The Virginia Board of Nursing is proposing astronomical fee increases for all licensed professionals. I read through the proposal and can see that there have been or will be salary increases of around 28% from FY2020 to 6/2025. The fees increases they are proposing are to the tune of 60-100% for most all of my fellow healthcare professionals

While considering the rising cost of living and a great deficit in salary increases in today's world these fee increases are extremely concerning to me and others in my profession. While I understand the mentioned 28% in salary increase and the ever-rising cost of operations; I ask myself if 60 to 100% is justifiable? I can speak on behalf of myself and can without any doubt say that I have not received 60-100% salary increase in the past few years nor do I expect it from a local nonprofit agency. I can also say that insurances both private and public such as Medicare and Medicaid are not reimbursing agencies 60-100% more so there is not any correlation to the fee increases with what is going into healthcare worker's or agency's pockets.

For states that border VA have fees around of $90 for RN, $40 for LPN and $90 for APRN Annually (WV), $100 for both RN/LPN, $50 for APRN Annually (NC) and $100 for LPNs/RNs and $110 for APRNs Annually (TN).

While I know this is currently at the state level, I am asking for your help in bringing awareness to the detrimental effects of these increases and advocating for a healthcare field that is already crumbling. The future of our communities and population will most definitely be negatively impacted by these.