Bill > H0241

This bill expands the scope of practice for optometrists in Vermont by creating an advanced therapeutic procedures specialty that allows qualified optometrists to perform certain advanced medical procedures after meeting specific educational, training, and examination requirements. The bill defines an expanded set of practices for optometrists, including diagnosing eye conditions, prescribing pharmaceutical agents, removing superficial foreign bodies, managing certain types of glaucoma, and, for those with the advanced specialty, performing limited surgical procedures such as removing specific lesions, conducting certain laser procedures, and administering specific types of injections. The bill also establishes strict prohibitions on more complex surgical interventions, such as retinal surgeries, lens implants, and general anesthesia procedures. To obtain the advanced specialty, optometrists must complete extensive postgraduate coursework, undergo a supervised preceptorship with hands-on training, pass national board examinations, and demonstrate clinical proficiency. The bill includes provisions for continuing education, with specialty holders required to complete additional training, and mandates reporting of any adverse events related to advanced procedures. The new regulations will take effect on January 1, 2027, providing a significant expansion of optometrists' medical capabilities while maintaining patient safety through rigorous qualifications and restrictions.

Government Affairs

https://legislature.vermont.gov/bill/status/2026/H.241