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VA HB746

VA HB746
Physician assistants; authorization to practice without a practice agreement.


summary

Introduced
01/13/2026
In Committee
02/26/2026
Crossed Over
02/16/2026
Passed
Dead

Introduced Session

2026 Regular Regular Session

Bill Summary

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. The bill also establishes a scope of practice for physician assistants who practice without a practice agreement.

AI Summary

This bill allows physician assistants (PAs) with at least three years of full-time clinical experience to practice without a formal "practice agreement," which is a written or electronic document outlining how a PA will collaborate and consult with a supervising physician or podiatrist. To practice independently, a PA must obtain an "attestation," a signed certification from a patient care team physician or podiatrist confirming the PA's extensive clinical experience and practice in accordance with standards. The bill also provides alternative methods for PAs who cannot obtain this attestation to submit other evidence of their qualifications and outlines how PAs licensed through endorsement (meaning they are already licensed in another state) can practice without a practice agreement if they meet the requirements. Furthermore, it establishes a defined scope of practice for PAs who are authorized to practice independently, ensuring they still consult and collaborate with other healthcare providers and refer complex cases appropriately. This change aims to provide more flexibility for experienced PAs in their practice.

Committee Categories

Health and Social Services

Sponsors (3)

Last Action

Passed by for the day Block Vote (Voice Vote) (on 02/27/2026)

bill text


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bill summary

Document Type Source Location
State Bill Page https://lis.virginia.gov/bill-details/20261/HB746
Fiscal Note/Analysis - Fiscal Impact Statement from Department of Planning and Budget (HB746) https://lis.blob.core.windows.net/files/1169078.PDF
BillText https://lis.virginia.gov/bill-details/20261/HB746/text/HB746H1
BillText https://lis.virginia.gov/bill-details/20261/HB746/text/HB746HC2
BillText https://lis.virginia.gov/bill-details/20261/HB746/text/HB746HC1
Fiscal Note/Analysis - Fiscal Impact Statement from Department of Planning and Budget (HB746) https://lis.blob.core.windows.net/files/1135352.PDF
BillText https://lis.virginia.gov/bill-details/20261/HB746/text/HB746
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