Virginia 2026 Session Status: Introduced

SB811 — Clinical nurse specialists; practice agreements, consultation requirements.

Last action — Continued from last session

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  1. 1
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House of Delegates
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been introduced in the Senate. Introduced January 23, 2026. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Prognosis

Stalled 26% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • Introduced

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 1 recorded vote so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

In plain language

The bill addresses practice agreements and consultation requirements for clinical nurse specialists.

This legislation focuses on the practice agreements that clinical nurse specialists must have. It also sets out requirements for consultation related to their practice.

Summary

Clinical nurse specialists; practice agreements, consultation requirements.

Bill Text

We don't have the full text on file for this bill yet.

Read SB811 on the official Virginia source →

How this bill changes current law

13 changes Share ↗

Compared against the Code of Virginia as published AI-generated reading aid — verify against the official bill.

This bill amends 1 section(s) of the Code of Virginia: 54.1-2957.

  • 54.1-2957

    The practice of clinical nurse specialists shall be consistent with the American Nurse's Association's Standards of Nursing Practice and with all applicable laws and regulations.

    Inserts “The practice of clinical nurse specialists shall be consistent with the American Nurse's Association's Standards of Nursing Practice and with all applicable laws and regulations.”.

  • 54.1-2957

    ("prescribing clinical nurse specialist") and who has practiced fewer than 1,000 hours as a prescribing clinical nurse specialist

    Inserts “("prescribing clinical nurse specialist") and who has practiced fewer than 1,000 hours as a prescribing clinical nurse specialist”.

  • 54.1-2957

    a prescribing clinical nurse specialist who has practiced for at least two years prior to entering into the practice agreement ("supervising prescribing clinical nurse specialist"), or

    Inserts “a prescribing clinical nurse specialist who has practiced for at least two years prior to entering into the practice agreement ("supervising prescribing clinical nurse specialist"), or”.

  • 54.1-2957

    written or electroni

    Inserts “written or electroni”.

  • 54.1-2957

    c

    Inserts “c”.

  • 54.1-2957

    between the clinical nurse specialist and the licensed physician

    Strikes “between the clinical nurse specialist and the licensed physician”.

  • 54.1-2957

    supervising prescribing clinical nurse specialist or the licensed

    Inserts “supervising prescribing clinical nurse specialist or the licensed”.

  • 54.1-2957

    a → such

    Replaces “a” with “such”.

  • 54.1-2957

    a →  the prescribing

    Replaces “a” with “ the prescribing”.

  • 54.1-2957

    The practice of clinical nurse specialists shall be consistent with the standards of care for the profession and with applicable laws and regulations.

    Strikes “The practice of clinical nurse specialists shall be consistent with the standards of care for the profession and with applicable laws and regulations.”.

  • 54.1-2957

    A prescribing clinical nurse specialist who has completed 1,000 hours of work as a prescribing clinical nurse specialist may practice without a practice agreement upon receipt of an attestation from the supervising prescribing clinical nurse specialist or  from the licensed physician with whom the prescribing nurse specialist has entered into a practice agreement stating (i) that such supervising prescribing clinical nurse specialist or licensed physician has provided consultation to the prescribing nurse specialist pursuant to a practice agreement meeting the requirements of this section and (ii) the period of time for which such supervising prescribing nurse specialist or licensed physician practiced in collaboration and consultation with the prescribing nurse specialist pursuant to the practice agreement.

    Inserts “A prescribing clinical nurse specialist who has completed 1,000 hours of work as a prescribing clinical nurse specialist may practice without a practice agreement upon receipt of an attestation from the supervising prescribing clinical nurse specialist or  from the licensed physician with whom the prescribing nurse specialist has entered into a practice agreement stating (i) that such supervising prescribing clinical nurse specialist or licensed physician has provided consultation to the prescribing nurse specialist pursuant to a practice agreement meeting the requirements of this section and (ii) the period of time for which such supervising prescribing nurse specialist or licensed physician practiced in collaboration and consultation with the prescribing nurse specialist pursuant to the practice agreement.”.

  • 54.1-2957

    A prescribing clinical nurse specialist authorized to practice without a practice agreement shall consult and collaborate with, and refer patients to such other health care providers as may be appropriate for the care of the patient.

    Inserts “A prescribing clinical nurse specialist authorized to practice without a practice agreement shall consult and collaborate with, and refer patients to such other health care providers as may be appropriate for the care of the patient.”.

  • 54.1-2957

    The practice of prescribing clinical nurse specialists shall be consistent with the American Nurse's Association's Standards of Nursing Practice and with all applicable laws and regulations.

    Inserts “The practice of prescribing clinical nurse specialists shall be consistent with the American Nurse's Association's Standards of Nursing Practice and with all applicable laws and regulations.”.

Action History

  1. S Continued to next session in Education and Health (15-Y 0-N)

  2. S Assigned Education sub: Health Professions

  3. S Referred to Committee on Education and Health

  4. S Presented and ordered printed 26106102D

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 147 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (147)

147 members have not signed on to this bill.

Show all 147 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed 15 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 15000
Total 15000
% of votes cast 100%0%0%0%
How each member voted (15)

Official roll call →

Subjects

Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB811 do?
Clinical nurse specialists; practice agreements, consultation requirements.
Who sponsors SB811?
SB811 is sponsored by Christopher T. Head.
What is the current status of SB811?
This bill has been introduced in the Senate. Introduced January 23, 2026. It must pass committee before a floor vote.
Where can I track SB811?
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Last checked for changes 3 months ago · updated continuously

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