Virginia Regulatory Town Hall
Department of Health Professions
Board of Nursing
Regulations Governing the Licensure of Advanced Practice Registered Nurses [18 VAC 90 ‑ 30]
Autonomous practice
Action 5132
General Information
Action Summary Regulations set the qualifications for authorization for a nurse practitioner to practice without a practice agreement with a patient care team physician, including the hours required for the equivalent of five years of full-time clinical experience, content of the attestation from the physician and nurse practitioner, submission of an attestation when the nurse practitioner is unable to obtain a physician attestation, requirements for autonomous practice, and the fee for authorization.
Chapters Affected
  VAC Chapter Name Action Type
Primary 18 VAC 90-30 Regulations Governing the Licensure of Advanced Practice Registered Nurses Amend Existing Regulation
Other chapters
  18 VAC 90 - 40 Regulations for Prescriptive Authority for Advanced Practice Registered Nurses Amend Existing Regulation
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [005512]
Associated Mandates Autonomous practice for nurse practitioners
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
8395 Emergency/NOIRA Stage complete. Emergency regulation was set to expire on 06/06/2020 and was extended until 12/05/2020.
8578 Proposed Stage complete. Comment period ended 11/29/2019.
8907 Final Stage complete. This regulation became effective on 07/22/2020.
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.