Nurse practitioners; practice agreements. (HB793)

Introduced By

Del. Roxann Robinson (R-Chesterfield) with support from co-patron Del. Matt Fariss (R-Rustburg)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Nurse practitioners; practice agreements. Eliminates the requirement for a practice agreement with a patient care team physician for a licensed nurse practitioner who has completed the equivalent of at least five years of full-time clinical experience and submitted an attestation from his patient care team physician stating (i) that the patient care team physician has served as a patient care team physician on a patient care team with the nurse practitioner pursuant to a practice agreement; (ii) that while a party to such practice agreement, the patient care team physician routinely practiced with a patient population and in a practice area included within the category for which the nurse practitioner was certified and licensed; and (iii) the period of time for which the patient care team physician practiced with the nurse practitioner under such a practice agreement. The bill requires that a nurse practitioner authorized to practice without a practice agreement (a) only practice within the scope of his clinical and professional training and limits of his knowledge and experience and consistent with the applicable standards of care, (b) consult and collaborate with other health care providers based on the clinical conditions of the patient to whom health care is provided, and (c) establish a plan for referral of complex medical cases and emergencies to physicians or other appropriate health care providers. The bill requires (1) the Boards of Medicine and Nursing to jointly promulgate regulations governing the practice of nurse practitioners without a practice agreement; (2) the Department of Health Professions, by November 1, 2020, to report to the General Assembly a process by which nurse practitioners who practice without a practice agreement may be included in the online Practitioner Profile maintained by the Department of Health Professions; and (3) the Boards of Medicine and Nursing to report information related to the practice of nurse practitioners without a practice agreement that includes certain data, complaints and disciplinary actions, and recommended modifications to the provisions of this bill to the Chairmen of the House Committee on Health, Welfare and Institutions and the Senate Committee on Education and Health and the Chairman of the Joint Commission on Health Care by November 1, 2021. Read the Bill »


Bill Has Passed


01/09/2018Prefiled and ordered printed; offered 01/10/18 18104186D
01/09/2018Referred to Committee on Health, Welfare and Institutions
01/17/2018Assigned HWI sub: Subcommittee #1
02/01/2018Subcommittee recommends reporting with substitute (9-Y 0-N)
02/05/2018Impact statement from VDH (HB793)
02/06/2018Reported from Health, Welfare and Institutions with substitute (17-Y 5-N) (see vote tally)
02/06/2018Committee substitute printed 18106474D-H1
02/08/2018Read first time
02/09/2018Impact statement from VDH (HB793H1)
02/09/2018Read second time
02/09/2018Committee substitute agreed to 18106474D-H1
02/09/2018Engrossed by House - committee substitute HB793H1
02/12/2018Read third time and passed House (93-Y 6-N)
02/12/2018VOTE: PASSAGE (93-Y 6-N) (see vote tally)
02/13/2018Constitutional reading dispensed
02/13/2018Referred to Committee on Education and Health
02/16/2018Assigned Education sub: Health Professions
02/22/2018Reported from Education and Health with substitute (15-Y 0-N) (see vote tally)
02/22/2018Committee substitute printed 18107422D-S1
02/23/2018Impact statement from VDH (HB793S1)
02/23/2018Constitutional reading dispensed (38-Y 0-N) (see vote tally)
02/26/2018Read third time
02/26/2018Reading of substitute waived
02/26/2018Committee substitute agreed to 18107422D-S1
02/26/2018Engrossed by Senate - committee substitute HB793S1
02/26/2018Passed Senate with substitute (40-Y 0-N) (see vote tally)
02/28/2018Taken up out of order pursuant to House Rule 52 (96-Y 0-N)
02/28/2018VOTE: AGREE TO MOTION (96-Y 0-N) (see vote tally)
02/28/2018Placed on Calendar
02/28/2018Senate substitute agreed to by House 18107422D-S1 (97-Y 2-N)
02/28/2018VOTE: ADOPTION (97-Y 2-N) (see vote tally)
03/01/2018Bill text as passed House and Senate (HB793ER)
03/01/2018Impact statement from VDH (HB793ER)
03/01/2018Signed by Speaker
03/03/2018Signed by President
03/05/2018Signed by President
03/06/2018Enrolled Bill communicated to Governor on March 6, 2018
03/06/2018G Governor's Action Deadline Midnight, April 9, 2018
04/04/2018G Approved by Governor-Chapter 776 (effective 7/1/18)
04/04/2018G Acts of Assembly Chapter text (CHAP0776)