Fabio
148 lines
8.0 KiB
Markdown
148 lines
8.0 KiB
Markdown
---
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type: "Bill"
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title: "Certified nurse midwives; practice."
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description: "Practice of certified nurse midwives. Eliminatesthe requirement that certified nurse midwives practice pursuant toa practice agreement and provides that certified nurse midwives shall practice in accordance with regulations of the Boards of Medicineand Nursing and consistent with the Standards for the Practice ofMidwifery set by the American College of Nurse-Midwives and shallconsult and collaborate with and refer patients to such other healthcare providers as may be appropriate for the care of the patient."
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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 1817"
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citation: "Virginia HB 1817 (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: 5
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action_count: 49
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vote_count: 13
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first_action: "2021-01-06"
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last_action: "2021-03-25"
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source: "openstates"
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source_identifier: "ocd-bill/52e04005-9ae8-497b-ae8c-48ef706b1b18"
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source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?212+sum+HB1817"
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source_hash: "c13ad4c6336947b24888d4f661386f20e5e6a985aa38b6f509558e90f78da597"
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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 1817 (2021) — Certified nurse midwives; practice.
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Practice of certified nurse midwives. Eliminatesthe requirement that certified nurse midwives practice pursuant toa practice agreement and provides that certified nurse midwives shall practice in accordance with regulations of the Boards of Medicineand Nursing and consistent with the Standards for the Practice ofMidwifery set by the American College of Nurse-Midwives and shallconsult and collaborate with and refer patients to such other healthcare providers as may be appropriate for the care of the patient.
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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. **CHAP0396** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?212+ful+CHAP0396)
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2. **Conference substitute printed 21200657D-H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?212+ful+HB1817H1)
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3. **Floor substitute printed 21200234D-S1 (Dunnavant)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?212+ful+HB1817S1)
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4. **HB1817ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?212+ful+HB1817ER)
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5. **Prefiled and ordered printed; offered 01/13/21 21102378D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?212+ful+HB1817)
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## Votes
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- Senate insisted on substitute (39-Y 0-N) — **39–0** (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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- Subcommittee recommends reporting (5-Y 0-N) — **5–0** (pass) · lower
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- Reconsideration of conference report agreed to by Senate (38-Y 0-N) — **38–0** (pass) · upper
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- Constitutional reading dispensed (39-Y 0-N) — **39–0** (pass) · upper
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- VOTE: Agreed To (89-Y 0-N) — **88–0** (pass) · lower
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- VOTE: REJECTED (1-Y 97-N) — **1–96** (fail) · lower
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- VOTE: Passage (94-Y 5-N) — **93–5** (pass) · lower
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- Reported from Education and Health (12-Y 3-N) — **12–3** (pass) · upper
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- Conference report agreed to by Senate (20-Y 19-N) — **20–19** (pass) · upper
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- Passed Senate with substitute (33-Y 6-N) — **33–6** (pass) · upper
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- Reported from Health, Welfare and Institutions (15-Y 3-N) — **15–3** (pass) · lower
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- Conference report agreed to by Senate (20-Y 18-N) — **20–18** (pass) · upper
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## Sponsors
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- Dawn M. Adams — primary (person)
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- Alfonso H. Lopez — cosponsor (person)
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- Amanda E. Batten — 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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- Elizabeth R. Guzman — cosponsor (person)
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- Hala S. Ayala — cosponsor (person)
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- Hyland F. "Buddy" Fowler, Jr. — cosponsor (person)
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- Ibraheem S. Samirah — cosponsor (person)
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- Kathleen Murphy — 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 H. Levine — cosponsor (person)
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- Mark L. Cole — cosponsor (person)
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- Mark L. Keam — cosponsor (person)
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- Nicholas J. Freitas — cosponsor (person)
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- R. Creigh Deeds — 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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- Sally L. Hudson — cosponsor (person)
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- Sam Rasoul — cosponsor (person)
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- Shelly A. Simonds — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2021-01-06** Prefiled and ordered printed; offered 01/13/21 21102378D `introduction`
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- **2021-01-06** Referred to Committee on Health, Welfare and Institutions `referral-committee`
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- **2021-01-07** Impact statement from DPB (HB1817)
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- **2021-01-13** Assigned HWI sub: Health Professions `referral-committee`
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- **2021-01-21** Subcommittee recommends reporting (5-Y 0-N)
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- **2021-01-26** House committee, floor amendments and substitutes offered
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- **2021-01-26** Reported from Health, Welfare and Institutions (15-Y 3-N) `committee-passage`
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- **2021-01-28** Read first time `reading-1`
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- **2021-01-29** Read second time and engrossed `reading-2`
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- **2021-02-01** Read third time and passed House (94-Y 5-N) `passage, reading-3`
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- **2021-02-01** VOTE: Passage (94-Y 5-N)
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- **2021-02-02** Constitutional reading dispensed
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- **2021-02-02** 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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- **2021-02-11** Reported from Education and Health (12-Y 3-N) `committee-passage`
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- **2021-02-12** Constitutional reading dispensed (39-Y 0-N)
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- **2021-02-15** Floor substitute printed 21200234D-S1 (Dunnavant)
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- **2021-02-15** Read third time `reading-3`
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- **2021-02-15** Passed by for the day
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- **2021-02-15** Impact statement from DPB (HB1817S1)
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- **2021-02-16** Read third time `reading-3`
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- **2021-02-16** Reading of substitute waived
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- **2021-02-16** Substitute by Senator Dunnavant agreed to 21200234D-S1
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- **2021-02-16** Passed by temporarily
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- **2021-02-16** Engrossed by Senate - floor substitute HB1817S1
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- **2021-02-16** Passed Senate with substitute (33-Y 6-N) `passage`
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- **2021-02-18** Placed on Calendar
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- **2021-02-18** Senate substitute rejected by House 21200234D-S1 (1-Y 97-N)
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- **2021-02-18** VOTE: REJECTED (1-Y 97-N)
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- **2021-02-22** Senate insisted on substitute (39-Y 0-N)
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- **2021-02-22** Senate requested conference committee
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- **2021-02-23** House acceded to request
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- **2021-02-23** Conferees appointed by House
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- **2021-02-24** Conferees appointed by Senate
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- **2021-02-25** Amended by conference committee
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- **2021-02-25** Conference substitute printed 21200657D-H1
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- **2021-02-25** Conference report agreed to by House (89-Y 0-N)
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- **2021-02-25** VOTE: Agreed To (89-Y 0-N)
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- **2021-02-26** Impact statement from DPB (HB1817H1)
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- **2021-02-27** Conference report agreed to by Senate (20-Y 18-N)
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- **2021-02-27** Reconsideration of conference report agreed to by Senate (38-Y 0-N)
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- **2021-02-27** Conference report agreed to by Senate (20-Y 19-N)
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- **2021-03-09** Enrolled
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- **2021-03-09** Impact statement from DPB (HB1817ER)
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- **2021-03-09** Signed by President
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- **2021-03-11** Signed by Speaker
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- **2021-03-15** Enrolled Bill communicated to Governor on March 15, 2021
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- **2021-03-15** Governor's Action Deadline 11:59 p.m., March 31, 2021
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- **2021-03-25** Approved by Governor-Chapter 396 (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/52e04005-9ae8-497b-ae8c-48ef706b1b18`. Confidence: reported (aggregated from official Virginia legislature records).
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