History – Legislative


Year Bill # Patron Impact on Practice
1973 Medical Practice Act was amended allowing Nurse Practitioners (NPs) to perform medical practice acts under physician supervision. Regulations were to be promulgated under the BON & Board of Medicine (Joint Boards)
1986 Provisional practice status for NPs pending certification
1988 Certification changed to licensure (LNP) through change in regulations. Regulations less restrictive – modify definition of supervision
1990 HB 768SJR 24 Mary Marshall First attempt at prescriptive authority, bill pulled at request of VCNPDeveloped the Task Force on Access and Barriers to the Services of Nurse Practitioners
1991 HB 1402
SB 606
Mary Marshall
Elliot Schewel
NPs gain limited prescriptive authority – schedule VI
1994 SJR 164 Elliot Schewel Requested the Joint Commission on Healthcare study of NPs showed reimbursement issues, lack of provider status, prescriptive authority restrictions were barriers to NP practice
1995 SB 984 Elliot Schewel Ratio of NP/MD supervision of NPs with prescriptive authority raised from 2:1 to 4:1 with sunset clause to revert back in 2000
1998 SB 431 Edward Houck Allow NPs to conduct physicals for school bus driversVCNP meets for legislative strategy session in Charlottesville
1999 SB 744
HB 1958HB 2341
John Edwards

Chris Jones

Continue NP/MD supervision ratio at 4:1, lifting a sunset clause in legislation in 1995 that would have reverted back to 2:1
Allowed NPs & PAs to dispense manufacturers samples
2000 HB 818 Jeannemarie Devolites Prescriptive authority schedules III-VI
2001 HB 2093 Jeannemarie Devolites Eliminated requirement for NPs with prescriptive authority to obtain controlled substance registrationVCNP meets for legislative strategy session in Charlottesville
2002 SB 101 Janet Howell Allowed NPs to order Physical Therapy services
2004 HB 855 Chris Jones Signature & certification legislation
2006 SB 456 Jeannemarie Devolites-Davis Prescriptive authority schedule II
2007 HB 2416 Clay Athey NP Immunity for lab tests ordered by another provider
Did not report out of sub-committee
2008 SB 63 Janet Howell Mandated at least one of the seven seats on BON to be a NP
2009 VCNP meets for legislative strategy session in Richmond

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