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Legislative:

U.S Legislative Branch

Virginia General Assembly and State Government

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VONEL Legislative Update

Current Legislation Being Discussed at the General Assembly.

 

COPN House Subcommittee to Meet Jan. 27

The Chairman of the House Health, Welfare, and Institutions (HWI) Committee, Del. Bobby Orrock (R-Spotsylvania County), has announced that the HWI Subcommittee 3 will conduct its first meeting of the Session on Wednesday, Jan. 27 at 5:00 p.m. in the General Assembly Building’s House Room D. The Subcommittee, chaired by Del. Dickie Bell (R-Staunton) is scheduled to consider all proposed legislation making changes to Virginia’s Certificate of Public Need (COPN) program. A total of 14 different bills on COPN have been introduced in the House. Most of the activity at the General Assembly has been focused on two bills offering competing approaches to addressing the COPN law. One bill introduced by Del. Chris Stolle (R-Virginia Beach), HB 1083, seeks to implement improvements to the COPN review process and establish a framework for future program reforms. A separate bill introduced by Del. John O’Bannon (R-Henrico County), HB 193, seeks to repeal COPN over three years. These and other proposed measures seeking to deregulate COPN by varying degrees will be considered in the coming weeks. Earlier this week, a group of Republican legislators held a press conference calling for the General Assembly to pass legislation to reform the COPN law, a sign this issue is receiving considerable attention in 2016.

 

Scope of Practice Legislation

 HB 581 (Robinson) and SB 264 (Dance): Nurse practitioners; practicing outside of a patient care team.  Authorizes a nurse practitioner with at least 2,000 hours of post licensure experience to practice without the requirement for collaboration and consultation with a patient care team physician as part of a patient care team or a written or electronic practice agreement between the licensed nurse practitioner and a licensed physician in certain clinical settings.  The bill also grants prescriptive authority to such nurse practitioners.

 HB 909 (Minchew): Nurse practitioners; practicing outside of a patient care team.  Authorizes a nurse practitioner to practice without the requirement for collaboration and consultation with a patient care team physician as part of a patient care team or a written or electronic practice agreement between the nurse practitioner and a physician in any clinic that is located in a medically underserved area of the state.   The bill also grants prescriptive authority to such nurse practitioners.

 SB 369 (Stanley):  Nurse practitioners; practicing outside of a patient care team.  Authorizes a nurse practitioner to practice without the requirement for collaboration and consultation with a patient care team physician as part of a patient care team or a written or electronic practice agreement between the nurse practitioner and a physician in any clinic that is located in a medically underserved area of the state or an area of the state that has an unemployment rate of one and one-half times the statewide average unemployment rate.  The bill also grants prescriptive authority to such nurse practitioners.

 SB 463 (Carrico): Nurse practitioners; certified nurse midwives; practicing without a patient care team or practice agreement.  Authorizes a nurse practitioner licensed by the Boards of Medicine and Nursing in the category of certified nurse midwife to practice without the requirement for collaboration and consultation with a patient care team physician as part of a patient care team or a written or electronic practice agreement between the licensed nurse practitioner and a licensed physician.  Under current law, such practice is authorized only under a Department of Health pilot program.  The bill grants prescriptive authority to such nurse practitioners and directs the Boards of Medicine and Nursing to jointly promulgate regulations governing such practice.  Finally, the bill repeals the pilot program authorizing such practice as obsolete.

 SB 620 (Stanley): Nurse practitioners.  Eliminates the requirement that a nurse practitioner practice as part of a patient care team with a practice agreement with a patient care physician.  The bill also eliminates a Board of Health pilot program authorizing certain nurse practitioners. To practice without a practice agreement as the bill makes such pilot obsolete.  The bill requires regulations to be promulgated within 280 days of enactment.


 

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