PETITIONS FOR RULEMAKING
Vol. 42 Iss. 23 - June 29, 2026

TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING

BOARD OF MEDICINE

Agency Decision

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: Bernadette Lozano.

Nature of Petitioner's Request: The petitioner requests that the board amend 18VAC85-20 to insert a requirement that a practitioner must disclose the serial number, manufactured date, and expiration date information of a medical implant device upon discharge from a hospital or surgery center when one has been inserted.

Agency Decision: Request denied.

Statement of Reason for Decision: At the Board of Medicine meeting on June 4, 2026, the board voted to deny the petition because the information requested to be recorded by the treating practitioner is available from entities (hospitals and ambulatory surgery centers) that are not under the jurisdiction of the board and any request for change should be directed to the agency that does oversee those entities, which is the Virginia Department of Health.

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. PFR26-21; Filed February 2, 2026, 8:46 a.m.

Agency Decision

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 Decision: Request denied.

Statement of Reason for Decision: At the Board of Medicine meeting on June 4, 2026, the board voted to deny the petition. Current statutory law and regulation cover the specific practice actions mentioned by the petitioner. Development of an agency-wide guidance document regarding medical spas and IV clinics to address the issues listed is ongoing.

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.