In 2011, VSHL was involved in the passage of a bill to regulate abortion clinics as "ambulatory surgical centers". The bill, which passed the House by a large margin and passed the Senate after a tiebreaker vote from Lieutenant Governor Bill Bolling, contributed to the closure of three of the state's 21 abortion clinics between its enactment in 2011 and the Virginia Board of Health's 2015 vote to end the hospital-style regulations for abortion clinics.
