{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/54.1-3223.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/54.1-3223.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/54.1-3223.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/54.1-3223.html"}],"law_id":58604,"edition_id":1,"section_id":58604,"structure_id":13079,"section_number":"54.1-3223","catch_line":"Regulations relating to therapeutic pharmaceutical agents","history":"1996, cc. 152, 158; 2004, c. 744; 2023, c. 268; 2025, cc. 391, 408.","full_text":"The Board shall promulgate such regulations governing the treatment of diseases and abnormal conditions of the human eye and its adnexa with therapeutic pharmaceutical agents by TPA-certified optometrists as are reasonable and necessary to ensure an appropriate standard of medical care for patients, including, but not limited to, determinations of the diseases and abnormal conditions of the human eye and its adnexa that may be treated by TPA-certified optometrists and treatment guidelines.\n\t\tSuch regulations and amendments thereto shall be exempt from the requirements of the Administrative Process Act (\u00a7 2.2-4000 et seq.), except to any extent that they may be specifically made subject to \u00a7\u00a7 2.2-4024, 2.2-4030, and 2.2-4031; the Board’s regulations shall, however, comply with \u00a7 2.2-4103 of the Virginia Register Act (\u00a7 2.2-4100 et seq.). The Board shall, however, conduct a public hearing prior to making amendments to the treatment guidelines or the determinations of diseases and abnormal conditions of the eye and its adnexa that may be treated by TPA-certified optometrists. Thirty days prior to conducting such hearing, the Board shall give written notice by mail or electronic means of the date, time, and place of the hearing to all currently TPA-certified optometrists and any other persons requesting to be notified of the hearings and publish notice of its intention to amend the regulations in the Virginia Register of Regulations. During the public hearing, interested parties shall be given reasonable opportunity to be heard and present information prior to final adoption of any amendments. Proposed and final amendments shall also be published, pursuant to \u00a7 2.2-4031, in the Virginia Register of Regulations.","order_by":null,"text":{"0":{"id":214778,"text":"The Board shall promulgate such regulations governing the treatment of diseases and abnormal conditions of the human eye and its adnexa with therapeutic pharmaceutical agents by TPA-certified optometrists as are reasonable and necessary to ensure an appropriate standard of medical care for patients, including, but not limited to, determinations of the diseases and abnormal conditions of the human eye and its adnexa that may be treated by TPA-certified optometrists and treatment guidelines.\n\t\tSuch regulations and amendments thereto shall be exempt from the requirements of the Administrative Process Act (\u00a7 2.2-4000 et seq.), except to any extent that they may be specifically made subject to \u00a7\u00a7 2.2-4024, 2.2-4030, and 2.2-4031; the Board’s regulations shall, however, comply with \u00a7 2.2-4103 of the Virginia Register Act (\u00a7 2.2-4100 et seq.). The Board shall, however, conduct a public hearing prior to making amendments to the treatment guidelines or the determinations of diseases and abnormal conditions of the eye and its adnexa that may be treated by TPA-certified optometrists. Thirty days prior to conducting such hearing, the Board shall give written notice by mail or electronic means of the date, time, and place of the hearing to all currently TPA-certified optometrists and any other persons requesting to be notified of the hearings and publish notice of its intention to amend the regulations in the Virginia Register of Regulations. During the public hearing, interested parties shall be given reasonable opportunity to be heard and present information prior to final adoption of any amendments. Proposed and final amendments shall also be published, pursuant to \u00a7 2.2-4031, in the Virginia Register of Regulations.","type":"section","prefixes":[""],"prefix":"","entire_prefix":"","prefix_anchor":"","level":1}},"ancestry":[{"id":13079,"edition_id":1,"name":"Certification for Administration of Therapeutic Pharmaceutical Agents (TPAs)","identifier":"5","label":"article","depth":4,"order_by":1,"parent_id":13078,"metadata":{},"date_created":"2026-06-26 03:44:14","date_modified":"2026-06-26 03:44:14","permalink":{"id":243073,"object_type":"structure","relational_id":13079,"identifier":"5","token":"54.1\/III\/32\/5","url":"\/54.1\/III\/32\/5\/","edition_id":1,"permalink":0,"preferred":1}},{"id":13078,"edition_id":1,"name":"Optometry","identifier":"32","label":"chapter","depth":3,"order_by":1,"parent_id":12758,"metadata":{},"date_created":"2026-06-26 03:44:14","date_modified":"2026-06-26 03:44:14","permalink":{"id":242971,"object_type":"structure","relational_id":13078,"identifier":"32","token":"54.1\/III\/32","url":"\/54.1\/III\/32\/","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":54127,"structure_id":13079,"section_number":"54.1-3222","catch_line":"TPA certification; certification for treatment of diseases or abnormal conditions with therapeutic pharmaceutical agents (TPAs)","url":"\/54.1-3222\/","token":"54.1\/III\/32\/5\/54.1-3222","metadata":false},{"id":58604,"structure_id":13079,"section_number":"54.1-3223","catch_line":"Regulations relating to therapeutic pharmaceutical agents","url":"\/54.1-3223\/","token":"54.1\/III\/32\/5\/54.1-3223","metadata":false},{"id":70211,"structure_id":13079,"section_number":"54.1-3224","catch_line":"Denial, etc., of TPA certification; disciplinary actions; summary suspension under certain circumstances","url":"\/54.1-3224\/","token":"54.1\/III\/32\/5\/54.1-3224","metadata":false}],"previous_section":{"id":54127,"structure_id":13079,"section_number":"54.1-3222","catch_line":"TPA certification; certification for treatment of diseases or abnormal conditions with therapeutic pharmaceutical agents (TPAs)","url":"\/54.1-3222\/","token":"54.1\/III\/32\/5\/54.1-3222","metadata":false},"next_section":{"id":70211,"structure_id":13079,"section_number":"54.1-3224","catch_line":"Denial, etc., of TPA certification; disciplinary actions; summary suspension under certain circumstances","url":"\/54.1-3224\/","token":"54.1\/III\/32\/5\/54.1-3224","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/54.1-3223\/","history_text":"

This law was first created in 1996. The record of its establishment is cataloged in chapters 152<\/a> and 158<\/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 3 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 2004, chapter 744<\/a>; in 2023, chapter 268<\/a>; in 2025, chapters 391<\/a> and 408<\/a>.<\/p>","references":[{"id":85347,"section_number":"54.1-3303","catch_line":"Prescriptions to be issued and drugs to be dispensed for medical or therapeutic purposes only","order_by":null,"url":"\/54.1-3303\/"}],"refers_to":[{"id":86911,"section_number":"2.2-4000","catch_line":"Short title; purpose","order_by":null,"url":"\/2.2-4000\/"},{"id":57586,"section_number":"2.2-4024","catch_line":"Hearing officers","order_by":null,"url":"\/2.2-4024\/"},{"id":60209,"section_number":"2.2-4030","catch_line":"Recovery of costs and attorney fees from agency","order_by":null,"url":"\/2.2-4030\/"},{"id":53967,"section_number":"2.2-4031","catch_line":"Publication of Virginia Register of Regulations; exceptions; notice of public hearings of proposed regulations","order_by":null,"url":"\/2.2-4031\/"},{"id":84745,"section_number":"2.2-4100","catch_line":"Short title; purpose of chapter; declaration of policy","order_by":null,"url":"\/2.2-4100\/"},{"id":59379,"section_number":"2.2-4103","catch_line":"Agencies to file regulations with Registrar; other duties; failure to file","order_by":null,"url":"\/2.2-4103\/"}],"permalink":{"id":243079,"object_type":"law","relational_id":58604,"identifier":"54.1-3223","token":"54.1\/III\/32\/5\/54.1-3223","url":"\/54.1-3223\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/54.1-3223\/","token":"54.1\/III\/32\/5\/54.1-3223","dublin_core":{"Title":"Regulations relating to therapeutic pharmaceutical agents","Type":"Text","Format":"text\/html","Identifier":"\u00a7 54.1-3223","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

The Board<\/span> shall promulgate such regulations governing the treatment of diseases and abnormal conditions of the human eye and its adnexa with therapeutic pharmaceutical agents by TPA-certified optometrists<\/span> as are reasonable and necessary to ensure an appropriate standard of medical care for patients, including, but not limited to, determinations of the diseases and abnormal conditions of the human eye and its adnexa that may be treated by TPA-certified optometrists<\/span> and treatment guidelines.\n\t\tSuch regulations and amendments thereto shall be exempt from the requirements of the Administrative Process Act (\u00a7 2.2-4000<\/a> et seq.), except to any extent that they may be specifically made subject to \u00a7\u00a7 2.2-4024<\/a>, 2.2-4030<\/a>, and 2.2-4031<\/a>; the Board<\/span>’s regulations shall, however, comply with \u00a7 2.2-4103<\/a> of the Virginia Register Act (\u00a7 2.2-4100<\/a> et seq.). The Board<\/span> shall, however, conduct a public hearing<\/span> prior to making amendments to the treatment guidelines or the determinations of diseases and abnormal conditions of the eye and its adnexa that may be treated by TPA-certified optometrists<\/span>. Thirty days prior to conducting such hearing<\/span>, the Board<\/span> shall give written notice by mail or electronic means of the date, time, and place of the hearing<\/span> to all currently TPA-certified optometrists<\/span> and any other persons requesting to be notified of the hearings<\/span> and publish notice of its intention to amend<\/span> the regulations in the Virginia Register of Regulations. During the public hearing<\/span>, interested parties shall be given reasonable opportunity to be heard and present information prior to final adoption of any amendments. Proposed and final amendments shall also be published, pursuant to \u00a7 2.2-4031<\/a>, in the Virginia Register of Regulations.<\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nREGULATIONS RELATING TO THERAPEUTIC PHARMACEUTICAL AGENTS (\u00a7 54.1-3223)\n\nThe Board shall promulgate such regulations governing the treatment of diseases\nand abnormal conditions of the human eye and its adnexa with therapeutic\npharmaceutical agents by TPA-certified optometrists as are reasonable and\nnecessary to ensure an appropriate standard of medical care for patients,\nincluding, but not limited to, determinations of the diseases and abnormal\nconditions of the human eye and its adnexa that may be treated by TPA-certified\noptometrists and treatment guidelines.\n\t\tSuch regulations and amendments thereto shall be exempt from the requirements\nof the Administrative Process Act (\u00a7 2.2-4000 et seq.), except to any extent\nthat they may be specifically made subject to \u00a7\u00a7 2.2-4024, 2.2-4030, and\n2.2-4031; the Board’s regulations shall, however, comply with \u00a7 2.2-4103\nof the Virginia Register Act (\u00a7 2.2-4100 et seq.). The Board shall, however,\nconduct a public hearing prior to making amendments to the treatment guidelines\nor the determinations of diseases and abnormal conditions of the eye and its\nadnexa that may be treated by TPA-certified optometrists. Thirty days prior to\nconducting such hearing, the Board shall give written notice by mail or\nelectronic means of the date, time, and place of the hearing to all currently\nTPA-certified optometrists and any other persons requesting to be notified of\nthe hearings and publish notice of its intention to amend the regulations in the\nVirginia Register of Regulations. During the public hearing, interested parties\nshall be given reasonable opportunity to be heard and present information prior\nto final adoption of any amendments. Proposed and final amendments shall also be\npublished, pursuant to \u00a7 2.2-4031, in the Virginia Register of Regulations.\n\nHISTORY: 1996, cc. 152, 158; 2004, c. 744; 2023, c. 268; 2025, cc. 391, 408.","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}}