reglab/statecodes huggingface dataset:
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 40 - REGULATIONS GOVERNING THE PRACTICE OF RESPIRATORY THERAPISTS › Part III - Renewal and Reinstatement › Section 18VAC85-40-60 - Renewal of license

Current through Register Vol. 40, No. 24, July 15, 2024
A. Every
				  licensed respiratory therapist intending to continue his licensure shall
				  biennially in each odd-numbered year in his birth month:
1. Register with the board for renewal of his
				  license;
2. Pay the prescribed
				  renewal fee at the time he files for renewal;
3. Attest that he has engaged in active
				  practice as defined in
				  18VAC85-40-10 or present other
				  documented evidence acceptable to the board that he is prepared to resume
				  practice; and
4. Attest to having
				  met the continuing education requirements of
				  18VAC85-40-66.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 40 - REGULATIONS GOVERNING THE PRACTICE OF RESPIRATORY THERAPISTS › Part III - Renewal and Reinstatement › Section 18VAC85-40-61 - Inactive license

Current through Register Vol. 40, No. 24, July 15, 2024
A licensed respiratory therapist who holds a current,
					 unrestricted license in Virginia shall, upon a request on the renewal
					 application and submission of the required fee, be issued an inactive license.
					 The holder of an inactive license shall not be entitled to perform any act
					 requiring a license to practice respiratory care in Virginia.
Statutory Authority
§§ 54.1-2400 and 54.1-2912.1 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 40 - REGULATIONS GOVERNING THE PRACTICE OF RESPIRATORY THERAPISTS › Part III - Renewal and Reinstatement › Section 18VAC85-40-65 - Reactivation or reinstatement

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  To reactivate an inactive license or to reinstate a license that has been
				  lapsed for more than two years, a respiratory therapist shall submit evidence
				  of competency to return to active practice to include one of the following:
1. Information on continued practice in
				  another jurisdiction during the period in which the license has been inactive
				  or lapsed;
2. Ten hours of
				  continuing education for each year in which the license has been inactive or
				  lapsed, not to exceed three years; or
3. Recertification by passage of an
				  examination from NBRC.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 40 - REGULATIONS GOVERNING THE PRACTICE OF RESPIRATORY THERAPISTS › Part III - Renewal and Reinstatement › Section 18VAC85-40-66 - Continuing education requirements

Current through Register Vol. 40, No. 24, July 15, 2024
A. In order to renew an active license as a
				  respiratory therapist, a licensee shall attest to having completed 20 hours of
				  continuing education within the last biennium as follows:
1. Courses approved and documented by a
				  sponsor recognized by the AARC;
2.
				  Courses directly related to the practice of respiratory care as approved by the
				  American Medical Association for Category 1 CME credit;
3. A credit course of post-licensure academic
				  education relevant to respiratory care offered by a college or university
				  accredited by an agency recognized by the U.S. Department of Education;
				  or
4. Passage of a specialty
				  examination of the National Board of Respiratory Care for 20 hours of credit in
				  the biennium in which the examination was passed.
Up to two continuing education hours may be satisfied
					 through delivery of respiratory therapy services, without compensation, to
					 low-income individuals receiving services through a local health department or
					 a free clinic organized in whole or primarily for the delivery of health
					 services. One hour of continuing education may be credited for three hours of
					 providing such volunteer services. For the purpose of continuing education
					 credit for voluntary service, the hours shall be approved and documented by the
					 health department or free clinic.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 40 - REGULATIONS GOVERNING THE PRACTICE OF RESPIRATORY THERAPISTS › Part III - Renewal and Reinstatement › Section 18VAC85-40-67 - Restricted volunteer license

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  A respiratory therapist who held an unrestricted license issued by the Virginia
				  Board of Medicine or by a board in another state as a licensee in good standing
				  at the time the license expired or became inactive may be issued a restricted
				  volunteer license to practice without compensation in a clinic that is
				  organized in whole or in part for the delivery of health care services without
				  charge in accordance with § 54.1-106 of the Code of Virginia.
B. To be issued a restricted volunteer
				  license, a respiratory therapist shall submit an application to the board that
				  documents compliance with requirements of § 54.1-2928.1 of the Code of
				  Virginia and the application fee prescribed in
				  18VAC85-40-35.
C. The licensee who intends to continue
				  practicing with a restricted volunteer license shall renew biennially during
				  his birth month, meet the continued competency requirements prescribed in
				  subsection D of this section, and pay to the board the renewal fee prescribed
				  in 18VAC85-40-35.
D. The holder of a restricted volunteer
				  license shall not be required to attest to hours of continuing education for
				  the first renewal of such a license. For each renewal thereafter, the licensee
				  shall attest to obtaining 10 hours of continuing education as approved and
				  documented by a sponsor recognized by the AARC or in courses directly related
				  to the practice of respiratory care as approved by the American Medical
				  Association for Category 1 CME credit within the last biennium.
Statutory Authority: §§
												54.1-2400 and
						54.1-2912.1 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 40 - REGULATIONS GOVERNING THE PRACTICE OF RESPIRATORY THERAPISTS › Part IV - Scope of Practice › Section 18VAC85-40-70 - Individual responsibilities

Current through Register Vol. 40, No. 24, July 15, 2024
Practice as a licensed respiratory therapist means, upon
					 receipt of written or verbal orders from a qualified practitioner and under
					 qualified medical direction, the evaluation, care and treatment of patients
					 with deficiencies and abnormalities associated with the cardiopulmonary system.
					 This practice shall include, but not be limited to, ventilatory assistance and
					 support; the insertion of artificial airways without cutting tissue and the
					 maintenance of such airways; the administration of medical gases exclusive of
					 general anesthesia; topical administration of pharmacological agents to the
					 respiratory tract; humidification; and administration of aerosols. The practice
					 of respiratory care shall include such functions shared with other health
					 professionals as cardiopulmonary resuscitation; bronchopulmonary hygiene;
					 respiratory rehabilitation; specific testing techniques required to assist in
					 diagnosis, therapy and research; and invasive and noninvasive cardiopulmonary
					 monitoring.
NOTICE: The following forms used in administering the
					 regulation were filed by the agency. The forms are not being published;
					 however, online users of this issue of the Virginia Register of Regulations may
					 click on the name of a form with a hyperlink to access it. The forms are also
					 available from the agency contact or may be viewed at the Office of the
					 Registrar of Regulations, General Assembly Building, 2nd Floor, Richmond,
					 Virginia 23219.
Statutory Authority: §§
												54.1-2400 and
						54.1-2912.1 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 40 - REGULATIONS GOVERNING THE PRACTICE OF RESPIRATORY THERAPISTS › Part V - Standards of Professional Conduct › Section 18VAC85-40-85 - Confidentiality

Current through Register Vol. 40, No. 24, July 15, 2024
A practitioner shall not willfully or negligently breach
					 the confidentiality between a practitioner and a patient. A breach of
					 confidentiality that is required or permitted by applicable law or beyond the
					 control of the practitioner shall not be considered negligent or
					 willful.
Statutory Authority
§ 54.1-2400 of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 40 - REGULATIONS GOVERNING THE PRACTICE OF RESPIRATORY THERAPISTS › Part V - Standards of Professional Conduct › Section 18VAC85-40-86 - Patient records

Current through Register Vol. 40, No. 24, July 15, 2024
A. Practitioners
				  shall comply with the provisions of § 32.1-127.1:03 of the Code of
				  Virginia related to the confidentiality and disclosure of patient
				  records.
B. Practitioners shall
				  provide patient records to another practitioner or to the patient or his
				  personal representative in a timely manner in accordance with provisions of
				  § 32.1-127.1:03 of the Code of Virginia.
C. Practitioners shall properly manage and
				  keep timely, accurate, legible and complete patient records.
D. Practitioners who are employed by a health
				  care institution or other entity in which the individual practitioner does not
				  own or maintain his own records shall maintain patient records in accordance
				  with the policies and procedures of the employing entity.
E. Practitioners who are self-employed or
				  employed by an entity in which the individual practitioner owns and is
				  responsible for patient records shall:
1.
				  Maintain a patient record for a minimum of six years following the last patient
				  encounter with the following exceptions:
a.
				  Records of a minor child, including immunizations, shall be maintained until
				  the child reaches the age of 18 or becomes emancipated, with a minimum time for
				  record retention of six years from the last patient encounter regardless of the
				  age of the child;
b. Records that
				  have previously been transferred to another practitioner or health care
				  provider or provided to the patient or his personal representative;
				  or
c. Records that are required by
				  contractual obligation or federal law may need to be maintained for a longer
				  period of time.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 40 - REGULATIONS GOVERNING THE PRACTICE OF RESPIRATORY THERAPISTS › Part V - Standards of Professional Conduct › Section 18VAC85-40-87 - Practitioner-patient communication; termination of relationship

Current through Register Vol. 40, No. 24, July 15, 2024
A. Communication with patients.
1. Except as provided in §
				  32.1-127.1:03F of the Code of Virginia, a practitioner shall accurately present
				  information to a patient or his legally authorized representative in
				  understandable terms and encourage participation in decisions regarding the
				  patient's care.
2. A practitioner
				  shall not deliberately make a false or misleading statement regarding the
				  practitioner's skill or the efficacy or value of a medication, treatment, or
				  procedure provided or directed by the practitioner in the treatment of any
				  disease or condition.
3. Before an
				  invasive procedure is performed, informed consent shall be obtained from the
				  patient in accordance with the policies of the health care entity.
				  Practitioners shall inform patients of the risks, benefits, and alternatives of
				  the recommended procedure that a reasonably prudent practitioner practicing
				  respiratory care in Virginia would tell a patient.
a. In the instance of a minor or a patient
				  who is incapable of making an informed decision on his own behalf or is
				  incapable of communicating such a decision due to a physical or mental
				  disorder, the legally authorized person available to give consent shall be
				  informed and the consent documented.
b. An exception to the requirement for
				  consent prior to performance of an invasive procedure may be made in an
				  emergency situation when a delay in obtaining consent would likely result in
				  imminent harm to the patient.
c.
				  For the purposes of this provision, "invasive procedure" means any diagnostic
				  or therapeutic procedure performed on a patient that is not part of routine,
				  general care and for which the usual practice within the health care entity is
				  to document specific informed consent from the patient or surrogate decision
				  maker prior to proceeding.
4. Practitioners shall adhere to requirements
				  of § 32.1-162.18 of the Code of Virginia for obtaining informed consent
				  from patients prior to involving them as subjects in human research with the
				  exception of retrospective chart reviews.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 40 - REGULATIONS GOVERNING THE PRACTICE OF RESPIRATORY THERAPISTS › Part V - Standards of Professional Conduct › Section 18VAC85-40-88 - Practitioner responsibility

Current through Register Vol. 40, No. 24, July 15, 2024
A. A
				  practitioner shall not:
1. Perform procedures
				  or techniques that are outside the scope of his practice or for which he is not
				  trained and individually competent;
2. Knowingly allow subordinates to jeopardize
				  patient safety or provide patient care outside of the subordinate's scope of
				  practice or area of responsibility. Practitioners shall delegate patient care
				  only to subordinates who are properly trained and supervised;
3. Engage in an egregious pattern of
				  disruptive behavior or interaction in a health care setting that interferes
				  with patient care or could reasonably be expected to adversely impact the
				  quality of care rendered to a patient; or
4. Exploit the practitioner/patient
				  relationship for personal gain.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 40 - REGULATIONS GOVERNING THE PRACTICE OF RESPIRATORY THERAPISTS › Part V - Standards of Professional Conduct › Section 18VAC85-40-89 - Solicitation or remuneration in exchange for referral

Current through Register Vol. 40, No. 24, July 15, 2024
A practitioner shall not knowingly and willfully solicit
					 or receive any remuneration, directly or indirectly, in return for referring an
					 individual to a facility or institution as defined in § 37.2-100 of the
					 Code of Virginia or hospital as defined in § 32.1-123 of the Code of
					 Virginia.
Remuneration shall be defined as compensation, received in
					 cash or in kind, but shall not include any payments, business arrangements, or
					 payment practices allowed by 42 USC § 1320 a-7b(b), as amended, or any
					 regulations promulgated thereto.
Statutory Authority
§ 54.1-2400 of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 40 - REGULATIONS GOVERNING THE PRACTICE OF RESPIRATORY THERAPISTS › Part V - Standards of Professional Conduct › Section 18VAC85-40-90 - Sexual contact

Current through Register Vol. 40, No. 24, July 15, 2024
A. For purposes
				  of § 54.1-2915A 12 and A 19 of the Code of Virginia and this section,
				  sexual contact includes, but is not limited to, sexual behavior or verbal or
				  physical behavior that:
1. May reasonably be
				  interpreted as intended for the sexual arousal or gratification of the
				  practitioner, the patient, or both; or
2. May reasonably be interpreted as romantic
				  involvement with a patient regardless of whether such involvement occurs in the
				  professional setting or outside of it.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 40 - REGULATIONS GOVERNING THE PRACTICE OF RESPIRATORY THERAPISTS › Part V - Standards of Professional Conduct › Section 18VAC85-40-91 - Refusal to provide information

Current through Register Vol. 40, No. 24, July 15, 2024
A practitioner shall not willfully refuse to provide
					 information or records as requested or required by the board or its
					 representative pursuant to an investigation or to the enforcement of a statute
					 or regulation.
Statutory Authority
§ 54.1-2400 of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 40 - REGULATIONS GOVERNING THE PRACTICE OF RESPIRATORY THERAPISTS › Form - FORMS (18VAC85-40)

Current through Register Vol. 40, No. 24, July 15, 2024
Instructions
				  for Completing an Application to Practice Respiratory Therapy in Virginia (rev.
				  5/2022)
Application
				  for Registration for Volunteer Practice (8/2015)
Sponsor
				  Certification for Volunteer Registration (rev. 3/2018)
Application
				  for Restricted Volunteer License (rev. 8/2015)
Continued
				  Competency Activity and Assessment Form (rev. 4/2000)
Application
				  to Reactivate an Inactive License for a Respiratory Therapist (rev.
				  5/2019)
Instructions
				  and Application for Reinstatement of a Respiratory Therapist License
				  (4/2018)
License
				  Verification Request (rev. 2/2024)
Statutory Authority: §§
											54.1-2400 and
					 54.1-2912.1 of the Code of
					 Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part I - General Provisions › Section 18VAC85-50-10 - Definitions

Current through Register Vol. 40, No. 24, July 15, 2024
A. The following
				  words and terms shall have the meanings ascribed to them in §
										54.1-2900 of the Code
				  of Virginia:
"Board."
"Collaboration."
"Consultation."
"Patient care team physician."
"Patient care team podiatrist."
"Physician assistant."
B. The following words and terms when used in
				  this chapter shall have the following meanings unless the context clearly
				  indicates otherwise:
"Group practice" means the practice of a group of two or
					 more doctors of medicine, osteopathy, or podiatry licensed by the board who
					 practice as a partnership or professional corporation.
"Institution" means a hospital, nursing home or other
					 health care facility, community health center, public health center, industrial
					 medicine or corporation clinic, a medical service facility, student health
					 center, or other setting approved by the board.
"NCCPA" means the National Commission on Certification of
					 Physician Assistants.
"Practice agreement" means a written or electronic
					 agreement developed by one or more patient care team physicians or podiatrists
					 and the physician assistant that defines the relationship between the physician
					 assistant and the physicians or podiatrists, the prescriptive authority of the
					 physician assistant, and the circumstances under which a physician or
					 podiatrist will see and evaluate the patient.
Statutory Authority: §
												54.1-2400
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part I - General Provisions › Section 18VAC85-50-21 - Current name and address

Current through Register Vol. 40, No. 24, July 15, 2024
Each licensee shall furnish the board his current name and
					 address of record. All notices required by law or by this chapter to be given
					 by the board to any such licensee shall be validly given when sent to the
					 latest address of record provided or served to the licensee. Any change of name
					 or address of record or the public address, if different from the address of
					 record, shall be furnished to the board within 30 days of such
					 change.
Statutory Authority: §
												54.1-2400
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part I - General Provisions › Section 18VAC85-50-30 - Public participation guidelines

Current through Register Vol. 40, No. 24, July 15, 2024
A separate board regulation,
					 18VAC85-10-10 et seq., provides
					 for involvement of the public in the development of all regulations of the
					 Virginia Board of Medicine.
Statutory Authority
§§ 54.1-2400 and 54.1-2949 through 54.1-2953
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part I - General Provisions › Section 18VAC85-50-35 - Fees

Current through Register Vol. 40, No. 24, July 15, 2024
Unless otherwise provided, the following fees shall not be
					 refundable:
1. The initial
				  application fee for a license, payable at the time application is filed, shall
				  be $130.
2. The biennial fee for
				  renewal of an active license shall be $135 and for renewal of an inactive
				  license shall be $70, payable in each odd-numbered year in the birth month of
				  the licensee. For 2021, the fee for renewal of an active license shall be $108,
				  and the fee for renewal of an inactive license shall be $54.
3. The additional fee for late renewal of
				  licensure within one renewal cycle shall be $50.
4. A restricted volunteer license shall
				  expire 12 months from the date of issuance and may be renewed without charge by
				  receipt of a renewal application that verifies that the physician assistant
				  continues to comply with provisions of § 54.1-2951.3 of the Code of
				  Virginia.
5. The fee for
				  reinstatement of a license pursuant to § 54.1-2408.2 of the Code of
				  Virginia shall be $2,000.
6. The
				  fee for a duplicate license shall be $5.00, and the fee for a duplicate wall
				  certificate shall be $15
7. The
				  handling fee for a returned check or a dishonored credit card or debit card
				  shall be $50.
8. The fee for a
				  letter of good standing or verification to another jurisdiction shall be $10.
9. The fee for an application or
				  for the biennial renewal of a restricted volunteer license shall be $35, due in
				  the licensee's birth month. An additional fee for late renewal of licensure
				  shall be $15 for each renewal cycle.
Statutory Authority: 54.1-2400 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part II - Requirements for Practice as a Physician's Assistant › Section 18VAC85-50-40 - General requirements

Current through Register Vol. 40, No. 24, July 15, 2024
A. No person
				  shall practice as a physician assistant in the Commonwealth of Virginia except
				  as provided in this chapter.
B.
				  Except as provided in § 54.1-2952 C of the Code of Virginia, all services
				  rendered by a physician assistant shall be performed only in accordance with a
				  practice agreement with one or more doctors of medicine, osteopathy, or
				  podiatry licensed by this board to practice in the Commonwealth.
Statutory Authority: § 54.1-2400 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part II - Requirements for Practice as a Physician's Assistant › Section 18VAC85-50-50 - Licensure: entry requirements and application

Current through Register Vol. 40, No. 24, July 15, 2024
A. The applicant seeking licensure as a
				  physician assistant shall submit:
1. A
				  completed application and fee as prescribed by the board.
2. Documentation of successful completion of
				  an educational program as prescribed in § 54.1-2951.1 of the Code of
				  Virginia.
3. Documentation of
				  passage of the certifying examination administered by the National Commission
				  on Certification of Physician Assistants.
4. If licensed or certified in any other
				  jurisdiction, verification that there has been no disciplinary action taken or
				  pending in that jurisdiction.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part II - Requirements for Practice as a Physician's Assistant › Section 18VAC85-50-55 - Provisional licensure

Current through Register Vol. 40, No. 24, July 15, 2024
Pending the outcome of the next examination administered
					 by the NCCPA, an applicant who has met all other requirements of
					 18VAC85-50-50 at the time his
					 initial application is submitted may be granted provisional licensure by the
					 board. The provisional licensure shall be valid until the applicant takes the
					 next subsequent NCCPA examination and its results are reported, but this period
					 of validity shall not exceed 30 days following the reporting of the examination
					 scores, after which the provisional license shall be invalid.
Statutory Authority
§§ 54.1-2400 and 54.1-2949 through 54.1-2953
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part II - Requirements for Practice as a Physician's Assistant › Section 18VAC85-50-56 - Renewal of license

Current through Register Vol. 40, No. 24, July 15, 2024
A. Every
				  licensed physician assistant intending to continue to practice shall biennially
				  renew the license in each odd numbered year in the licensee's birth month by:
1. Returning the renewal form and fee as
				  prescribed by the board; and
2.
				  Verifying compliance with continuing medical education standards established by
				  the NCCPA.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part II - Requirements for Practice as a Physician's Assistant › Section 18VAC85-50-57 - Discontinuation of employment

Current through Register Vol. 40, No. 24, July 15, 2024
If for any reason the physician assistant discontinues
					 working with a patient care team physician or podiatrist, a new practice
					 agreement shall be entered into in order for the physician assistant either to
					 be reemployed by the same practitioner or to accept new employment with another
					 supervising physician patient care team physician or
					 podiatrist.
Statutory Authority: 54.1-2400 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part II - Requirements for Practice as a Physician's Assistant › Section 18VAC85-50-58 - Inactive licensure

Current through Register Vol. 40, No. 24, July 15, 2024
A. A
				  physician assistant who holds a current, unrestricted license in Virginia
				  shall, upon a request on the renewal application and submission of the required
				  fee, be issued an inactive license.
1. The
				  holder of an inactive license shall not be required to maintain certification
				  by the NCCPA.
2. An inactive
				  licensee shall not be entitled to practice as a physician assistant in
				  Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part II - Requirements for Practice as a Physician's Assistant › Section 18VAC85-50-59 - Registration for voluntary practice by out-of-state licensees

Current through Register Vol. 40, No. 24, July 15, 2024
Any physician assistant who does not hold a license to
					 practice in Virginia and who seeks registration to practice under subdivision
					 27 of § 54.1-2901 of the Code of Virginia on a voluntary basis under the
					 auspices of a publicly supported, all volunteer, nonprofit organization that
					 sponsors the provision of health care to populations of underserved people
					 shall:
1. File a complete application
				  for registration on a form provided by the board at least five business days
				  prior to engaging in such practice. An incomplete application will not be
				  considered;
2. Provide a complete
				  record of professional licensure in each state in which he has held a license
				  and a copy of any current license;
3. Provide the name of the nonprofit
				  organization, the dates and location of the voluntary provision of
				  services;
4. Pay a registration fee
				  of $10; and
5. Provide a notarized
				  statement from a representative of the nonprofit organization attesting to its
				  compliance with provisions of subdivision 27 of § 54.1-2901 of the Code of
				  Virginia.
Statutory Authority
§ 54.1-2400 of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part II - Requirements for Practice as a Physician's Assistant › Section 18VAC85-50-61 - Restricted volunteer license

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  A physician assistant who held an unrestricted license issued by the Virginia
				  Board of Medicine or by a board in another state as a licensee in good standing
				  at the time the license expired or became inactive may be issued a restricted
				  volunteer license to practice without compensation in a clinic that is
				  organized in whole or in part for the delivery of health care services without
				  charge in accordance with § 54.1-106 of the Code of Virginia.
B. To be issued a restricted volunteer
				  license, a physician assistant shall submit an application to the board that
				  documents compliance with requirements of § 54.1-2928.1 of the Code of
				  Virginia and the application fee prescribed in
				  18VAC85-50-35.
C. The licensee who intends to continue
				  practicing with a restricted volunteer license shall renew biennially during
				  his birth month, meet the continued competency requirements prescribed in
				  subsection D of this section, and pay to the board the renewal fee prescribed
				  in 18VAC85-50-35.
D. The holder of a restricted volunteer
				  license shall not be required to attest to hours of continuing education for
				  the first renewal of such a license. For each renewal thereafter, the licensee
				  shall attest to obtaining 50 hours of continuing education during the biennial
				  renewal period with at least 25 hours inType 1 and no more than 25 hours in
				  Type 2 as acceptable to the NCCPA.
Statutory Authority
§ 54.1-2400 of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part III - Examination [Repealed] › Section 18VAC85-50-70 to 18VAC85-50-100

Current through Register Vol. 40, No. 24, July 15, 2024
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part IV - Practice Requirements › Section - DOCUMENTS INCORPORATED BY REFERENCE (18VAC85-50)

Current through Register Vol. 40, No. 24, July 15, 2024
Fluoroscopy
					 Educational Framework for the Physician Assistant, December 2009, American
					 Academy of Physician Assistants, 950 North Washington Street, Alexandria, VA
					 22314 and the American Society of Radiologic Technologists, 15000 Central
					 Avenue, SE, Albuquerque, NM 87123
Statutory Authority: § 54.1-2400 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part IV - Practice Requirements › Section 18VAC85-50-101 - Requirements for a practice agreement

Current through Register Vol. 40, No. 24, July 15, 2024
A. Prior to
				  initiation of practice, a physician assistant and one or more patient care team
				  physicians or podiatrists shall enter into a written or electronic practice
				  agreement that spells out the roles and functions of the assistant and is
				  consistent with provisions of § 54.1-2952 of the Code of Virginia.
1. Any such practice agreement shall take
				  into account such factors as the physician assistant's level of competence, the
				  number of patients, the types of illness treated by the physicians or
				  podiatrists, the nature of the treatment, special procedures, and the nature of
				  the physicians' or podiatrists' availability in ensuring direct physician or
				  podiatrist involvement at an early stage and regularly thereafter.
2. The practice agreement shall also provide
				  an evaluation process for the physician assistant's performance, including a
				  requirement specifying the time period, proportionate to the acuity of care and
				  practice setting, within which the physicians or podiatrists shall review the
				  record of services rendered by the physician assistant.
3. The practice agreement may include
				  requirements for periodic site visits by licensees who supervise and direct the
				  patient care team physicians or podiatrists to collaborate and consult with
				  physician assistants who provide services at a location other than where the
				  physicians or podiatrists regularly practice.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part IV - Practice Requirements › Section 18VAC85-50-110 - Responsibilities of the patient care team physician or podiatrist

Current through Register Vol. 40, No. 24, July 15, 2024
A patient care team physician or podiatrist shall:
1. Review the clinical course and treatment
				  plan for any patient who presents for the same acute complaint twice in a
				  single episode of care and has failed to improve as expected. A physician or
				  podiatrist shall be involved with any patient with a continuing illness as
				  noted in the written or electronic practice agreement for the evaluation
				  process.
2. Be available at all
				  times to collaborate and consult with the physician
				  assistant.
Statutory Authority: §
												54.1-2400
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part IV - Practice Requirements › Section 18VAC85-50-115 - Responsibilities of the physician assistant

Current through Register Vol. 40, No. 24, July 15, 2024
A. The physician assistant shall not render
				  independent health care and shall:
1. Perform
				  only those medical care services that are within the scope of the practice and
				  proficiency of the patient care team physicians or podiatrists as prescribed in
				  the physician assistant's practice agreement. When a physician assistant is
				  working outside the scope of specialty of the patient care team physicians or
				  podiatrists, then the physician assistant's functions shall be limited to those
				  areas not requiring specialized clinical judgment, unless a separate practice
				  agreement has been executed for an alternate patient care team physician or
				  podiatrist.
2. Prescribe only those
				  drugs and devices as allowed in Part V (18VAC85-50-130
				  et seq.) of this chapter.
3. Wear
				  during the course of performing his duties identification showing clearly that
				  he is a physician assistant.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part IV - Practice Requirements › Section 18VAC85-50-116 - Volunteer restricted license for certain physician assistants

Current through Register Vol. 40, No. 24, July 15, 2024
The issuance of a volunteer restricted license and the
					 practice of a physician assistant under such a license shall be in accordance
					 with the provisions of § 54.1-2951.3 of the Code of
					 Virginia.
Statutory Authority
§§ 54.1-2400 and 54.1-2949 through 54.1-2953 of
						the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part IV - Practice Requirements › Section 18VAC85-50-117 - Authorization to use fluoroscopy

Current through Register Vol. 40, No. 24, July 15, 2024
A physician assistant working under a practice agreement
					 with a licensed doctor of medicine or osteopathy specializing in the field of
					 radiology or orthopedics is authorized to use fluoroscopy for guidance of
					 diagnostic and therapeutic procedures provided such activity is specified in
					 his protocol and he has met the following qualifications:
1. Completion of at least 40 hours of
				  structured didactic educational instruction and at least 40 hours of supervised
				  clinical experience as set forth in the Fluoroscopy Educational Framework for
				  the Physician Assistant created by the American Academy of Physician Assistants
				  (AAPA) and the American Society of Radiologic Technologists (ASRT);
				  and
2. Successful passage of the
				  American Registry of Radiologic Technologists (ARRT) Fluoroscopy
				  Examination.
Statutory Authority: § 54.1-2400 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part V - Prescriptive Authority › Section 18VAC85-50-130 - Qualifications for approval of prescriptive authority

Current through Register Vol. 40, No. 24, July 15, 2024
An applicant for prescriptive authority shall meet the
					 following requirements:
1. Hold a
				  current, unrestricted license as a physician assistant in the
				  Commonwealth;
2. Maintain a
				  practice agreement acceptable to the board as prescribed in
				  18VAC85-50-101
				  and §
										54.1-2952.1
				  of the Code of Virginia; and
3.
				  Submit evidence of successful completion of a minimum of 35 hours of acceptable
				  training to the board in pharmacology.
Statutory Authority: §
												54.1-2400
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part V - Prescriptive Authority › Section 18VAC85-50-140 - Approved drugs and devices

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  The approved drugs and devices which the physician assistant with prescriptive
				  authority may prescribe, administer, or dispense manufacturer's professional
				  samples shall be in accordance with provisions of § 54.1-2952.1 of the
				  Code of Virginia:
B. The physician
				  assistant may prescribe only those categories of drugs and devices included in
				  the practice agreement. The supervising patient care team physician or
				  podiatrist retains the authority to restrict certain drugs within these
				  approved categories.
C. The
				  physician assistant, pursuant to § 54.1-2952.1 of the Code of Virginia,
				  shall only dispense manufacturer's professional samples or administer
				  controlled substances in good faith for medical or therapeutic purposes within
				  the course of his professional practice.
Statutory Authority: 54.1-2400 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part V - Prescriptive Authority › Section 18VAC85-50-160 - Disclosure

Current through Register Vol. 40, No. 24, July 15, 2024
A. Each
				  prescription for a Schedule II through V drug shall bear the name of the
				  patient care team physician or podiatrist and of the physician assistant.
B. The physician assistant shall
				  disclose to the patient that he is a licensed physician assistant, and also the
				  name, address and telephone number of the patient care team physician or
				  podiatrist. Such disclosure shall either be included on the prescription or be
				  given in writing to the patient.
Statutory Authority: 54.1-2400 of the Code of
						Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part VI - Standards of Professional Conduct › Section 18VAC85-50-175 - Confidentiality

Current through Register Vol. 40, No. 24, July 15, 2024
A. A practitioner
				  shall not willfully or negligently breach the confidentiality between a
				  practitioner and a patient. A breach of confidentiality that is required or
				  permitted by applicable law or beyond the control of the practitioner shall not
				  be considered negligent or willful.
B. Unauthorized use or disclosure of
				  confidential information received from the Prescription Monitoring Program
				  shall be grounds for disciplinary action.
Statutory Authority
§ 54.1-2400 of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part VI - Standards of Professional Conduct › Section 18VAC85-50-176 - Treating and prescribing for self or family

Current through Register Vol. 40, No. 24, July 15, 2024
A. Treating or prescribing shall be based on
				  a bona fide practitioner-patient relationship, and prescribing shall meet the
				  criteria set forth in § 54.1-3303 of the Code of Virginia.
B. A practitioner shall not prescribe a
				  controlled substance to himself or a family member, other than Schedule VI as
				  defined in § 54.1-3455 of the Code of Virginia, unless the prescribing
				  occurs in an emergency situation or in isolated settings where there is no
				  other qualified practitioner available to the patient, or it is for a single
				  episode of an acute illness through one prescribed course of
				  medication.
C. When treating or
				  prescribing for self or family, the practitioner shall maintain a patient
				  record documenting compliance with statutory criteria for a bona fide
				  practitioner-patient relationship.
Statutory Authority
§ 54.1-2400 of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part VI - Standards of Professional Conduct › Section 18VAC85-50-177 - Patient records

Current through Register Vol. 40, No. 24, July 15, 2024
A. Practitioners
				  shall comply with the provisions of § 32.1-127.1:03 of the Code of
				  Virginia related to the confidentiality and disclosure of patient
				  records.
B. Practitioners shall
				  properly manage patient records and shall maintain timely, accurate, legible
				  and complete records.
C.
				  Practitioners shall provide patient records to another practitioner or to the
				  patient or his personal representative in a timely manner and in accordance
				  with provisions of § 32.1-127.1:03 of the Code of Virginia.
Statutory Authority
§ 54.1-2400 of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 85 - BOARD OF MEDICINE › Chapter 50 - REGULATIONS GOVERNING THE PRACTICE OF PHYSICIAN ASSISTANTS › Part VI - Standards of Professional Conduct › Section 18VAC85-50-178 - Practitioner-patient communication

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Except as provided in § 32.1-127.1:03F of the Code of Virginia, a
				  practitioner shall accurately inform a patient or his legally authorized
				  representative of his medical diagnoses, prognosis and prescribed treatments or
				  plans of care. A practitioner shall not deliberately make a false or misleading
				  statement regarding the practitioner's skill or the efficacy or value of a
				  medication, treatment, or procedure prescribed or directed by the practitioner
				  in the treatment of any disease or condition.
B. A practitioner shall present information
				  relating to the patient's care to a patient or his legally authorized
				  representative in understandable terms and encourage participation in the
				  decisions regarding the patient's care and shall refer to or consult with other
				  health care professionals if so indicated.
C. Before surgery or any invasive procedure
				  is performed, informed consent shall be obtained from the patient in accordance
				  with the policies of the health care entity. Practitioners shall inform
				  patients of the risks, benefits, and alternatives of the recommended surgery or
				  invasive procedure that a reasonably prudent practitioner in similar practice
				  in Virginia would tell a patient.
1. In the
				  instance of a minor or a patient who is incapable of making an informed
				  decision on his own behalf or is incapable of communicating such a decision due
				  to a physical or mental disorder, the legally authorized person available to
				  give consent shall be informed and the consent documented.
2. An exception to the requirement for
				  consent prior to performance of surgery or an invasive procedure may be made in
				  an emergency situation when a delay in obtaining consent would likely result in
				  imminent harm to the patient.
3.
				  For the purposes of this provision, "invasive procedure" means any diagnostic
				  or therapeutic procedure performed on a patient that is not part of routine,
				  general care and for which the usual practice within the health care entity is
				  to document specific informed consent from the patient or surrogate decision
				  maker prior to proceeding.