Fabio
98 lines
6.4 KiB
Markdown
98 lines
6.4 KiB
Markdown
---
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type: "Bill"
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title: "Clinical nurse specialist; practice agreements."
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description: "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."
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jurisdiction: "us/states/va"
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legislature: "Virginia General Assembly"
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session: "2022"
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identifier: "HB 285"
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citation: "Virginia HB 285 (2022)"
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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: 3
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action_count: 24
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vote_count: 6
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first_action: "2022-01-11"
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last_action: "2022-04-07"
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source: "openstates"
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source_identifier: "ocd-bill/0f49c78c-b62c-4ea9-8d77-ee9ae1aa1b00"
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source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+HB285"
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source_hash: "50aceee5a0ece4a607b92d4379b073ded5e41c392a3d668b057438bcbc204f9d"
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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 285 (2022) — Clinical nurse specialist; practice agreements.
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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.
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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. **CHAP0197** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+CHAP0197)
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2. **HB285ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB285ER)
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3. **Prefiled and ordered printed; offered 01/12/22 22100270D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB285)
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## Votes
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- Subcommittee recommends reporting (9-Y 0-N) — **9–0** (pass) · lower
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- Reported from Education and Health (15-Y 0-N) — **15–0** (pass) · upper
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- Constitutional reading dispensed (39-Y 0-N) — **39–0** (pass) · upper
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- Reported from Health, Welfare and Institutions (22-Y 0-N) — **22–0** (pass) · lower
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- Passed Senate (40-Y 0-N) — **40–0** (pass) · upper
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- VOTE: Block Vote Passage (98-Y 0-N) — **97–0** (pass) · lower
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## Sponsors
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- Dawn M. Adams — primary (person)
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- C.E. Cliff Hayes, Jr. — cosponsor (person)
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- Clinton L. Jenkins — 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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- Irene Shin — cosponsor (person)
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- Kaye Kory — cosponsor (person)
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- Kelly K. Convirs-Fowler — cosponsor (person)
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- Kenneth R. Plum — cosponsor (person)
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- Sam Rasoul — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2022-01-11** Prefiled and ordered printed; offered 01/12/22 22100270D `introduction`
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- **2022-01-11** Referred to Committee on Health, Welfare and Institutions `referral-committee`
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- **2022-01-17** Impact statement from DPB (HB285)
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- **2022-01-18** Assigned HWI sub: Subcommittee #1 `referral-committee`
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- **2022-01-25** Subcommittee recommends reporting (9-Y 0-N)
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- **2022-01-27** Reported from Health, Welfare and Institutions (22-Y 0-N) `committee-passage`
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- **2022-01-31** Read first time `reading-1`
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- **2022-02-01** Read second time and engrossed `reading-2`
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- **2022-02-02** Read third time and passed House BLOCK VOTE (98-Y 0-N) `passage, reading-3`
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- **2022-02-02** VOTE: Block Vote Passage (98-Y 0-N)
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- **2022-02-03** Constitutional reading dispensed
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- **2022-02-03** Referred to Committee on Education and Health `referral-committee`
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- **2022-02-16** Assigned Education sub: Health Professions `referral-committee`
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- **2022-02-24** Reported from Education and Health (15-Y 0-N) `committee-passage`
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- **2022-02-25** Constitutional reading dispensed (39-Y 0-N)
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- **2022-02-28** Read third time `reading-3`
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- **2022-02-28** Passed Senate (40-Y 0-N) `passage`
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- **2022-03-02** Enrolled
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- **2022-03-02** Signed by Speaker
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- **2022-03-03** Impact statement from DPB (HB285ER)
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- **2022-03-03** Signed by President
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- **2022-03-11** Enrolled Bill communicated to Governor on March 11, 2022
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- **2022-03-11** Governor's Action Deadline 11:59 p.m., April 11, 2022
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- **2022-04-07** Approved by Governor-Chapter 197 (effective 7/1/22) `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/0f49c78c-b62c-4ea9-8d77-ee9ae1aa1b00`. Confidence: reported (aggregated from official Virginia legislature records).
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