Virginia House Bill 793 (Prior Session Legislation)

---

Completed Legislative Action
Spectrum: Slight Partisan Bill (Democrat 15-8)
Status: Passed on April 4 2018 - 100% progression
Action: 2018-04-04 - Governor: Acts of Assembly Chapter text (CHAP0776)
Text: Latest bill text (Chaptered) [HTML]

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.

Nurse practitioners; practice agreements.

Del. Roxann Robinson [R]	Del. Dawn Adams [D]	Sen. John Bell [D]	Sen. Jennifer Boysko [D]
Del. David Bulova [D]	Sen. Jennifer Carroll Foy [D]	Del. Mark Cole [R]	Del. Matt Fariss [R]
Del. Nicholas Freitas [R]	Del. Elizabeth Guzman [D]	Del. Patrick Hope [D]	Del. Timothy Hugo [R]
Del. Chris Hurst [D]	Del. Mark Keam [D]	Del. Terry Kilgore [R]	Del. Steven Landes [R]
Del. Alfonso Lopez [D]	Del. Delores McQuinn [D]	Del. Kathleen Murphy [D]	Del. Kenneth Plum [D]
Del. Margaret Ransone [R]	Del. Richard Sullivan [D]	Del. Kathy Tran [D]

2018-02-28 - House - House: VOTE: ADOPTION (97-Y 2-N) (Y: 97 N: 2 NV: 1 Abs: 0) [PASS]
2018-02-28 - House - House: VOTE: AGREE TO MOTION (96-Y 0-N) (Y: 96 N: 0 NV: 4 Abs: 0) [PASS]
2018-02-26 - Senate - Senate: Passed Senate with substitute (40-Y 0-N) (Y: 40 N: 0 NV: 0 Abs: 0) [PASS]
2018-02-23 - Senate - Senate: Constitutional reading dispensed (38-Y 0-N) (Y: 38 N: 0 NV: 2 Abs: 0) [PASS]
2018-02-22 - Senate - Senate: Reported from Education and Health with substitute (15-Y 0-N) (Y: 15 N: 0 NV: 0 Abs: 0) [PASS]
2018-02-12 - House - House: VOTE: PASSAGE (93-Y 6-N) (Y: 93 N: 6 NV: 1 Abs: 0) [PASS]
2018-02-06 - House - House: Reported from Health, Welfare and Institutions with substitute (17-Y 5-N) (Y: 17 N: 5 NV: 0 Abs: 0) [PASS]
2018-02-01 - House - House: Subcommittee recommends reporting with substitute (9-Y 0-N) (Y: 9 N: 0 NV: 1 Abs: 0) [PASS]

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

Chapter	Article	Section	Citation Type	Statute Text
22	1	271.7	(n/a)	See Bill Text
32	1	263	(n/a)	See Bill Text
32	1	282	(n/a)	See Bill Text
54	1	2900	(n/a)	See Bill Text
54	1	2901	(n/a)	See Bill Text
54	1	2957	(n/a)	See Bill Text
54	1	2957.01	(n/a)	See Bill Text
54	1	3016	(n/a)	See Bill Text
54	1	3018.1	(n/a)	See Bill Text
54	1	3300	(n/a)	See Bill Text
54	1	3300.1	(n/a)	See Bill Text
54	1	3301	(n/a)	See Bill Text
54	1	3482	(n/a)	See Bill Text
54	1	3482.1	(n/a)	See Bill Text

Type	Source
Summary	https://lis.virginia.gov/cgi-bin/legp604.exe?181+sum+HB793
Text	https://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+HB793+hil
Text	https://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+HB793H1+hil
Text	https://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+HB793S1+hil
Text	https://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+HB793ER+hil
Text	https://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+CHAP0776+hil
Roll Call	https://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+H1201V0031+HB0793
Roll Call	https://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+H12V0085+HB0793
Roll Call	https://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+HV0553+HB0793
Roll Call	https://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+S04V0285+HB0793
Roll Call	https://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+SV0676HB0793+HB0793
Roll Call	https://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+SV0689HB0793+HB0793
Roll Call	https://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+HV1103+HB0793
Roll Call	https://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+HV1119+HB0793