Virginia Healthcare Compliance Requirements

State-specific breach notification rules, medical records retention periods, PDMP requirements, and mandatory reporting obligations for medical practices operating in Virginia.

60-day breach deadline6-year retentionVirginia PMP

Breach Notification Rules

Notification deadline

60 calendar days

Notification must be made without unreasonable delay but no later than 60 days after discovery. AG and affected individuals must be notified. VCDPA provides additional rights for consumer data.

AG notification threshold

All breaches

Notify: AG

Harm analysis required

Yes — breach presumed unless risk assessment shows low probability of compromise

Penalty range

Up to $150,000 per breach; VCDPA: up to $7,500 per violation

Comparable to federal HIPAA
View statute

Medical Records Retention

Record typeRetention periodMeasured from
General medical6 yearsLast treatment
Pediatric6 yearsPatient turns 18

PDMP Requirements — Virginia PMP

Check required

All controlled substances

Check frequency

Every prescription

Delegation allowed

Yes — authorized staff can check on provider's behalf

Penalty range

Licensing board discipline; civil penalties up to $5,000; possible criminal charges for willful noncompliance

Exemptions

Hospice patients, cancer treatment, ≤14 day supply post-surgical, ≤3 day supply in ER, inpatient hospital or long-term care administration

Mandatory Reporting Obligations

Mandated reporters

Physicians, nurses, dentists, psychologists, social workers, and all healthcare professionals acting in professional capacity

Report to

Local Department of Social Services or Child Protective Services Hotline

Timeline

Immediately / as soon as possible

Penalty for failure

Fine only for first offense; Class 1 misdemeanor for subsequent offenses

Immunity provision

Good faith reporters immune from civil and criminal liability under VA Code 63.2-1512

Mandated reporters

Physicians, nurses, and all healthcare professionals

Report to

Adult Protective Services, local Department of Social Services

Timeline

Immediately / as soon as possible

Penalty for failure

Fine only for first offense; Class 1 misdemeanor for subsequent

Immunity provision

Good faith reporters immune from civil and criminal liability

Mandated reporters

Healthcare providers treating injuries from suspected criminal acts or domestic violence

Report to

Local law enforcement

Timeline

Immediately / as soon as possible

Immunity provision

Good faith reporters immune from civil liability

Mandated reporters

Physicians, laboratories, and healthcare facility administrators

Report to

Virginia Department of Health, local health department

Timeline

Within 24 hours

Penalty for failure

Class 1 misdemeanor

Immunity provision

Good faith reporters immune from civil liability

Mandated reporters

All physicians and healthcare providers treating gunshot wounds or stab wounds

Report to

Local law enforcement or sheriff

Timeline

Immediately / as soon as possible

Penalty for failure

Class 3 misdemeanor

Immunity provision

Good faith reporters immune from civil and criminal liability

Stay compliant in Virginia

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