Virginia Regulatory Town Hall
Department of Health Professions
Board of Nursing
Regulations Governing the Licensure of Advanced Practice Registered Nurses [18 VAC 90 ‑ 30]
Public Comment Forum

On this Periodic Review

Review Announcement

Pursuant to Executive Order 14 (2010) and §§ 2.2-4007.1 and 2.2-4017 of the Code of Virginia, the Board of Nursing is conducting a periodic review of:

18VAC90-30 Regulations Governing the Licensure of Nurse Practitioners

18VAC90-40 Regulations for Prescriptive Authority for Nurse Practitioners

The review is part of the Governor’s Regulatory Reform Project with the goal of:
a. Repealing regulations that are unnecessary or no longer in use;
b. Reducing unnecessary regulatory burdens on individuals, businesses, and other regulated groups; and
c. Identifying statutes that require unnecessary or overly burdensome regulations.

Further, the Board is seeking comment on whether this regulation should be terminated, amended, or retained in its current form. Public comment is sought on the review of any issue relating to this regulation, including whether the regulation (i) is necessary for the protection of public health, safety, and welfare or for the economical performance of important governmental functions; (ii) minimizes the economic impact on small businesses in a manner consistent with the stated objectives of applicable law; and (iii) is clearly written and easily understandable.

Comments may be submitted online to the Virginia Regulatory Town Hall at:
Comments may also be sent to Elaine J. Yeatts, Agency Regulatory Coordinator, Department of Health Professions, 9960 Mayland Drive, Suite 300, Henrico, VA 23233 or faxed to (804) 527-4434 or emailed to

Following the close of the public comment period, a report of the periodic review will be posted on the Town Hall and published in the Virginia Register of Regulations.

CLOSED     Opened on 12/17/2012 and Ended on 1/16/2013

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Comment Title Commenter
Exclude CNMs from requiring them to practice in physician-led teams! Kathleen McClelland, Manassas Midwifery and Women's Health Center  1/16/13  10:32 pm
Collaboration and consultation is best for Virginia families. Virginia Affiliate of the American College of Nurse-Midwives  1/16/13  10:29 pm
Don't limit access to midwifery care by creating "patient care teams" Jennifer Inman, NASA physicist and mother of two  1/16/13  9:51 pm
Allow CNMs to practice independently! Cassandra Walther, Mother  1/16/13  5:58 pm
Re: 18VAC90-30 regulations governing the licensure of nurse practitioners Kris Conrad, CNM  1/16/13  4:47 pm
reponse to proposed restriction of practice for CNMs Greater Prince William Community Health Center  1/16/13  3:32 pm
Please allow CNMs to practice independently! Laurelin Evanhoe, Mother, Blogger at  1/16/13  3:30 pm
Please allow CNMs to practice independently! Laurelin Evanhoe, Mother, Blogger at  1/16/13  3:29 pm
Please remove CNMs from this proposal Melissa Yeager, CD (toLabor)  1/16/13  1:56 pm
Please reconsider ! Mandy Bealer CD(DONA) & Mother  1/16/13  1:48 pm
Remove CNMs from Nurse Practitioner Regulation Pamela Harvey Pilch, JD, Lamaze Certified Childbirth Educator  1/16/13  12:14 pm
Please remove CNMs from new regulations Erin Baird, CNM  1/15/13  9:57 pm
In re: 18VAC90-30, 90-40 Priya Curtis, Birth Matters Virginia  1/15/13  9:54 pm
Practice Agreement requirements for Certified Nurse Midwives Karen Winstead, New Life Birth Center  1/15/13  7:32 pm
Remove CNMs from current "physician as a team leader" legislation Karen R Brayboy, MSN, CNM  1/14/13  4:19 pm
Laws/regulations regarding CNMs Cheryl Sharp WHNP (CNM candidate 2013-Shenandoah University)  1/14/13  1:34 pm
Please consider our plea! Mary E. Kwiecinski, CNM  1/14/13  9:38 am
Please reconsider new changes Jennifer Cheney, CNM  1/12/13  10:42 am
Practice Agreement requirements for Certified Nurse Midwives Lisa Wiener, CNM Greater Prince William Community Health Center  1/11/13  8:46 am
practice agreement requirements for Nurse Practitioners Debbi Meslar-Little, CNM  12/29/12  9:28 am

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