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---
type: "Bill"
title: "Certified registered nurse anesthetists; prescriptive authority."
description: "Certified registered nurse anesthetists; prescriptive authority. Authorizes certified registered nurse anesthetists to prescribe Schedule II through Schedule VI controlled substances and devices to a patient requiring anesthesia as part of the periprocedural care of the patient, provided that such prescribing is in accordance with requirements for practice by certified registered nurse anesthetists and is done under the supervision of a doctor of medicine, osteopathy, podiatry, or dentistry. This bill is identical to SB 264."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2020"
identifier: "HB 1059"
citation: "Virginia HB 1059 (2020)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Dawn M. Adams"]
version_count: 4
action_count: 28
vote_count: 6
first_action: "2020-01-07"
last_action: "2020-03-03"
source: "openstates"
source_identifier: "ocd-bill/30ac3c79-a262-40ff-ab51-fc6d30ab7d20"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?201+sum+HB1059"
source_hash: "c3e00decc57bf8ac110b09e8f09e16acab38a05c44723af91d967ed7556f4294"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-va"]
---
# Virginia HB 1059 (2020) — Certified registered nurse anesthetists; prescriptive authority.
Certified registered nurse anesthetists; prescriptive authority. Authorizes certified registered nurse anesthetists to prescribe Schedule II through Schedule VI controlled substances and devices to a patient requiring anesthesia as part of the periprocedural care of the patient, provided that such prescribing is in accordance with requirements for practice by certified registered nurse anesthetists and is done under the supervision of a doctor of medicine, osteopathy, podiatry, or dentistry. This bill is identical to SB 264.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Acts of Assembly Chapter text (CHAP0100)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+CHAP0100)
2. **Bill text as passed House and Senate (HB1059ER)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB1059ER)
3. **Engrossed by House as amended HB1059E** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB1059E)
4. **Impact statement from DPB (HB1059)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB1059)
## Votes
- Passed Senate (40-Y 0-N) — **400** (pass) · upper
- Reported from Education and Health (13-Y 0-N) — **130** (pass) · upper
- Subcommittee recommends reporting with amendment (6-Y 0-N) — **60** (pass) · lower
- Constitutional reading dispensed (40-Y 0-N) — **400** (pass) · upper
- VOTE: Block Vote Passage (99-Y 0-N) — **980** (pass) · lower
- Reported from Health, Welfare and Institutions with amendment (22-Y 0-N) — **220** (pass) · lower
## Sponsors
- Dawn M. Adams — primary (person)
- Kathy J. Byron — cosponsor (person)
- Mark L. Cole — cosponsor (person)
- Robert B. Bell — cosponsor (person)
- Roxann L. Robinson — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2020-01-07** Prefiled and ordered printed; offered 01/08/20 20102432D `introduction`
- **2020-01-07** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2020-01-15** Assigned HWI sub: Health Professions `referral-committee`
- **2020-01-21** Impact statement from DPB (HB1059)
- **2020-01-23** House committee, floor amendments and substitutes offered
- **2020-01-23** Subcommittee recommends reporting with amendment (6-Y 0-N)
- **2020-01-28** Reported from Health, Welfare and Institutions with amendment (22-Y 0-N) `committee-passage`
- **2020-01-30** Read first time `reading-1`
- **2020-01-31** Read second time `reading-2`
- **2020-01-31** Committee amendment agreed to
- **2020-01-31** Engrossed by House as amended HB1059E
- **2020-01-31** Printed as engrossed 20102432D-E
- **2020-02-03** Read third time and passed House BLOCK VOTE (99-Y 0-N) `passage, reading-3`
- **2020-02-03** VOTE: Block Vote Passage (99-Y 0-N)
- **2020-02-03** Impact statement from DPB (HB1059E)
- **2020-02-04** Constitutional reading dispensed
- **2020-02-04** Referred to Committee on Education and Health `referral-committee`
- **2020-02-13** Reported from Education and Health (13-Y 0-N) `committee-passage`
- **2020-02-14** Constitutional reading dispensed (40-Y 0-N)
- **2020-02-17** Read third time `reading-3`
- **2020-02-17** Passed Senate (40-Y 0-N) `passage`
- **2020-02-20** Enrolled
- **2020-02-20** Impact statement from DPB (HB1059ER)
- **2020-02-20** Signed by Speaker
- **2020-02-21** Signed by President
- **2020-02-25** Enrolled Bill communicated to Governor on February 25, 2020
- **2020-02-25** Governor's Action Deadline 11:59 p.m., March 3, 2020
- **2020-03-03** Approved by Governor-Chapter 100 (effective 7/1/20) `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/30ac3c79-a262-40ff-ab51-fc6d30ab7d20`. Confidence: reported (aggregated from official Virginia legislature records).