Advanced practice registered nurses; authorization to practice without a practice agreement, etc.
<p class=ldtitle>A BILL to amend and reenact § 54.1-2957 of the Code of Virginia, relating to advanced practice registered nurses; authorization to practice without a practice agreement; service in military or employment with Department of Veterans Affairs.</p>
Healthcare
Enacted
This bill passed the Legislature and reached final enactment based on the latest official action.
Sponsor
Glass
Last action
2026-02-18
Official status
Failed
Effective date
Not listed
Plain English Breakdown
The bill summary and official text do not provide specific details on how the change in terminology will impact current practices, leaving this as an open question.
Advanced Practice Registered Nurses Can Work Without Agreements
This bill allows certain advanced practice registered nurses to work without a practice agreement if they have at least three years of experience in the military or with the Department of Veterans Affairs.
What This Bill Does
Allows some advanced practice registered nurses to practice independently without needing a practice agreement.
Who It Names or Affects
Advanced practice registered nurses who meet the experience requirements.
Terms To Know
Practice Agreement
A written agreement between a nurse practitioner and another healthcare provider that outlines their roles and responsibilities.
Limits and Unknowns
The bill does not specify how the change in terminology from 'advanced practice registered nurse' to 'nurse practitioner' will affect current practices.
It is unclear if this legislation has been fully enacted as of the last action date.
Amendments
These notes stay tied to the official amendment files and metadata from the legislature.
Plain English: The amendment changes the term 'advanced practice registered nurse' to 'nurse practitioner' in certain parts of the bill.
Changes 'relating to advanced practice registered nurses' to 'nurse practitioners'.
Replaces 'Any advanced practice registered nurse' with 'Any nurse practitioner'.
Modifies 'as an advanced practice registered nurse' to 'a nurse practitioner'.
Updates 'autonomously as an advanced practice registered nurse' to 'a nurse practitioner'.
The amendment does not explain the differences between 'advanced practice registered nurses' and 'nurse practitioners', which could be important for understanding its full impact.
Plain English: The amendment changes the term 'advanced practice registered nurse' to 'nurse practitioner' in certain parts of the bill.
Changes 'advanced practice registered nurse' to 'nurse practitioner' in the title and specific sections of the bill.
The amendment only specifies changes to particular lines and does not provide context on how these changes will affect the overall meaning or implementation of the bill.
Bill History
2026-02-18House
Left in Committee Health and Human Services
2026-02-10Health Professions
Subcommittee failed to recommend reporting with amendment(s) (4-Y 6-N)
2026-02-10Health Professions
House subcommittee offered
2026-01-21Health Professions
Assigned sub: Health Professions
2026-01-19House
Fiscal Impact Statement from Department of Planning and Budget (HB622)
2026-01-13House
Prefiled and ordered printed; Offered 01-14-2026 26101853D
2026-01-13Health and Human Services
Referred to Committee on Health and Human Services
Official Summary Text
Advanced practice registered nurses; authorization to practice without a practice agreement; service in military or employment with Department of Veterans Affairs.
Permits advanced practice registered nurses who practiced autonomously for at least three years as part of either military service or employment with the Department of Veterans Affairs to practice without a practice agreement.
Current Bill Text
Read the full stored bill text
HB 622
SUBCOMMITTEE
1. Line 4, introduced, Title, after
relating to
strike
the remainder of line 4 and through
nurses
on line 5
insert
nurse practitioners
SUBCOMMITTEE
2. Line 121, introduced, after
Any
strike
advanced practice registered nurse
insert
nurse practitioner
SUBCOMMITTEE
3. Line 121, introduced, after
as
strike
the remainder of line 121 and through
nurse
on line 122
insert
a
nurse practitioner
SUBCOMMITTEE
4. Line 123, introduced, after
autonomously as
strike
an
advanced practice registered nurse
insert
a
nurse practitioner