Vermont 2025-2026 Regular Session Status: Enacted Bipartisan · 10 R · 8 D · 1 I cosponsors

S 64 — An act relating to amendments to the scope of practice for optometrists

Last action — Senate Message: Signed by Governor June 18, 2026

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

This bill has been enacted into law. Introduced February 11, 2025. Enacted.

Signed by Governor Phil Scott (Republican) on May 29, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 98% · high confidence

  • Enacted

    Current position in the legislative process.

  • 19 sponsors

    19 primary, 0 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 3 parties (10 R · 8 D · 1 I) — cross-party backing.

  • Cleared a recorded vote

    Passed 1 recorded vote so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

This bill changes the practice scope for optometrists.

The bill amends the scope of practice for optometrists, potentially allowing them to perform new services. This alters the legal framework within which they operate.

What this means for you
  • Consumers: This means you may have access to more services from optometrists.

Bill Text

What changed in the latest version

290 added · 292 removed

Plain-language change summary

The recent amendment to Bill S 64 clarifies the definition of the "practice of optometry." Specifically, it outlines the various roles optometrists play, such as diagnosing vision problems, treating eye diseases, and prescribing therapies and medications. This change is important because it helps establish a clearer scope of practice for optometrists, ensuring they can provide comprehensive eye care and improve patient understanding of their services.

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AS PASSED BY SENATE S.64 Page 1 of 13 S.64 An act relating to amendments to the scope of practice for optometrists It is hereby enacted by the General Assembly of the State of Vermont:
BILL AS INTRODUCED AND PASSED BY SENATE S.64 Page 1 of 13 S.64 Introduced by Senators White, Baruth, Beck, Brennan, Brock, Chittenden, Clarkson, Collamore, Douglass, Hardy, Harrison, Hart, Major, Mattos, Norris, Plunkett, Vyhovsky, Weeks and Williams Referred to Committee on Health and Welfare Date:
February 11, 2025 Subject:
Professions and occupations;
Office of Professional Regulation;
health care professionals;
optometrists Statement of purpose of bill as introduced:
This bill proposes to revise and further define the scope of practice for optometrists.
It would also create an advanced therapeutic procedures specialty that would allow qualified optometrists to perform certain advanced therapeutic procedures.
An act relating to amendments to the scope of practice for optometrists It is hereby enacted by the General Assembly of the State of Vermont:
§ 1703 is amended to read:
§ 1703 is amended to read:
(2)(A) The “practice of optometry” means any one or combination of the following practices:
BILL AS INTRODUCED AND PASSED BY SENATE S.64 Page 2 of 13 (2)(A) The “practice of optometry” means any one or combination of the following practices:
VT LEG #388422 v.1 AS PASSED BY SENATE S.64 Page 2 of 13 (ii)(II) prescribing and employing contact lenses;
(ii)(II) prescribing and employing contact lenses;
(D)(iv) Removing superficial foreign bodies from the eye and adnexa;
BILL AS INTRODUCED AND PASSED BY SENATE S.64 Page 3 of 13 (D)(iv) Removing superficial foreign bodies from the eye and adnexa;
VT LEG #388422 v.1 AS PASSED BY SENATE S.64 Page 3 of 13 (I) surgery to remove lesions from the eye and adnexa and the accompanied restoration of tissue, including only the following:
(I) surgery to remove lesions from the eye and adnexa and the accompanied restoration of tissue, including only the following:
(bb) excision and biopsy of nonrecurrent lesions of the adnexa without characteristics or obvious signs of malignancy, excluding any lesion involving the eyelid margin, involving the lacrimal supply or drainage systems, deeper than the orbicularis muscle, or larger than five millimeters in diameter;
(bb) excision and biopsy of nonrecurrent lesions of the adnexa without characteristics or obvious signs of malignancy, excluding any lesion involving the eyelid margin, involving the lacrimal supply or drainage BILL AS INTRODUCED AND PASSED BY SENATE S.64 Page 4 of 13 systems, deeper than the orbicularis muscle, or larger than five millimeters in diameter;
(aa) injections of therapeutic pharmaceutical agents into the eyelid or its adnexa, including into the subconjunctival space, and including VT LEG #388422 v.1 AS PASSED BY SENATE S.64 Page 4 of 13 injections for the removal of chalazia and injections to administer local anesthesia;
(aa) injections of therapeutic pharmaceutical agents into the eyelid or its adnexa, including into the subconjunctival space, and including injections for the removal of chalazia and injections to administer local anesthesia;
(B) The practice of optometry does not include performing any of the practices set forth in section 1720 of this chapter.
BILL AS INTRODUCED AND PASSED BY SENATE S.64 Page 5 of 13 (B) The practice of optometry does not include performing any of the practices set forth in section 1720 of this chapter.
§ 9402.
§ 9402.
(i) any drug or other substance that must be administered by intraocular injection or intraocular implementation, except as authorized by VT LEG #388422 v.1 AS PASSED BY SENATE S.64 Page 5 of 13 subdivision (2)(A)(vi)(III) of this section for an optometrist holding an advanced therapeutic procedures specialty issued pursuant to subchapter 5 of this chapter;
(i) any drug or other substance that must be administered by intraocular injection or intraocular implementation, except as authorized by subdivision (2)(A)(vi)(III) of this section for an optometrist holding an advanced therapeutic procedures specialty issued pursuant to subchapter 5 of this chapter;
§ 1716a is amended to read:
§ 1716a is amended to read:
RENEWAL (a) Licenses shall be renewed every two years upon payment of the required fee, provided that the person applying for renewal completes at least 40 hours of continuing education, approved by the Board, during the preceding two-year period and holds a current cardiopulmonary resuscitation certification.
RENEWAL BILL AS INTRODUCED AND PASSED BY SENATE S.64 Page 6 of 13 (a) Licenses shall be renewed every two years upon payment of the required fee, provided that the person applying for renewal completes at least 40 hours of continuing education, approved by the Board, during the preceding two-year period and holds a current cardiopulmonary resuscitation certification.
§ 1720 is added to read:
§ 1720 is added to read:
§ 1720.
§ 1720.
PROHIBITED PRACTICES (a) An optometrist shall not perform any ophthalmic surgeries, with or without the use of lasers, or injection procedures, other than those set forth in VT LEG #388422 v.1 AS PASSED BY SENATE S.64 Page 6 of 13 subdivision 1703(2)(A)(vi) of this chapter.
PROHIBITED PRACTICES (a) An optometrist shall not perform any ophthalmic surgeries, with or without the use of lasers, or injection procedures, other than those set forth in subdivision 1703(2)(A)(vi) of this chapter.
(5) laser or nonlaser injection in the posterior or vitreous chamber of the eye to treat any macular or retinal disease;
BILL AS INTRODUCED AND PASSED BY SENATE S.64 Page 7 of 13 (5) laser or nonlaser injection in the posterior or vitreous chamber of the eye to treat any macular or retinal disease;
VT LEG #388422 v.1 AS PASSED BY SENATE S.64 Page 7 of 13 (13) incisional or excisional surgery of the extraocular muscles;
(13) incisional or excisional surgery of the extraocular muscles;
(16) repair of an eyelid laceration larger than 2.5 centimeters, deeper than the orbicularis muscle, or involving the eyelid margin or lacrimal drainage structures;
BILL AS INTRODUCED AND PASSED BY SENATE S.64 Page 8 of 13 (16) repair of an eyelid laceration larger than 2.5 centimeters, deeper than the orbicularis muscle, or involving the eyelid margin or lacrimal drainage structures;
(b)(1) An optometrist shall not prescribe or administer a drug or other substance that is listed as a Schedule I or II controlled substance pursuant to VT LEG #388422 v.1 AS PASSED BY SENATE S.64 Page 8 of 13 the federal Controlled Substances Act, 21 U.S.C.
(b)(1) An optometrist shall not prescribe or administer a drug or other substance that is listed as a Schedule I or II controlled substance pursuant to the federal Controlled Substances Act, 21 U.S.C.
§ 801 et seq., as amended, except as set forth in subdivision (2) of this subsection.
§ 801 et seq., as amended, except as set forth in subdivision (2) of this subsection.
Subchapter 5.
BILL AS INTRODUCED AND PASSED BY SENATE S.64 Page 9 of 13 Subchapter 5.
Diagnostic Pharmaceutical Agents Advanced Therapeutic Procedures Specialty § 1723.
Diagnostic Pharmaceutical Agents Advanced Therapeutic Procedures Specialty § 1723.
§ 1724.
§ 1724.
VT LEG #388422 v.1 AS PASSED BY SENATE S.64 Page 9 of 13 (1) is licensed as an optometrist pursuant to subchapter 3 of this chapter;
(1) is licensed as an optometrist pursuant to subchapter 3 of this chapter;
(1) In order to obtain an advanced therapeutic procedures specialty, an optometrist who graduated from an optometric school or college prior to 2019 shall have completed a postgraduate course sponsored by an organization approved by the Board of Optometry that had a minimum duration of 32 hours and included the following didactic classroom instruction:
(1) In order to obtain an advanced therapeutic procedures specialty, an optometrist who graduated from an optometric school or college prior to 2019 BILL AS INTRODUCED AND PASSED BY SENATE S.64 Page 10 of 13 shall have completed a postgraduate course sponsored by an organization approved by the Board of Optometry that had a minimum duration of 32 hours and included the following didactic classroom instruction:
VT LEG #388422 v.1 AS PASSED BY SENATE S.64 Page 10 of 13 (J) common complications involving lids, lashes, and the lacrimal system;
(J) common complications involving lids, lashes, and the lacrimal system;
(Q) emergency surgical procedures;
BILL AS INTRODUCED AND PASSED BY SENATE S.64 Page 11 of 13 (Q) emergency surgical procedures;
VT LEG #388422 v.1 AS PASSED BY SENATE S.64 Page 11 of 13 (c) Preceptorship requirements;
(c) Preceptorship requirements;
(D) at least two chalazion excisions;
BILL AS INTRODUCED AND PASSED BY SENATE S.64 Page 12 of 13 (D) at least two chalazion excisions;
VT LEG #388422 v.1 AS PASSED BY SENATE S.64 Page 12 of 13 (4) The preceptorship shall take place in a state in which the preceptor is licensed and authorized to perform the advanced procedures.
(4) The preceptorship shall take place in a state in which the preceptor is licensed and authorized to perform the advanced procedures.
The applicant shall successfully pass written and clinical examinations administered by the National Board of Examiners in Optometry (NBEO), including the NBEO Injections Skill Examination (ISE), the NBEO Laser and Surgical Procedures Examination (LSPE), and any other examination required by the Board by rule.
The applicant shall successfully pass written and clinical examinations administered by the National Board of Examiners in Optometry (NBEO), including the NBEO Injections Skill BILL AS INTRODUCED AND PASSED BY SENATE S.64 Page 13 of 13 Examination (ISE), the NBEO Laser and Surgical Procedures Examination (LSPE), and any other examination required by the Board by rule.
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VT LEG #388422 v.1 AS PASSED BY SENATE S.64 Page 13 of 13 (2) An optometrist whose advanced therapeutic procedures specialty was issued by endorsement pursuant to this subsection may serve as a preceptor in this State.
(2) An optometrist whose advanced therapeutic procedures specialty was issued by endorsement pursuant to this subsection may serve as a preceptor in this State.
§ 1725.
§ 1725.
§ 1727 is redesignated to read:
§ 1727 is redesignated to read:
EFFECTIVE DATE This act shall take effect on July 1, 2028.
EFFECTIVE DATE This act shall take effect on January 1, 2027 July 1, 2028.
VT LEG #388422 v.1
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Amendments

2 amendments

Click Show changes on an amendment above to see how it modifies the bill.

Action History

  1. Senate Message: Signed by Governor June 18, 2026

  2. Signed by Governor on June 18, 2026

  3. Delivered to Governor on June 12, 2026

  4. Senate Message: House proposal of amendment concurred in

  5. Rules suspended & messaged to House forthwith, on motion of Senator Baruth

  6. As passed by Senate and House

  7. House proposal of amendment concurred in

  8. House proposal of amendment; text

  9. Rules suspended & taken up for immediate consideration, on motion of Senator Baruth

  10. House message: House passed bill in concurrence with proposal(s) of amendment

  11. Rules suspended and bill messaged forthwith to the Senate as moved by Rep. McCoy of Poultney

  12. Read third time and passed in concurrence with proposal of amendment

  13. Rules suspended and bill placed in all remaining stages of passage as moved by Rep. McCoy of Poultney

  14. Third Reading ordered

  15. Which was agreed to on a Roll Call Passed -- Needed 66 of 131 to Pass -- Yeas = 93, Nays = 38

  16. Rep. O'Brien of Tunbridge demanded yeas and nays

  17. Pending the question, Shall the bill be read a third time?, division demanded by Rep. Boyden of Cambridge

  18. Rep. Nugent of South Burlington moved that the House propose to the Senate to amend the bill, which was agreed to

  19. Rep. Mrowicki of Putney recommended for the Committee on Appropriations

  20. Rep. Waszazak of Barre City recommended for the Committee on Ways and Means

  21. Rep. Birong of Vergennes reported for the Committee on Government Operations and Military Affairs

  22. Rep. Soucy of Barre Town reported for the Committee on Health Care

  23. Read second time

  24. Rules suspended and taken up for immediate consideration as moved by Rep. McCoy of Poultney

  25. Notice Calendar: Favorable

  26. Pending entry on Notice Calendar, referred to Committee on Appropriations per Rule 35(a)

  27. Pending entry on Notice Calendar, referred to Committee on Ways and Means per Rule 35(a)

  28. Rep. Soucy of Barre Town moved to commit the bill to the Committee on Government Operations and Military Affairs, which was agreed to

  29. Action Calendar: Favorable

  30. Notice Calendar: Favorable

  31. Read first time and referred to the Committee on Health Care

  32. Read 3rd time & passed

  33. New Business/Third Reading

  34. 3rd reading ordered

  35. Motion to amend bill agreed to

  36. Recommendation of amendment by Senator(s) Morley, text

  37. Reported favorably by Senator Norris for Committee on Appropriations

  38. Reported favorably by Senator Mattos for Committee on Finance

  39. Reported favorably by Senator Morley for Committee on Health and Welfare

  40. Reported favorably by Senator Collamore for Committee on Government Operations

  41. Read 2nd time

  42. Recommendation of amendment to be offered by Senator(s) Morley

  43. Favorable report by Committee on Appropriations

  44. Favorable report by Committee on Finance

  45. Favorable report by Committee on Health and Welfare

  46. Favorable report by Committee on Government Operations

  47. Unfinished Business/Second Reading

  48. Recommendation of amendment to be offered by Senator(s) Morley

  49. Favorable report by Committee on Appropriations

  50. Favorable report by Committee on Finance

  51. Favorable report by Committee on Health and Welfare

  52. Favorable report by Committee on Government Operations

  53. Second Reading

  54. Recommendation of amendment to be offered by Senator(s) Morley

  55. Favorable report by Committee on Appropriations

  56. Favorable report by Committee on Finance

  57. Favorable report by Committee on Health and Welfare

  58. Favorable report by Committee on Government Operations

  59. Second Reading

  60. Entered on Notice Calendar

  61. Referred to Committee on Appropriations per Senate Rule 31

  62. Favorable report by Committee on Finance

  63. Favorable report by Committee on Government Operations

  64. Favorable report by Committee on Health and Welfare

  65. Entered on Notice Calendar

  66. Referred to Committee on Finance per Senate Rule 31

  67. Favorable report by Committee on Health and Welfare

  68. Favorable report by Committee on Government Operations

  69. Second Reading

  70. Entered on Notice Calendar

  71. Rules suspended & bill committed to Committee on Health and Welfare with the report of Committee on Government Operations intact, on motion of Senator Collamore

  72. Favorable report by Committee on Government Operations

  73. Second Reading

  74. Entered on Notice Calendar

  75. Committee on Health and Welfare relieved; bill committed to Committee on Government Operations on motion of Senator Lyons

  76. Read 1st time & referred to Committee on Health and Welfare

Sponsors

Sponsorship breakdown

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19 sponsors · 0 co-sponsors · 171 not signed on · 36 voted No

Sponsors (19)

Co-sponsors (0)

None.

Not signed on (171)

171 members have not signed on to this bill.

Show all 171 →

"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

Which was agreed to on a Roll Call Passed -- Needed 66 of 131 to Pass -- Yeas = 93, Nays = 38

Passed 93 Yea · 38 Nay · 19 Other
Party YeaNayPresentNot Voting
Republican 45204
Republican/Democrat 3000
Democrat 3933011
Unaffiliated 2201
Independent 2102
Progressive/Democrat 2001
Total 9338019
% of votes cast 62%25%0%13%
How each member voted (150)
Member Party Vote
Casey — Yea
White — Yea
Casey — Nay
White — Nay
Hooper — Not Voting
Abbey Duke Democrat Not Voting
Alice M. M Emmons Democrat Yea
Alyssa Black Democrat Nay
Amy D Sheldon Democrat Nay
Angela Arsenault Democrat Nay
Barbara Rachelson Democrat Nay
Bram Kleppner Democrat Yea
Brian Minier Democrat Nay
Bridget M Burkhardt Democrat Nay
Carol Ode Democrat Nay
Charles A Kimbell Democrat Yea
Chea Waters Evans Democrat Nay
Christopher Morrow Democrat Yea
Daisy Berbeco Democrat Yea
Daniel A Noyes Democrat Yea
Dara Torre Democrat Not Voting
David K Durfee Democrat Yea
David W Yacovone Democrat Nay
Doug Bishop Democrat Nay
Edward "Teddy" Waszazak Democrat Yea
Edye Graning Democrat Yea
Ela Chapin Democrat Nay
Elizabeth L Burrows Democrat Nay
Emilie K Kornheiser Democrat Not Voting
Emilie Krasnow Democrat Nay
Emily Carris Duncan Democrat Yea
Emily J Long Democrat Yea
Emily J Long Democrat Nay
Erin Brady Democrat Nay
Esme Cole Democrat Yea
Gayle S Pezzo Democrat Nay
Golrang "Rey" Garofano Democrat Nay
Herb Olson Democrat Yea
Ian Goodnow Democrat Nay
James W Masland Democrat Yea
Jill L Krowinski Democrat Not Voting
John K O'Brien Democrat Yea
John L Bartholomew Democrat Not Voting
Jonathan Cooper Democrat Yea
Jubilee McGill Democrat Yea
Karen Lueders Democrat Nay
Karen N Dolan Democrat Nay
Kate Lalley Democrat Yea
Kate McCann Democrat Nay
Kate Nugent Democrat Yea
Kathleen C James Democrat Nay
Kevin "Coach" B Christie Democrat Not Voting
Kevin P Scully Democrat Not Voting
Kristi C Morris Democrat Yea
Larry Satcowitz Democrat Yea
Leanne Harple Democrat Yea
Leonora Dodge Democrat Nay
Leslie Goldman Democrat Yea
Lori Houghton Democrat Nay
Lucy Boyden Democrat Nay
Marc B Mihaly Democrat Yea
Martin J LaLonde Democrat Nay
Mary E. E Howard Democrat Not Voting
Mary-Katherine A Stone Democrat Not Voting
Matthew J Birong Democrat Yea
Michael Mrowicki Democrat Yea
Michael N Hoyt Democrat Yea
Michael Nigro Democrat Yea
Michelle Bos-Lun Democrat Not Voting
Mollie S. S Burke Democrat Nay
Monique Priestley Democrat Yea
Peter C Conlon Democrat Not Voting
Phil Pouech Democrat Yea
R. Scott Campbell Democrat Yea
Rebecca Holcombe Democrat Nay
Robert Hunter Democrat Yea
Robin P Scheu Democrat Nay
Sarah "Sarita" C Austin Democrat Nay
Saudia LaMont Democrat Yea
Shawn Sweeney Democrat Yea
Theresa A Wood Democrat Nay
Thomas S Stevens Democrat Yea
Tiffany Bluemle Democrat Nay
Timothy R. R Corcoran II Democrat Yea
Trevor J Squirrell Democrat Yea
Wendy A Critchlow Democrat Yea
William "Will" Greer Democrat Yea
Zon Eastes Democrat Nay
Anne B. B Donahue Independent Not Voting
Jed Lipsky Independent Yea
Joseph Parsons Independent Not Voting
Laura H Sibilia Independent Yea
Troy Headrick Independent Nay
Brian J Cina Progressive/Democrat Not Voting
Chloe Tomlinson Progressive/Democrat Yea
Kate Logan Progressive/Democrat Yea
Allen "Penny" R Demar Republican Yea
Anthony "Tony" Micklus Republican Yea
Beth M Quimby Republican Yea
Brenda Steady Republican Yea
Carolyn W Branagan Republican Yea
Chris A Taylor Republican Yea
Chris Brown Republican Nay
Chris Keyser Republican Yea
Christopher "Chris" A Pritchard Republican Yea
Christopher Howland Republican Yea
David "Dave" Bosch Republican Yea
David J Soucy Republican Yea
Deborah "Debbie" C Dolgin Republican Yea
Debra L Powers Republican Yea
Eileen G Dickinson Republican Yea
Eric Maguire Republican Not Voting
Gina M Galfetti Republican Yea
Gregory "Greg" Burtt Republican Yea
Jack H Brigham Republican Yea
James A Gregoire Republican Yea
John Kascenska Republican Yea
Joseph "Joe" Luneau Republican Yea
Joshua Dobrovich Republican Yea
Kenneth "Ken" L Wells Republican Yea
Kenneth W Goslant Republican Yea
Kevin C Winter Republican Not Voting
Larry Labor Republican Yea
Leland J Morgan Republican Yea
Lisa A Hango Republican Yea
Mark A Higley Republican Yea
Martha A Feltus Republican Yea
Mary A. A Morrissey Republican Yea
Matt E Walker Republican Yea
Michael "Mike" Southworth Republican Yea
Michael "Mike" Tagliavia Republican Yea
Michael Boutin Republican Yea
Michael J Marcotte Republican Yea
Michael R Morgan Republican Yea
Patricia A McCoy Republican Yea
Richard J Bailey Republican Yea
Richard M Nelson Republican Yea
Rob North Republican Yea
Sandra "Sandy" H Pinsonault Republican Yea
Thomas "Tom" F Charlton Republican Yea
Thomas B Burditt Republican Not Voting
Todd Nielsen Republican Not Voting
VL L Coffin IV Republican Yea
Wayne A Laroche Republican Yea
William P Canfield Republican Yea
Woodman H Page Republican Nay
Zachary J Harvey Republican Yea
Alicia Malay Republican/Democrat Yea
Ashley R Bartley Republican/Democrat Yea
Thomas Oliver Republican/Democrat Yea

Official roll call →

Subjects

healthcare
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Frequently asked questions

Who sponsors S 64?
S 64 is sponsored by Terry K Williams (Republican), David H Weeks (Republican), Tanya C Vyhovsky (Progressive/Democrat), Robert Plunkett (Democrat), Robert W Norris (Republican), Christopher P Mattos (Republican), Joseph "Joe" D Major (Democrat), Larry Hart (Republican), Wendy K Harrison (Democrat), Ruth E Hardy (Democrat), Samuel A Douglass (Republican), Brian P Collamore (Republican), Alison Clarkson (Democrat), Thomas I Chittenden (Democrat), Randy D Brock (Republican), Patrick "Pat" M Brennan (Republican), Scott L Beck (Republican), Philip E Baruth (Democrat/Progressive), and Rebecca "Becca" E White (Democrat).
What is the current status of S 64?
This bill has been enacted into law. Introduced February 11, 2025. Enacted.
Where can I track S 64?
Track S 64 free on One Click Politics — get push/email alerts when it moves.

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