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VA HB746

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


summary

Introduced
01/13/2026
In Committee
03/05/2026
Crossed Over
03/10/2026
Passed
04/08/2026
Dead
Signed/Enacted/Adopted
04/08/2026

Introduced Session

Potential new amendment
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. 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.

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 their collaborative relationship with a supervising physician or podiatrist. To practice independently, a PA must obtain an "attestation," a signed certification from a physician or podiatrist they previously worked with, verifying their extensive clinical experience and ability to practice independently. If a PA cannot get this attestation, they can provide other evidence to the Board of Medicine, which oversees PA licensing. The bill also clarifies the scope of practice for PAs working without a practice agreement and establishes that these changes will only take effect once the Board of Medicine creates regulations to implement them.

Committee Categories

Health and Social Services

Sponsors (3)

Last Action

Acts of Assembly Chapter text (CHAP0418) (on 04/08/2026)

Taxonomy

Health
  • ‐ Health Manpower and Training
  • ‐ Regulation of Health-Related Occupations and Services

bill text


bill summary

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bill summary

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bill summary

Document Type Source Location Created
State Bill Page https://lis.virginia.gov/bill-details/20261/HB746 01/13/2026
BillText https://lis.virginia.gov/bill-details/20261/HB746/text/CHAP0418 04/13/2026
Fiscal Note/Analysis - Fiscal Impact Statement from Department of Planning and Budget (HB746) https://lis.blob.core.windows.net/files/1214982.PDF 03/31/2026
BillText https://lis.virginia.gov/bill-details/20261/HB746/text/HB746ER 03/30/2026
Senate Amendment https://lis.virginia.gov/bill-details/20261/HB746/text/HB746EDOC 03/09/2026
Education and Health Amendment https://lis.virginia.gov/bill-details/20261/HB746/text/HB746ASC1 03/05/2026
Education and Health Amendment https://lis.virginia.gov/bill-details/20261/HB746/text/HB746AS1 03/05/2026
Fiscal Note/Analysis - Fiscal Impact Statement from Department of Planning and Budget (HB746) https://lis.blob.core.windows.net/files/1169078.PDF 02/17/2026
BillText https://lis.virginia.gov/bill-details/20261/HB746/text/HB746H1 02/12/2026
BillText https://lis.virginia.gov/bill-details/20261/HB746/text/HB746HC2 02/10/2026
BillText https://lis.virginia.gov/bill-details/20261/HB746/text/HB746HC1 02/10/2026
Fiscal Note/Analysis - Fiscal Impact Statement from Department of Planning and Budget (HB746) https://lis.blob.core.windows.net/files/1135352.PDF 02/09/2026
BillText https://lis.virginia.gov/bill-details/20261/HB746/text/HB746 01/13/2026
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