Agencies | Governor
Virginia Regulatory Town Hall
Department of Health Professions
Board of Nursing
Regulations Governing the Licensure of Nurse Practitioners [18 VAC 90 ‑ 30]
Autonomous practice
General Information
Action Summary Regulations set the qualifications for authorization for a nurse practitioner to practice without a practice agreement with a patient care team physician, including the hours required for the equivalent of five years of full-time clinical experience, content of the attestation from the physician and nurse practitioner, submission of an attestation when the nurse practitioner is unable to obtain a physician attestation, requirements for autonomous practice, and the fee for authorization.
Chapters Affected
  VAC Chapter Name Action Type
Primary 18 VAC 90-30 Regulations Governing the Licensure of Nurse Practitioners Amend Existing Regulation
Other chapters
  18 VAC 90 - 40 Regulations for Prescriptive Authority for Nurse Practitioners Amend Existing Regulation
Exempt from APA No, this action is not exempt from Article II of the APA and executive branch review.
RIS Project Yes  [005512]
Associated Mandates Autonomous practice for nurse practitioners
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
8395 Emergency/NOIRA Stage complete. This regulation became effective on 01/07/2019 and expires on 06/06/2020.
8578 Proposed Stage complete. Comment period ended 11/29/2019.
Contact Information
Name / Title: Jay P. Douglas, R.N.  / Executive Director
Address: 9960 Mayland Drive
Sutie 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.