Virginia Regulatory Town Hall
Agency
Department of Health Professions
Board
Board of Nursing
 
chapter
Regulations Governing the Licensure of Advanced Practice Registered Nurses [18 VAC 90 ‑ 30]
Guidance Documents
Chapter Information
Description Establishes the qualifications for licensure, requirements for renewal, and standards of practice for licensed advanced practice registered nurses.
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 scope and required preparation for practice as a licensed advanced practice registered nurses and remove unnecessary barriers to practice.
Meetings See all meetings (10) relating to this chapter.

Contact Information
Name / Title: Jay P. Douglas, R.N.  / Executive Director
Address: 9960 Mayland Drive
Sutie 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
Fee Increase 2024 NOIRA Governor's office review in progress.
Implementation of clinical nurse specialist practice agreement changes from 2022 General Assembly Fast-Track Secretary of Health and Human Resources review in progress.

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.
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.
Unprofessional conduct/conversion therapy Final Stage complete. This regulation became effective on 02/02/2022.
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.
Supervision and direction of laser hair removal Final Stage complete. This regulation became effective on 08/07/2019.
Prescribing of opioids Final Stage complete. This regulation became effective on 07/09/2019.
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.
Conforming regulations to Code changes
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 10/05/2016.
Restricted volunteer license
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 12/30/2015.
Categories of nurse practitioners Fast-Track Stage complete. This regulation became effective on 01/15/2016.
Practice in patient care teams Final Stage complete. This regulation became effective on 07/15/2015.
Addition of AACN to certifying bodies for licensure Fast-Track Stage complete. This regulation became effective on 07/16/2015.
Increase in fees Final Stage complete. This regulation became effective on 07/06/2011.
Address of record/public address and nametags
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 07/01/2009.
Periodic review Fast-Track Stage complete. This regulation became effective on 12/25/2008.
Consistency with inactive licensure for RN's Final Stage complete. This regulation became effective on 09/03/2008.
Practice of certified nurse midwives Final Stage complete. This regulation became effective on 02/20/2008.
Delegation to an agency subordinate Fast-Track Stage complete. This regulation became effective on 11/29/2007.
Inactive licensure Final Stage complete. This regulation became effective on 10/01/2007.
Correction of publication cite
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 04/18/2007.
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.
Provisional license Fast-Track Stage complete. This regulation became effective on 11/18/2006.
Written protocol to include signature authorization Final Stage complete. This regulation became effective on 07/27/2005.
Implementation of Nurse Licensure Compact Final Stage complete. This regulation became effective on 07/27/2005.
Changes to criteria for licensure/endorsement Final Stage complete. This regulation became effective on 03/09/2005.
Periodic review - accreditation of certifying agencies Final Stage complete. This regulation became effective on 07/02/2003.
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.
Date change
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 01/17/2001.

Withdrawn Actions
Action Title Latest Stage Status
Amendment to APRN regulations to allow agency subordinates to hear credentials cases

Periodic Reviews
Last Activity Status
11/13/2012 Agency Completed Amend
5/3/2013 Agency Completed Retain As Is
9/1/2001 Agency Completed Amend