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type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags
type title description jurisdiction legislature session identifier citation classification subjects status primary_sponsors version_count action_count vote_count first_action last_action source source_identifier source_url source_hash vintage source_snapshot retrieved_at confidence tags
Bill Clinical nurse specialist; practice agreements. Clinical nurse specialist; practice agreements.Provides that a nurse practitioner licensed by the Boards of Medicineand Nursing in the category of clinical nurse specialist who doesnot prescribe controlled substances or devices may practice in thepractice category in which he is certified and licensed without awritten or electronic practice agreement, provided that he (i) onlypractice within the scope of his clinical and professional trainingand limits of his knowledge and experience and consistent with theapplicable standards of care, (ii) consult and collaborate with otherhealth care providers based on the clinical condition of the patientto whom health care is provided, and (iii) establish a plan for referralof complex medical cases and emergencies to physicians or other appropriatehealth care providers. The bill also provides that a nurse practitionerlicensed by the Boards in the category of clinical nurse specialistwho prescribes controlled substances or devices shall practice inconsultation with a licensed physician in accordance with a practiceagreement between the nurse practitioner and the licensed physician. us/states/va Virginia General Assembly 2022 HB 285 Virginia HB 285 (2022)
bill
enacted
Dawn M. Adams
3 24 6 2022-01-11 2022-04-07 openstates ocd-bill/0f49c78c-b62c-4ea9-8d77-ee9ae1aa1b00 https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+HB285 50aceee5a0ece4a607b92d4379b073ded5e41c392a3d668b057438bcbc204f9d 2026-07-01 https://data.openstates.org/daily/2026-07-01/public.pgdump 2026-07-06 reported
legislation
bill
us-va

Virginia HB 285 (2022) — Clinical nurse specialist; practice agreements.

Clinical nurse specialist; practice agreements.Provides that a nurse practitioner licensed by the Boards of Medicineand Nursing in the category of clinical nurse specialist who doesnot prescribe controlled substances or devices may practice in thepractice category in which he is certified and licensed without awritten or electronic practice agreement, provided that he (i) onlypractice within the scope of his clinical and professional trainingand limits of his knowledge and experience and consistent with theapplicable standards of care, (ii) consult and collaborate with otherhealth care providers based on the clinical condition of the patientto whom health care is provided, and (iii) establish a plan for referralof complex medical cases and emergencies to physicians or other appropriatehealth care providers. The bill also provides that a nurse practitionerlicensed by the Boards in the category of clinical nurse specialistwho prescribes controlled substances or devices shall practice inconsultation with a licensed physician in accordance with a practiceagreement between the nurse practitioner and the licensed physician.

Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

  1. CHAP0197 (committee substitute) — source
  2. HB285ER (committee substitute) — source
  3. Prefiled and ordered printed; offered 01/12/22 22100270D (committee substitute) — source

Votes

  • Subcommittee recommends reporting (9-Y 0-N) — 90 (pass) · lower
  • Reported from Education and Health (15-Y 0-N) — 150 (pass) · upper
  • Constitutional reading dispensed (39-Y 0-N) — 390 (pass) · upper
  • Reported from Health, Welfare and Institutions (22-Y 0-N) — 220 (pass) · lower
  • Passed Senate (40-Y 0-N) — 400 (pass) · upper
  • VOTE: Block Vote Passage (98-Y 0-N) — 970 (pass) · lower

Sponsors

  • Dawn M. Adams — primary (person)
  • C.E. Cliff Hayes, Jr. — cosponsor (person)
  • Clinton L. Jenkins — cosponsor (person)
  • Delores L. McQuinn — cosponsor (person)
  • Emily M. Brewer — cosponsor (person)
  • G. "John" Avoli — cosponsor (person)
  • Irene Shin — cosponsor (person)
  • Kaye Kory — cosponsor (person)
  • Kelly K. Convirs-Fowler — cosponsor (person)
  • Kenneth R. Plum — cosponsor (person)
  • Sam Rasoul — cosponsor (person)

Timeline

The legislative action history — every referral, reading, and vote.

  • 2022-01-11 Prefiled and ordered printed; offered 01/12/22 22100270D introduction
  • 2022-01-11 Referred to Committee on Health, Welfare and Institutions referral-committee
  • 2022-01-17 Impact statement from DPB (HB285)
  • 2022-01-18 Assigned HWI sub: Subcommittee #1 referral-committee
  • 2022-01-25 Subcommittee recommends reporting (9-Y 0-N)
  • 2022-01-27 Reported from Health, Welfare and Institutions (22-Y 0-N) committee-passage
  • 2022-01-31 Read first time reading-1
  • 2022-02-01 Read second time and engrossed reading-2
  • 2022-02-02 Read third time and passed House BLOCK VOTE (98-Y 0-N) passage, reading-3
  • 2022-02-02 VOTE: Block Vote Passage (98-Y 0-N)
  • 2022-02-03 Constitutional reading dispensed
  • 2022-02-03 Referred to Committee on Education and Health referral-committee
  • 2022-02-16 Assigned Education sub: Health Professions referral-committee
  • 2022-02-24 Reported from Education and Health (15-Y 0-N) committee-passage
  • 2022-02-25 Constitutional reading dispensed (39-Y 0-N)
  • 2022-02-28 Read third time reading-3
  • 2022-02-28 Passed Senate (40-Y 0-N) passage
  • 2022-03-02 Enrolled
  • 2022-03-02 Signed by Speaker
  • 2022-03-03 Impact statement from DPB (HB285ER)
  • 2022-03-03 Signed by President
  • 2022-03-11 Enrolled Bill communicated to Governor on March 11, 2022
  • 2022-03-11 Governor's Action Deadline 11:59 p.m., April 11, 2022
  • 2022-04-07 Approved by Governor-Chapter 197 (effective 7/1/22) executive-signature

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/0f49c78c-b62c-4ea9-8d77-ee9ae1aa1b00. Confidence: reported (aggregated from official Virginia legislature records).