Virginia Regulatory Town Hall
Virginia Department of Health
State Board of Health
Regulations for the Licensure of Hospitals in Virginia [12 VAC 5 ‑ 410]
Action is Exempt from Article 2 of the Administrative Process Act
Adopt regulations setting forth the requirements for emergency room personnel security training
Action 6272
General Information
Action Summary Chapter 417 of the 2023 Acts of Assembly requires the State Board of Health to amend its hospital regulations to require hospitals with emergency departments “to establish a security plan…using standards established by the International Association for Healthcare Security and Safety or other industry standard” and that is “based on the results of a security risk assessment of each emergency department location of the hospital.” This security plan must “include the presence of at least one off-duty law-enforcement officer or trained security personnel who is present in the emergency department at all times as indicated to be necessary and appropriate by the security risk assessment.” Chapter 417 further enumerates what identified risks that hospitals must consider when developing security plans and training requirements for security personnel. Chapter 417 authorizes the State Health Commissioner to “provide a waiver from the requirement that at least one off-duty law-enforcement officer or trained security personnel be present at all times in the emergency department if the hospital demonstrates that a different level of security is necessary and appropriate for any of its emergency departments based upon findings in the security risk assessment.”
Chapters Affected Only affects this chapter.
Executive Branch Review This Action is exempt from Article 2 of the Administrative Process Act, but falls within the Executive Branch and will be reviewed by the Governor's Office.
RIS Project Yes  [7156]
Associated Mandates Hospital emergency departments; required security and training; regulations.
New Periodic Review This action will not be used to conduct a new periodic review.
Stages associated with this regulatory action.
Stage ID Stage Type Status
10056 Final Stage complete. Becomes effective on 07/17/2024.
Contact Information
Name / Title: Kim Beazley  / Director, Office of Licensure and Certification
Address: 9960 Mayland Dr., Suite 401
Henrico, VA 23233
Email Address:
Phone: (804)367-2102    FAX: ()-    TDD: ()-