{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/54.1-2951.1.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/54.1-2951.1.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/54.1-2951.1.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/54.1-2951.1.html"}],"law_id":56449,"edition_id":1,"section_id":56449,"structure_id":14243,"section_number":"54.1-2951.1","catch_line":"Requirements for licensure and practice as a physician assistant; licensure by endorsement","history":"1998, c. 319; 2011, c. 390; 2013, c. 144; 2016, c. 450; 2019, cc. 92, 137, 338; 2021, Sp. Sess. I, c. 210; 2024, c. 116.","full_text":"A\n\nThe Board shall promulgate regulations establishing requirements for licensure as a physician assistant that shall include the following:1\n\nSuccessful completion of a physician assistant program or surgical physician assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant;2\n\nPassage of the certifying examination administered by the National Commission on Certification of Physician Assistants; and3\n\nDocumentation that the applicant for licensure has not had his license or certification as a physician assistant suspended or revoked and is not the subject of any disciplinary proceedings in another jurisdiction.B\n\nThe Board may issue a license by endorsement to an applicant for licensure as a physician assistant if the applicant (i) is the spouse of an active duty member of the Armed Forces of the United States or the Commonwealth, (ii) holds current certification from the National Commission on Certification of Physician Assistants, and (iii) holds a license as a physician assistant that is in good standing, or that is eligible for reinstatement if lapsed, under the laws of another state.C\n\nExcept as provided in subsection E, every physician assistant shall practice as part of a patient care team and shall provide care in accordance with a written or electronic practice agreement with one or more patient care team physicians or patient care team podiatrists.\n\t\t\tA practice agreement shall include acts pursuant to § 54.1-2952, provisions for the periodic review of patient charts or electronic health records, guidelines for collaboration and consultation among the parties to the agreement and the patient, periodic joint evaluation of the services delivered, and provisions for appropriate physician input in complex clinical cases, in patient emergencies, and for referrals.\n\t\t\tA practice agreement may include provisions for periodic site visits by a patient care team physician or patient care team podiatrist who is part of the patient care team at a location other than where the licensee regularly practices. Such visits shall be in the manner and at the frequency as determined by the patient care team physician or patient care team podiatrist who is part of the patient care team.D\n\nExcept as provided in subsection E, evidence of a practice agreement shall be maintained by the physician assistant and provided to the Board upon request. The practice agreement may be maintained in writing or electronically and may be a part of credentialing documents, practice protocols, or procedures.E\n\nPhysician assistants employed by a hospital as defined in § 32.1-123 or employed in (i) a state facility as defined in § 37.2-100 operated by the Department of Behavioral Health and Developmental Services or (ii) a federally qualified health center designated by the Centers for Medicare and Medicaid Services may practice without a separate practice agreement if the credentialing and privileging requirements of the applicable facility include a practice arrangement that incorporates the components of a practice agreement set forth in the provisions of subsection C, including requiring and designating a patient care team physician or podiatrist, and the patient care team requirements of § 54.1-2952. Such physician assistants shall continue to practice as part of a patient care team in collaboration and consultation with patient care team physicians or patient care team podiatrists.","order_by":null,"text":{"0":{"id":206661,"text":"The Board shall promulgate regulations establishing requirements for licensure as a physician assistant that shall include the following:","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"A1"},"1":{"id":206662,"text":"Successful completion of a physician assistant program or surgical physician assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant;","type":"section","prefixes":["A","1"],"prefix":"1","entire_prefix":"A1","prefix_anchor":"A1","level":2,"prior_prefix":"A","next_prefix":"A2"},"2":{"id":206663,"text":"Passage of the certifying examination administered by the National Commission on Certification of Physician Assistants; and","type":"section","prefixes":["A","2"],"prefix":"2","entire_prefix":"A2","prefix_anchor":"A2","level":2,"prior_prefix":"A1","next_prefix":"A3"},"3":{"id":206664,"text":"Documentation that the applicant for licensure has not had his license or certification as a physician assistant suspended or revoked and is not the subject of any disciplinary proceedings in another jurisdiction.","type":"section","prefixes":["A","3"],"prefix":"3","entire_prefix":"A3","prefix_anchor":"A3","level":2,"prior_prefix":"A2","next_prefix":"B"},"4":{"id":206665,"text":"The Board may issue a license by endorsement to an applicant for licensure as a physician assistant if the applicant (i) is the spouse of an active duty member of the Armed Forces of the United States or the Commonwealth, (ii) holds current certification from the National Commission on Certification of Physician Assistants, and (iii) holds a license as a physician assistant that is in good standing, or that is eligible for reinstatement if lapsed, under the laws of another state.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A3","next_prefix":"C"},"5":{"id":206666,"text":"Except as provided in subsection E, every physician assistant shall practice as part of a patient care team and shall provide care in accordance with a written or electronic practice agreement with one or more patient care team physicians or patient care team podiatrists.\n\t\t\tA practice agreement shall include acts pursuant to § 54.1-2952, provisions for the periodic review of patient charts or electronic health records, guidelines for collaboration and consultation among the parties to the agreement and the patient, periodic joint evaluation of the services delivered, and provisions for appropriate physician input in complex clinical cases, in patient emergencies, and for referrals.\n\t\t\tA practice agreement may include provisions for periodic site visits by a patient care team physician or patient care team podiatrist who is part of the patient care team at a location other than where the licensee regularly practices. Such visits shall be in the manner and at the frequency as determined by the patient care team physician or patient care team podiatrist who is part of the patient care team.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B","next_prefix":"D"},"6":{"id":206667,"text":"Except as provided in subsection E, evidence of a practice agreement shall be maintained by the physician assistant and provided to the Board upon request. The practice agreement may be maintained in writing or electronically and may be a part of credentialing documents, practice protocols, or procedures.","type":"section","prefixes":["D"],"prefix":"D","entire_prefix":"D","prefix_anchor":"D","level":1,"prior_prefix":"C","next_prefix":"E"},"7":{"id":206668,"text":"Physician assistants employed by a hospital as defined in § 32.1-123 or employed in (i) a state facility as defined in § 37.2-100 operated by the Department of Behavioral Health and Developmental Services or (ii) a federally qualified health center designated by the Centers for Medicare and Medicaid Services may practice without a separate practice agreement if the credentialing and privileging requirements of the applicable facility include a practice arrangement that incorporates the components of a practice agreement set forth in the provisions of subsection C, including requiring and designating a patient care team physician or podiatrist, and the patient care team requirements of § 54.1-2952. Such physician assistants shall continue to practice as part of a patient care team in collaboration and consultation with patient care team physicians or patient care team podiatrists.","type":"section","prefixes":["E"],"prefix":"E","entire_prefix":"E","prefix_anchor":"E","level":1,"prior_prefix":"D"}},"ancestry":[{"id":14243,"edition_id":1,"name":"Licensure and Certification of Other Practitioners of the Healing Arts","identifier":"4","label":"article","depth":4,"order_by":1,"parent_id":12759,"metadata":{},"date_created":"2026-06-26 03:47:26","date_modified":"2026-06-26 03:47:26","permalink":{"id":242191,"object_type":"structure","relational_id":14243,"identifier":"4","token":"54.1\/III\/29\/4","url":"\/54.1\/III\/29\/4\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12759,"edition_id":1,"name":"Medicine and Other Healing Arts","identifier":"29","label":"chapter","depth":3,"order_by":1,"parent_id":12758,"metadata":{},"date_created":"2026-06-26 03:43:51","date_modified":"2026-06-26 03:43:51","permalink":{"id":241933,"object_type":"structure","relational_id":12759,"identifier":"29","token":"54.1\/III\/29","url":"\/54.1\/III\/29\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12758,"edition_id":1,"name":"Professions and Occupations Regulated by Boards Within the Department of Health Professions","identifier":"III","label":"subtitle","depth":2,"order_by":1,"parent_id":12754,"metadata":{},"date_created":"2026-06-26 03:43:51","date_modified":"2026-06-26 03:43:51","permalink":{"id":241105,"object_type":"structure","relational_id":12758,"identifier":"III","token":"54.1\/III","url":"\/54.1\/III\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12754,"edition_id":1,"name":"Professions and Occupations","identifier":"54.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:51","date_modified":"2026-06-26 03:43:51","permalink":{"id":239313,"object_type":"structure","relational_id":12754,"identifier":"54.1","token":"54.1","url":"\/54.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":83532,"structure_id":14243,"section_number":"54.1-2942","catch_line":"Repealed","url":"\/54.1-2942\/","token":"54.1\/III\/29\/4\/54.1-2942","metadata":false},{"id":78472,"structure_id":14243,"section_number":"54.1-2949","catch_line":"License required","url":"\/54.1-2949\/","token":"54.1\/III\/29\/4\/54.1-2949","metadata":false},{"id":81411,"structure_id":14243,"section_number":"54.1-2950","catch_line":"Requisite training and educational achievements of assistants","url":"\/54.1-2950\/","token":"54.1\/III\/29\/4\/54.1-2950","metadata":false},{"id":64376,"structure_id":14243,"section_number":"54.1-2950.1","catch_line":"Advisory Board on Physician Assistants; membership; qualifications","url":"\/54.1-2950.1\/","token":"54.1\/III\/29\/4\/54.1-2950.1","metadata":false},{"id":81540,"structure_id":14243,"section_number":"54.1-2951","catch_line":"Repealed","url":"\/54.1-2951\/","token":"54.1\/III\/29\/4\/54.1-2951","metadata":false},{"id":56449,"structure_id":14243,"section_number":"54.1-2951.1","catch_line":"Requirements for licensure and practice as a physician assistant; licensure by endorsement","url":"\/54.1-2951.1\/","token":"54.1\/III\/29\/4\/54.1-2951.1","metadata":false},{"id":85870,"structure_id":14243,"section_number":"54.1-2951.2","catch_line":"Issuance of a license","url":"\/54.1-2951.2\/","token":"54.1\/III\/29\/4\/54.1-2951.2","metadata":false},{"id":65581,"structure_id":14243,"section_number":"54.1-2951.3","catch_line":"Restricted volunteer license for certain physician assistants","url":"\/54.1-2951.3\/","token":"54.1\/III\/29\/4\/54.1-2951.3","metadata":false},{"id":70303,"structure_id":14243,"section_number":"54.1-2951.4","catch_line":"Exception to physician assistant license requirement; 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requisite training and educational requirements; powers of the Board concerning athletic training","url":"\/54.1-2957.4\/","token":"54.1\/III\/29\/4\/54.1-2957.4","metadata":false},{"id":74771,"structure_id":14243,"section_number":"54.1-2957.5","catch_line":"Advisory Board on Athletic Training established; duties; composition; appointment; terms","url":"\/54.1-2957.5\/","token":"54.1\/III\/29\/4\/54.1-2957.5","metadata":false},{"id":74486,"structure_id":14243,"section_number":"54.1-2957.6","catch_line":"Exceptions to athletic trainer licensure","url":"\/54.1-2957.6\/","token":"54.1\/III\/29\/4\/54.1-2957.6","metadata":false},{"id":58401,"structure_id":14243,"section_number":"54.1-2957.7","catch_line":"Licensed midwife and practice of midwifery; definitions","url":"\/54.1-2957.7\/","token":"54.1\/III\/29\/4\/54.1-2957.7","metadata":false},{"id":56270,"structure_id":14243,"section_number":"54.1-2957.8","catch_line":"Licensure of midwives; requisite training and educational requirements; fees","url":"\/54.1-2957.8\/","token":"54.1\/III\/29\/4\/54.1-2957.8","metadata":false},{"id":65541,"structure_id":14243,"section_number":"54.1-2957.9","catch_line":"Regulation of the practice of midwifery","url":"\/54.1-2957.9\/","token":"54.1\/III\/29\/4\/54.1-2957.9","metadata":false}],"previous_section":{"id":81540,"structure_id":14243,"section_number":"54.1-2951","catch_line":"Repealed","url":"\/54.1-2951\/","token":"54.1\/III\/29\/4\/54.1-2951","metadata":false},"next_section":{"id":85870,"structure_id":14243,"section_number":"54.1-2951.2","catch_line":"Issuance of a license","url":"\/54.1-2951.2\/","token":"54.1\/III\/29\/4\/54.1-2951.2","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/54.1-2951.1\/","history_text":"

This law was first created in 1998. The record of its establishment is cataloged in chapter 319<\/a> of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year. It has been modified 5 times. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. Those modifications are as follows: in 2011, chapter 390<\/a>; in 2013, chapter 144<\/a>; in 2016, chapter 450<\/a>; in 2019, chapters 92<\/a>, 137<\/a>, and 338<\/a>; in 2024, chapter 116<\/a>.<\/p>","references":[{"id":85870,"section_number":"54.1-2951.2","catch_line":"Issuance of a license","order_by":null,"url":"\/54.1-2951.2\/"},{"id":77494,"section_number":"54.1-2952","catch_line":"Role of patient care team physician or patient care team podiatrist on patient care teams; services that may be performed by physician assistants; responsibility of licensee; employment of physician assistants","order_by":null,"url":"\/54.1-2952\/"},{"id":70057,"section_number":"54.1-2952.1","catch_line":"Prescription of certain controlled substances and devices by licensed physician assistants","order_by":null,"url":"\/54.1-2952.1\/"},{"id":78179,"section_number":"54.1-2953","catch_line":"Renewal, revocation, suspension, and refusal","order_by":null,"url":"\/54.1-2953\/"},{"id":77902,"section_number":"54.1-3300.1","catch_line":"Participation in collaborative agreements; regulations to be promulgated by the Boards of Medicine and Pharmacy","order_by":null,"url":"\/54.1-3300.1\/"}],"refers_to":[{"id":80727,"section_number":"32.1-123","catch_line":"(Effective January 1, 2026) Definitions","order_by":null,"url":"\/32.1-123\/"},{"id":76036,"section_number":"37.2-100","catch_line":"Definitions","order_by":null,"url":"\/37.2-100\/"},{"id":77494,"section_number":"54.1-2952","catch_line":"Role of patient care team physician or patient care team podiatrist on patient care teams; services that may be performed by physician assistants; responsibility of licensee; employment of physician assistants","order_by":null,"url":"\/54.1-2952\/"}],"permalink":{"id":242213,"object_type":"law","relational_id":56449,"identifier":"54.1-2951.1","token":"54.1\/III\/29\/4\/54.1-2951.1","url":"\/54.1-2951.1\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/54.1-2951.1\/","token":"54.1\/III\/29\/4\/54.1-2951.1","dublin_core":{"Title":"Requirements for licensure and practice as a physician assistant; licensure by endorsement","Type":"Text","Format":"text\/html","Identifier":"\u00a7 54.1-2951.1","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> The Board<\/span> shall promulgate regulations establishing requirements for licensure as a physician assistant<\/span> that shall include the following: <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

1.<\/span> Successful completion of a physician assistant<\/span> program or surgical physician assistant<\/span> program accredited by the Accreditation Review Commission on Education for the Physician Assistant<\/span>; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

2.<\/span> Passage of the certifying examination administered by the National Commission on Certification of Physician Assistants<\/span>; and <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

3.<\/span> Documentation that the applicant for licensure has not had his license or certification as a physician assistant<\/span> suspended or revoked and is not the subject of any disciplinary proceedings in another jurisdiction<\/span>. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> The Board<\/span> may issue<\/span> a license by endorsement to an applicant for licensure as a physician assistant<\/span> if the applicant (i) is the spouse of an active duty member of the Armed Forces of the United States or the Commonwealth, (ii) holds current certification from the National Commission on Certification of Physician Assistants<\/span>, and (iii) holds a license as a physician assistant<\/span> that is in good standing, or that is eligible for reinstatement if lapsed, under the laws<\/span> of another state. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

C.<\/span> Except as provided in subsection E, every physician assistant<\/span> shall practice as part of a patient care team<\/span> and shall provide care in accordance with a written or electronic practice agreement with one or more patient care team<\/span> physicians<\/span> or patient care team<\/span> podiatrists<\/span>.\n\t\t\tA practice agreement shall include acts pursuant to § 54.1-2952<\/a>, provisions for the periodic review of patient charts or electronic health records, guidelines for collaboration<\/span> and consultation<\/span> among the parties to the agreement and the patient, periodic joint evaluation of the services delivered, and provisions for appropriate physician input in complex clinical cases, in patient emergencies, and for referrals.\n\t\t\tA practice agreement may include provisions for periodic site visits by a patient care team<\/span> physician<\/span> or patient care team<\/span> podiatrist<\/span> who is part of the patient care team<\/span> at a location other than where the licensee regularly practices. Such visits shall be in the manner and at the frequency as determined by the patient care team<\/span> physician<\/span> or patient care team<\/span> podiatrist<\/span> who is part of the patient care team<\/span>. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

D.<\/span> Except as provided in subsection E, evidence<\/span> of a practice agreement shall be maintained by the physician assistant<\/span> and provided to the Board<\/span> upon request. The practice agreement may be maintained in writing or electronically and may be a part of credentialing documents, practice protocols, or procedures. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

E.<\/span> Physician assistants<\/span> employed by a hospital as defined in § 32.1-123<\/a> or employed in (i) a state facility as defined in § 37.2-100<\/a> operated by the Department of Behavioral Health and Developmental Services or (ii) a federally qualified health center designated by the Centers for Medicare and Medicaid Services may practice without a separate practice agreement if the credentialing and privileging requirements of the applicable facility include a practice arrangement that incorporates the components of a practice agreement set forth in the provisions of subsection C, including requiring and designating a patient care team<\/span> physician<\/span> or podiatrist, and the patient care team<\/span> requirements of § 54.1-2952<\/a>. Such physician assistants<\/span> shall continue to practice as part of a patient care team<\/span> in collaboration<\/span> and consultation<\/span> with patient care team<\/span> physicians<\/span> or patient care team<\/span> podiatrists<\/span>. <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nREQUIREMENTS FOR LICENSURE AND PRACTICE AS A PHYSICIAN ASSISTANT; LICENSURE BY\nENDORSEMENT (\u00a7 54.1-2951.1)\n\nA. The Board shall promulgate regulations establishing requirements for\nlicensure as a physician assistant that shall include the following:\n\n 1. Successful completion of a physician assistant program or surgical\n physician assistant program accredited by the Accreditation Review Commission\n on Education for the Physician Assistant;\n\n 2. Passage of the certifying examination administered by the National\n Commission on Certification of Physician Assistants; and\n\n 3. Documentation that the applicant for licensure has not had his license or\n certification as a physician assistant suspended or revoked and is not the\n subject of any disciplinary proceedings in another jurisdiction.\n\nB. The Board may issue a license by endorsement to an applicant for licensure as\na physician assistant if the applicant (i) is the spouse of an active duty\nmember of the Armed Forces of the United States or the Commonwealth, (ii) holds\ncurrent certification from the National Commission on Certification of Physician\nAssistants, and (iii) holds a license as a physician assistant that is in good\nstanding, or that is eligible for reinstatement if lapsed, under the laws of\nanother state.\n\nC. Except as provided in subsection E, every physician assistant shall practice\nas part of a patient care team and shall provide care in accordance with a\nwritten or electronic practice agreement with one or more patient care team\nphysicians or patient care team podiatrists.\n\t\t\tA practice agreement shall include acts pursuant to § 54.1-2952,\nprovisions for the periodic review of patient charts or electronic health\nrecords, guidelines for collaboration and consultation among the parties to the\nagreement and the patient, periodic joint evaluation of the services delivered,\nand provisions for appropriate physician input in complex clinical cases, in\npatient emergencies, and for referrals.\n\t\t\tA practice agreement may include provisions for periodic site visits by a\npatient care team physician or patient care team podiatrist who is part of the\npatient care team at a location other than where the licensee regularly\npractices. Such visits shall be in the manner and at the frequency as determined\nby the patient care team physician or patient care team podiatrist who is part\nof the patient care team.\n\nD. Except as provided in subsection E, evidence of a practice agreement shall be\nmaintained by the physician assistant and provided to the Board upon request.\nThe practice agreement may be maintained in writing or electronically and may be\na part of credentialing documents, practice protocols, or procedures.\n\nE. Physician assistants employed by a hospital as defined in § 32.1-123 or\nemployed in (i) a state facility as defined in § 37.2-100 operated by the\nDepartment of Behavioral Health and Developmental Services or (ii) a federally\nqualified health center designated by the Centers for Medicare and Medicaid\nServices may practice without a separate practice agreement if the credentialing\nand privileging requirements of the applicable facility include a practice\narrangement that incorporates the components of a practice agreement set forth\nin the provisions of subsection C, including requiring and designating a patient\ncare team physician or podiatrist, and the patient care team requirements of\n§ 54.1-2952. Such physician assistants shall continue to practice as part\nof a patient care team in collaboration and consultation with patient care team\nphysicians or patient care team podiatrists.\n\nHISTORY: 1998, c. 319; 2011, c. 390; 2013, c. 144; 2016, c. 450; 2019, cc. 92,\n137, 338; 2021, Sp. Sess. I, c. 210; 2024, c. 116.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}