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Did Not Advance

West Virginia Bill Removes Physician Supervision Requirements for Nurse Practitioners and Physician Assistants

Original title: To remove restrictions for supervising physicians for Nurse practitioners or physician assistants in West Virginia

Last action · January 27, 2026: Markup DiscussionSponsors: Lisa White and 9 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

House Bill 4715 empowers qualified physician assistants and certified nurse practitioners to practice without physician supervision, renames the Board of Examiners for Registered Professional Nurses to the Board of Registered Nurses, and establishes new membership and regulatory structures.

Why it matters

Modifies the scope of practice and autonomous working rights for thousands of s and physician assistants in West Virginia, altering healthcare delivery models and provider reimbursement parity.

Background
  • West Virginia regulates healthcare professions through specific articles in Chapter 30 of the West Virginia Code, establishing distinct licensing boards for medicine, osteopathic medicine, and registered professional nursing. context

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

Certified Nurse Practitioners

Certified nurse practitioners are authorized to practice and prescribe drugs without requiring a collaborative relationship or physician supervision.

Directly affected

Physician Assistants

Physician assistants gain the authority to practice without physician supervision, subject to board rules and prescribing limitations.

Directly affected

West Virginia Board of Registered Nurses

The board is officially renamed from the Board of Examiners for Registered Professional Nurses, receives new appointment structures, and assumes updated regulatory duties.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Do certified nurse practitioners need a collaborative agreement with a physician to practice or prescribe drugs under this bill?
No, certified nurse practitioners do not require a collaborative relationship with a qualified physician in order to practice or to prescribe drugs that they are otherwise qualified to prescribe.
What are the prescribing limitations for physician assistants under the bill?
Physician assistants may not prescribe Schedule I controlled substances and are restricted to prescribing up to a three-day supply of a .
How is the nursing board affected by this legislation?
The West Virginia Board of Examiners for Registered Professional Nurses is renamed the West Virginia Board of Registered Nurses effective July 1, 2022, and a newly structured board is appointed by the Governor.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · in House committee.

Procedural history

5 actions
  1. Jan 27, 2026House
    Markup Discussion
  2. Jan 21, 2026HouseCommittee
    To House Health and Human Resources
  3. Jan 21, 2026HouseIntroduced
    Introduced in House
  4. Jan 21, 2026HouseCommittee
    To Health and Human Resources
  5. Jan 21, 2026HouseIntroduced
    Filed for introduction

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Removal of Physician Supervision

The legislation marks a significant statutory transition by eliminating mandatory physician collaboration and supervision requirements for qualified nurse practitioners and physician assistants.

Connected Entities

Tristan Leavitt, Kump, Corby Dillon and 10 more
PersonTristan Leavitt“Cosponsor of House Bill 4715”Map →
PersonKump“Cosponsor of House Bill 4715”Map →
PersonCorby Dillon“Cosponsor of House Bill 4715”Map →
PersonIan Masters“Cosponsor of House Bill 4715”Map →
PersonKathie Hess Crouse“Cosponsor of House Bill 4715”Map →
PersonChris Anders“Cosponsor of House Bill 4715”Map →
PersonElías Coop-González“Cosponsor of House Bill 4715”Map →
PersonJoe Parsons“Cosponsor of House Bill 4715”Map →
PersonJeff Eldridge“Cosponsor of House Bill 4715”Map →
OrganizationWest Virginia Board of Medicine“Licensing board for medical professionals in West Virginia”Map →
OrganizationWest Virginia Board of Registered Nurses“Newly renamed board replacing the West Virginia Board of Examiners for Registere”Map →
PersonLisa White“Lead sponsor of House Bill 4715”Map →
OrganizationWest Virginia Board of Osteopathic Medicine“Licensing board for osteopathic physicians in West Virginia”Map →

Sources

Open source document

www.wvlegislature.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 85)
  • Controversy65
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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