Clinical nurse specialist; licensure of nurse practitioners as specialists, etc. (HB1747)

Introduced By

Del. Dawn Adams (D-Richmond) with support from 8 copatrons, whose average partisan position is:

Those copatrons are Del. Amanda Batten (R-Toano), Del. Mark Cole (R-Fredericksburg), Del. Nancy Guy (D-Virginia Beach), Del. Chris Hurst (D-Blacksburg), Del. Kaye Kory (D-Falls Church), Del. Ken Plum (D-Reston), Del. Shelly Simonds (D-Newport News), Sen. Jennifer Boysko (D-Herndon)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Clinical nurse specialist; licensure; practice. Provides for the licensure of nurse practitioners as clinical nurse specialists by the Boards of Medicine and Nursing and provides that a nurse practitioner licensed as a clinical nurse specialist shall practice pursuant to a practice agreement between the clinical nurse specialist and a licensed physician. The bill requires the Boards of Medicine and Nursing to jointly issue a license to practice as a nurse practitioner in the category of a clinical nurse specialist to an applicant who is an advance practice registered nurse who has completed an advanced graduate-level education program in the specialty category of clinical nurse specialist and who is registered by the Board of Nursing as a clinical nurse specialist on July 1, 2021. Read the Bill »


01/14/2021: passed committee


12/04/2020Prefiled and ordered printed; offered 01/13/21 21100541D
12/04/2020Referred to Committee on Health, Welfare and Institutions
01/07/2021Impact statement from DPB (HB1747)
01/14/2021House committee, floor amendments and substitutes offered
01/14/2021Reported from Health, Welfare and Institutions with amendment(s) (22-Y 0-N) (see vote tally)
01/14/2021Reported from Health, Welfare and Institutions with amendment (22-Y 0-N) (see vote tally)
01/15/2021Read first time


Caroline Corum writes:

I am posting to encourage legislators to support HB 1747.
CNSs are well prepared for this responsibility. They receive advanced practice classroom instruction in pharmacology equivalent to nurse practitioners, certified nurse midwives, and certified nurse anesthetists. CNSs have 500 hours of applied pharmacology training during clinical preceptorship and are required to complete continuing education in pharmacology every 5 years.

At present, CNS scope of practice is hindered due to lack of prescriptive authority. 75% of CNSs are Adult-Gerontology certified. This portion of the population is underserved. < 3% of medical students choose geriatric electives. CNS areas of practice and impact include specialties, such as stroke, oncology, palliative care, wound care, diabetes, mental health, heart failure, and pulmonary disorders. Prescriptive authority would reduce delays in disease management care to Virginians and prevent unnecessary suffering. It is estimated that almost 700,000 Virginians may be directly impacted by this legislation. Our impact could be even greater in the rural and urban parts of our state using telehealth. I ask you to say YES to HB 1747 to improve health outcomes for Virginians.

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