Fabio
121 lines
7.4 KiB
Markdown
121 lines
7.4 KiB
Markdown
---
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type: "Bill"
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title: "Clinical nurse specialist; licensure of nurse practitioners as specialists, etc."
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description: "Clinical nurse specialist; licensure; practice. Changes from the requirement of registration as clinical nurse specialists to 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 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."
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jurisdiction: "us/states/va"
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legislature: "Virginia General Assembly"
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session: "2021"
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identifier: "HB 1747"
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citation: "Virginia HB 1747 (2021)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Dawn M. Adams"]
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version_count: 4
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action_count: 30
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vote_count: 6
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first_action: "2020-12-04"
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last_action: "2021-03-18"
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source: "openstates"
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source_identifier: "ocd-bill/0164cb06-2160-4c40-8a55-eb8095636d58"
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source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?212+sum+HB1747"
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source_hash: "f72ade35477518722147db6179f3ff03f43851ec455b20c8a2ca15c2510f5e4e"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-va"]
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---
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# Virginia HB 1747 (2021) — Clinical nurse specialist; licensure of nurse practitioners as specialists, etc.
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Clinical nurse specialist; licensure; practice. Changes from the requirement of registration as clinical nurse specialists to 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 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.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **CHAP0157** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?212+ful+CHAP0157)
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2. **HB1747ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?212+ful+HB1747ER)
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3. **Prefiled and ordered printed; offered 01/13/21 21100541D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?212+ful+HB1747)
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4. **Printed as engrossed 21100541D-E** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?212+ful+HB1747E)
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## Votes
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- Reported from Health, Welfare and Institutions with amendment (22-Y 0-N) — **22–0** (pass) · lower
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- Constitutional reading dispensed (32-Y 0-N) — **32–0** (pass) · upper
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- Continued to 2021 Sp. Sess. 1 in Education and Health (15-Y 0-N) — **15–0** (pass) · upper
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- VOTE: Block Vote Passage (98-Y 0-N) — **97–0** (pass) · lower
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- Passed Senate (39-Y 0-N) — **39–0** (pass) · upper
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- Reported from Education and Health (15-Y 0-N) — **15–0** (pass) · upper
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## Sponsors
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- Dawn M. Adams — primary (person)
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- Amanda E. Batten — cosponsor (person)
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- C.E. Cliff Hayes, Jr. — cosponsor (person)
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- Carrie E. Coyner — cosponsor (person)
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- Chris L. Hurst — cosponsor (person)
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- Dave A. LaRock — cosponsor (person)
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- Delores L. McQuinn — cosponsor (person)
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- Emily M. Brewer — cosponsor (person)
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- G. "John" Avoli — cosponsor (person)
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- Jennifer B. Boysko — cosponsor (person)
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- Kaye Kory — cosponsor (person)
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- Kenneth R. Plum — cosponsor (person)
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- Lee J. Carter — cosponsor (person)
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- Marcus B. Simon — cosponsor (person)
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- Mark D. Sickles — cosponsor (person)
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- Mark J. Peake — cosponsor (person)
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- Mark L. Cole — cosponsor (person)
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- Mark L. Keam — cosponsor (person)
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- Martha M. Mugler — cosponsor (person)
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- Michael J. Webert — cosponsor (person)
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- Nancy D. Guy — cosponsor (person)
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- Richard C. "Rip" Sullivan, Jr. — cosponsor (person)
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- Robert B. Bell — cosponsor (person)
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- Roxann L. Robinson — cosponsor (person)
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- Sam Rasoul — cosponsor (person)
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- Shelly A. Simonds — cosponsor (person)
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- William M. Stanley, Jr. — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2020-12-04** Prefiled and ordered printed; offered 01/13/21 21100541D `introduction`
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- **2020-12-04** Referred to Committee on Health, Welfare and Institutions `referral-committee`
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- **2021-01-07** Impact statement from DPB (HB1747)
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- **2021-01-14** House committee, floor amendments and substitutes offered
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- **2021-01-14** Reported from Health, Welfare and Institutions with amendment (22-Y 0-N) `committee-passage`
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- **2021-01-15** Read first time `reading-1`
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- **2021-01-18** Read second time `reading-2`
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- **2021-01-18** Committee amendments agreed to
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- **2021-01-18** Engrossed by House as amended HB1747E
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- **2021-01-18** Engrossment reconsidered by House
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- **2021-01-18** Engrossed by House as amended HB1747E
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- **2021-01-18** Printed as engrossed 21100541D-E
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- **2021-01-19** Impact statement from DPB (HB1747E)
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- **2021-01-19** Read third time and passed House BLOCK VOTE (98-Y 0-N) `passage, reading-3`
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- **2021-01-19** VOTE: Block Vote Passage (98-Y 0-N)
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- **2021-01-20** Constitutional reading dispensed
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- **2021-01-20** Referred to Committee on Education and Health `referral-committee`
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- **2021-02-05** Continued to 2021 Sp. Sess. 1 in Education and Health (15-Y 0-N)
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- **2021-02-10** Assigned Education sub: Health Professions `referral-committee`
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- **2021-02-18** Reported from Education and Health (15-Y 0-N) `committee-passage`
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- **2021-02-19** Constitutional reading dispensed (32-Y 0-N)
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- **2021-02-22** Read third time `reading-3`
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- **2021-02-22** Passed Senate (39-Y 0-N) `passage`
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- **2021-02-25** Enrolled
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- **2021-02-25** Impact statement from DPB (HB1747ER)
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- **2021-02-25** Signed by President
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- **2021-02-26** Signed by Speaker
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- **2021-03-01** Enrolled Bill communicated to Governor on March 1, 2021
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- **2021-03-01** Governor's Action Deadline 11:59 p.m., March 31, 2021
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- **2021-03-18** Approved by Governor-Chapter 157 (effective 7/1/21) `executive-signature`
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0164cb06-2160-4c40-8a55-eb8095636d58`. Confidence: reported (aggregated from official Virginia legislature records).
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