Virginia Regulatory Town Hall
Department of Health Professions
Board of Nursing
Regulations for Prescriptive Authority for Nurse Practitioners [18 VAC 90 ‑ 40]
Prescribing of opioids
General Information
Action Summary Regulations are being promulgated as emergency regulations to address the opioid abuse crisis in Virginia. Regulations for the management of acute pain include requirements for the evaluation of the patient, limitations on quantity and dosage, and medical record-keeping. Regulations for management of chronic pain include requirements for evaluation and treatment, including a treatment plan, informed consent and agreement, consultation with other providers, and medical record-keeping. Regulations for prescribing of buprenorphine include requirements for patient assessment and treatment planning, limitations on prescribing the buprenorphine mono-product (without naloxone), dosages, co-prescribing of other drugs, consultation and medical records for opioid addiction treatment.
Chapters Affected
  VAC Chapter Name Action Type
Primary 18 VAC 90-40 Regulations for Prescriptive Authority for Nurse Practitioners Amend Existing Regulation
Other chapters
  18 VAC 90 - 30 Regulations Governing the Licensure of Nurse Practitioners Amend Existing Regulation
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [005096]
New Periodic Review This action will not be used to conduct a new periodic review.
Stages associated with this regulatory action.
Stage ID Stage Type Status
7903 Emergency/NOIRA Stage complete. Emergency regulation expired on 11/07/2018.
7989 Emergency Stage complete. Emergency regulation was set to expire on 11/07/2018 and was extended until 05/06/2019.
8063 Proposed Stage complete. Comment period ended 09/07/2018.
8462 Final Stage complete. This regulation became effective on 07/09/2019.
Contact Information
Name / Title: Jay P. Douglas, R.N.  / Executive Director
Address: 9960 Mayland Drive
Suite 300
Richmond, VA 23233-1463
Email Address:
Phone: (804)367-4520    FAX: (804)527-4455    TDD: ()-

This person is the primary contact for this chapter.