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Virginia Regulatory Town Hall
Agency
Department of Health Professions
 
Board
Board of Nursing
 
chapter
Regulations Governing the Practice of Nursing [18 VAC 90 ‑ 19]
Action Fee Increase 2024
Stage Proposed
Comment Period Ended on 2/14/2025
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2/11/25  1:32 pm
Commenter: Anonymous

Several negative impacts due to increase of fees
 

1. Financial Burden on Nurses

 

Nurses, especially those just starting their careers or working in lower-paying positions, may struggle with the additional financial strain. Many nurses already face student loan debt and other professional expenses, so higher licensing fees could make it harder to stay in the profession.

 

2. Workforce Shortages

 

If fees become too expensive, some nurses may decide not to renew their licenses, retire early, or even leave the profession altogether. At a time when many healthcare systems are already facing nursing shortages, this could exacerbate the problem, leading to increased burnout and patient care issues.

 

3. Discouraging New Nurses

 

Higher licensing costs could deter prospective students from pursuing nursing careers, especially those from lower-income backgrounds. This could further reduce the pipeline of new nurses entering the workforce.

 

4. Negative Impact on Healthcare Access

 

Fewer nurses in the workforce mean higher patient-to-nurse ratios, leading to increased workloads, decreased quality of care, and longer wait times for patients. This could have serious consequences for patient safety and overall healthcare efficiency.

 

5. Questionable Justification for Increases

 

Unless there is a clear and necessary reason for raising fees—such as direct improvements in licensing processes or continuing education programs—higher fees may seem unfair. Nurses may feel they are being overburdened without seeing tangible benefits in return.

 

6. Potential for Unfair Revenue Generation

 

If the additional revenue from fee increases is not directly reinvested into nursing education, support programs, or workforce development, it could be seen as an unjustified financial burden rather than a necessary expense for professional regulation.

 

CommentID: 232369