Agencies | Governor
Virginia Regulatory Town Hall
Department of Health Professions
Board of Nursing
Regulations Governing the Licensure of Nurse Practitioners [18 VAC 90 ‑ 30]
This action is exempt from the executive branch review process.
Conforming to 2021 legislation
General Information
Action Summary Amendments to regulations for the licensure of nurse practitioners and prescriptive authority for nurse practitioners are adopted to conform to the following legislative actions that amended the Code HB1737 – Reduction of requirement for years in clinical practice from 5 to 2 years for autonomous practice of nurse practitioners without practice agreement; expiration of July 1, 2022. HB1747 – Establishment of licensure and practice of clinical nurse specialists (CNSs) as nurse practitioners under the joint Boards of Nursing and Medicine; requirement for a practice agreement; prescriptive authority for clinical nurse specialists who qualify. HB1817 – Reduction of requirement for years in clinical practice for practice of without physician consultation; sets 1,000 hours of clinical practice under a practice agreement with a patient care team physician OR another certified nurse midwife with at least two years of experience required for autonomous practice.
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 Yes, this action is exempt from Article 2 of the Administrative Process Act.
Exempt Citation: 2.2-4006 A 4
RIS Project Yes  [6896]
Associated Mandates
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
9369 Final Stage complete. This regulation became effective on 11/10/2021.
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.