VirginiaPhysician assistants; authorization to practice without a practice agreement.
What it does
Physician assistants; authorization to practice without a practice agreement. Authorizes a physician assistant with at least three years of full-time clinical experience to practice without a practice agreement upon receipt of an attestation from a patient care team physician or patient care team podiatrist who provided collaboration and consultation to such physician assistant verifying the length and nature of the physician assistant's practice. The bill establishes methods for a physician assistant who is unable to obtain the required attestation to submit other evidence that the physician assistant meets the requirements to practice without a practice agreement and establishes a method for physician assistants who obtain licensure by endorsement to practice without a practice agreement if they meet the applicable requirements.
More detail
The bill also establishes a scope of practice for physician assistants who practice without a practice agreement. The bill specifies that the effective date of the foregoing provisions are contingent upon the Board of Medicine adopting regulations to implement the bill's provisions and to establish processes for granting authorization to physician assistants to practice without a practice agreement.
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Apr 8Acts of Assembly Chapter text (CHAP0418)Latest
- Apr 8Approved by Governor Abigail Spanberger-Chapter 418 (effective 7/1/2026)Became Law
- Mar 31Governor's Action Deadline 11:59 p.m., April 13, 2026To Governor
- Mar 31Enrolled Bill communicated to Governor on March 31, 2026Minor
- Mar 31Signed by SpeakerMajor
- Mar 31Fiscal Impact Statement from Department of Planning and Budget (HB746)
- Mar 30Signed by PresidentMajor
- Mar 30Bill text as passed House and Senate (HB746ER)Major
- Mar 30EnrolledMinor
- Mar 10Senate amendment agreed to by House (99-Y 0-N 0-A)Major
- Vote recorded H VOTE:. Result: pass.Lower
- Mar 9Passed Senate with amendment (38-Y 2-N 0-A)Passed Senate
- Vote recorded Passage R. Result: pass.Upper
- Mar 9Engrossed by Senate as amended
- Mar 9Education and Health Amendment agreed toMajor
- Mar 9Read third timeMinor
- Mar 6Passed by for the day Block Vote (Voice Vote)
- Mar 5Reported from Education and Health with amendment (14-Y 0-N 1-A)Minor
- Vote recorded Reported from Education and Health with amendment. Result: pass.Upper
- Mar 5Senate committee offered
- Mar 3Recommitted to Education and Health
- Mar 3Motion to recommit to Education and Health agreed to
- Mar 2Passed by for the day
- Mar 2Read third timeMinor
- Feb 27Passed by for the day Block Vote (Voice Vote)
- Vote recorded Constitutional reading dispensed (on 2nd reading). Result: pass.Upper
- Feb 27Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A)
- Feb 27Rules suspended
- Feb 26Reported from Education and Health (13-Y 1-N 1-A)Minor
- Vote recorded Reported from Education and Health. Result: pass.Upper
- Feb 18Referred to Committee on Education and HealthMinor
- Feb 18Constitutional reading dispensed (on 1st reading)
- Feb 17Fiscal Impact Statement from Department of Planning and Budget (HB746)
- Vote recorded H VOTE:. Result: pass.Lower
- Feb 17Read third time and passed House (97-Y 0-N 0-A)Passed House
- Feb 16Engrossed by House - committee substituteMajor
- Feb 16committee substitute agreed toMajor
- Feb 16Read second timeMinor
- Feb 15Read first timeMinor
- Feb 12Committee substitute printed 26107501D-H1Major
- Vote recorded Reported from Health and Human Services with substitute. Result: pass.Lower
- Feb 12Reported from Health and Human Services with substitute (21-Y 0-N)Minor
- Feb 10Subcommittee recommends reporting with substitute (10-Y 0-N)Major
- Vote recorded Subcommittee recommends reporting with substitute. Result: pass.Lower
- Feb 10House subcommittee offered
- Feb 9Fiscal Impact Statement from Department of Planning and Budget (HB746)
- Jan 21Assigned sub: Health ProfessionsMinor
- Jan 13Referred to Committee on Health and Human ServicesMinor
- Jan 13Prefiled and ordered printed; Offered 01-14-2026 26105086DIntroduced