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

Introduced By

Del. Dawn Adams (D-Richmond) with support from 26 copatrons, whose average partisan position is:

Those copatrons are Del. John Avoli (R-Staunton), Del. Amanda Batten (R-Toano), Del. Rob Bell (R-Charlottesville), Del. Lee Carter (D-Manassas), Del. Mark Cole (R-Fredericksburg), Del. Carrie Coyner (R-Chesterfield), Del. Nancy Guy (D-Virginia Beach), Del. Cliff Hayes (D-Chesapeake), Del. Chris Hurst (D-Blacksburg), Del. Mark Keam (D-Vienna), Del. Kaye Kory (D-Falls Church), Del. Dave LaRock (R-Loudoun), Del. Delores McQuinn (D-Richmond), Del. Martha Mugler (D-Hampton, Del. Ken Plum (D-Reston), Del. Sam Rasoul (D-Roanoke), Del. Roxann Robinson (R-Chesterfield), Del. Mark Sickles (D-Alexandria), Del. Marcus Simon (D-Falls Church), Del. Shelly Simonds (D-Newport News), Del. Rip Sullivan (D-Arlington), Del. Michael Webert (R-Marshall), Sen. Jennifer Boysko (D-Herndon), Sen. Emily Brewer (R-Suffolk), Sen. Mark Peake (R-Lynchburg), Sen. Bill Stanley (R-Moneta)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Clinical nurse specialist; licensure; practice. Changes for clinical nurse specialists the requirement to register with the Board of Nursing as a clinical nurse specialist to licensure by the Boards of Medicine and Nursing to practice as a nurse practitioner in the category of clinical nurse specialist 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 and in a manner consistent with the standards of care for the profession and applicable law and regulations. For the transition of registration to licensure, 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 »


03/18/2021: signed by governor


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 (22-Y 0-N) (see vote tally)
01/15/2021Read first time
01/18/2021Read second time
01/18/2021Committee amendments agreed to
01/18/2021Engrossed by House as amended HB1747E
01/18/2021Engrossment reconsidered by House
01/18/2021Printed as engrossed 21100541D-E
01/19/2021Impact statement from DPB (HB1747E)
01/19/2021Read third time and passed House BLOCK VOTE (98-Y 0-N)
01/19/2021VOTE: Block Vote Passage (98-Y 0-N) (see vote tally)
01/20/2021Constitutional reading dispensed
01/20/2021Referred to Committee on Education and Health
02/05/2021Continued to 2021 Sp. Sess. 1 in Education and Health (15-Y 0-N) (see vote tally)
02/10/2021Assigned Education sub: Health Professions
02/18/2021Reported from Education and Health (15-Y 0-N) (see vote tally)
02/19/2021Constitutional reading dispensed (32-Y 0-N)
02/22/2021Read third time
02/22/2021Passed Senate (39-Y 0-N)
02/25/2021Bill text as passed House and Senate (HB1747ER)
02/25/2021Impact statement from DPB (HB1747ER)
02/25/2021Signed by President
02/26/2021Signed by Speaker
03/01/2021Enrolled Bill communicated to Governor on March 1, 2021
03/01/2021G Governor's Action Deadline 11:59 p.m., March 31, 2021
03/18/2021G Approved by Governor-Chapter 157 (effective 7/1/21)
03/18/2021G Acts of Assembly Chapter text (CHAP0157)