Virginia Regulatory Town Hall
Agency
Department of Health Professions
Board
Board of Nursing
 
chapter
Regulations for Prescriptive Authority for Advanced Practice Registered Nurses [18 VAC 90 ‑ 40]
Guidance Documents
Chapter Information
Description Establishes qualifications for licensure and renewal of prescriptive authority for advanced practice registered nurses and for supervision and protocols with supervising physicians.
State Authority Chapters 29 and 30 of Title 54.1
Federal Authority None entered
Exempt from APA No, changes to this chapter are subject to the Administrative Process Act.
Text of Regulation Link to Virginia Administrative Code
Goals of Regulation 1) Achieve high ratings on Customer Service Satisfaction Survey for application process and renewal of licenses.
2) Review the requirements for prescriptive authority and remove unnecessary barriers to practice.
3) Ensure submission of required documentation for prescriptive authority by physicians and licensees.
Meetings See all meetings (12) relating to this chapter.

Contact Information
Name / Title: Jay P. Douglas, R.N.  / Executive Director
Address: 9960 Mayland Drive
Suite 300
Richmond, VA 23233-1463
Email Address: jay.douglas@dhp.virginia.gov
Telephone: (804)367-4520    FAX: (804)527-4455    TDD: ()-
Current Actions
Action Title Latest Stage Status
None

Past Actions
Action Title Latest Stage Status
Name change from nurse practitioner to advanced practice registered nurse
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 11/08/2023.
Waiver for electronic prescribing Final Stage complete. This regulation became effective on 02/02/2022.
Changes relating to clinical nurse specialists as nurse practitioners Fast-Track Stage complete. This regulation became effective on 04/01/2022.
Conforming to 2021 legislation
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 11/10/2021.
Autonomous practice Final Stage complete. This regulation became effective on 07/22/2020.
Elimination of separate license for prescriptive authority Final Stage complete. This regulation became effective on 03/04/2020.
Handling fee Fast-Track Stage complete. This regulation became effective on 03/05/2020.
Prescribing of opioids Final Stage complete. This regulation became effective on 07/09/2019.
Correction of section relating to practice agreements Fast-Track Stage complete. This regulation became effective on 02/08/2018.
Reduction in renewal fees
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 05/31/2017.
Practice revisions Final Stage complete. This regulation became effective on 07/15/2015.
Increase in fees Final Stage complete. This regulation became effective on 07/06/2011.
Unauthorized disclosure from the PMP
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 09/15/2010.
Periodic review Fast-Track Stage complete. This regulation became effective on 12/25/2008.
Clarification of requirements for supervision Fast-Track Stage complete. This regulation became effective on 01/11/2008.
Correction of Code cite
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 03/17/2007.
Change in returned check fee
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 03/22/2006.
Periodic review Final Stage complete. This regulation became effective on 01/15/2003.
Continuing education Final Stage complete. This regulation became effective on 05/08/2002.
Increase in fees Final Stage complete. This regulation became effective on 04/11/2001.
Conformity to changes in law
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 08/02/2000.

Withdrawn Actions
Action Title Latest Stage Status
Practice standards for pain management Proposed Stage withdrawn on 05/21/2009 before the Governor's office completed its review.

Periodic Reviews
Last Activity Status
11/13/2012 Agency Completed Amend
5/3/2013 Agency Completed Retain As Is
9/26/2000 Agency Completed Amend