, which has provided critical connectivity between state hospital residents and their families, continues past the pandemic. Over the past year, video visitation provided critically needed connectivity between hospital patients and their families and friends while in-person visits were suspended. Among its benefits are:  Reducing social isolation. After two years of living through a pandemic, everyone has suffered to some degree from loss of social contact including people in the outside community. It’s important to understand that people with psychological and cognitive impairments tend to be much more isolated to begin with. Their inbuilt isolation is compounded by living in institutional settings.  Helping people with limited resources to stay in touch with family members and friends in the hospital. Zoom-type technology increases the opportunity for people with low-incomes, or lacking the money or means of transportation, to visit and to provide emotional support for patients. Patients in Virginia psychiatric hospitals often end up far from home. For example, forensic patients from Northern Virginia are generally sent to Western State, which is 150 miles from the Falls Church area. Average driving time is two hours and 20 minutes each way.  Allowing parents to see their young children. Hospital rules and restrictions can make it difficult for children to visit their parents in person. Video visitation allowed a mother living in the hospital to see her child for the first time!  Providing all families with a way to supplement hospital visitation by telephone or in-person.  Helping patients prepare for discharge and re-integration into the community.  Increasing hospital accountability through more frequent and complete contact between families and patients. The cost of setting up video visitation is minimal. Western State Hospital purchased Kindles for this purpose within its existing budget. It’s also possible for video visitation to create savings by reducing the burden on staff to administer and supervise in-person visits. The main issue has been overcoming institutional inertia and training staff to help patients schedule and access visits. Hospital social workers and rehabilitation staff who prepare patients for re-entry into the community understand their need to maintain connectivity with family and friends and have been particularly supportive of tele-visiting. Reducing social isolation both increases the likelihood that patients can successfully return to life in the community and decreases the likelihood of relapsing into crises that involve costly hospitalizations.

See attached document: "Ensure video visitation is available to residents of all Virginia psychiatric hospitals and their families: Please enact HB 388." Statement of Karl Polzer to the Health, Welfare and Institutions Committee, Virginia House of Delegates

B420 Danny’s Law is imperative to every single person who has directly or indirectly been affected by the Opioid Epidemic. Too many children have buried their parents. Too many parents have buried their children. Too many grandparents are raising their grandkids. How many more lives have to be lost for the state of VIRGINIA to wake up and WANT to be a part of a solution to a world wide problem? The Opioid Epidemic shows me The War on Drugs failed to protect the people for whom it was intended for. The amount of lives lost and changed has reached an unbelievable number, and yet here we are, advocating for a Bill to be passed to help addicts get proper medical attention. If an addict shows up to the ER because of a drug overdose, isn’t the addict silently screaming the same words as a suicidal patient who speaks, “I want to die?” I hope B420 Danny’s Law helps change the world for the generations to come, and starts to keep medical professionals accountable for their ignorance. “WHEN THE POWER OF LOVE, OVERSEES THE LOVE THE POWER, THE WORLD WILL KNOW PEACE” || Jimi Hendrix

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

In January of 2013, my brother overdosed and was treated at a northern Virginia hospital. EMTs saved his life and I am grateful, but what followed was tragic. He was released hours later with no resources, no referrals, and most importantly - no narcan. A month later I came home to the house we lived in together and found him unresponsive. I did not have Narcan. If he had been given it in the hospital that day I could have used it and maybe saved him. But they didn’t give it to him. If he had been started on buprenorphine that day, his likelihood of fatal overdose would have been reduced by 50%! But they didn’t start him on it. Every year we set a new record for number of drug overdose deaths. The number of fatalities in Virginia has almost quadrupled in the last decade. We have the tools to drastically reduce these numbers - narcan, buprenorphine, peer support - but they aren’t being used where they are needed most. Our hosptitals. In Fairfax County the jail is providing better healthcare for people with addiction than our hospitals are. When someone comes into the jail they receive buprenorphine, are connected with a peer support specialist, and are released with a box of narcan in their personal effects. There are only two hospitals in the whole of Virginia that are coming close to providing those three basic best-practices. If you use opioids for a long enough you are likely to end up in one of three places: jail, the hospital, or the morgue. In those first two settings we have a fleeting opportunity to help someone find recovery. By the third one it’s too late. For decades our hospitals have failed people with substance use disorders - a our sons, sisters, fathers - and it’s time we insist that they close the gaps in care that are costing so many lives.

As a recovering addict I speak from experience when I say we need this bill passed. Naloxone saves my life more than once when I was in my active addiction. Having it on hand saved my life. I was no where near a hospital and a friend administered it to me. When the ambulance finally did get there I had already come to. If we would have had to wait for them I would have died. The sheriff that came with them gave me information and told me to get help. I did and I've been sober for 3yrs. We need to give ALL addicts that overdose that opportunity to have Naloxone on hand and have resources to help get them out of addiction. We do recover.

Please vote to support this bill. We need to do more to support our neighbors and loved ones who struggle with addiction. I've seen a family member die from addiction and another who has struggled for decades. If we do more intervention when people come into emergency rooms, maybe we can save more people from a terrible fate. Thank you, Lindsey Gleason

As a spouse of a person in recovery, the link between our local healthcare system and recovery is vital. During my husband's active addiction, we visited our local emergency room to seek help in entering recovery as our primary physician was unwilling to help us. The only help that was offered was fluids and a list of AA groups in the area. Had we had access to peer recovery systems, information on medication assistance recovery, and ANY information I firmly believe my husband's addiction would have ended there. Fortunately, after many months of PERSONAL searching for a recovery program that we could afford (with no help from our insurance, doctors, or community services board), my husband achieved recovery. Out of the 15 recovery programs within 75 miles of our home, only two are viable programs. Many are cash only, no mental health offered, pick up your pills at 7 am with your cash and go about your day kinds of programs. A complete overhaul of these programs and investigations into the doctors who oversee these programs is also VERY much needed in our community.

In January of 2013, my brother overdosed and was treated at a northern Virginia hospital. EMTs saved his life and I am grateful, but what followed was tragic. He was released hours later with no resources, no referrals, and most importantly - no narcan. A month later I came home to the house we lived in together and found him unresponsive. I did not have Narcan. If he had been given it in the hospital that day I could have used it and maybe saved him. But they didn’t give it to him. If he had been started on buprenorphine that day, his likelihood of fatal overdose would have been reduced by 50%! But they didn’t start him on it. Every year we set a new record for number of drug overdose deaths. The number of fatalities in Virginia has almost quadrupled in the last decade. We have the tools to drastically reduce these numbers - narcan, buprenorphine, peer support - but they aren’t being used where they are needed most. Our hosptitals. In Fairfax County the jail is providing better healthcare for people with addiction than our hospitals are. When someone comes into the jail they receive buprenorphine, are connected with a peer support specialist, and are released with a box of narcan in their personal effects. There are only two hospitals in the whole of Virginia that are coming close to providing those three basic best-practices. If you use opioids for a long enough you are likely to end up in one of three places: jail, the hospital, or the morgue. In those first two settings we have a fleeting opportunity to help someone find recovery. By the third one it’s too late. For decades our hospitals have failed people with substance use disorders - a our sons, sisters, fathers - and it’s time we insist that they close the gaps in care that are costing so many lives.

Please consider passing this bill. Many other illnesses are treated with evidence based practices though substance use is not. It is time to move forward with substance use as a disease defined by DSM criteria and allow these individuals access to adequate care. This bill can only help improve the outcomes. These are individuals deserve is access as a human right.

Good afternoon! My name is Amalia and I am a woman in long-term recovery from Substance Use Disorder. Overdose is a part of my story. Gratefully, I lived to tell it and to get the opportunity to help those who are struggling today. I lead a team of Certified Peer Recovery Specialists as part of a federal grant-funded Post Overdose Response Team. We have repeatedly approached the hospitals in our 10 county catchment, offering our services at no cost to them and have been denied. Peers are being utilized in Emergency Departments across the country and are having much success in reaching those suffering with Substance Use Disorder through relating our stories and offering hope. Peer Specialists follow up with these patients, which is something hospital staff does not have the time to do. We can be an asset to the ER team and together stand a much better chance of saving lives! It is time for the state of Virginia to catch up with the procedures that are working to make a difference in other states. Peer Recovery Specialists are proven to make a difference in the numbers of lives saved! We want the opportunity to keep even one Virginian from dying from an overdose today! Thank you

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I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

Comments Document

HB 427 "The team shall also include …. (ii) a parent representative who is a caregiver of a child who has previously received child welfare, juvenile justice, special education, or behavioral health services, including a foster parent." The King William County Community Policy and Management Team (KWC CPMT) is not in agreement with making this a requirement for CPMT & Family Assessment and Planning Team (FAPT) Parent Representatives. While the KWC CPMT believes it is best practice to have Parent Representatives who meet this description, they disagree with making it mandatory. This would limit the ability to find and retain Parent Representatives for our CPMT & FAPT Teams and we would then be out of compliance as to Team Membership requirements. Dedicated Parent Representatives are not easy to find and the KWC CPMT feels the proposed requirement would make it more difficult. As a rural locality, our Parent Representatives already make the sacrifices of taking time off of work and traveling in order to participate in the Teams; and we are unable to give any compensation or travel reimbursement. We do look for Parent Representatives meeting this requirement, but are opposed to having it in the Code of Virginia, and thus, mandatory. The KWC CPMT believes it should remain as a Best Practice.

Comments Document

The Healthcare Distribution Alliance (HDA) once again would like to respectfully voice it's opposition to HB 478 and to a drug importation program. We would also like to request that the committee vote to continue the bill to 2023, since there are too many concerning factors for this bill to safely move forward in 2022. The main concerns regarding the implementation of a drug importation program in Virginia that we would like to highlight for the committee are: - that it would conflict with the United State’s highly efficient and secure drug supply chain system, protected by federal law through the Drug Supply Chain Security Act (DSCSA). This is especially significant since enhanced drug security requirements though the DSCSA will be going into effect in 2023. -that it would significantly increase the likelihood of allowing counterfeit or contaminated medications to enter the U.S. supply chain, putting Virginia patient safety at great risk. HDA is the national trade association representing primary healthcare wholesale distributors — the vital link between the nation’s pharmaceutical manufacturers and more than 180,000 pharmacies and other healthcare settings nationwide. Please see the attached full letter for more details regarding our concerns, and contact us with any questions. Thank you for your consideration. Sincerely, Kelly Memphis HDA

As a SALT (Social Action Linking Together) and Cornerstones advocate, I encourage you to support HB 484, with Delegate Dan Helmer as patron. This legislation exempts from mandatory participation in the Virginia Initiative for Education and Work recipients of Temporary Assistance for Needy Families those enrolled full-time in an accredited public institution of higher education or other postsecondary school licensed or certified by the Board of Education or the State Council of Higher Education for Virginia and are taking courses as part of a curriculum that leads to a postsecondary credential, such as a degree or an industry-recognized credential, certification, or license. Passing this legislation would make moving off welfare into the workforce a much easier task, which would be a win-win for both those receiving TANF and taxpayers. Post-secondary education, GED, vocational education, and most credentialing programs, as well as apprenticeships, require more than 24 months for the screening, access and completion process. Eliminating the two-year limit is the right thing to do. Preparing adult TANF recipients for jobs to fully support their families should be a primary goal for Virginia. Attaining this goal would be a win-win for both TANF recipients and taxpayers. However, the current two-year time limit on the continuous receipt of TANF benefits is an impediment, making that goal unattainable. Regards, Sarah Newman

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Comments Document

I have submitted written testimony outlining the reasons a program like this cannot be implemented, including: Canada’s ban on bulk exports designed specifically to stop programs like these; and The fact that state Medicaid programs already get better pricing than Canadian provinces and therefore cannot save money by importing Canadian medications. Both Florida, Colorado and New Mexico have all applied to HHS to ask for permission to operate a Canadian drug importation program, and Florida has even committed $40 million to set it up, with $10 million spent so far. To date no state has received federal approval and at each stage, Canada has placed stronger restrictions on any Canadian wholesaler who would consider contracting with a U.S. state. I know that removing financial barriers to healthcare are an important priority for elected officials at every level of government. However these programs cannot be implemented in the current environment and are poor candidates for addressing these barriers. Thank you for your consideration, Shabbir Imber Safdar Executive Director, Partnership for Safe Medicines www.safemedicines.org

Comments Document

On behalf of the Healthcare Distribution Alliance (HDA), I would like to thank you for the opportunity to submit for the record our views regarding HB 478, which would establish a Wholesale Prescription Drug Importation Program in Virginia. HDA is the national trade association representing primary healthcare wholesale distributors — the vital link between the nation’s pharmaceutical manufacturers and more than 180,000 pharmacies and other healthcare settings nationwide. We oppose HB 478 and offer these comments to respectfully express our concerns regarding the implementation of any Drug Importation program, and most importantly our concern that it would conflict with the United State’s highly efficient and secure drug supply chain system, protected by federal law. This bill would also significantly increase the likelihood of allowing counterfeit or contaminated medications to enter the U.S. supply chain, at great risk to patient safety. Canadian importation conflicts with US federal law (Drug Supply Chain Security Act). The U.S. pharmaceutical supply chain is the most sophisticated, efficient, and highly secure drug supply chain system in the world, and the security of the supply chain was further strengthened in 2013 by the passage of the federal Drug Supply Chain Security Act, commonly referred to as DSCSA. The DSCSA adopted a comprehensive, practical approach to increase safety, continue efficiency, and minimize inconsistencies among competing state requirements. Drugs that are sold or designated for sale in Canada and other countries do not conform with U.S. traceability regulations, nor would these countries be required to modify or change their regulations to comply with U.S. law. Allowing for the importation of drugs from Canada or other countries would impede the efforts of the DSCSA regulations in further securing the U.S. supply chain, and thereby increase the risk of illegitimate or counterfeit medications entering the U.S. market. HDA recognizes this measure includes a provision for Virginia to comply with the DSCSA to “the extent feasible,” but we do not see a way for this compliance to be achieved. Additionally, drugs approval by the FDA are contingent upon the strictest guidelines for product integrity, good manufacturing practices, scientific data analysis and public safety. Although there are drugs available for sale in Canada or other countries that may be priced at a lower cost for varying reasons, it is important to recognize other countries’ regulatory agencies have different approval guidelines, dosage recommendations, and quality assurances. Internationally manufactured drugs are susceptible to counterfeiting, containing insufficient or too much of an approved medicine’s active ingredient or to being contaminated by unsanitary manufacturing conditions. It should also be noted that Canada has consistently expressed its unwillingness and incapability to become a supplier for the United States’ demand for prescription medicines over the past two years, stating that Canada’s market is too small to meet U.S. demands, importing drugs from Canada would not significantly lower U.S. prices, and Canada’s priority remains ensuring a steady and affordable supply of pharmaceuticals for Canadians. To protect patients and uphold U.S. standards, the Healthcare Distribution Alliance respectfully opposes this bill. Thank you for your consideration.

Comments Document

The Healthcare Distribution Alliance (HDA) respectfully opposes HB 478 and offer the attached letter to outline our concerns regarding the implementation of any Drug Importation program. In the letter, we highlight to the members of Subcommittee #3 the ways a drug importation program would conflict with the United State’s highly efficient and secure drug supply chain system and with federal law, as well as significantly increase the likelihood of allowing counterfeit or contaminated medications to enter the U.S. supply chain, putting the safety of Virginia patients at great risk. Please see the attached letter for more information, and thank you for your consideration. Sincerely, Kelly Memphis Director State Government Affairs, HDA kmemphis@hda.org

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

It is extremely important to include SSDI as an exclusion for income for qualifying for Medicaid just as SSI is excluded. Without Medicaid, people with disabilities like my brother, who is severe and profound, non-verbal autistic would not be able to survive. The services and supports Medicaid provides are essential to being able to live safely. For SSDI to disqualify my brother from receiving the Medicaid benefits that are his lifeline would be penalizing him because his is disabled and receives help from the SSA because he cannot work. I implore you to consider the consequences, both good and bad, and allow my brother to continue receiving the services he needs to survive by excluding SSDI from qualification for Medicaid.

Thank you for the opportunity to submit comments in support of HB624. I am Lisa Madron, Executive Director of Community Services. There is currently an average vacancy rate in the workforce across all 40 CSBs in the Commonwealth of approximately 15% with a range from 3-35%. There are certain programs that run a higher vacancy rate such as medical/psychiatric services, emergency services, assertive community treatment and developmental disability services which have shown a 31-36% in vacancies. CSBs have experienced an increase in turnover rates which on average was 21% in FY21 and ranged from 6-36%. Having high turnover rates makes it impossible to resolve vacancy issues and has created additional responsibilities and pressures for the workforce with already high caseloads to take on more. This leads to low morale and burnout. There also does not seem to be enough behavioral health professionals in the pipeline to fill all the vacancies. In a September 2021 Indeed.Com posting, there were 3,682 behavioral health job openings in VA. Yet the number of individuals graduating from VA behavioral health Programs in 2019 was 777. In Region 2(Fairfax, Alexandria, Arlington, Loudoun and Prince William), we are often competing for the same staff which increases the time supervisors are spending in recruitment and hiring only to lose a candidate to a CSB who can offer a higher salary or to private providers, particularly MCOs who are able to pay sometimes 20-30K more in salary and offer at least 50%, if not 100% in telework. In PWC , it is not unusually to run four, sometimes more rounds of interviews for one position. Some CSBs have had to reduce or close programs to ensure prioritized services are covered. If we are able to hire for a vacancy, the training is often more extensive as applicants accepting the position may be right out of graduate school and not have the experience or training that is typically needed for providing treatment services. As the public safety net community provider, CSBs are seeing very acute and complex individuals that require skilled and trained staff. CSBs are often the only service provider able and willing to provide treatment for these individuals. To ensure we have these qualified staff there is a projected level of financial need endorsed by VACSB that would be used to provide quarterly recruitment and retention bonuses, a path for licensure by funding clinical supervision hours and funds for loan repayment and scholarships. HB 624 recognizes the value of the public safety net workforce and provides much needed action to curb the exodus, allow CSBs to address the vacancies, help attract potential new hires and grow existing staff. Thank you

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

We believe that this bill provides for the same transparency afforded to every other DBHDS facility, I know of many instances at VCBR which haven't been reported.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak-AMY Lee Story

I would like to speak please -Amy Lee Story

Good Evening Mr. Chairman and Members of the Committee, My name is Kathy Harkey and I am the Executive Director of NAMI Virginia which is the National Alliance on Mental Illness. NAMI Virginia fully supports HB663 as the bill reorganizes statutory language without making substantive changes. The restructuring provides clarity of provisions and the changes are user-friendly. Respectfully.

Comments Document

Treatment Advocacy Center supports passage of HB663 as a helpful reorganization of existing law to aid in the implementation of MOT in Virginia, as contemplated during the last session.

Good morning, Mr. Chairman and Committee Members, and for the opportunity to speak regarding proposed revisions to 37.2-817 Mandatory Outpatient Treatment. The proposed revisions are timely given the recent tragic events at Bridgewater College which, sadly, echo memory of similar tragic events 15 years ago at Virginia Tech and involving another disturbed young male with a history of SMI.. I am a licensed clinical psychologist and independent examiner for the Virginia Supreme Court with over 15 years of experience with "at risk" populations. My years of experience date back 15 years to the time of the McGarvey Report by the Virginia School of Medicine which included 64 professional, 60 family members of persons with Serious Mental Illness, and 86 persons with experience of having been committed. According to the McGarvey report, and I quote,, "stakeholders are uniformly frustrated by almost every aspect of the civil commitment process in Virginia. Among the most common complaints were shortage of bed in willing detention facilities, insufficient time for adequate evaluation, the high cost and inefficiency of transporting people for evaluation, inadequate compensation for professional participants, inadequate reimbursement for hospitals, inconsistent interpretation of the statute by different judges, and lack of central direction and oversight. Such observations could have been made in a commission report, if mandated today, in the aftermath of Bridgewater. To further quote, "the reforms that we proposed should meet the following test: They should help people with mental health problems get the help they need, when they need it, so that health crises can be prevented or ameliorated and so that suffering and injury can be avoided. The overall goal can be achieved most successfully by fostering a climate of caring and respect for the people who need help, by reducing stigmatization, and by engaging people voluntarily in accessible recovery-oriented over which they have a meaningful measure of control. Conversely this goal can be fatally undermined if there are major gaps in services or if the system is perceived as unduly coercive and drives people away from treatment. The principles of voluntariness, respect, and self-determination must always be kept in the very forefront of our thinking. At the same time, though, coercion is sometimes necessary. Our reforms must therefore assume that involuntary treatment, while being used only when necessary occurs expeditiously and effectively when it is necessary. These statements are an exact quote from the Opening Remarks at the Commission on Mental Health Law Reforms from Professor Richard J. Bonnie, Director of the UVA ILPPP (Williamsburg, VA October12, 2006). To further quote Professor Bonnie, "In my opinion, the need for reform is irrefutable. No one is satisfied with the current situation; the only question is how sweeping the reforms should be.." I agree with everything Professor Bonnie remarked in his 2006 address. Unfortunately, his observations and recommendations, in my opinion, come 15 years too late.. Current proposed revisions in 37.2-817 are largely cosmetic and lack substance for challenges we face in our times, a bit like "rearranging the seats on the decks of the Titanic". Please consider the substantive proposals and recommendations I have made for reform and revisions and refer MOT 37.2-817 back to committee for review, public comment, and amendments.

Comments Document

HB 663 (Mandatory Outpatient), as written, would not have prevented Cho and Virginia Tech 2006.

This would be a much stronger bill and more flexible too as a civil commitment court docket if it were amended by the Virginia State Legislature to allow the district court judge or hospital special justice more discretion to order or "stay" an MOT order and remove the arbitrary 3 year 2 TDO statutory requirement prior to implementation of an AOT (MOT) order by the judge, as proposed in last.yar's Adams HB1026. Per established House legislative procedure, the existing HB663 CAN be amended. The wording of this bill is not "chiseled in stone"-- whatever the expressed intent of it's "working" group of committee lawyers! Proposed amendments to this bill should "see the light of day" and be entertained, as previously promised in the June Hope Subcommittee. This bill AND proposed amendments should be privy to public scrutiny and comment! Stakeholder groups should have their say in invited open Committee session!

Comments Document

Testimony in support of HB663 clarifying that it is solely a reorganization of existing provisions with no substantive changes to existing commonwealth MOT law.

Comments Document

This bill as written does little for the Adult SMI in a psychiatric emergency or for their families who may be desperately seeking effective court mandated outpatient services. This is due to its complexity and arbitrary requirement that a psychotically regressed and incapacitated adult with serious mental illness (SMI) first be subject to a TDO hearing twice over a 3 year period. For example, what does this bill do, really, for a psychotically regressed and incapacitated TDO respondent who has been psychiatrically well stabilized for years on antipsychotic medication, with no prior incidents, that no longer works, or that has debilitating side effects; however, the patient is subsequently TDO'd and presumed competent to refuse treatment or to allow family contacts due to his/her acutely delusional and paranoid decompensated state which "ties staff hands" due to common misunderstandings and misapplication of HIPAA privacy laws? What does HB 663 do for this patient and his family? How does the proposed HB663, as written, provide medically necessary, evidence based, court mandated and judicially supervised outpatient services for SMI patients meeting commitment criteria who do have capacity to consent and who can benefit from court mandated outpatient "problem solving" court dockets supervised by one judge who develops singular rapport with the SMI patient and his/her family who need it-- similar to that in evidence based, community based, criminal mental health dockets? Civil Mental health court dockets could be instrumental, if adopted into law, in encouraging such "at risk" individuals to develop their own physician and court approved care plans in transition to non-judicially supervised case management support and service plans by the CSB in the local community. What does HB663 do for these patients and their families? This "rewrite" of 37.2-817 is needlessly cumbersome, complex, and just as inscrutable to the average family member and advocate for the SMI as it's predecessor, in my opinion, as a forensic examiner. Giving the special justice the authority by legislative initiative to order a civil stay of the MOT order would provide an option for the judge, the patient, the family, and patient advocates in the community that would afford all the opportunity to divert the SMI TDO respondent on a voluntary basis for referral to court mandated civil court dockets and alternative dispute resolution for those willing to consent to and benefit from a referral to community based "treatment courts". The Hope Subcommittee in my opinion can do better! Edmund W. Creekmore, Jr PhD LCP Independent Examiner for the Virginia Supreme Court

This bill as written does little for the Adult SMI in a psychiatric emergency or for their families who may be desperately seeking effective court mandated outpatient services. This is due to its complexity and arbitrary requirement that a psychotically regressed and incapacitated adult with serious mental illness (SMI) first be subject to a TDO hearing twice over a 3 year period. For example, what does this bill do, really, for a psychotically regressed and incapacitated TDO respondent who has been psychiatrically well stabilized for years on antipsychotic medication, with no prior incidents, that no longer works, or that has debilitating side effects; however, the patient is subsequently TDO'd and presumed competent to refuse treatment or to allow family contacts due to his/her acutely delusional and paranoid decompensated state which "ties staff hands" due to common misunderstandings and misapplication of HIPAA privacy laws? What does HB 663 do for this patient and his family? How does the proposed HB663, as written, provide medically necessary, evidence based, court mandated and judicially supervised outpatient services for SMI patients meeting commitment criteria who do have capacity to consent and who can benefit from court mandated outpatient "problem solving" court dockets supervised by one judge who develops singular rapport with the SMI patient and his/her family who need it-- similar to that in evidence based, community based, criminal mental health dockets? Civil Mental health court dockets could be instrumental, if adopted into law, in encouraging such "at risk" individuals to develop their own physician and court approved care plans in transition to non-judicially supervised case management support and service plans by the CSB in the local community. What does HB663 do for these patients and their families? This "rewrite" of 37.2-817 is needlessly cumbersome, complex, and just as inscrutable to the average family member and advocate for the SMI as it's predecessor, in my opinion, as a forensic examiner. Giving the special justice the authority by legislative initiative to order a civil stay of the MOT order would provide an option for the judge, the patient, the family, and patient advocates in the community that would afford all the opportunity to divert the SMI TDO respondent on a voluntary basis for referral to court mandated civil court dockets and alternative dispute resolution for those willing to consent to and benefit from a referral to community based "treatment courts". The Hope Subcommittee in my opinion can do better! Edmund W. Creekmore, Jr PhD LCP Independent Examiner for the Virginia Supreme Court

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Dear Delegate, Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times. Thank you, Kellie M. Good

Correction: Please vote YES for house bill 306! No one should be punished for exercising their right to religious freedom!!!!!

Please vote YES for house bill 106! No one should be punished for exercising their right to religious freedom!!!!!

As an aquatic director, the Fairfax County Health Code 69.1 provides my facility with very clear guidelines for safety and facility management. It helps me ensure that we keep a high level of chemical safety, ensure a safe aquatic experience for our customers, and helps me defend having trained staff ready to respond to emergencies. All residents of the Commonwealth of Virginia deserve the same experience, and having the referenced workgroup to help establish some state code guidelines can do that. Please pass HB669 and keep our citizens safer around the water.

I fully support HB 669 - we need all jurisdictions to have some sort of pool regulations moving forward. Thank you! Kat

Comments Document

February 1, 2022 The Honorable Wendell S. Walker House Health, Welfare, and Institutions Subcommittee Pocahontas Building, Room E310 900 East Main Street Richmond, Virginia 23219 The Honorable Christopher T. Head House Health, Welfare, and Institutions Subcommittee Pocahontas Building, Room E210 900 East Main Street Richmond, Virginia 23219 Re: Consideration of House Bill 669 – Public Swimming Pools; Regulations. Dear Chairman Walker and Vice-Chair Head: This bill, directing the Virginia Department of Health to promulgate regulations governing swimming pools and spas for public use and convene a stakeholder work group provide recommendations related to regulations required to be adopted is supported by the Pool & Hot Tub Alliance (PHTA). Currently, the Virginia Department of Health only has authority to govern and promulgate regulations for pools and spas at campgrounds, summer camps, and hotels. Additionally, only 20 local jurisdictions in Virginia have a code that regulates the operations, maintenance, and safety of public pools. HB 669 will drastically increase the safety and welfare of public pools in Virginia and further protect Virginia residents. HB 669 will not take away a local jurisdiction’s authority to enforce or adopt its own operations, maintenance, and safety code for pools and spas or limit its ability to be more stringent then regulations promulgated by the Virginia Department of Health. The proposed legislation will provide a baseline of standards for local jurisdictions to follow in the absence of an established operations, maintenance, and safety code. The bill establishes a workgroup of industry leaders to assist the Virginia Department of Health and provide recommendations related to regulations required to be adopted. Additionally, the establishment of the workgroup creates an environment for industry leaders and the Virginia Department of Health to discuss current and best practices and opportunity for future collaboration. On behalf of the many Virginia pool and spa professionals represented by PHTA, as well as those in neighboring states that do business in Virginia, we respectfully request that you consider moving this important legislation out of your committee. Sincerely, Jason Davidson PHTA, Director of Government Relations jdavidson@phta.org

Good morning My name is Judy Hackler, and I represent the Virginia Assisted Living Association (VALA). We agree to the intent of this bill, but we do not agree to the presented wording to accomplish the goal. We have been working in good faith with other stakeholders on this bill to develop amendments that were agreeable to all, but those amendments have not been completely applied. We also submitted written comments in the subcommittee that were not acknowledged. The published language is worded with direct conflicts to current requirements. This conflicting language would force assisted living facilities to choose which requirement to comply with and which one to violate. That is not in the best interest of the facilities, the residents, nor the Commonwealth. As a result of these conflicts, we ask you to pass by this bill to get the more appropriate amendments, or we oppose the bill as presented to us. Thank you.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

Good morning, My name is Judy Hackler, and I am with the Virginia Assisted Living Association, also known as VALA. I would like to speak on HB690. After communicating with the stakeholders and agencies that proposed this bill, we agree to the purpose of the bill, and we are working with them to amend the language of the published bill to best serve the interests of the residents, the assisted living communities, and the Commonwealth. As of this morning, we have not seen any official changes published in LIS to the bill in the way of amendments or substitutes, and we encourage the committee to consider passing by the bill for this morning to allow us to review published amendments or substitutes, as we believe we can create a bill agreeable to all stakeholders. Thank you.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

As a foster to adoptive parent, I support this bill and encourage passage. This would increase transparency and accountability for LDSS agencies.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Good afternoon. My name is Judith Dittman. I am the Chief Executive Officer for a Northern Virginia nonprofit organization called Second Story. Second Story’s mission is to step in at critical moments in a young person’s life when the support of a caring adult can make all the difference. To do this we provide safe havens and opportunities to grow and thrive for at-risk youth and for those experiencing homelessness. One of our safe havens is called Second Story for Youth in Crisis. It provides short-term (usually less than three weeks) shelter, counseling and wrap around support services for youth who are homeless, runaway, have been thrown out of their house or otherwise been abused and traumatized. All of these young people are between the ages of 13 and 17. These young people desperately want a safe place to stay and the ability to get the medical attention they have not been able to receive while on their own, especially if they are unaccompanied. They did not leave home thinking that it would be fun to access these critical supports on their own. In fact, many times the youth who are unaccompanied have been left by their parents, not the other way around. We have seen teens left alone in an apartment as their parents left the country. When the youth’s funds to pay rent run out, they have nowhere to turn. We work diligently to reunite youth with their families and are usually successful. But when a youth comes to our shelter door and does not have a family to call on, our options are severely limited. As the law stands now, we have 24 hours to gain the consent of a parent or guardian for the youth to stay in our safe haven. If that parent or guardian is not available there are currently no good options. HB 717 will give youth access while clarifying the guidelines that the provider community will follow to meet the needs of youth and families in our community. Many people are unaware of the number of youth who are homeless as they try to escape notice. Sleeping in their car or going from friend’s couch to friend’s couch. According to the National Alliance to End Homelessness, more than half of unaccompanied homeless youth are under 18 and sleep outside, in a car or in another place not meant for human habitation. There were over 20,000 students experiencing homelessness in Virginia’s schools in 2018-19, according to the National Center for Homeless education … including nearly 3,000 who were unaccompanied youth. Youth homelessness is a crisis in Virginia, and it is especially dangerous for unaccompanied youth. In trying to survive on their own many young people become involved in high risk behaviors that result in their becoming victims of sex trafficking and other violence. When you run out of friends’ couches to sleep on, you are easy prey for a sex trafficker. Reforms to Virginia state laws could help keep unaccompanied homeless youth safe. HB 353 would provide them much-needed access to physical and mental health care and related services. Currently, 31 states, including Maryland, and DC, have laws allowing minors to access housing, shelter, and other basic services without parental consent. I ask you to protect Virginia’s unaccompanied youth who are homeless by passing similar legislation. Judith Dittman

I would like to speak please -Amy Lee Story

SchoolHouse Connection supports HB 353 and HB 717

My name is Malora Horn. I have 33 years of professional experience. My areas of expertise include the provision of mental health services and working with families/youth experiencing homelessness. In my current profession, I often work with older youth who are not living in permanent housing. Some of these youth were with their families prior to losing housing, but a number of them are also living on their "own". These students literally move from one place to the next and often are unable to have any stability. Please understand, some of these students' families may be staying with others but there isn't enough room for the family to stay together. When this happens, most often the "older" students will stay with friends. If a student is 18, entering into a shelter is relatively a simple process. However, if the student is under the age of 18, they aren't allowed to be there without a guardian or CPS will be contacted. I understand there are laws to protect our youth, however, to not support an unaccompanied youth and provide the option to stay in shelter and off of the street until a better plan can be determined, is very difficult and frustrating as a service provider. I understand for anyone under 18 there are additional concerns/liabilities for a shelter or medical providers, however, there must be a better solution, a compromise, a bridge we can create to offer easier access to necessary services these youth may need and currently not able to obtain without a "guardian's" permission. Many of our youth have been traumatized over and over. They may have been in foster care, chronically homeless or currently being abused by someone they know or as a result of human trafficking. I have worked with an 17 year old who decided to stay in an abandoned house instead of living with his guardian, due to the guardian's reported drug use. The only way for him to access services at his age was to either be emancipated or to go into foster care. Neither of these choices are ideal, but at 17, most can't financially take care of themselves. More and more unaccompanied youth are living on the streets, most of them don't chose this option, but most of them don't have any other choices available or access to shelter and medical services . Services continue to expand to address human trafficking and to increase funding and services for those who have addictions. It would make sense to continue to focus on the prevention aspect of how unaccompanied youth in particular don't become the victims, often as a way to survive or to numb the trauma they are experiencing. These youth need to have more access to services and an opportunity to have their basic needs met, especially when most of them don't make the choice to be on their own.

Hello, my name is …. My name is Kimberly Embe-Mamong and I am writing to you as a graduate social work student, young adult who experienced housing insecurity for numerous years, and seasoned researcher for Advocates for Richmond Youth to urge you to pass bills HB 363 and 717. During high school, I became homeless and an unaccompanied youth through unfortunate family circumstances. What was already a difficult experience to navigate was exacerbated by my inability to make decisions pertaining to my own wellbeing and independence that I was now entirely responsible for maintaining. For example, I was a senior in high school at the time. I was in the process of applying for college and had a lot of barriers to making decisions for myself because of all of the requirements related to needing my parents’ signatures. I was unable to attend any medical appointments on my own- as I had no insurance of my own or any way to pay for these expenses out of pocket. I could have benefited greatly from seeing a psychologist and general doctor to discuss the ways in which my homeless experience had begun to take such a large toll on my physical and mental health, and up until this year- I was unable to acquire insurance separate from my family’s plan affordable enough to even see a dentist. In addition to this- the fractured relationship with my family was already something I had felt immense shame around harboring and hiding when most of my friends and peers did not have to deal with such issues, I was made to feel even more embarrassed on a consistent basis when I could not produce necessary signatures and parental consent. I had no other options usually but to either relive my trauma over and over again, explaining my trauma to strangers in the hopes they’d be able to empathize, pity, or at a bare minimum not care enough about bureaucratic paperwork and policies to cut me some slack. I was stuck until I turned 18. This is why it is so imperative to pass both HB 353 and HB 717. While unaccompanied youth may have additional support outside from trusted people and systems in their life, they are largely responsible for making life decisions and managing the implications and any consequences that may arise. This responsibility coupled with the fact that these individuals know their circumstances and what’s best for them better than anyone else, continues to prove that they should have the right to advocate and make decisions for themselves concerning their housing and health- two fundamental aspects of their wellbeing.

Please support HB717 which states that an unaccompanied homeless youth shall be deemed an adult for the purpose of consenting to housing, including emergency shelter, and other services and establishes requirements for providers of housing, including emergency shelter, and other services for unaccompanied homeless youths. Our LGBTQ populations, especially youth focused groups, are at serious risk of losing state and local support. These efforts can help build on this work.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak-AMY Lee Story

I would like to speak please -Amy Lee Story

Dear Sir and Honorable Members of the Committee Industry representatives in the jurisdiction(s) indicated, fully support this bill ... we however would like to point out that the Virginia Department of Health was fully tasked in 2017 to improve and expand the Environmental Health Database to include the ability to capture and report on Conventional Onsite Sewage Systems. https://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+HB2477 - 2017 Legislative Session 7. Improve the collection and management of data about onsite sewage systems and private wells, including (i) creating a web-based reporting system for conventional onsite sewage system operation and maintenance, (ii) accepting applications and payments online, (iii) making onsite sewage system and private well records available online, (iv) creating a complete electronic record of all permitted onsite sewage systems and private wells in the Commonwealth, and (v) creating procedures for tracking Notices of Alleged Violations and corrective actions; and The Department to date has been "unable" to provide or make changes to their database as required by legislation. We have had numerous teleconference meetings where private sector has voiced our concerns, and the VDH database administrator has given many excuses as to why they are unable to meet the legislative requirements and make changes. We hope that the committee may add some "teeth" or urgency to the matter for VDH to upgrade the database as required, for a central online reporting instrument is essential for the Chesapeake Bay reporting to work.

I oppose HB 769 as it is proposed for the following reasons: 1. Licensed operators, pursuant to 18VAC160-40, are not licensed pumpers. Individuals can hold multiple licenses – such as installer, operator, pumper, contractor. But a licensed operator, as a stand alone license, is not a pumper and has no pump out authority from either DPOR or VDH. 2. DPOR licenses operators, but does not license pumpers. VDH licenses pumpers through their Sewage Handling Permit program (see 12VAC5-610-240.B - Sewage handling permits. Any person who removes or contracts to remove and transport by vehicle the contents of any septic tank, sewage treatment plant, privy, holding tank, portable toilet, or any sewage septage or sewage sludges from any other device shall be deemed an owner and shall have a written sewage handling permit issued by the commissioner). 3. VDH is stressed to the point of incompetence with the Alternative Onsite maintenance program. VDH is mandated to enforce an annual inspection program for about 25,000 alternative septic systems. The program has been in place for the past 12 years. As of 2017, VDH's compliance is about 10% on the annual maintenance inspection program - out of 23,176 alternative systems, there were only 4,858 inspections for the two year period - 2016 & 2017. For 100% compliance, there should have been 46,352 inspections reported (4858/46,352 = 10.5%.). That’s a statewide compliance rate of 10% for only 26,000 systems. 4. The estimated number of onsite systems in each county is: i. Accomack, 21,356 ii. Essex, 5,914 iii. Gloucester, 16,923 iv. King and Queen, 3,532 v. King William, 7,373 vi. Lancaster, 7,689 vii. Mathews, 5,760 viii. Middlesex, 7,392 ix. Northampton, 7,493 x. Northumberland, 9,394 xi. Richmond, 3,999 xii. Westmoreland, 11,134 Therefore, the estimated total number of conventional septic systems is 97,000 (estimating 90% of the 107,959 dwelling units are served by septic) Does the General Assembly trust VDH to manage/compel 97,000 pump outs every 5 years? 5. DEQ has oversight and audit authority provided by statute. They routinely audit counties for CBPA compliance. If the CBPA pump out program is transferred to VDH, what agency is empowered to hold VDH accountable? 6. The CBPA regulations include enforcement and civil penalties. What specific type of enforcement and civil penalties are provided to VDH in the transfer of the program. 7. There are multiple causes for pump outs. The 5-year CBPA program is one of many reasons owners have their septic system pumped. What levels of responsibility are attributable to the owner, and to the pumper? Is the owner responsible for the pump out only? Is the pumper only responsible for reporting the pump out? What happens if a pumper fails to report? What happens if the owner refuses to comply with the 5 year mandate? 8. Is VDH going to require owners/pumpers to report ALL pump outs? The correct public policy focus should be on alternative system maintenance and the enforcement of the annual inspection program. Alternative systems are critical, as they are constructed in our most sensitive environments. VDH’s failure to enforce the annual inspection program over the past 12 years is a colossal abrogation of their duty to the Commonwealth.

As a SALT (Social Action Linking Together) and Cornerstones advocate, I encourage you to support HB 484, with Delegate Dan Helmer as patron. This legislation exempts from mandatory participation in the Virginia Initiative for Education and Work recipients of Temporary Assistance for Needy Families those enrolled full-time in an accredited public institution of higher education or other postsecondary school licensed or certified by the Board of Education or the State Council of Higher Education for Virginia and are taking courses as part of a curriculum that leads to a postsecondary credential, such as a degree or an industry-recognized credential, certification, or license. Passing this legislation would make moving off welfare into the workforce a much easier task, which would be a win-win for both those receiving TANF and taxpayers. Post-secondary education, GED, vocational education, and most credentialing programs, as well as apprenticeships, require more than 24 months for the screening, access and completion process. Eliminating the two-year limit is the right thing to do. Preparing adult TANF recipients for jobs to fully support their families should be a primary goal for Virginia. Attaining this goal would be a win-win for both TANF recipients and taxpayers. However, the current two-year time limit on the continuous receipt of TANF benefits is an impediment, making that goal unattainable. Regards, Sarah Newman

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I SUPPORT HB 388, 481, 484, 538, 877, 878, 1012, 1105, 1106, 1211, 1329, and 1342. Also, I object to the language used to describe non-citizens - the word "alien" is dehumanizing and I suggest retiring it permanently when referring to non-citizens. I OPPOSE HB 937 and 1359. It is everybody's right to control their own fertility and to NOT be forced to carry an unwanted pregnancy to term. Both of these bills directly or indirectly undermine that right.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Dear Delegate, Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times. Thank you, Kellie M. Good

I urge you to strongly opposenthis bill. Residents on VA deserve physician-led care. NPs were developed as extenders, they were not - and still are not - prepared to practice medicine independently. Please take the time to learn about the 100% acceptance rates and online-only models of many of today's NP schools. If you want to understand the difference between NP and MD/DO school, ask someone who has completed both. It is irresponsible and unethical to listen to only one side or an argument (in this case presented by an NP legislator), especially when people's lives are on the line. Awarding medical degrees by legislation is dangerous and unethical. Vote NO.

Correction: Please vote YES for house bill 306! No one should be punished for exercising their right to religious freedom!!!!!

Please vote YES for house bill 106! No one should be punished for exercising their right to religious freedom!!!!!

What is the logic behind removing any need for accountability? Who will be responsible for missed diagnosis, delay in care, and poor management? Are the people voting for this OK with independent care from an NP for serious health issues? Also, there is no effective way to triage in an independent practice

Virginia is going to drive out all their doctors. Increasing limits on Physicians while decreasing limitations on Nurse Practitioners is an egregious power play that will be to the detriment of the citizenry of Virginia. Physicians complete training with over 15000 hours of supervised clinical training. Nurse practitioners complete training with less than 500 hours and these days their less than 2 years of schooling is sometimes completely online with 100% acceptance rates. Hospitals and politicians love them because they cost less. Buyer beware. Our patients deserve better.

To whom it may concern, My name is Kristin Levesque and I am an internal medicine physician practicing medicine in Alexandria, Virginia at a primary care/urgent care office. Being a military spouse, I have been practicing in this state for only 1 year and do not unfortunately vote in the state of Virginia. However, I would love to provide some insight, so that I may advocate for my patients and continue to support Virginia in upholding the best healthcare possible with the least harm to patients. In my time practicing medicine in Virginia, I have had the privilege of working beside Nurse Practitioners and Physicians Assistance and appreciate their level of expertise and commitment to the health care community. They help provide access to the high volume and acuity patients seen in our clinic, as well as across the country. However, I oppose this bill and bills like this which impart greater restriction on physician led medical teams in lieu of alternatives. As part of a team approach, I, as well as the other physicians in the clinic, am a leader in helping PA's and NPs navigate complex health care cases and help make educated medical recommendations, when experience and education is not permitting. This is an important part of a collaborative approach to health care, as we cannot expect our very important NP and PA colleagues to have the same knowledge base and study that comes from a medical degree. We all want more affordable health care, and by extending the abilities for PA's/NP's I appreciate the concept of meeting aps and achieving greater access to healthcare. Access is extremely important and clearly innovations are needed to help meet this needs (I have a few ideas!). However, unregulated and monitored access to new providers with limited training is dangerous and should not be a short cut we are willing to take. Learning and practicing medicine is not easy. With many in the public using Google and WebMD to guide their medical decision making, an ongoing pandemic, and an ever evolving climate for health care we are in a more crucial time than ever to support physician led teams and to expect the absolute best care possible for patients. Practicing medicine takes continuous study, and all providers (physicians, PA's and NP's) must be stringent in order to stay current. Regardless of continued education, the collaboration and supervision by a physician led team is crucial to avoiding healthcare errors that would harm patients and add costs to a broken system. This is not the right way to improve access or quality health care. Please consider my words while you make this important decision that could lead to potential harm of many people. Supervision and the extension of supervised education is pivotal to properly achieving the safe practice of medicine. Dr. Kristin Levesque, D.O.

Physicians complete training with over 15000 hours of supervised clinical training. Nurse practitioners complete training with less than 500 hours. These days, their less than 2 years of schooling is sometimes completely online with 100% acceptance rates. Patients deserve well-trained physicians. Even if hospitals prefer to hire nurse practitioners because they cost the system less. Who would you want caring for your family member?

This bill, if passed, will further erode the protection of patients from poorly or inadequately trained nurse practitioners who may be practicing outside, above and beyond their scope of education and training. I’ve trained nurse practitioners in the past. in my role as acute inpatient care Hospitalist. Everything but the most basic aspects of care are lost on most of them. I do not see the understanding for some of the most basic science related to the disease processes which they attempt to treat. I’ve had NP not know the different names for medications must less the mechanism of their action or potential side effects. Often the NP students would ask me to sign off their medical training with very little effort given master the curriculum and self study needed to learn medicine. Ask yourselves this question: when your family member is sick, really life threateningly sick, do you trust their care to someone who has only 500 hours of clinical training? Do you truly leave them to be treated by a nurse practitioners without a fully trained and qualified physician making those critical decisions? There is a small role for routine outpatient care for NPs and PAs, but only with the close supervision of a physician. Some times unscrupulous physicians use mid levels inappropriately to increase the volume of patients seen. Without adequate checks and balances, undertrained and overconfident NPs can cause drastic suffering and poor outcomes for their patients. Please vote down HB896.

Provider was a derogatory term used towards Jewish physicians during the Holocaust to minimize their training and importance within the medical system. Today, it is a term that is being used to try and conflate a physician's MEDICAL training with the training in NURSING PRACTICE and PHYSICIAN ASSISTANCE conferred upon non-physician providers. There is no question that the a physician's training through an undergraduate education, four years of medical school and a minimum of three years of residency training does is colossal compared to the mere hours of online education that can precede an NP degree. To take away a community's ability to differentiate between these vastly different levels of training by altering the terminology regarding patient care team physicians is a disservice to the constituents of Virginia. Furthermore, to remove a patient's ability to seek justice by eliminating the requirement for medical malpractice for non-physician providers, who have not met the minimum medical training required for physicians to practice independently as experts in their field, is a disservice to Virginians in their most significant hour of need. If the state of Virginia proposes allowing non-expert professionals to maintain the health of its constituents independently, Virginia constituents deserve the right to seek damages equal to or higher than they would be able to from physicians, who have expert training in the practice of medicine. I offer an analogy to illustrate how preposterous this bill is: let's say a resident of Virginia has a vehicle they need to get fixed. They go to a "certified car provider," a term that the state has adopted to allow car salesmen who have taken a quick online course on how cars work to repair cars independently and with the same authority as mechanics who have trained in their trade for years. The Virginia resident was told that their car was being looked at by a provider, but was never told if that provider was a mechanic or a salesman. Let's say that the car was making a whirring noise that came from a defect in its timing belt. Where the mechanic would have had the training necessary to recognize a potentially dangerous problem, the salesman believes the issue is coming from a dislodged piece of plastic, which he secures. He assures the resident that the car is safe to drive. The Virginia resident gets on the highway just to have his timing belt snap and his car swerve out of control, leading to a fatal accident. Had the resident been able to tell if they were seeing someone qualified to work on their car, they could have avoided the accident all together. The car salesman, who was given the same authority to work on cars as a mechanic by the state for the purpose of increasing access to vehicle services, and by no virtue of his training, is at fault. Now, imagine that timing belt is your father's heart. And the non-physician provider who misdiagnosed and mismanaged your father cannot be held liable for his untimely death at the age of 45. What's worse, because of the state of Virginia's nomenclature around "providers," your father never even had a chance to make an informed decision about his healthcare, trusting instead that he was seeing someone with the training of a physician. Not only would HB896 have taken away his right to informed consent, but it would further add insult to the tragedy of his death, by eliminating your right to seek justice and protect other Virginians from the same fate.

Virginia is going to drive out all their doctors. Increasing limits on physicians while decreasing limitations on Nurse Practitioners is an egregious power play that will be to the detriment of the citizenry of Virginia. Physicians complete training with over 15000 hours of supervised clinical training. Nurse practitioners complete training with less than 500 hours and these days their less than 2 years of schooling is sometimes completely online with 100% acceptance rates. Hospitals and politicians love them because they cost less. Buyer beware.

Betty Wattenbarger was killed by an independent NP in Texas. Kyler George was 1 years old when the NP missed his diagnosis. He died and mom was awarded 3 million. Alexus Ochoa died due to NP misdiagnosis and family awarded 6 million. Please do not allow for removal of malpractice requirements on NPs. They should be equally held accountable as physicians when patients are harmed. 50 years of research shows that NPs provide safe care when supervised by physicians. Yet as Virginia removes supervision, they are conducting an experiment and risking patient safety while providing no recourse if a family member of a patient dies. Dr. Adams charges Medicaid patients cash to prescribe Marijuana. What kind of state exploits the poor like this? Adams has a conflict of interest regarding this bill. It will now remove the requirement SHE Carrie’s Med mail insurance.

Respectfully, I cannot fathom how this would be considered a good idea for the overall health of virginians. Nurse practitioners notoriously have highly variable and poorly regulated training programs and this bill is suggesting that someone who has less practical training than a dog groomer (please look this up--dog groomers require more practical training hours than a nurse practitioner) be allowed to start practicing in 2 years independently versus a much better trained physician not being allowed to practice for 3 years? There is a reason why nurse practitioners require supervision by a physician as they are trained to manage disease, not diagnose. This is the physician's responsibility. While I have the utmost respect for nurse practitioners (as well as physician assistants) whom I've worked alongside during this pandemic, like me,the traditionally trained nurse practitioners (i.e., bedside nurses for 8+ years who then go to NP school) find the independent practice push to be abhorrent. A flight attendant puts just as many hours into being on a flying plane, therefore they are qualified to be pilots, right? Should we have general construction workers without an engineering background design our public bridges, too? This bill makes no sense and would ultimately bring harm to the health of virginians. I would encourage our legislators to consider the health of their own family when reviewing this bill. Who to you want flying the plane? The pilot or the flight attendant independent of a pilot?

The knowledge base and training of todays NPs is subpar. It is a disservice to the unwitting community to receive subpar medical and health care from nice people. Would you pay full price to be flown over international waters by the stewards just because they’ve been around a plane? I would hope not. How about getting a legal aid to handle your divorce or a big civil suit instead of a lawyer? Why should health care be less? Please, without proper supervision and Standardized training, NPs should not be independent. Vote no

Please consider the results of this bill. Ultimately you are allowing decreased education and responsibility for people to practice medicine when they actually have no training to do so. This will learn to a class Denver if healthcare where only the rich or the nearly killed by providers without any medical education/training/responsibility (NP/PA) will be able to have access to medical care. Non physician providers were designed to extend not replace physicians. With this bill you will be replacing physicians. Additional bills that require increased and prolonging physician training demonstrates that you are aware of the difference in roles but have not looked into rate of opiod prescribers or antibiotic, numbers of required consults which delays medical care or rate of polypharmacy-- all of which are greater in an NP managed patient. Additionally, requiring medical doctors to carry increased financial responsibility will further deter physicians from considering practice in your state. This further limiting medical access. Studies show that increased NP autonomy does not increase rural access but does inflate cost of healthcare. To improve MEDICAL access, may I suggest creating a more physician friendly environment, one that supports them with the same-- or at least equal-- as not medically trained non physician providers. May I also recommend that unless you and your entire family consistently get the lower and poorer "healthcare" providers by NP, it is hypocritical and irresponsible for you to force this on the people in your state. And perhaps you should consider how your loyalty has been purchased.

You must be out of your mind to think someone with less training will be able to practice independently Be prepared to deal with lot of law suits

The three corners of the "Iron Triangle of Healthcare" are: access, cost, and quality. We cannot improve one of these without negatively affecting the others. Those individuals and corporate entities which have much to gain financially by measures which reduce the QUALITY of care available to patients (such as nurses independently practicing medicine in any venue and at any stage), have done so by using the false guise of increasing access or reducing costs. In states with long histories of nurse "full practice authority" such as Arizona, there have been virtually no net improvement of access to care in rural areas nor for other underserved populations. If anything, patient's access to a physician's care gets reduced as "profit-conscious" health systems REPLACE physicians with non-physicians. There are no unbiased studies which demonstrate that nurse practitioners functioning independently (of physician supervision, collaboration, consultation, or training) can provide physician-equivalent safe, high-quality care. Studies which the APRN lobby often tout as showing equivalent care cannot be considered legitimate evidence due to flaws such as being outdated, not performed in this country, very small sample sizes, or the fatal flaw of extrapolating conclusions of equivalent care of independent nurse practitioners using studies of those who practice in a physician-supervised model of care delivery. As far as COSTS are concerned, nurses independently practicing medicine save no one money except for the nurses' employer, who can forgo paying for an actual physician. There is a saying " If you think it's expensive to hire a professional to do the job, wait until you hire an amateur." Studies show that nurse practitioners order more unnecessary tests (such labs, radiology testing and biopsies) in trying to make diagnosis, more often refer to specialists unnecessarily and more frequently, more often prescribe unnecessary or non-indicated medications such as psychoactive medications, systemic steroids, antibiotics and opiate pain killers. I believe that Virginians who may or may not have paid the additional financial costs for these, are all too aware of the increased HUMAN COSTS of low quality care. What the American Association of Nurse Practitioners and their state affiliates is not likely to disclose to their corporate healthcare backers is that one of the organization's GOALS (which was visible on their public website until recently) includes employment pay parity with physicians and insurance reimbursement parity with physicians. The nurse practitioner lobby has already achieved reimbursement parity via legislation in the state of Oregon, and is currently pushing for the same in Washington state. For those who are offended by the implication that nurse practitioners are "amateurs", I say, indeed nurse practitioners MAY be expert nurses, but nurses are not physicians. Nursing and medicine are two separate professions. Nurse practitioners did not go to medical school, they do not have a medical license, they do not have medical board certification, and they are not held to the medical standard of care by the courts nor by their profession's regulatory agencies. They are held to NONE of the standards of physicians. With inconsistent, often lax, requirements at every stage of their professional development it often seems that nurse practitioners are NOT held to ANY standard. Protect Virginians! Vote NO ON HB 896!

2 years of “supervised” practice without competency requirements is not sufficient to practice independently. NPs do not have the experience to understand how superficial and rudimentary their education is. They don’t know what they don’t know. Allowing insufficiently trained providers take the place of physicians is dangerous to public health and leaves your constituents with no recourse when they experience malpractice. Your at vote NO to this proposal.

Absolutely egregious. If your intent is to create a standardization of independent practice then how can one eliminate the consequences of independent risk while maintaining the benefits. This will hurt patients and if you truly value the welfare of your constituents then you should be able to easily appreciate this

Unsupervised NP practice is one of the biggest dangers to patient health that exists today. NP degrees are poorly regulated (if at all), many of the programs are for-profit “degree mills” pumping out unqualified graduates with nowhere near enough education to safely assess, form differential diagnosis, intelligently order indicated workup, diagnose and treat disease - which is what independent practice requires. Please do not contribute further the “death of expertise” phenomenon arising in our country by voting for this bill; not only is it unethical to knowingly subject patients to under-qualified care, it will end up costing everyone a bunch more money in the long run.

As a military physician licensed in Virginia, this bill is very concerning to me. Nurse practition education and training varies from rigorous to substandard; oftentimes nurse practitioners are not reliably trained for independent practice. It is my fear that with this bill the Healthcare of Virginians will suffer, their costs will go up (see recent studies showing more twsting/referrals) and their overall care will go down. As an ER physician, I would expect to see an increase in unnecessary ER visits. I would also expect to see an increase I'm missed or delayed diagnoses, so I feel that removing requirements for NPs to carry malpractice insurance (if required by team leader) will inappropriately skew risk/responsibility. As a whole, if this bills passes I am much less likely to consider Virginia as a place to live when my commitment to the Army is over and as such likely will not continue to renew my license.

I am writing in strong opposition of this bill on behalf of family living in Virginia. This bill would be a huge step backward in healthcare for the residents of the state. Before voting on this bill ask yourself this question. If your parent or child needed medical care would you feel comfortable bringing them to an NP who can receive that degree in less than two years doing online courses while working full time in another job, has no meaningful supervision requirements, and has no requirement to carry malpractice insurance?

So decrease the time for nurses to play doctor but increasing time for actual doctors to practice medicine? This will absolutely impact your family and you may not even be aware. Vote no to protect everyone including you.

As a physician who oversees NPs in the ED and having to interact with them as primary care managers making referrals to the ED AND having to admit to them in lieu of a physician hospitalist, I can personally attest to the fact that they are grossly underprepared when compared to their PA counterparts, perhaps because they are mostly taught online, during the pandemic, meaning no hands on hours, they only require 500 hours to graduate, and their is no standardization to their education. I would never personally allow an NP to be in charge of any of my family’s health without physician supervision. To think you will offer independent t practice without liability after only 2 years of supervision is terrifying. People will die as a result of approving this negligent bill. The NP was never meant to practice without oversight. They do not receive the education for it. Please do not pass this bill.

Removing medmal requirements for nurse practitioners after removing supervision requirements is insanity. Who will protect patients when they are inevitably harmed by poorly trained NPs? How will they be held accountable? Physicians have far longer and more strenuous schooling and training, and physicians must carry medmal for patient protection. I can’t imagine setting a driver loose after removing the requirement for driver training and then also removing the need for insurance. WOW

This is not just about autonomy. By removing malpractice it becomes about patient safety, pure and simple. This bill basically says they - the NPs - aren't held accountable for damage they cause to patients. This is bad for your constituents. They will have no recourse if harmed by an NP. You should not legislate expertise, it needs to be earned honestly and in accordance with the gravity and risks associated with the work : these are people’s lives you are proposing to gamble with. Yours. Your loved ones. Your neighbors.

To take care of people at the most vulnerable time in their life takes dedication, knowledge, experience, and a little bit of fear. Fear that although you have learned the science behind the medicine, and know you have built a comprehensive list of differential diagnoses, you may have made a mistake somewhere. It is this fear that drives physicians to learn more, work harder, dedicate our youth to pursuing medical school, residency, and fellowship for some. There is a reason why medical schools accept so few. Those that are accepted are the top 10% of their classes, and have to be, because of the shear volume of information and knowledge that has to be mastered. Unfortunately, those supporting this bill do not possess that fear or dedication. They do not know what they do not know, because they have no where near the education or depth of knowledge. Their concern is parity in money and prestige, but not in the work that it takes to actually LEARN the medicine and science. Midlevel practitioners are not, in any way, equal to physicians. They do not have the same requirements for undergraduate, or graduate level study. Their outcomes, due to their lack of understanding of the actual science of medicine, result in higher health care costs. This is due to ordering of unnecessary tests, unnecessary imaging studies, unnecessary biopsies, and unnecessary referrals. They do not provide care to rural areas in large numbers, as evidenced by the proliferation of med spas, and they increase burnout in physicians. Continuing the farce of independent practice is leading to a tiered healthcare delivery system. Patients with money and connections are getting access to real physicians, while patients who do not know any better, or are poorer, are delegated to midlevels with a poor medical foundation. Being a RN is NOT the same as being a medical student. RNs take orders and rarely understand the why. Medical students, many who have been paramedics, CNAs, RNs, volunteers in nursing homes, truly understand how much they did not know, once they reach the 3rd year of medical school. They learn the importance of the fear that motivates the most dedicated of physician. Please do not move forward with this bill. If midlevels truly want to practice medicine, and practice it independently, they should also desire to practice it safely. That can ONLY happen if they go to an accreditated medical school, residency, and then pass the USMLE steps as well as the challenging(and not open book) board exams that physicians must pass. Anything less amounts to a true disregard of, and disrespect for the patients who we see at the most vulnerable times in their lives. Thank you for your time, Dr Kimberlynn Heller FACOG

Good morning, I’m currently in my last six months of my second medical residency. I will be eligible for both family medicine and emergency medicine at the end of the year. It’s remarkable after almost four years of medical school and six years of residency that I do not feel I’ve learned enough and have fears about independent practice. That’s engrained in our education model. Training as physicians. A NPP has at the most 500 hours of clinical training versus 10,000 plus hours as a physician to practice fully licensed and now independently? This is a very, slippery slope regarding patient safety. I believe wholeheartedly that it’s been over almost 20,000 hours of clinical hours now that I am confident in what I know and cautious enough to know when I’m not sure or need to consult a specialist. NPPs don’t have this experience, the fear factor, or the skills and knowledge to practice independently. I would be very cautious to disrupt the TEAM structure of delivering medical care. NPPs are assets working collaboratively with a physician. As a team, with a physician at the helm. Thank you for listening to my comments

The 3 corners of the "Iron Triangle of Healthcare" are : access, cost and quality. We cannot improve one of these without negatively affecting one or both of the others. Those individuals and corporate entities which have much to gain financially by measures which reduce the QUALITY of care available to patients (such as nurses independently practicing medicine in any venue and at any stage), have done so by using the false guise of increasing access or reducing costs. In states with long histories of nurse "full practice authority" such as Arizona, there have been virtually no net improvement of access to care in rural areas nor for other underserved populations. If anything, patient's access to a physician's care gets reduced as "profit-conscious" health systems REPLACE physicians with non-physicians. There are no unbiased studies which demonstrate that nurse practitioners functioning independently (of physician supervision, collaboration, consultation, or training) can provide physician-equivalent safe, high-quality care. Studies which the APRN lobby often tout as showing equivalent care cannot be considered legitimate evidence due to flaws such as being outdated, not performed in this country, very small sample sizes, or the fatal flaw of extrapolating conclusions of equivalent care of independent nurse practitioners using studies of those who practice in a physician-supervised model of care delivery. As far as COSTS are concerned, nurses independently practicing medicine save no one money except for the nurses' employer, who can forgo paying for an actual physician. There is a saying " If you think it's expensive to hire a professional to do the job, wait until you hire an amateur." Studies show that nurse practitioners order more unnecessary tests (such labs, radiology testing and biopsies) in trying to make diagnosis, more often refer to specialists unnecessarily and more frequently, more often prescribe unnecessary or non-indicated medications such as psychoactive medications, systemic steroids, antibiotics and opiate pain killers. I believe that Virginians who may or may not have paid the additional financial costs for these, are all too aware of the increased HUMAN COSTS of low quality care. What the American Association of Nurse Practitioners and their state affiliates is not likely to disclose to their corporate healthcare backers is that one of the organization's GOALS (which was visible on their public website until recently) includes employment pay parity with physicians and insurance reimbursement parity with physicians. The nurse practitioner lobby has already achieved reimbursement parity via legislation in the state of Oregon, and is currently pushing for the same in Washington state. For those who are offended by the implication that nurse practitioners are "amateurs", I say, indeed nurse practitioners MAY be expert nurses, but nurses are not physicians. Nursing and medicine are two separate professions. Nurse practitioners did not go to medical school, they do not have a medical license, they do not have medical board certification, and they are not held to the medical standard of care by the courts nor by their profession's regulatory agencies. They are held to NONE of the standards of physicians. With inconsistent, often lax, requirements at every stage of their professional development it often seems that nurse practitioners are NOT held to ANY standard. Protect Virginians! Vote NO ON HB 896!

Medical doctors very frequently see patients who have had incorrect diagnoses and treatments by non-physician providers. Multiple times per week I have to fix a mistake made by an unsupervised NP or PA. Not only does this harm patients, but it wastes their time and costs our healthcare system thousands. Doctors who speak up about this are punished by healthcare companies because profit is more important to them than patient well being. NPs should never practice without direct physician supervision.

This bill is atrocious. Virginians deserve proper medical care, best delivered by physicians who have not only undergone 4 years of medical school inclusive of more clinical time prior to any residency hours, than nurse practitioners, but also who have similarly sacrificed their time and lost wages in their twenties to that end. Nurse practitioners who claim to be equivalent have never sacrificed that much for patients, stayed later than “shift”, or taken even the most basic of USMLE licensing exams. Further, successful passing of STEP 3 and one year of residency allows for adequate needs for practicing without full board certification (still more than 2 years of NP training). Removing malpractice from nurse practitioners, who are less trained at medicine, and with less experience for complications and rare illnesses for which they are not trained to recognize, is counterproductive to the protection of Virginian’s health. Removing malpractice caps for doctors at the same time only proves the that nurse practitioners will continue to point fingers when things go wrong, while praising themselves the occasional times they can help (which is not often and never compared to the care of a physician in the same circumstances). Your citizens and family deserve physician care. They are trained the best, and have sacrificed the most, speaking to their knowledge but also their dedication to their patients and the art and science of medicine.

Nurse practitioners should only practice under direct physician supervision. Letting them practice without physician oversight does not increase access and certainly does not improve patient outcomes. A physician-led team that includes non-physicians can be great, but we need to stop trying to remove the most highly trained experts from the patient care team!

This bill seeks to increase training for people who have endured the arduous long years of becoming a physician, while giving nurse practitioners who have a fraction of the education the ability to practice independently. Unfortunately, medicine has no short cuts. If it were your father or mother, you would want them treated by the most qualified person. Education and expertise matter, so does patient safety. As a physician, the only way I will support this bill is if nurse practitioners want to have all the responsibilities that a doctor has, they have to take the qualifying board exams that physicians take- USMLE1,2,3 (to ensure they have the knowledge to safely care for a patient) AND they have to assume the liability for wrong outcomes, just like a doctor would. You cant have your cake and eat it too. Also, it is a conflict of interest for the sponsoring person of this bill, who is a nurse practitioner, to be trying to subvert the required education by legislating practice standards that are unsafe for patients just because she could mAke more money working like a doctor without the education and legal liability. Patients deserve better.

The fact that this bill reached this far is absolutely appalling and is a dangerous precedent for medicine in the future. Training absolutely matters and we will continue to downplay it at our peril. Kindly look into the history of the author of this bill and the agenda will be clear. What a travesty that she has such a voice and influence. I work in the medical field with numerous nurse practitioners and again - TRAINING matters! Please.

This is an extremely dangerous bill and I am not sure why anyone would advocate for LESS supervision. Most people want to see the best trained person in the medical setting and yet the standards are being lowered everyday for NP education and training. Imagine if you or your loved one needed medical attention, who would you want seeing them, someone with less training and supervision?? Everyone voting on this bill will either be faced with health challenges or have someone they care about face medical issues and you will likely have to deal with NPs with current trends, so please vote as if voting for yourself and for your loved one!

NPs are not properly trained to practice without physician oversight. This is not safe for patients.

Delegates, Please vote no for HB896. I think that for patient safety, midlevel providers should corroborate with physicians. Physicians undergo 10k-16k hours of clinical training whereas Nurse Practitioners receive well under 1k hours. Studies have shown NPs to order more laboratory and diagnostic testing which will lead to increased costs to our healthcare system. I think patients are best served in a physician lead team. They are the most qualified through their training and experience to lead the patient care team.

Dear delegates, I sincerely urge you to VOTE NO to HB 896. Passing HB 896 will not improve the issue of access in underserved areas, it in fact will end up increasing health care costs, overutilization of resources and adverse patient outcomes. -Based on several studies, NPs overutilize resources, order diagnostic tests in excess, over prescribe antibiotics as well as opioids. This will increase overall costs of health care as well as threaten patient safety. - American Medical Association mapping tool shows that NPs are more likely to practice in the same geographic areas as physicians. - There are no credible scientific studies that support the safety and efficacy of NPs practicing without physician supervision. - Physicians undergo at least 12,000 hours of training in an average 3 year residency alone in addition to clinical rotations during medical school before they can practice. The education and training is rigorous and leads physicians to develop an in-depth understanding of their respective fields. For example, a Gastroenterologist would have to go through 4 years of pre-med, 4 years of medical school, 3 years of residency and then 3 years of fellowship to be able to practice as a Gastroenterologist. At the very minimum, 24,000 hours of clinical experience under the supervision of MDs. And why shouldn’t they ?? They are responsible for human lives – it could be your child, your sibling, your parents they are treating. Compare this with a 2 year degree from an online NP school (believe it or not, your NP might not even have set foot in a brick and mortar school) and a mere 800 hours of clinical experience. If HB 896 has passed, NPs with just 2 years of clinical experience could be supervising other NPs and patients may end up never seeing a physician for their ailments. Patients deserve the diverse skills and expertise of every type of clinician- all with the common goal of providing safe, high quality medical care. Please remember, voting NO on this bill will not stifle an NP from advancing in their field or prevent them from seeing patients. It will in fact help them become better NPs by learning from physicians. But voting YES will definitely cause patient harm, increase healthcare costs and will not solve the issue of access to healthcare. Sincerely, A concerned physician

Dear Delegates, My name is ____Tracy Gates__________, I am urging you to please oppose HB1172 as it would lead to the decertifying and closing of all 158 Oxford Houses with over 1,300 recovery residence beds for men, women, and women with children, all across the state. Oxford House is an incredibly successful, well-researched and evidence-based model for self-run, self-supporting recovery homes that has been saving thousands of lives in Virginia for 32 years. Requiring all certified recovery residences be staffed would completely undermine the most important aspect of our amazing model. Without our statewide network of Oxford Houses, more Virginians will remain in addiction and die. Please oppose HB1172!

Dear Delegates, My name is Shannon Lawrence, I am urging you to please oppose HB1172 as it would lead to the decertifying and closing of all 158 Oxford Houses with over 1,300 recovery residence beds for men, women, and women with children, all across the state. Oxford House is an incredibly successful, well-researched and evidence-based model for self-run, self-supporting recovery homes that has been saving thousands of lives in Virginia for 32 years. Requiring all certified recovery residences be staffed would completely undermine the most important aspect of our amazing model. Without our statewide network of Oxford Houses, more Virginians will remain in addiction and die. Please oppose HB1172!

Legality does not equate to quality. Nurse practitioners are not incapable. They’re not uneducated. They tend to be very good people with good hearts and ambition to help others. But ambition and a good heart does not equate to competence. The human body and condition are the most sacred qualities that you and I have. To treat disease is an immense responsibility and a dangerous task. Nurse practitioners certainly have a role in a healthcare team, but I can guarantee you that when you or your child or your parent are sick and panicking, you want a team of qualified, competent physicians by your side. Because at the end of the day, although physicians can make mistakes and tire out, we have been trained several degrees more rigorously than any education that an 18-month online nurse practitioner school with a 100%acceptance and 100% pass rate ever can provide. Standards must exist when you are dealing with patients’ health. Lawmakers may be able to afford to still take your family to doctors, but expanding the scope of nurse practitioners to independent practice exposes your constituents and my parents to inherently lower quality care. Medicine is about bedside manner and the human connection, but MOST importantly, it is accumulating and honing an extremely intricate and comprehensive wealth of medical knowledge. Only years of 80-hr-per week training, 24hr calls, and rigorous, constant education can achieve this. Healthcare disparities will not improve, and data has shown that over 90% of midlevel providers establish their practices in urban settings with no intention of treating the underserved or those in rural settings as their mission states. The desire to practice without supervision is the root of this push from midlevels. No one likes a boss, especially when you feel you can never surpass your boss. Any human being would want to leapfrog the process in this work setting and push for independence regardless of patient safety. We are all human after all. But so are our patients, and they deserve to be treated by the best. And the best are physicians- a fact that you know already. If this bill passes, I plead for you all to have all of your healthcare administered by a midlevel provider for the next 5 years. Only from this experience will you understand the gravity of this mistake.

I am an autonomous Nurse Practitioner (ANP) practicing in a rural and underserved area as the sole healthcare provider for a nonprofit primary health care organization in southwestern Virginia. In order to provide healthcare to the citizens of this area, we are open approximately 80 hours weekly offering appointments 7 days weekly and in the evenings Mon-Fri. We have served over 6000 individuals in the past 10 years. My collaborating Physician (MD) retired once I gained my autonomy and I need help! By allowing only MDs to collaborate with newly licensed ANPs, finding help is next to impossible. There are no MDs in our area willing to collaborate with ANPs outside of their practices due to noncompete clauses in their contracts. Finding a nonlocal MD is cost prohibitive as we have been unable to find a MD willing to collaborate for a fee our organization can afford. I precept 6-10 ANP students annually. I do not understand why I can educate them in advanced nursing practice but I am not considered by the laws of Virginia as being competent to collaborate with them once they are certified by the national certification organization as an ANP. Many of my students are from this local area and would like to practice here, but being unable to practice without a collaborating MD, they are forced to practice outside this rural/underserved community. I agree that it takes 1-2 years for the novice ANP to gain the confidence in their newly acquired skills to practice autonomously. Why someone already in that role is unacceptable to provide this mentorship truly dumfounds me. Please support HB 896 allowing autonomous ANP to be collaborators of novice ANPS. Thank you for your service to the welfare of the citizens of the Commonwealth.

I am really wanting you all not to pass this bill because Oxford House gives me a place to live at a price I can afford on disability it gives me stability Oxford House I would be homeless and if the bill does pass that means I rent would go up and I would be homeless again and I am doing very well I enjoy living in the Oxford House we have meetings once a week for our house and we have committee meetings and everything So please do not pass this bill I in begging you

HB896 will replace the phrasing "patient care team physician" with the term "patient care team provider" in the VA Code to allow Nurse Practitioners without practice agreements to serve as the patient care team provider. As it is currently written, only physicians can provide collaboration & consultation. This would empower NPs, those particularly those working in acute care, to address the staffing shortages of healthcare. It also will eliminate the requirement that NPs maintain a professional liability insurance policy (the only health profession explicitly required to do so in the Code). Please vote to support for this bill.

I support all of these bills to increase coverage for children, to train care providers in the pernicious influence of cultural bias and systematic racism that can skew our medical decisions (without us even realizing it). I worked as a hospital RN, and then a Nurse Practitioner for 23 years. Nurse practitioners have the education and professional certification requirements to work collaboratively. We do not need practice agreements or supervision by a medical doctor to work within the law and limits of our profession. I do not agree with any measures to limit the dissemination of birth control to women who seek help in limiting conception. I do not know the details of Mr LaRock’s bill, but I have followed his history of preference for the State to control women in their choices for their contraception and well-being within their life limitations. I believe doing all we can to educate girls and women to be their own decision makers, and equal to men spiritually, mentally, and legally will reduce the incidence of unwanted and too early pregnancy better than any heavy-handed scare tactics.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Dear Delegate, Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times. Thank you, Kellie M. Good

Correction: Please vote YES for house bill 306! No one should be punished for exercising their right to religious freedom!!!!!

Please vote YES for house bill 106! No one should be punished for exercising their right to religious freedom!!!!!

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Dear Delegate, Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times. Thank you, Kellie M. Good

Correction: Please vote YES for house bill 306! No one should be punished for exercising their right to religious freedom!!!!!

Please vote YES for house bill 106! No one should be punished for exercising their right to religious freedom!!!!!

Hi I am writing on behalf of being a parent of 6 children in chesterfield 4 being in chesterfield county public schools .Has the government lost all common sense ? It's unbelievable that a law would be pass that a 12 year has to give permission for I as her parent an adult would need her permission to access her medical records .My child can not even make a decision on what to wear to school everyday let alone knowing anything medical records or giving her signature to documents or even understanding permission . Try 18 years old then let them decide .when they pay bills and know what the meaning of permission or decisions are.

I fully support the passage of HB916. It makes no sense for a parent to be responsible for a minor in all things yet be denied access to their child’s medical record.

Parents definitely need to be able to access their children’s medical information without their permission. My 13-year-old is not old enough to check his prescriptions order the medication or set up appointments on his own without my parental supervision. This is ridiculous And kids this young are not meant to shoulder such a responsibility. I could not even set up my own child’s health portal on my phone because he is 13 years old so now I cannot access any of his things without him having to have his own account and his own phone so I never can know what’s going on.

As a parent I have a right to my child's medical records without needing their permission

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Dear Delegate, Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times. Thank you, Kellie M. Good

Correction: Please vote YES for house bill 306! No one should be punished for exercising their right to religious freedom!!!!!

Please vote YES for house bill 106! No one should be punished for exercising their right to religious freedom!!!!!

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Dear Delegate, Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times. Thank you, Kellie M. Good

Correction: Please vote YES for house bill 306! No one should be punished for exercising their right to religious freedom!!!!!

Please vote YES for house bill 106! No one should be punished for exercising their right to religious freedom!!!!!

I am really wanting you all not to pass this bill because Oxford House gives me a place to live at a price I can afford on disability it gives me stability Oxford House I would be homeless and if the bill does pass that means I rent would go up and I would be homeless again and I am doing very well I enjoy living in the Oxford House we have meetings once a week for our house and we have committee meetings and everything So please do not pass this bill I in begging you

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

I'm Katie Zhang from the Hamkae Center which organizes Asian American across the Commonwealth. The issue is that there are 20,000 Medicaid enrollees that speak languages outside of English and Spanish. And these 20,000 people face major hurdles getting care because DMAS is unequipped to overcome with language barriers. For the impacted individuals, this means not understanding what their doctors orders are or having no way of doing the application or the follow-up or selecting coverage when all of that is primarily done in English. So this issue of language turns into an issue of health. So we support Delegate Tran's bill - it would unlock the resources we need to break down those barriers and get people taken care of. I ask that you please report this bill because by investing in language access we can investing in a healthier Virginia. Thank you. 

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Dear Delegate, Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times. Thank you, Kellie M. Good

Correction: Please vote YES for house bill 306! No one should be punished for exercising their right to religious freedom!!!!!

Please vote YES for house bill 106! No one should be punished for exercising their right to religious freedom!!!!!

As a SALT (Social Action Linking Together) and Cornerstones advocate, I encourage you to support HB 484, with Delegate Dan Helmer as patron. This legislation exempts from mandatory participation in the Virginia Initiative for Education and Work recipients of Temporary Assistance for Needy Families those enrolled full-time in an accredited public institution of higher education or other postsecondary school licensed or certified by the Board of Education or the State Council of Higher Education for Virginia and are taking courses as part of a curriculum that leads to a postsecondary credential, such as a degree or an industry-recognized credential, certification, or license. Passing this legislation would make moving off welfare into the workforce a much easier task, which would be a win-win for both those receiving TANF and taxpayers. Post-secondary education, GED, vocational education, and most credentialing programs, as well as apprenticeships, require more than 24 months for the screening, access and completion process. Eliminating the two-year limit is the right thing to do. Preparing adult TANF recipients for jobs to fully support their families should be a primary goal for Virginia. Attaining this goal would be a win-win for both TANF recipients and taxpayers. However, the current two-year time limit on the continuous receipt of TANF benefits is an impediment, making that goal unattainable. Regards, Sarah Newman

I have no official position on this bill, but wanted to note that the program this bill seeks to create may address a gap in coverage for children who are in Virginia's foster care system but whose immigration status prevents them from being eligible for Medicaid or other public health coverage. Local departments of social services take custody of these children due to abuse, neglect or abandonment, but there is no established fund available to them to cover health care costs for these children. Agencies often must seek funds from outside private and charitable organizations to pay for health care costs for these children. Some localities allow CSA funds to cover costs. This program could provide local agencies access to a consistent funding source for them to take better care of these vulnerable children.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Members of the Committee: Thank you for the opportunity to provide comments on behalf of the American Lung Association on HB 1012 sponsored by Delegate Tran. The American Lung Association strongly supports this bill. The American Lung Association supports reforms to health insurance programs that ensure universal access to quality and affordable healthcare services, preventive care, and appropriate specialty care for all consistent with national guidelines. The American Lung Association opposes discriminatory barriers to healthcare coverage and firmly believes that all people, including children living within the United States should have access to affordable, adequate, and accessible health care. The Lung Association believes that every child in Virginia should have access to affordable and comprehensive health coverage. HB 1012 is an important step by creating a health coverage program available to all children in Virginia, regardless of immigration status. According to the Commonwealth Institute, this policy change would offer a new and affordable health coverage option to almost 1 in 10 (9.3%) uninsured children in Virginia. Federal law prohibits children with an undocumented immigration status from accessing health coverage through Medicaid, the Children’s Health Insurance Program (CHIP), and the Affordable Care Act (ACA) marketplace. Virginia should join 10 other states (CA, IL, MA, NY, OR, WA, NJ, CT, VT, and ME) and the District of Columbia who currently uses or plans to use state-only funds to cover income-eligible children in Medicaid/CHIP who are otherwise ineligible due to immigration status. The Lung Association strongly supports this bill as a way of increasing access to healthcare for all Virginians.

I SUPPORT HB 388, 481, 484, 538, 877, 878, 1012, 1105, 1106, 1211, 1329, and 1342. Also, I object to the language used to describe non-citizens - the word "alien" is dehumanizing and I suggest retiring it permanently when referring to non-citizens. I OPPOSE HB 937 and 1359. It is everybody's right to control their own fertility and to NOT be forced to carry an unwanted pregnancy to term. Both of these bills directly or indirectly undermine that right.

For those of us who believe that healthcare is a human right, there are no exceptions or asterisks. Healthcare is a human right, period. No person should be denied lifesaving healthcare due to financial reasons or migration status. And yet, almost 100,000 children in Virginia lack access to healthcare because they do not qualify for existing programs. HB1012 takes Virginia a step in the right direction, guaranteeing health coverage for all children in the commonwealth. Those legislators who truly care about promoting a culture of life in Virginia should wholeheartedly support this measure.

Comments Document

My name is Matthew Van de Graaf, and I am a fourth year medical student at EVMS. I am testifying on behalf of the Medical Society in support of House Bill 1012. As an aspiring pediatrician, one of my favorite experiences in medical school has been volunteering to see uninsured children at our free clinic, but it often simultaneously frustrates me. My patients and their families face obstacles when accessing healthcare that their peers do not. Because the clinic relies on physicians volunteering their time, they do not get to develop the friendly and comforting relationship with a pediatrician that so many of us knew. If their baby develops a fever or their middle schooler has an asthma attack, calling for a sick visit isn’t an option. Every child should have the opportunity for a healthy start, but 4.9% of children are uninsured in Virginia. Even among those who are citizens, 4.1% are uninsured. Meanwhile, 10 states & DC either currently or have plans to provide health coverage to income-eligible children regardless of immigration status. We are stronger when we accept and nurture those around us, and this is no different. We have an important opportunity before us, and each of you has the chance to vote on this. On behalf of the Medical Society & myself, I urge each of you to take this opportunity; vote in favor of House Bill 1012. Thank you for your time.

In regards to HB241, I can personally attest to the need for patients to have access to complex medical equipment when transferring to skilled nursing facilities. I work in inpatient rehab and am appalled that patients have their one means of independence (complex power wheelchairs) taken away just because they require extended care at a long term facility. This must be passed and changed.

I support all of these bills to increase coverage for children, to train care providers in the pernicious influence of cultural bias and systematic racism that can skew our medical decisions (without us even realizing it). I worked as a hospital RN, and then a Nurse Practitioner for 23 years. Nurse practitioners have the education and professional certification requirements to work collaboratively. We do not need practice agreements or supervision by a medical doctor to work within the law and limits of our profession. I do not agree with any measures to limit the dissemination of birth control to women who seek help in limiting conception. I do not know the details of Mr LaRock’s bill, but I have followed his history of preference for the State to control women in their choices for their contraception and well-being within their life limitations. I believe doing all we can to educate girls and women to be their own decision makers, and equal to men spiritually, mentally, and legally will reduce the incidence of unwanted and too early pregnancy better than any heavy-handed scare tactics.

Unconscious bias is a very practical bill that can have significant long term impact.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Dear Delegate, Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times. Thank you, Kellie M. Good

Correction: Please vote YES for house bill 306! No one should be punished for exercising their right to religious freedom!!!!!

Please vote YES for house bill 106! No one should be punished for exercising their right to religious freedom!!!!!

I am requesting you vote yes on HB 306. The State Health Commisioner has entirely too much power and this bill will protect our citizens from having to submit to unwanted therapies. Too much is being revealed about the Covid 19 vaccines and we can never, never let this happen again Thank you

Vote YES on Bill 306. Our religious freedom is as critical as freedom of speech. Religious exemption is part of that. Please support Bill 306. Vote YES

In regards to HB241, I can personally attest to the need for patients to have access to complex medical equipment when transferring to skilled nursing facilities. I work in inpatient rehab and am appalled that patients have their one means of independence (complex power wheelchairs) taken away just because they require extended care at a long term facility. This must be passed and changed.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Dear Delegate, Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times. Thank you, Kellie M. Good

Correction: Please vote YES for house bill 306! No one should be punished for exercising their right to religious freedom!!!!!

Please vote YES for house bill 106! No one should be punished for exercising their right to religious freedom!!!!!

The National Multiple Sclerosis Society supports HB 1071, to require all hospitals in the Commonwealth to screen each patient to determine household income for Medicaid and financial assistance eligibility, and to require this screening to occur prior to taking extraordinary debt collection actions against the patient. Multiple sclerosis (MS) is an unpredictable, often disabling disease of the central nervous system that disrupts the flow of information within the brain, and between the brain and body. Symptoms vary from person to person and range from numbness and tingling to walking difficulties, fatigue, dizziness, pain, depression, blindness and paralysis. The Society has serious concerns about the high risk of medical debt for people impacted by MS and others with specialized and complex healthcare needs. People living with MS may require care from neurology, rehabilitation, mental health and other specialists in addition to other treatments and services. Falls and relapses could require costly emergency department visits and hospitalizations. In order to protect Virginians from high medical bills, especially those currently without health coverage, Virginia hospitals should screen for Medicaid and financial assistance eligibility and help uninsured and underinsured Virginians receive coverage or financial assistance prior to receiving unaffordable medical bills. This legislation provides a great opportunity to screen uninsured individuals and connect them with quality coverage or financial/charitable assistance, which would help to prevent unnecessary stress and financial hardship that comes with high medical bills. According to the Virginia Health Care Foundation, 60.5% of Virginia’s uninsured non-elderly adults have income below 200% FPL, meaning they are very like eligible for Medicaid or a $0 premium plan through the Marketplace. Thank you for the opportunity to provide comments in support of the bill. We urge the committee to favorably report this legislation.

As a SALT (Social Action Linking Together) and Cornerstones advocate, I encourage you to support HB 484, with Delegate Dan Helmer as patron. This legislation exempts from mandatory participation in the Virginia Initiative for Education and Work recipients of Temporary Assistance for Needy Families those enrolled full-time in an accredited public institution of higher education or other postsecondary school licensed or certified by the Board of Education or the State Council of Higher Education for Virginia and are taking courses as part of a curriculum that leads to a postsecondary credential, such as a degree or an industry-recognized credential, certification, or license. Passing this legislation would make moving off welfare into the workforce a much easier task, which would be a win-win for both those receiving TANF and taxpayers. Post-secondary education, GED, vocational education, and most credentialing programs, as well as apprenticeships, require more than 24 months for the screening, access and completion process. Eliminating the two-year limit is the right thing to do. Preparing adult TANF recipients for jobs to fully support their families should be a primary goal for Virginia. Attaining this goal would be a win-win for both TANF recipients and taxpayers. However, the current two-year time limit on the continuous receipt of TANF benefits is an impediment, making that goal unattainable. Regards, Sarah Newman

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

The Federation of Virginia Food Banks strongly supports HB1106. Produce Rx programs have had demonstrated success at improving nutritional intake for food insecure families, and the research is clear that food insecurity correlates with diet-related illness. This bill would come at a critical time, as food banks have seen a sustained increase in demand for emergency food assistance since the beginning of the COVID-19 pandemic. Expanding Produce Rx programs would go a long way toward establishing healthier communities while also investing in local agriculture. It's a win-win for Virginians.

I SUPPORT HB 388, 481, 484, 538, 877, 878, 1012, 1105, 1106, 1211, 1329, and 1342. Also, I object to the language used to describe non-citizens - the word "alien" is dehumanizing and I suggest retiring it permanently when referring to non-citizens. I OPPOSE HB 937 and 1359. It is everybody's right to control their own fertility and to NOT be forced to carry an unwanted pregnancy to term. Both of these bills directly or indirectly undermine that right.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

In regards to HB241, I can personally attest to the need for patients to have access to complex medical equipment when transferring to skilled nursing facilities. I work in inpatient rehab and am appalled that patients have their one means of independence (complex power wheelchairs) taken away just because they require extended care at a long term facility. This must be passed and changed.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

In regards to HB241, I can personally attest to the need for patients to have access to complex medical equipment when transferring to skilled nursing facilities. I work in inpatient rehab and am appalled that patients have their one means of independence (complex power wheelchairs) taken away just because they require extended care at a long term facility. This must be passed and changed.

I support all of these bills to increase coverage for children, to train care providers in the pernicious influence of cultural bias and systematic racism that can skew our medical decisions (without us even realizing it). I worked as a hospital RN, and then a Nurse Practitioner for 23 years. Nurse practitioners have the education and professional certification requirements to work collaboratively. We do not need practice agreements or supervision by a medical doctor to work within the law and limits of our profession. I do not agree with any measures to limit the dissemination of birth control to women who seek help in limiting conception. I do not know the details of Mr LaRock’s bill, but I have followed his history of preference for the State to control women in their choices for their contraception and well-being within their life limitations. I believe doing all we can to educate girls and women to be their own decision makers, and equal to men spiritually, mentally, and legally will reduce the incidence of unwanted and too early pregnancy better than any heavy-handed scare tactics.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story

Good Afternoon Mr. Chairman and committee members. My name is Yolanda Bell. I am a Veteran who resides in Manassas and I am a constituent of Del Roem. I thank you for allowing me to speak today. I have come to testify in favor of guardianship reform for the last three years. As a key stakeholder in the JLARC Guardianship Study I implore you to Report HB1207. Vulnerable individuals, especially those who are unable to speak for themselves, require frequent and regular visits. To do anything less than a face to face visit places their health and at significant risk. Training is an integral part of ensuring the health and safety of our most vulnerable residents. And DARS is a pivotal piece in this process. A phone call in lieu of a face to face visit for vulnerable individuals is grossly insufficient especially those that have been placed in nursing homes which are almost always understaffed with overworked personnel. My sister suffered and ultimately lost her life because of this lack of oversight and isolation instituted by the guardians. If a guardian is not doing an eyes on visit things will be missed, and it will be to the detriment of vulnerable wards, especially those who cannot speak for or defend themselves. If guardians are not trained in what to look for and what to include in reports, it hamstrings the courts leaving them blind unable to help. It leaves individuals like my beloved sister Anastasia without anyone to fight for them because annual reports as they stand now are severely limited in what they require to be documented. My sister was 120+lbs when the guardians took her.  She weighed a mere 87lbs nine months later when they ended her life. She had no terminal illness. This is what happens when wards are allowed to be isolated from loving family and friends, when eyes on are taken away or not required.  When reporting requirements and oversight of guardians and by guardians is lax and almost nonexistent vulnerable wards suffer, are abused, neglected, and die. Anastasia literally had 13 holes in her body and too many bruises to count. Regular and frequent visits with reported findings would have prevented this from happening. When nursing facilities know people will be visiting they are more prone to ensure those residents are properly cared for and monitored. My sister suffered dearly. Why? Because she was severely isolated, and her particular guardians did not take complaints of abuse seriously, did not check on her, and were not required to document changes in her condition and the additional things needed that this bill provides. Please do not let this happen to anyone else. I implore you to unanimously pass HB1207. Thank you for your time and attention. Sincerely, Yolanda Bell Anastasia’s Voice

I am asking for your support for HB 1270, with Delegate Mark Sickles as patron. As you already know, people leaving prison are vulnerable to hunger. With your support of this bill, these individuals can immediately access food assistance for themselves and their families upon their release. Currently, incarcerated individuals can apply for SNAP benefits only after they leave prison. As a consequence, it can be weeks--or even months--before they receive needed food assistance. Pre-enrolling incarcerated individuals for SNAP benefits is as simple as adding a line to a form that applicants already complete. Moreover, the bill allows the state to invest in people when they need the help the most—right before leaving prison. This legislation can help reduce recidivism and increase public safety, a win-win for everyone. Providing a helping hand at this critical time will enable the formerly incarcerated to experience the reentry process as a new opportunity, one given by our commonwealth to help them successfully reenter society after release. Reducing the risk of recidivism should also result in a tax saving for Virginia taxpayers.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

Dear Delegate, Protect religious freedom, vote YES for HB 306! Our religious freedoms do not end just because government bureaucrats declare a public health emergency. Our First Amendment rights apply at all times. Thank you, Kellie M. Good

Correction: Please vote YES for house bill 306! No one should be punished for exercising their right to religious freedom!!!!!

Please vote YES for house bill 106! No one should be punished for exercising their right to religious freedom!!!!!

Chairman Orrock & Members: Thank you for the opportunity. Vote Yes on HB 1270 Vote --- Heading off hunger before leaving prison. People leaving prison are exceptionally vulnerable to hunger. HB 1270 allows incarcerated persons to pre-enroll in the SNAP program while still incarcerated so they can immediately access food assistance for themselves and their families upon their release. Otherwise, it can be weeks or even months before they receive food assistance—leaving them vulnerable to hunger. Why is this important? Just one example: to quote a Director of a Day program for the down and out. “I see weekly at our center the release of ex-offenders into the community w/o a nickel in their pocket, with only the cloths on their back and significant anger & depression because there is no one who cares or can help them become self-sustaining or get training or a job. These mostly men end up back in prison within 6-9 months because they may have to steal or shop lift to survive.” It’s a small step to help assure the successful re-entry of persons leaving prison, especially, because being approved for Food Stamps assures immediate and mandatory referral and connection to Job Seeking & Job Keeping program participation & help. Virginia can do better to ensure family and community reintegration by this incremental step because DOJ reports that 70% of prisoners have children under 18 years of age! Again, Vote Yes on HB 1270 Vote --- Heading off hunger before leaving prison

As a citizen in solidarity with Social Action Linking Together (SALT), a voter, and a taxpayer, I am asking for your support for HB 1270, with Delegate Mark Sickles as patron. As you already know, people leaving prison are vulnerable to hunger. With your support of this bill, these individuals can immediately access food assistance for themselves and their families upon their release. Currently, incarcerated individuals can apply for SNAP benefits only after they leave prison. As a consequence, it can be weeks--or even months--before they receive needed food assistance. Pre-enrolling incarcerated individuals for SNAP benefits is as simple as adding a line to a form that applicants already complete. Moreover, the bill allows the state to invest in people when they need the help the most—right before leaving prison. This legislation can help reduce recidivism and increase public safety, a win-win for everyone. Providing a helping hand at this critical time will enable the formerly incarcerated to experience the reentry process as a new opportunity, one given by our commonwealth to help them successfully reenter society after release. Reducing the risk of recidivism should also result in a tax saving for Virginia taxpayers.

The City of Portsmouth is in support of this bill. Thank you.

Vote Yes on HB 1270 Vote --- Heading off hunger before leaving prison. People leaving prison are exceptionally vulnerable to hunger. HB 1270 allows incarcerated persons to pre-enroll in the SNAP program while still incarcerated so they can immediately access food assistance for themselves and their families upon their release. Otherwise, it can be weeks or even months before they receive food assistance—leaving them vulnerable to hunger. Why is this important? Just one example: to quote a Director of a Day program for the down and out. “I see weekly at our center the release of ex-offenders into the community w/o a nickel in their pocket, with only the cloths on their back and significant anger & depression because there is no one who cares or can help them become self-sustaining or get training or a job. These mostly men end up back in prison within 6-9 months because they may have to steal or shop lift to survive.” It’s a small step to help assure the successful re-entry of persons leaving prison, especially, because being approved for Food Stamps assures immediate and mandatory referral and connection to Job Seeking & Job Keeping program participation & help.

I am really wanting you all not to pass this bill because Oxford House gives me a place to live at a price I can afford on disability it gives me stability Oxford House I would be homeless and if the bill does pass that means I rent would go up and I would be homeless again and I am doing very well I enjoy living in the Oxford House we have meetings once a week for our house and we have committee meetings and everything So please do not pass this bill I in begging you

I strongly support HB1270. Returning citizens typically do not leave prison/jail to return to a food secure life with a good-paying job waiting for them. This leaves them especially vulnerable to recidivate immediately after release. Pre-enroll returning citizens in the Supplemental Nutrition Assistance Program (SNAP, formerly known as food stamps) in the final month of their sentence would help with this problem since SNAP applications are processed within 30 days (7 days for expedited cases). SNAP opens them up to two benefits: 1) Food access and 2) Employment and Training opportunities. For individuals with no means to meet their basic needs immediately after prison, this is a lifetime. This is a win-win. There is no extra cost and it will help keep people from returning to jail. Thank-you.

Comments Document

See attachment for testimony.

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak-AMY Lee Story

I would like to speak please -Amy Lee Story

I am writing in support of HB 306 to be heard in committee tomorrow morning, which will allow a religious exemption to vaccines during an epidemic. Religious exemptions exist so that citizens can act freely in mind, body and spirit. Even in a time of an epidemic, citizens must have the opportunity to act on their conscience whatever that may be. The Nuremberg Code requires bodily autonomy and informed consent for any medical treatments to one’s body. Having religious exemption makes sure that remains the rule of law. As we’ve seen over the last two years, government has retained control over persons and their bodies in a way that would make Thomas Jefferson role over in his grave. Let Virginia continue to be religiously free, as the birthplace of religious freedom. Support HB 306.

I would like to speak please -Amy Lee Story