Clinical nurse specialist; practice agreements. (HB285)

Introduced By

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

Those copatrons are Del. John Avoli (R-Staunton), Del. Kelly Fowler (D-Virginia Beach), Del. Cliff Hayes (D-Chesapeake), Del. Clinton Jenkins (D-Suffolk), Del. Kaye Kory (D-Falls Church), Del. Delores McQuinn (D-Richmond), Del. Ken Plum (D-Reston), Del. Irene Shin (D-Herndon)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Clinical nurse specialist; practice agreements. Provides that a nurse practitioner licensed by the Boards of Medicine and Nursing in the category of clinical nurse specialist who does not prescribe controlled substances or devices may practice in the practice category in which he is certified and licensed without a written or electronic practice agreement, provided that he (i) 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, (ii) consult and collaborate with other health care providers based on the clinical condition of the patient to whom health care is provided, and (iii) establish a plan for referral of complex medical cases and emergencies to physicians or other appropriate health care providers. The bill also provides that a nurse practitioner licensed by the Boards in the category of clinical nurse specialist who prescribes controlled substances or devices shall practice in consultation with a licensed physician in accordance with a practice agreement between the nurse practitioner and the licensed physician. Read the Bill »


Bill Has Passed


01/11/2022Prefiled and ordered printed; offered 01/12/22 22100270D
01/11/2022Referred to Committee on Health, Welfare and Institutions
01/17/2022Impact statement from DPB (HB285)
01/18/2022Assigned HWI sub: Subcommittee #1
01/25/2022Subcommittee recommends reporting (9-Y 0-N)
01/27/2022Reported from Health, Welfare and Institutions (22-Y 0-N) (see vote tally)
01/31/2022Read first time
02/01/2022Read second time and engrossed
02/02/2022Read third time and passed House BLOCK VOTE (98-Y 0-N)
02/02/2022VOTE: Block Vote Passage (98-Y 0-N) (see vote tally)
02/03/2022Constitutional reading dispensed
02/03/2022Referred to Committee on Education and Health
02/16/2022Assigned Education sub: Health Professions
02/24/2022Reported from Education and Health (15-Y 0-N) (see vote tally)
02/25/2022Constitutional reading dispensed (39-Y 0-N) (see vote tally)
02/28/2022Read third time
02/28/2022Passed Senate (40-Y 0-N) (see vote tally)
03/02/2022Bill text as passed House and Senate (HB285ER)
03/02/2022Signed by Speaker
03/03/2022Impact statement from DPB (HB285ER)
03/03/2022Signed by President
03/11/2022Enrolled Bill communicated to Governor on March 11, 2022
03/11/2022G Governor's Action Deadline 11:59 p.m., April 11, 2022
04/07/2022G Approved by Governor-Chapter 197 (effective 7/1/22)
04/07/2022G Acts of Assembly Chapter text (CHAP0197)