Virginia Regulatory Town Hall
Regulatory Activity
Actions Underway Petitions for Rulemaking Legislative Mandates Periodic Reviews General Notices
Showing: 69 actions/stages currently being created, amended, or repealed for the Department of Health Professions. Where the stage type is Emergency,Emergency/NOIRA,Fast-Track,NOIRA,Proposed,Final
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Board Board of Audiology and Speech-Language Pathology
Chapter Action / Stage Information
Regulations Governing the Practice of Audiology and Speech-Language Pathology
[18 VAC 30 ‑ 21]
Action: Implementation of the ASLP Compact
Stage: NOIRA - Register Date: 5/19/25 
Board Board of Counseling
Chapter Action / Stage Information
Regulations Governing the Practice of Professional Counseling
[18 VAC 115 ‑ 20]
Action: Removal of redundant provisions related to conversion therapy
Stage: NOIRA - Approved by Governor
Regulations Governing the Practice of Professional Counseling
[18 VAC 115 ‑ 20]
Action: Implementation of the Counseling Compact
Stage: Proposed - At DPB
Regulations Governing the Practice of Professional Counseling
[18 VAC 115 ‑ 20]
Action: Reduction of residency requirements
Stage: Fast-Track - Register Date: 11/3/25 
Regulations Governing the Practice of Professional Counseling
[18 VAC 115 ‑ 20]
Action: Regulatory amendments to licensure by endorsement
Stage: Fast-Track - At DPB
Regulations Governing the Practice of Professional Counseling
[18 VAC 115 ‑ 20]
Action: Requirement for supervisors to submit evaluations and confirm resident hours within a set timeframe
Stage: Proposed - At DPB
Regulations Governing the Practice of Art Therapy
[18 VAC 115 ‑ 90]
Action: New chapter for licensure
Stage: Final - At Secretary's Office
Board Board of Dentistry
Chapter Action / Stage Information
Regulations Governing the Disciplinary Process in Dentistry
[18 VAC 60 ‑ 15]
Action: Amendment to allow agency subordinates to hear credentials cases
Stage: Fast-Track - Approved by Governor
Regulations Governing the Practice of Dentistry
[18 VAC 60 ‑ 21]
Action: Continuing education requirements for jurisprudence
Stage: NOIRA - At Secretary's Office
Regulations Governing the Practice of Dentistry
[18 VAC 60 ‑ 21]
Action: Training requirements for botulinum toxin injections for cosmetic purposes
Stage: Proposed - Register Date: 12/15/25 
Regulations Governing the Practice of Dentistry
[18 VAC 60 ‑ 21]
Action: Implementation of the Dentist and Dental Hygienist Compact
Stage: NOIRA - Approved by Governor
Regulations Governing the Practice of Dentistry
[18 VAC 60 ‑ 21]
Action: Training and supervision of digital scan technicians
Stage: Final - Approved by Governor
Regulations Governing the Practice of Dental Hygiene
[18 VAC 60 ‑ 25]
Action: Revision of dental hygienist training and duties to eliminate need for dual licensure as a dental hygienist and registration as a DAII
Stage: Fast-Track - At DPB
Regulations Governing the Practice of Dental Assistants
[18 VAC 60 ‑ 30]
Action: Elimination of direct pulp capping as a delegable task for a Dental Assistant II
Stage: Proposed - Register Date: 8/11/25 
Regulations Governing the Practice of Dental Assistants
[18 VAC 60 ‑ 30]
Action: Training in infection control
Stage: Final - At Secretary's Office
Board Board of Funeral Directors and Embalmers
Chapter Action / Stage Information
Regulations of the Board of Funeral Directors and Embalmers
[18 VAC 65 ‑ 20]
Action: 2023 Regulatory Reduction
Stage: Proposed - At DPB
Regulations of the Board of Funeral Directors and Embalmers
[18 VAC 65 ‑ 20]
Action: Requirements for preparation rooms for establishments that do not embalm
Stage: Fast-Track - At DPB
Regulations for Preneed Funeral Planning
[18 VAC 65 ‑ 30]
Action: Declinable preneed funeral guarantee fee amendments
Stage: Emergency/NOIRA - At DPB
Board Department of Health Professions
Chapter Action / Stage Information
Regulations Governing the Prescription Monitoring Program
[18 VAC 76 ‑ 20]
Action: 2023 periodic review amendments to PMP regulations
Stage: NOIRA - Register Date: 3/10/25 
Board Board of Long-Term Care Administrators
Chapter Action / Stage Information
Regulations Governing Delegation to an Agency Subordinate
[18 VAC 95 ‑ 15]
Action: Periodic review and implementation of resulting amendments to 18VAC95-15
Stage: NOIRA - Register Date: 12/29/25 
Regulations Governing the Practice of Nursing Home Administrators
[18 VAC 95 ‑ 20]
Action: Periodic review and implementation of resulting amendments to 18VAC95-20
Stage: NOIRA - Approved by Governor
Regulations Governing the Practice of Assisted Living Facility Administrators
[18 VAC 95 ‑ 30]
Action: Periodic review and implementation of resulting amendments to 18VAC95-30
Stage: NOIRA - Register Date: 12/29/25 
Board Board of Medicine
Chapter Action / Stage Information
Regulations Governing the Practice of Medicine, Osteopathic Medicine, Podiatry, and Chiropractic
[18 VAC 85 ‑ 20]
Action: Removal of requirement to provide documentation of continuing competency for reactivation of a license
Stage: Fast-Track - Approved by Governor
Regulations Governing the Practice of Medicine, Osteopathic Medicine, Podiatry, and Chiropractic
[18 VAC 85 ‑ 20]
Action: Licensure of foreign physicians through provisional and restricted licenses
Stage: NOIRA - Register Date: 3/24/25 
Regulations Governing the Practice of Physician Assistants
[18 VAC 85 ‑ 50]
Action: Amendment to requirements for patient care team physician or podiatrist consultation and collaboration
Stage: NOIRA - Register Date: 3/10/25 
Regulations Governing the Practice of Physician Assistants
[18 VAC 85 ‑ 50]
Action: Creation of reinstatement process for physician assistants with lapsed licenses
Stage: Fast-Track - Approved by Governor
Regulations Governing the Practice of Physician Assistants
[18 VAC 85 ‑ 50]
Action: Implementation of the PA Compact
Stage: NOIRA - At Secretary's Office
Regulations Governing the Practice of Physician Assistants
[18 VAC 85 ‑ 50]
Action: Removal of patient care team physician or podiatrist name from prescriptions issued by physician assistants
Stage: Proposed - Approved by Governor
Regulations Governing the Practice of Occupational Therapists
[18 VAC 85 ‑ 80]
Action: Expansion of options for reinstatement of lapsed occupational therapy or occupational therapy assistant license
Stage: Fast-Track - Register Date: 12/15/25 
Regulations Governing the Practice of Anesthesiologist Assistants
[18 VAC 85 ‑ 180]
Action: Licensure of Anesthesiologist Assistants
Stage: NOIRA - At Secretary's Office
Board Board of Nursing
Chapter Action / Stage Information
Regulations Governing the Practice of Nursing
[18 VAC 90 ‑ 19]
Action: Implementation of 2022 Periodic Review
Stage: NOIRA - Register Date: 3/10/25 
Regulations Governing the Practice of Nursing
[18 VAC 90 ‑ 19]
Action: Fee Increase 2024
Stage: Final - At Secretary's Office
Regulations for Medication Administration Training and Immunization Protocol
[18 VAC 90 ‑ 21]
Action: Implementation of 2022 Periodic Review
Stage: NOIRA - At Secretary's Office
Regulations Governing Nursing Education Programs
[18 VAC 90 ‑ 27]
Action: Periodic review changes to Chapter 27
Stage: NOIRA - Register Date: 12/30/24 
Regulations Governing the Licensure of Massage Therapists
[18 VAC 90 ‑ 50]
Action: Implementation of the Massage Therapy Compact
Stage: NOIRA - At Secretary's Office
Regulations Governing the Registration of Medication Aides
[18 VAC 90 ‑ 60]
Action:
This Action is exempt from Article 2 of the Administrative Process Act.
Regulations to register advanced registered medication aides
Stage: Final - At Governor's Office
Board Board of Optometry
Chapter Action / Stage Information
Regulations of the Virginia Board of Optometry
[18 VAC 105 ‑ 20]
Action: Regulations for optometrist profiles and reporting
Stage: Proposed - At Secretary's Office
Board Board of Pharmacy
Chapter Action / Stage Information
Regulations Governing the Practice of Pharmacy
[18 VAC 110 ‑ 20]
Action: Prohibition against incentives to transfer prescriptions
Stage: Final - At Governor's Office
Regulations Governing the Practice of Pharmacy
[18 VAC 110 ‑ 20]
Action: Replacement of analytic lab regulation for pharmaceutical processors
Stage: Fast-Track - Approved by Governor
Regulations Governing the Practice of Pharmacy
[18 VAC 110 ‑ 20]
Action: Requirements for use of central fill pharmacy and remote database access
Stage: Emergency/NOIRA - Register Date: 6/30/25 
Regulations Governing the Practice of Pharmacy
[18 VAC 110 ‑ 20]
Action: Increase in fees
Stage: Final - At Secretary's Office
Regulations Governing the Practice of Pharmacy
[18 VAC 110 ‑ 20]
Action:
This Action is exempt from Article 2 of the Administrative Process Act.
September 2025 scheduling of chemicals in Schedule I
Stage: Final - At Governor's Office
Regulations Governing the Practice of Pharmacy
[18 VAC 110 ‑ 20]
Action: Allowances for emergency drugs by EMS agencies
Stage: Final - Register Date: 12/15/25 
Regulations Governing the Practice of Pharmacy
[18 VAC 110 ‑ 20]
Action: Exclusion of private dwellings or residences from operating locations of controlled substance registrations (CSRs)
Stage: Proposed - At DPB
Regulations Governing the Practice of Pharmacy
[18 VAC 110 ‑ 20]
Action:
This Action is exempt from Article 2 of the Administrative Process Act.
Inclusion of fentanyl-related compounds in Schedule I consistent with federal scheduling changes
Stage: Final - At Governor's Office
Regulations Governing the Practice of Pharmacy
[18 VAC 110 ‑ 20]
Action: Crisis Stabilization Services and Use of Automated Drug Dispensing Systems and Remote Dispensing Systems
Stage: Final - At DPB
Regulations Governing the Practice of Pharmacy
[18 VAC 110 ‑ 20]
Action: Allowance for correctional facilities to possess long-acting medication
Stage: Fast-Track - At DPB
Regulations Governing the Practice of Pharmacy
[18 VAC 110 ‑ 20]
Action:
This Action is exempt from Article 2 of the Administrative Process Act.
Inclusion of advanced registered medication aides in regulation as required by legislation
Stage: Final - At Governor's Office
Regulations Governing the Practice of Pharmacy
[18 VAC 110 ‑ 20]
Action: Addition of prescription product accuracy as an accepted activity for central or remote processing
Stage: NOIRA - At Secretary's Office
Regulations Governing the Practice of Pharmacy
[18 VAC 110 ‑ 20]
Action: Update to pharmacy permit application requirements
Stage: NOIRA - At DPB
Regulations Governing the Practice of Pharmacy
[18 VAC 110 ‑ 20]
Action: Amendments to Chapters 20 and 21 based on 2021 periodic review
Stage: NOIRA - At DPB
Regulations for Practitioners of the Healing Arts to Sell Controlled Substances
[18 VAC 110 ‑ 30]
Action: Implementation of 2021 Periodic Review
Stage: Proposed - At Secretary's Office
Board Board of Physical Therapy
Chapter Action / Stage Information
Regulations Governing the Practice of Physical Therapy
[18 VAC 112 ‑ 20]
Action: Changes to comply with Compact rules
Stage: Fast-Track - Approved by Governor
Regulations Governing the Practice of Physical Therapy
[18 VAC 112 ‑ 20]
Action: Periodic review and implementation of resulting amendments to 18VAC112-20
Stage: NOIRA - At Secretary's Office
Board Board of Psychology
Chapter Action / Stage Information
Regulations Governing Delegation to an Agency Subordinate
[18 VAC 125 ‑ 15]
Action: Periodic review and implementation of resulting amendments to psychology board regulations of chapter 15
Stage: NOIRA - Approved by Governor
Regulations Governing the Practice of Psychology
[18 VAC 125 ‑ 20]
Action: Amendments to licensure by endorsement
Stage: NOIRA - Register Date: 9/23/24 
Regulations Governing the Practice of Psychology
[18 VAC 125 ‑ 20]
Action: Periodic review and implementation of resulting amendments to 18VAC125-20
Stage: NOIRA - At Secretary's Office
Regulations Governing the Practice of Psychology
[18 VAC 125 ‑ 20]
Action: Expansion of allowed courses for meeting applied psychology educational requirements
Stage: Fast-Track - At DPB
Regulations Governing the Certification of Sex Offender Treatment Providers
[18 VAC 125 ‑ 30]
Action: Periodic review and implementation of resulting amendments to 18VAC125-30
Stage: NOIRA - At Secretary's Office
Board Board of Social Work
Chapter Action / Stage Information
Regulations Governing the Practice of Social Work
[18 VAC 140 ‑ 20]
Action: Amendments resulting from 2022 periodic review
Stage: Proposed - Approved by Governor
Regulations Governing the Practice of Social Work
[18 VAC 140 ‑ 20]
Action: Acceptance of APA approved trainings as CE providers
Stage: NOIRA - Register Date: 6/17/24 
Regulations Governing the Practice of Social Work
[18 VAC 140 ‑ 20]
Action: 2022 Periodic Review changes to section 37
Stage: NOIRA - Register Date: 6/17/24 
Regulations Governing the Practice of Social Work
[18 VAC 140 ‑ 20]
Action: Implementation of the Social Work Compact
Stage: NOIRA - Register Date: 12/15/25 
Regulations Governing the Practice of Social Work
[18 VAC 140 ‑ 20]
Action: Streamlining licensure requirements for LCSW and LMSW
Stage: NOIRA - Register Date: 12/15/25 
Board Board of Veterinary Medicine
Chapter Action / Stage Information
Regulations Governing the Practice of Veterinary Medicine
[18 VAC 150 ‑ 20]
Action: Implementation of 2022 Periodic Review Changes
Stage: NOIRA - Register Date: 8/12/24 
Regulations Governing the Practice of Veterinary Medicine
[18 VAC 150 ‑ 20]
Action: Reduction of requirements for licensure by endorsement
Stage: NOIRA - Register Date: 6/17/24 
Regulations Governing the Practice of Veterinary Medicine
[18 VAC 150 ‑ 20]
Action: Limited practice as a veterinarian trainee
Stage: Emergency/NOIRA - At DPB
Regulations Governing the Practice of Veterinary Medicine
[18 VAC 150 ‑ 20]
Action: Regulation of satellite offices of veterinary establishments
Stage: Emergency/NOIRA - At DPB
Regulations Governing the Practice of Veterinary Medicine
[18 VAC 150 ‑ 20]
Action: Regulation of haul-in facilities
Stage: NOIRA - Approved by Governor
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