TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING

BOARD OF MEDICINE

Initial Agency Notice

Title of Regulation: 18VAC85-20. Regulations Governing the Practice of Medicine, Osteopathic Medicine, Podiatry, and Chiropractic.

Statutory Authority: § 54.1-2400 of the Code of Virginia.

Name of Petitioner: Dr. Timothy Mountcastle.

Nature of Petitioner's Request: The petitioner requests that the Board of Medicine promulgate regulations that (i) state that cosmetic injections constitute the practice of medicine; (ii) establish documentation standards for cosmetic injection consultations and procedures; (iii) define supervision requirements, including emergency protocols; and (iv) evaluate supervision standards for cosmetic injection services, including off-site supervision and on-site supervision.

Agency Plan for Disposition of Request: The petition for rulemaking will be published in the Virginia Register of Regulations on March 23, 2026. The petition will also be published on the Virginia Regulatory Town Hall to receive public comment, which opens March 23, 2026, and closes April 22, 2026. The board will consider the petition and all comments in support or opposition at the next meeting after the close of public comment. That meeting is currently scheduled for June 4, 2026. The petitioner will be notified of the board's decision after that meeting.

Public Comment Deadline: April 22, 2026.

Agency Contact: Erin Barrett, Director of Legislative and Regulatory Affairs, Department of Health Professions, Perimeter Center, 9960 Mayland Drive, Suite 300, Henrico, VA 23233, telephone (804) 750-3912, or email erin.barrett@dhp.virginia.gov.

VA.R. Doc. No. PFR26-23; Filed March 2, 2026, 2:53 p.m.