Virginia 2026 Regular Session

Virginia House Bill HB232

Introduced
1/8/26  
Refer
1/8/26  
Report Pass
2/12/26  
Engrossed
2/16/26  
Refer
2/18/26  
Report Pass
2/26/26  
Enrolled
3/6/26  
Chaptered
4/6/26  

Caption

Collaborative agreements; removes registered nurses from list of practitioners, etc.

Impact

If enacted, HB232 would lead to significant changes in state health laws by expanding the scope of practice for pharmacists. This aligns with a growing trend to enhance the role of pharmacists within healthcare teams, particularly in managing chronic conditions and improving patient outcomes. The regulation will require oversight and the development of guidelines to ensure that these collaborative practices are both safe and effective, underscoring the importance of establishing clear protocols and procedures for pharmacists and partnering practitioners.

Summary

House Bill 232 focuses on amending the Code of Virginia regarding collaborative agreements involving pharmacists and various healthcare practitioners. This bill permits pharmacists to engage in collaborative agreements with licensed medical professionals, including physicians and advanced practice registered nurses, allowing for cooperation in patient care through drug therapy and related management practices. Notably, the bill establishes conditions under which pharmacists can prescribe or modify treatments, including controlled substances, provided that these actions adhere to the approved protocols set forth by the Boards of Medicine and Pharmacy.

Sentiment

The sentiment around HB232 appears generally positive among advocates of expanded pharmacist roles, who argue that this will improve accessibility to healthcare services and enhance patient care. Supporters emphasize that allowing pharmacists to participate in collaborative agreements can help alleviate the burden on physicians and healthcare providers, making healthcare more efficient. However, there may also be concerns about the adequacy of training for pharmacists in complex patient care scenarios, as well as about the overall coordination of care within the healthcare system.

Contention

Notable points of contention primarily revolve around the scope of practice granted to pharmacists, particularly concerning their ability to prescribe controlled substances. Critics may argue that while pharmacists play a crucial role in medication management, expanding their authority to prescribe could lead to challenges regarding patient safety and proper medication oversight. The bill's framework intends to mitigate these concerns by mandating strict adherence to collaborative agreements and requiring regulatory oversight, thus attempting to balance patient safety with increased access to care.

Companion Bills

No companion bills found.

Previously Filed As

VA HB1582

Pharmacists; collaborative agreements, drug therapy.

VA HB978

Advanced practice registered nurses and licensed certified midwives; joint licensing.

VA SB351

Advanced practice registered nurses and licensed certified midwives; joint licensing.

VA HB2391

Certified registered nurse anesthetists; elimination of supervision requirement.

VA HB1322

Certified registered nurse anesthetist; elimination of supervision requirement.

VA SB739

Certified registered nurse anesthetists; supervision, report.

VA SB33

Certified registered nurse anesthetists; supervision during an operation or procedure.

VA HB1923

Health insurance; reimbursement for services rendered by certain practitioners, etc.

VA SB1290

Health insurance; reimbursement for services rendered by certain practitioners.

VA HB2468

Advanced registered medication aides; administration of drugs.

Similar Bills

SC S0449

Collaborative Practice Agreements

VA HB1582

Pharmacists; collaborative agreements, drug therapy.

RI H5852

Expands the existing law regarding collaborative practice agreements between pharmacists and physicians to allow other healthcare providers to enter into such agreements and removes the definition of “collaborative practice committee.”

RI S0683

Expands the existing law regarding collaborative practice agreements to allow non-physician healthcare providers to enter into such agreements.

RI H7424

Expands the existing law regarding collaborative practice agreements between pharmacists and physicians to allow other healthcare providers to enter into such agreements and removes the definition of “collaborative practice committee.”

RI S2866

Expands the existing law regarding collaborative practice agreements between pharmacists and physicians to allow other healthcare providers to enter into such agreements and removes the definition of “collaborative practice committee.”

FL S0294

Collaborative Pharmacy Practice for Chronic Health Conditions