Our Bill

Virginia HB 793


VCNP has drafted HB 793 - legislation that would move NPs closer to achieving the right to practice to the full extent of their education and training. Under the proposed legislation, NPs would perform advanced practice nursing under a practice agreement with a collaborating physician for a specified number of years during a Transition to Practice period, after which point the practice agreement requirement would then be removed. The removal of the practice agreement is considered the removal of a barrier that would allow for better access to care for patients. VCNP is hopeful the legislature will see this as a good faith compromise and an incremental step forward regardless of if the other stakeholder groups support it.

Ideally, the reference of a “patient care team” and licensure from both the Board of Nursing and Board of Medicine should be eliminated. All states allowing for Full Practice Authority have moved toward licensure from only the Board of Nursing and acknowledged that NPs always work within a “patient care team,” which is part of their training and not something that needs to be legislatively enforced. These are legislative steps that will need to be worked towards in the future.

For a comprehensive FAQ about the bill, please click HERE.


September 18, 2018 - At its September 18th meeting, the Board of Nursing voted 12-0 to adopt the HB 793 draft emergency regulations, as amended by the Board of Medicine at its August 3rd meeting. The Board of Nursing did not make any additional changes to the regulations. To view a copy of the updated emergency regulations, as passed, please click here. The regulations will now be reviewed by several state agencies before reaching the Governor’s desk for his signature. Per the law, the emergency regulations must be in place - and HB 793 take effect - by early January 2019.

August 3, 2018 - The Virginia Board of Medicine convened and discussed the draft regulations for HB 793. Though the Committee of the Joint Boards and the Board of Nursing had both passed draft regulations that defined “five years of full-time experience” as 8,000 hours (an average of 1,600 hours/year) at their respective meetings, the Board of Medicine decided to amend the draft regulations, changing the definition of “five years of full-time experience” to 9,000 hours.

July 17, 2018 - The Board of Nursing voted unanimously to pass the draft regulations for HB 793, as established at the May 17th meeting of the Joint Boards and advisory committee.

May 22, 2018 - A second public commentary period has opened for members of the public to make remarks about the HB 793 draft regulations passed at the May 17th meeting. Visit the Virginia Town Hall Regulatory site to participate. Commentary closes on Thursday, June 21 at 11:59 p.m.

May 17, 2018 - The Committee of the Joint Boards of Nursing and Medicine passes draft regulations for the implementation of HB 793. You may view a copy of the draft regulations through the Virginia Regulatory Town Hall website or by clicking HERE.

May 4, 2018 - Public commentary period regarding the promulgation of regulations for HB 793 ends. Please click HERE to post a comment. Visit VCNP.net for more information and key talking points.

April 4, 2018 - Governor Northam signed HB 793 without further amendments, thereby decreasing barriers to practice for NPs throughout Virginia.

April 3, 2018 - Associated Press - "Bill Would Give Virginia Nurse Practitioners More Autonomy"

AP reporter Sarah Rankin interviewed several VCNP members for an article expounding the significance of the bill and its potential implications for NPs and patients throughout the Commonwealth.

February 1, 2018 - Richmond Times-Dispatch - "Nurse Practitioner Bill Squeezes through First Committee, with Amendments"

The chairman's substitute bill for HB793 was passed unanimously 9-0 by the Virginia House Health, Welfare & Institutions Subcommittee #1. It will be heard by the full Virginia House HWI Committee on Tuesday, February 6th.

January 12, 2018 - OFFICIAL NEWS RELEASE

For a full report containing media coverage statistics and transcripts of articles and op-eds pertaining to HB 793, please click HERE.


During the course of the 2018 VCNP Annual Conference, NPs from across the state came together to share their experiences and share how HB 793 - unamended - would positively affect their practice. This concise but impactful video was the result of a collective effort to ask the Governor to sign the bill, without any additional amendments. It was shared with the Governor's office via social media.