VA HB746

Authorizes physician assistants (PAs) to practice without a practice agreement after completing the equivalent of at least three years of full-time clinical experience (1,800 hours per year) in a specific clinical specialty or practice area

Requires PAs seeking independent practice to obtain a written attestation from a supervising physician confirming their experience, adherence to standards of care, and readiness to fulfill independent practice duties

Mandates that PAs practicing independently must work within their training and experience limits, consult with other health care providers based on patient conditions, and establish referral plans for complex cases and emergencies

Requires the Board of Medicine to issue a new license with a designation indicating authorization to practice without a practice agreement upon verification of requirements

Applies to PAs licensed by endorsement or through the Physician Assistant Licensure Compact only if they submit attestation confirming equivalent Virginia experience requirements, regardless of independent status in other jurisdictions