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2016 SESSION

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Senate Committee on Education and Health
Subcommittee Health Professions

Garrett (Chairman), Carrico, Barker, Dunnavant, Lucas, Suetterlein

Clerk: Patty Lung
Staff: Thomas Stevens, Ryan Brimmer
Date of Meeting: February 2, 2016
Time and Place: 8:00 a.m. in 4th Floor East Conference Room
Time changed to 8:00 am and updated to add SB 701,SB739.

S.B. 212

Patron: Dunnavant


Health regulatory boards; membership and terms. Amends statutes governing membership and terms of various health regulatory boards. The bill (i) provides that members appointed by the Governor to serve on the Board of Health Professions for four-year terms under current law shall serve such terms or terms concurrent with their terms as members of health regulatory boards, whichever is less; (ii) increases the membership of the Health Practitioners' Monitoring Program Committee from seven to nine members by increasing the number of licensed, certified, or registered practitioners from seven to eight members and adding a citizen member; (iii) increases the membership of the Board of Dentistry from 10 to 11 members by increasing the number of citizen members from one to two; (iv) increases the membership of the Board of Nursing from 13 to 14 members by increasing the required number of registered nurses from seven to eight members and also increasing the number of such registered nurses who must be licensed nurse practitioners from one to two; and (v) reduces the total number of members of the Board of Counseling from 14 to 12 by reducing the number of licensed substance abuse treatment practitioners from three to one. In addition, the bill replaces the requirement that three members of the Board of Counseling be clinical fellows of the American Association of Marriage and Family Therapy with a requirement that three members be licensed marriage and family therapists and removes the requirement that at least two members representing each specialty on the Board of Counseling shall have been in active practice for a least four years.

A BILL to amend and reenact §§ 54.1-2507, 54.1-2515, 54.1-2517, 54.1-2702, 54.1-3002, and 54.1-3503 of the Code of Virginia, relating to health regulatory boards; membership and terms.

16101282D

S.B. 264

Patron: Dance

Nurse practitioners; practicing outside of a patient care team. Authorizes a nurse practitioner with at least 2,000 hours of postlicensure experience to practice without the requirement for collaboration and consultation with a patient care team physician as part of a patient care team or a written or electronic practice agreement between the licensed nurse practitioner and a licensed physician in certain clinical settings. The bill also grants prescriptive authority to such nurse practitioners.

A BILL to amend and reenact §§ 54.1-2957 and 54.1-2957.01 of the Code of Virginia, relating to nurse practitioners; practicing outside of a patient care team.

16101574D

S.B. 369

Patron: Stanley

Nurse practitioners; practicing outside of a patient care team. Authorizes a nurse practitioner to practice without the requirement for collaboration and consultation with a patient care team physician as part of a patient care team or a written or electronic practice agreement between the nurse practitioner and a physician in any clinic that is located in a medically underserved area of the state or an area of the state that has an unemployment rate of one and one-half times the statewide average unemployment rate.. The bill also grants prescriptive authority to such nurse practitioners.

A BILL to amend and reenact §§ 54.1-2957 and 54.1-2957.01 of the Code of Virginia, relating to nurse practitioners; practicing outside of a patient care team.

16103577D

S.B. 463

Patron: Carrico

Nurse practitioners; certified nurse midwives; practicing without a patient care team or practice agreement. Authorizes a nurse practitioner licensed by the Boards of Medicine and Nursing in the category of certified nurse midwife to practice without the requirement for collaboration and consultation with a patient care team physician as part of a patient care team or a written or electronic practice agreement between the licensed nurse practitioner and a licensed physician. Under current law, such practice is authorized only under a Department of Health pilot program. The bill grants prescriptive authority to such nurse practitioners and directs the Boards of Medicine and Nursing to jointly promulgate regulations governing such practice. Finally, the bill repeals the pilot program authorizing such practice as obsolete.

A BILL to amend and reenact §§ 54.1-2901, 54.1-2914, 54.1-2957, 54.1-2957.01, 54.1-2957.03, 54.1-2957.9, and 54.1-3401 of the Code of Virginia and to repeal § 32.1-11.5 of the Code of Virginia, relating to nurse practitioners; certified nurse midwives; practicing without a patient care team or practice agreement.

16102112D

S.B. 487

Patron: Hanger

Prescription drug price transparency. Requires every manufacturer of a prescription drug that is made available in the Commonwealth and has a wholesale acquisition price of $10,000 or more for a single course of treatment to report to the Commissioner no later than July 1 of each year information related to the cost of developing, manufacturing, and marketing the prescription drug; any changes in the average wholesale price and average wholesale acquisition cost of the prescription drug; the amount of profits derived from sale of the prescription drug; and the total amount of financial assistance provided to consumers of the prescription drug. The bill requires the State Health Commissioner to cause such reports to be published on a website maintained by a nonprofit entity with which the Commissioner has entered into a contract for such purpose and to annually report on such information, in aggregate form, to the Chairmen of the House Committees on Appropriations and on Health, Welfare and Institutions and the Senate Committees on Finance and on Education and Health.

A BILL to amend and reenact §§ 2.2-3705.5 and 32.1-276.4 of the Code of Virginia and to amend the Code of Virginia by adding in Title 32.1 a chapter numbered 7.3, consisting of sections numbered 32.1-276.12 and 32.1-276.13, relating to prescription drug price transparency.

16103856D

S.B. 491

Patron: Hanger

Prescription Monitoring Program; disclosures. Provides that the Director of the Department of Health Professions may disclose (i) information about a specific recipient contained in the Prescription Monitoring Program to a qualified licensed medical professional employed by the health plan of which the recipient is a member to identify potential misuse of covered substances by recipients for the purpose of intervention to prevent misuse and (ii) information about a specific dispenser or prescriber who participates in a health plan to a qualified licensed medical professional employed by that health plan to identify prescribing practices indicative of fraudulent activity.

A BILL to amend and reenact § 54.1-2523 of the Code of Virginia, relating to Prescription Monitoring Program; disclosures.

16103912D

S.B. 620

Patron: Stanley

Nurse practitioners. Eliminates the requirement that a nurse practitioner practice as part of a patient care team with a practice agreement with a patient care physician. The bill also eliminates a Board of Health pilot program authorizing certain nurse practitioners to practice without a practice agreement as the bill makes such pilot obsolete. The bill requires regulations to be promulgated within 280 days of enactment.

A BILL to amend and reenact §§ 32.1-263, 32.1-282, 54.1-2900, 54.1-2901, 54.1-2914, 54.1-2957, 54.1-2957.01, 54.1-2957.03, 54.1-2957.9, 54.1-3300, 54.1-3300.1, 54.1-3301, 54.1-3401, 54.1-3482, and 54.1-3482.1 of the Code of Virginia and to repeal § 32.1-11.5 of the Code of Virginia, relating to nurse practitioners; eliminating requirement to practice as part of a patient care team.

16103976D

S.B. 701

Patron: Marsden

Cannabidiol oil and THC-A oil; permitting of pharmaceutical processors to manufacture and provide. Authorizes a pharmaceutical processor, after obtaining a permit from the Board of Pharmacy and under the supervision of a licensed pharmacist, to manufacture and provide cannabidiol oil and THC-A oil. The bill requires the Board of Pharmacy to adopt regulations establishing health, safety, and security requirements for permitted processors. The bill also requires (i) that the manufacture of cannabidiol oil and THC-A oil is done in accordance with requirements for compounding drug products; (ii) a practitioner who issues a written certification for cannabidiol and THC-A oil and the patient or his primary caregiver to register with the Board; and (iii) a permitted pharmaceutical processor, prior to providing cannabidiol oil or THC-A oil, to verify that both the patient or the primary caregiver and the practitioner who issues a written certification have registered with the Board. Finally, the bill provides criminal liability protection for pharmaceutical processors.

A BILL to amend and reenact § 54.1-3408.3 of the Code of Virginia and to amend the Code of Virginia by adding in Chapter 34 of Title 54.1 an article numbered 4.2, consisting of sections numbered 54.1-3442.5 through 54.1-3442.10, relating to cannabidiol oil and THC-A oil; permitting of pharmaceutical processors to manufacture and provide.

16103609D

S.B. 739

Patron: Surovell

Labeling of drug products compounded by nonresident outsourcing facilities. Prohibits any person from administering any drug product compounded by an outsourcing facility located outside the Commonwealth for any purpose unless such drug product is labeled with (i) the name and strength of the compounded medication or a list of the active ingredients and strengths, (ii) the outsourcing facility's assigned control number that corresponds with the compounding record, (iii) an appropriate beyond-use date as determined by the outsourcing facility in compliance with United States Pharmacopeia-National Formulary (USP-NF) standards for pharmacy compounding, and (iv) the quantity of the drug compounded.

A BILL to amend the Code of Virginia by adding in Article 6 of Chapter 29 of Title 54.1 a section numbered 54.1-2973.1, relating to labeling of drug products compounded by nonresident outsourcing facilities.

16100608D