VA Board Briefs: Opioids, COVID Telemedicine, Licensee Requirements

Table of Contents

SURGICAL TECHNOLOGIST CERTIFICATION ................................................................... 2

SIGNING DEATH CERTIFICATES ..................................................................................... 2

COOPERATION WITH THE BOARD .................................................................................. 4

BE WARY OF SCAMMERS! .............................................................................................. 5

SERVICEMEMBERS' CIVIL RELIEF ACT (SCRA) LICENSING ............................................... 5

REMINDER ABOUT THE 2025 OPIOID REGULATIONS ....................................................... 6

3rd TEMPORARY EXTENSION OF COVID-19 TELEMEDICINE FLEXIBILITIES FOR THE

PRESCRIPTION OF CONTROLLED SUBSTANCES ............................................................. 6

PERINATAL AND OTHER DEPRESSION IN WOMEN .......................................................... 7

THE BOARD WANTS ITS LICENSEES TO BE HEALTHY ....................................................... 9

REMINDER ABOUT NEW LAWS FOR 2025 ..................................................................... 10

MIXING, DILUTING OR RECONSTITUTING DRUGS FOR ADMINISTRATION REGULATIONS

(MDR) ......................................................................................................................... 11

FDA LETTER TO THE FSMB ON CAGRILINTIDE ............................................................... 12

ONGOING REGULATORY ACTIVITY ............................................................................... 14

STUDY MEETINGS OF THE BOARD ................................................................................ 15

LICENSE COUNT ......................................................................................................... 16

BOARD MEMBERS 2024-2025 ...................................................................................... 20

COMMITTEE APPOINTMENTS ....................................................................................... 21

ADVISORY BOARD MEMBERS ...................................................................................... 22

BOARD MEETINGS ...................................................................................................... 23

BOARD DECISIONS ..................................................................................................... 24

SURGICAL TECHNOLOGIST CERTIFICATION

Title protection was granted to Surgical Technologists by the 2022 General Assembly. The Code of Virginia § 54.1-2956.12. Registered surgical technologist; use of title; registration reads:

1. No person shall hold himself out to be a surgical technologist or use or assume the title of "surgical technologist" or "certified surgical technologist," or use the designation "S.T." or any variation thereof, unless such person is certified by the

Board. In 2023, the General Assembly extended the period for grandfathering individuals into

certification by the Board until December 31, 2023. Unfortunately, quite a few surgical

technologists, including graduates of surgical technology programs, have not been aware of

the requirement for certification by the Board and end up becoming certified through a

disciplinary Pre-Hearing Consent Order that acknowledges the period of unlicensed practice.

The Board of Medicine has no way of notifying individuals of the requirement for certification

except by this newsletter. And this newsletter only goes to those already regulated by the

Board. Information about the requirement for certification by the Board needs to come from

teachers in surgical technologist programs, supervisors, and employers. If you are in a

position to inform students and colleagues of this requirement, please do.

SIGNING DEATH CERTIFICATES

Apparently, there continues to be some misunderstanding about a practitioner's

responsibility to sign a death certificate. Completing the death certificate is not only the last

act for the patient, but it also helps provide emotional closure for the family and necessary

documentation to take care of the deceased's affairs.

Here is the law in the Board of Medicine's Code Section on Unprofessional Conduct:

"Failing or refusing to complete and file electronically using the Electronic Death Registration System any medical certification in accordance with the requirements

of subsection C of § 32.1-263. However, failure to complete and file a medical

certification electronically using the Electronic Death Registration System in

accordance with the requirements of subsection C of § 32.1-263 shall not constitute

unprofessional conduct if such failure was the result of a temporary technological or electrical failure or other temporary extenuating circumstance that prevented the

electronic completion and filing of the medical certification using the Electronic

Death Registration System." Code of Virginia Section 32.1-263 is the Virginia Department of Health law governing the

completion of death certificates. Subsection C outlines the responsibilities of physicians

and autonomous advanced practice RN's. "…The medical certification shall be completed and filed electronically with the State Registrar of Vital Records using the Electronic Death Registration System within 24 hours after death by the physician or autonomous nurse practitioner in charge of the patient's care for the illness or condition that resulted in death except

when inquiry or investigation by the Office of the Chief Medical Examiner is required

by § 32.1-283 or 32.1-285.1, or by the physician or autonomous nurse practitioner who pronounces death pursuant to § 54.1-2972. If the death occurred while under

the care of a hospice provider, the medical certification shall be completed by the decedent's health care provider and filed electronically with the State Registrar of

Vital Records using the Electronic Death Registration System for completion of the

death certificate.

In the absence of such physician or autonomous nurse practitioner or with his

approval, the certificate may be completed and filed by the following: (i) another

physician or autonomous nurse practitioner employed or engaged by the same professional practice; (ii) a physician assistant supervised by such physician; (iii) an advanced practice registered nurse who is not an autonomous nurse practitioner practicing in accordance with the provisions of § 54.1-2957; (iv) the chief medical

officer or medical director, or his designee, of the institution, hospice, or nursing

home in which death occurred; (v) a physician or autonomous nurse practitioner specializing in the delivery of health care to hospitalized or emergency department patients who is employed by or engaged by the facility where the death occurred; (vi) the physician who performed an autopsy upon the decedent; (vii) an individual to whom the physician or autonomous nurse practitioner has delegated authority to

complete and file the certificate, if such individual has access to the medical history

of the case and death is due to natural causes; or (viii) a physician who is not licensed by the Board of Medicine who was in charge of the patient's care for the illness or condition that resulted in death. A physician described in clause (viii) who

completes a certificate in accordance with this subsection shall not be required to register with the Electronic Death Registration System or complete the certificate

electronically. As used in this subsection, "autonomous nurse practitioner" has the same meaning as provided in § 54.1-2972." Section 32.1-263(D) of the Code of Virginia states: "…If the Office of the Chief Medical Examiner refuses jurisdiction, the physician last

furnishing medical care to the deceased shall prepare and file the medical certification portion of the death certificate." Section 32.1-263(E) states that the

physician or autonomous advanced practice registered nurse shall "use his best

medical judgment to certify a reasonable cause of death or contact the health district

physician director in the district where the death occurred to obtain guidance in reaching a determination as to a cause of death and document the same." If you are not registered with the Electronic Death Registration System (EDRS), you should go ahead and do so.

󷵻󷵼󷵽󷵾 Register here

COOPERATION WITH THE BOARD

The Enforcement Division of the Department of Health Professions (DHP) does the investigative work for all of the Department's 13 health regulatory boards. If you are contacted by someone who is representing himself/herself as an investigator with the Department of Health Professions, know that a DHP investigator will never contact you initially by phone. It will be by email or UPS mail. If you have doubts about the legitimacy of an investigator's identity, you may call the DHP Enforcement Division or the Board of

Medicine for verification.

An investigator may be looking into a complaint lodged against you or another licensee of the Board of Medicine. If the investigator is seeking an interview, records, or other information, it is your responsibility to cooperate. The Board has a regulation that states such: 18VAC85-20-105. Refusal to provide information

A practitioner shall not willfully refuse to provide information or records as requested or required by the board or its representative pursuant to an investigation or to the

enforcement of a statute or regulation.

BE WARY OF SCAMMERS!

Recently, a licensee of the Board of Medicine contacted the Board to ask about being under investigation. The licensee had been contacted by an individual who gave his name and claimed to be the "Chief Investigator" for the Board. He provided a Board of Medicine number to call. The contact was a scam. No such individual exists. As stated above, an investigator from the Department of Health Professions will not initially contact a licensee by phone. It will be either by email or UPS mail. If in doubt, always contact the agency that the individual claims to represent--be it the Board of Medicine, local law enforcement, the DEA, the FBI, or any other entity.

SERVICEMEMBERS' CIVIL RELIEF ACT (SCRA) LICENSING

In 2023, the SCRA was amended to require states to recognize professional licenses issued

by another state for the purpose of facilitating license portability for servicemembers and their spouses who are relocating to another state pursuant to military orders.

In December 2024, the SCRA was amended again. The licensing process now requires:

1. Completed application
2. Fee
3. Military orders to a duty station in Virginia
4. One primary source state license verification in good standing
5. Attest that:

• All licenses are in good standing in all jurisdictions
• No license has been disciplined
• No license is currently under investigation
• No license has ever been voluntarily surrendered while under investigation

1. Report from the National Practitioner Data Bank
2. Copy of the marriage certificate for a military spouse applicant
3. Application must be notarized The Board of Medicine has a link to the SCRA application on its website for all its licensed professions. Although the application is fillable online, it must be printed off and mailed to the Board with the appropriate fee.

REMINDER ABOUT THE 2025 OPIOID REGULATIONS

In March 2023, the Board undertook the revision of the March 2017 regulations governing prescribing of opioids and buprenorphine. The amended regulations became effective in January 2025.

󷵻󷵼󷵽󷵾 View the regulations

3rd TEMPORARY EXTENSION OF COVID-19 TELEMEDICINE FLEXIBILITIES FOR THE PRESCRIPTION OF CONTROLLED SUBSTANCES

This item is reprinted from the April 2025 Board Briefs. It states that the COVID-19

telemedicine flexibilities will continue until December 31, 2025. The Board is unaware of any further extension of the flexibilities. You may wish to monitor the DEA website for further

information. THIRD TEMPORARY EXTENSION OF COVID-19 TELEMEDICINE FLEXIBILITIES FOR PRESCRIPTION OF CONTROLLED SUBSTANCES

The initial telemedicine flexibilities were issued by DEA in March 2020. Since that

time, there have been extensions for the prescribing of controlled substances by telemedicine.

In 2023, in response to a set of proposed telemedicine rules, DEA received more than 38,000 comments and held two days of public listening sessions. In light of that feedback and discussion, and to give DEA time to consider a new path forward for telemedicine, DEA and the Department of Health and Human Services (HHS)

extended current telemedicine flexibilities through the end of 2024.

We (DEA) continue to carefully consider the input received and are working to

promulgate a final set of telemedicine regulations. However, with the end of 2024 quickly approaching, DEA, jointly with HHS, has extended current telemedicine flexibilities through December 31, 2025. 󷵻󷵼󷵽󷵾 Read the full extension in the Federal Register

PERINATAL AND OTHER DEPRESSION IN WOMEN

The General Assembly requires the Board of Medicine to annually remind its licensees who

provide services to women of the potential for depression in their patients. The reminder: "Shall encourage practitioners to screen every patient who is pregnant or who has

been pregnant within the previous five years for prenatal or postnatal depression or

other depression, as clinically appropriate…" This issue aligns with Governor Youngkin's Maternal Health Data Task Force, which held its

first meeting in October 2024. The Task Force is committed to ensuring that every pregnant

mother in Virginia receives the care she needs to be healthy and to deliver a healthy baby. You can review the Task Force's progress at: https://www.hhr.virginia.gov/initiatives/maternal-health/ Risk Factors for Perinatal Depression Clinical Risk Factors:

• Personal or family history of depression
• History of physical or sexual abuse
• Unplanned or unwanted pregnancy
• Current stressful life events
• Pregestational or gestational diabetes

• Complications during pregnancy
  Social Risk Factors:

• Low socioeconomic status

• Lack of social or financial support

• Adolescent parenthood
  Screening Tools

• Edinburgh Postnatal Depression Scale
  For women that are no longer in the perinatal period, the Patient Health Questionnaire-9 and the Beck Depression Inventory BDI) are useful tools

• Patient Health Questionnaire-9 (PHQ-9)

• Beck Depression Inventory (BDI)
  Two-Question Screen The following two questions are recommended as a quick screen for a past history of

depression which is a significant risk factor. If the answers are "yes" for a pregnant or

postpartum woman, consider referral for counseling or further evaluation. In all cases, interventions should be tailored to the risk presented by the patient and her circumstances.

1. Was there ever a period of time when you were feeling depressed or down or when
   you lost interest in pleasurable activities most of the day, nearly every day, for at least 2 weeks?

2. Has a health care professional ever told you that you were depressed? Have you ever
   taken a medication for depression? In a 2023 webinar, Anita H. Clayton, MD and Jennifer L. Payne, MD of UVA Psychiatry provided the following points:

• Include questions about depression in your interview with patients.
• Screening tests can be helpful in identifying treatable depression.
• Post-Partum Depression (PPD) has both genetic and environmental determinants.
• Previous bouts of depression are predictive for PPD.
• Family history of depression may be predictive for PPD.
• Treating depression during pregnancy benefits the mother and the infant.

• The Edinburgh Postnatal Depression Scale is useful for diagnosis and monitoring
  progress.

• Antidepressants pose a low risk for breastfeeding infants.

• Drugs that achieve rapid improvement in PPD are available.
  References

• Massachusetts General Hospital Center for Women's Mental Health Perinatal

Depression: How Do We Define High Risk? (Part 1) February 27, 2019 - Ruta

Nonacs, MD, PhD

• Perinatal Depression: How Do We Define High risk? (Part 2) March 20, 2019 - Ruta
  Nonacs, MD, PhD

• "Perinatal depression screening practices in a large health system: identifying
  current state and assessing opportunities to provide more equitable care" -

Archives of Women's Mental Health, May 5, 2020 - Abbey Sidebottom et al.

• "Racial Disparities in Perinatal Depression in an Underserved Los Angeles County
  Population" - Obstetrics and Gynecology, May 6, 2017 - Anna K. Celaya, MD, MPH et al.

• "Research Gaps in Perinatal Mental Health: U.S. Racial & Ethnic Disparities and
  Neglected Global Populations" - Mental Health Task Force at the Harvard Chan School, August 19, 2016 - Sarah Hodin, MPH, CD (DONA), LCCE

THE BOARD WANTS ITS LICENSEES TO BE HEALTHY

The Virginia Board of Medicine has always wanted its licensees who are struggling with burnout or other issues to get help when they need it. The Board is aware that the stresses of medical school, residency, and practice can weigh heavily on a healthcare provider at times. There's no shame in asking for help, and there's especially no reason to fear the Board. The Board is comprised of individuals who practice medicine and have been patients. Harsh or intolerant approaches by the Board toward its licensees who seek mental health treatment is a myth. The Board's mission is to protect the public as patients seek healthcare from the Board's licensees. It's a no-brainer that a healthy provider is better able to care for his or her patients than one who is struggling. Licensees taking care of themselves and seeking help when they need it is good for everybody. Left unattended, mental health issues could affect your patient care. And you don't want that, and your patients don't want that.

REMINDER ABOUT NEW LAWS FOR 2025

Below are summaries of new laws relevant to Board of Medicine licensees that became

effective in 2025:

• SB882 - Licensure of Anesthesiologist Assistants
  Establishes licensure criteria and directs the Board to adopt regulations. No one may use the title "anesthesiologist assistant" without a license.

• SB826 - Predetermination for Licensing Eligibility; Prior Convictions
  Prohibits vague or arbitrary terms in license denials. Requires written notice of specific offenses and how they relate to the profession.

• SB1352 - Independent Practice for Certified Nurse Midwives
  Permits independent practice after 1,000 hours under a practice agreement. Allows midwives to enter agreements with other independently practicing midwives.

• HB1582 - Pharmacists; Collaborative Agreements
  Expands collaborative agreements to include prescribing, modifying, continuing, or discontinuing drug therapy.

• HB1629 - Health Care Records; Fees
  Requires one free copy of a patient's medical records per calendar year for certain benefit claims. Additional requests may incur a reasonable fee.

• HB1636 - Civil Immunity for Career Fatigue and Wellness Programs
  Expands civil immunity to all health professionals and students participating in wellness programs.

• HB1646 - Chiropractic Practice and Supplements
  Allows chiropractors to recommend vitamins, minerals, or food supplements under

specific conditions. Prohibits recommendations that may negatively impact existing

conditions.

• HB1861 - Licensure by Endorsement
  Requires health regulatory boards to create licensure by endorsement pathways. The Board of Medicine is the first to implement.

• HB1904 - Nursery Services Coverage

Allows certified nurse midwives and pediatric nurse practitioners to be on-call for

nursery care. Permits physician consultation via telehealth.

• HB1905 - Compounded Drugs Distribution
  Allows distribution of compounded drugs within health systems under common ownership for in-system patient use.

• HB2269 - Workplace Violence Reporting in Hospitals

Requires hospitals to track and report workplace violence incidents and submit

data to the Department of Health.

• HB2489 - Study on Physician Assistant Scope of Practice Directs a study on expanding physician assistant autonomy. A report is due to the General Assembly by November 1, 2025.

MIXING, DILUTING OR RECONSTITUTING DRUGS FOR ADMINISTRATION REGULATIONS (MDR)

The MDR regulations were repealed in February 2025. The thinking of the Board was that physicians and others who practice MDR had by this time developed best practices in the mixing of two sterile components safely and competently. Practitioners are still expected to follow the U. S. Pharmacopeia guidelines for the handling of medications.

FDA LETTER TO THE FSMB ON CAGRILINTIDE

Letter from the FDA about compounded drug products containing cagrilintide.

June 2, 2025 Humayun J. Chaudhry, DO, MACP President and CEO Federation of State Medical Boards 400 Fuller Wiser Road, Suite 300 Euless, TX 76309 Dear Dr. Chaudhry: The purpose of this letter is to bring to the attention of the Federation of State Medical Boards information related to compounded drug products containing cagrilintide, some of which claim to treat obesity and other conditions. FDA believes that health care professionals should be advised about the current regulatory status of compounded cagrilintide. Sections 503A and 503B of the Federal Food, Drug, and Cosmetic Act (FD&C Act) describe the conditions that must be satisfied for compounded human drug products to be exempt from certain sections of the FD&C Act, including the requirements of premarket approval and labeling with adequate directions for use. Among the conditions of sections 503A and 503B are restrictions on the bulk drug substances (active pharmaceutical ingredients or APIs) that may be used to compound human drug products. One of the conditions that must be met for a compounded drug product to qualify for the exemptions under section 503A of the FD&C Act is that a licensed pharmacist in a State licensed pharmacy or a Federal facility, or a licensed physician, compounds the drug product using bulk drug substances that: (1) comply with the standards of an applicable United States Pharmacopeia (USP) or National Formulary (NF) monograph, if a monograph exists, and the USP chapter on pharmacy compounding; (2) if such a monograph does not exist, are drug substances that are components of drugs approved by the Secretary; or (3) if such a monograph does not exist and the bulk drug substance is not a component of a drug approved by FDA, appear on a list developed by FDA through regulation ("503A Bulks List") (section 503A(b)(1)(A)(i) of the FD&C Act). Cagrilintide is not the subject of an applicable USP or NF monograph, is not a component of an FDA-approved drug product, and does not appear on the 503A Bulks List. Therefore, compounded cagrilintide products would not at this time qualify for the exemptions under section 503A of the FD&C Act. One of the conditions that must be met for a drug product compounded by an outsourcing facility to qualify for the exemptions under section 503B of the FD&C Act, is that the outsourcing facility does not compound drug products using a bulk drug substance unless: (1) the bulk drug substance appears on a list established by the Secretary identifying bulk drug substances for

which there is a clinical need ("503B Bulks List"), or (2) the drug product compounded from such bulk drug substance appears on FDA's drug shortage list in effect under section 506E at the time of compounding, distribution and dispensing (section 503B(a)(2)(A)(i) and (ii) of the FD&C Act). Cagrilintide does not appear on the 503B Bulks List, nor does it appear on FDA's drug shortage list. Therefore, compounded cagrilintide products would not at this time qualify for the exemptions under section 503B of the FD&C Act. Additionally, FDA has warned companies that have illegally sold unapproved drugs that are falsely labeled "for research purposes" or "not for human consumption." The agency 1 recommends that consumers not purchase products, such as cagrilintide, that do not meet the exemptions of sections 503A or 503B of the FD&C Act, are of unknown quality, and may be harmful to their health. FDA also encourages health care providers to discuss this issue with their patients. We are also sending this letter to the National Association of Boards of Pharmacy and National Council of State Boards of Nursing to facilitate communication among associations with shared goals regarding these matters. We look forward to continuing to work with you on matters related to drug compounding. If you have additional questions, please contact the Office of Compounding Quality and Compliance at compounding@fda.hhs.gov.

ONGOING REGULATORY ACTIVITY

The following regulatory actions are currently in progress with the Board of Medicine:

Medicine, Osteopathic Medicine, documentation of continuing Podiatry, and Chiropractic competency for reactivation of a license [18 VAC 85 - 20]

Medicine, Osteopathic Medicine, provisional and restricted licenses Podiatry, and Chiropractic [18 VAC 85 - 20]

Physician Assistants or podiatrist name from prescriptions issued by physician assistants [18 VAC 85 - 50]

Physician Assistants care team physician or podiatrist consultation and collaboration [18 VAC 85 - 50]

Physician Assistants physician assistants with lapsed licenses [18 VAC 85 - 50]

Regulations Governing the Practice of Regulations Governing the Practice of Regulations Governing the Practice of Regulations Governing the Practice of Regulations Governing the Practice of Action:Action:Action:Creation of reinstatement process for Action:Removal of patient care team physician Removal of requirement to provide Amendment to requirements for patient Virginia Board of Medicine Board Briefs #102 Page 14 Action:Licensure of foreign physicians through Chapter Action / Stage Information Stage:Fast-Track ‗.At.DPB Stage:NOIRA - Register Date: 3/24/25 Stage:NOIRA - Register Date: 3/10/25 Stage:NOIRA - Register Date: 3/10/25 Stage:Fast-Track ‗.At.DPB

Physician Assistants [18 VAC 85 - 50]

Licensed Midwives amendment consistent with statutory changes [18 VAC 85 - 130]

Anesthesiologist Assistants [18 VAC 85 - 180]

STUDY MEETINGS OF THE BOARD

• The Psychologist Prescribing Workgroup met in accordance with SB752 on July 9, 2025 and August 15, 2025. It was jointly hosted by the Board of Psychology and the Board of Medicine. Stakeholders from the Boards, professional organizations, and

academia met to discuss the education, training, and qualifications of clinical

psychologists necessary to ensure competent and safe prescribing if clinical psychologists were to be granted prescriptive authority. A report is due to the General Assembly by November 1, 2025.

• In collaboration with the Board of Nursing, the Board of Medicine met August 20, 2025
  with mental health experts to discuss best practices for prescribing, monitoring, and communication essential to the management of children and adolescents treated with psychotropic medication.

• On August 25, 2025, the Board of Medicine convened a meeting of the Advisory
  Board on Midwifery along with OB-GYNs from academia to consider revision of the midwifery formulary for consistency with the North American Registry of Midwives 2024 Job Analysis. Appropriate additions were made to the formulary.

Regulations Governing the Practice of Regulations Governing the Practice of Regulations Governing the Practice of Action:General disclosure requirement Virginia Board of Medicine Board Briefs #102 Page 15 Action:Implementation of the PA Compact Stage:NOIRA - At Secretary's Office Stage:Fast-Track - Register Date: 7/28/25 Action:Licensure of Anesthesiologist Assistants Stage:NOIRA - At DPB

LICENSE COUNT

Virginia Board of Medicine Board Briefs #102 Page 16

Virginia Board of Medicine Board Briefs #102 Page 17

Virginia Board of Medicine Board Briefs #102 Page 18

Virginia Board of Medicine Board Briefs #102 Page 19

BOARD MEMBERS 2024-2025

1st Term Expires June 2026 1st Term Expires June 2025 District: 6 - Roanoke Citizen Member - N. Chesterfield

1st Term Expires June 2026 1st Term Expires June 2027 Podiatrist - Roanoke District: 7 Fredericksburg

1st Term Expires June 2028 1st Term Expires June 2028 District: 4 - Chester Osteopath - Fredericksburg

1st Term Expires June 2026 1st Term Expires June 30, 2028 District: 8 - McLean District: 2 - Virginia Beach

1st Term Expires June 2027 1st Term Expires June 2025 Citizen Member - Mclean District: 5 - Danville

1st Term Expires June 2026 1st Term Expires June 2025 District: 11 - Great Falls Chiropractor - Blacksburg

1st Term Expires June 2025 1st Term Expires June 2028 Citizen Member - Alexandria District: 9 - Abingdon Elliott Lucas, MD Vice-President 1st Term Expires June 2027 1st Term Expires June 2028 District: 3 - Hampton District 1 - Henrico

1st Term Expires June 2026 Unexpired Term Expires June 2027 District: 10 - Ashburn Leroy Brown Vaughan, Jr., MD John R. Clements, DPM Kamlesh Dave, MD Hazem A. Elariny, MD Deborah DeMoss Fonseca William Hutchens, MD Oliver Kim Krishna P. Madiraju, MD Patrick McManus, MD Ken McDowell, DO, Secretary/Treasurer Michele Nedelka, MD Pradeep Pradhan, MD Jennifer Rathmann, DC Mark Simcox, MD VACANT, Citizen Peter J. Apel, MD, President L. Blanton Marchese Virginia Board of Medicine Board Briefs #102 Page 20

COMMITTEE APPOINTMENTS

FY2026

EXECUTIVE COMMITTEE (8) FINANCE COMMITTEE Peter Apel, MD - President, Chair Peter Apel, MD - President, Chair Leroy Vaughan, Jr., MD - Vice-President Leroy Vaughan, Jr., MD - Vice- Secretary-Treasurer Ken McDowell, DO - President Randy Clements, DPM Ken McDowell, DO - Secretary- Deborah DeMoss Fonseca Treasurer William Hutchens, MD

1. Blanton Marchese BOARD BRIEFS COMMITTEE Jennifer Rathmann, DC William L. Harp, M.D., Ex Officio CHIROPRACTIC COMMITTEE LEGISLATIVE COMMITTEE (7) Jennifer Rathmann, DC Leroy Vaughan, Jr., MD - Vice-President, Chair Peter Apel, MD - President COMMITTEE OF THE JOINT BOARDS Randy Clements, DPM OF NURSING AND MEDICINE Leroy Vaughan, Jr., MD - Vice-Krishna Madiraju, MD Patrick McManus, MD President Jennifer Rathmann, DC Randy Clements, DPM Michele Nedelka, MD Blanton Marchese CREDENTIALS COMMITTEE (9) William Hutchens, MD - Chair Kamlesh Dave, MD Hazem Elariny, MD Oliver Kim Elliott Lucas, MD Krishna Madiraju, MD Ken McDowell, DO

Patrick McManus, MD Mark Simcox, MD

Virginia Board of Medicine Board Briefs #102 Page 21

ADVISORY BOARD MEMBERS

Acupuncture Advisory Board Physician Assistant Advisory Board • Elizabeth Fuqua, L.Ac. • Tracey Dunn

• Haley Parker, L.Ac. • Brian Hanrahan, MD
• Luke Robinson, DO • Justin Hepner, PA, Chair
• Yong Kyun Shin, L.Ac. • Erin Myers, PA, Vice-Chair

• VACANT - Citizen • Lucy Treene, PA
  Athletic Trainers Advisory Board Polysomnographic Technology Advisory

• Chris Casola, AT Board

• David Pawlowski, AT, Chair • Ronnie Hayes, PSGT, Chair

• William S. Powers, AT • Raid Mohaidat

• Virginia D. Wells, MD • Michael B. Polsky, MD

• D'Shawn Wright • Hannah Tyler, PSGT

• Neil Widrick, PSGT
  Behavior Analysis Advisory Board

• Claire Gallagher, BCBA Radiologic Technology Advisory Board

• John Harrington, MD • Cheryl Cunningham, Rad Tech

• Mark Llobell - Citizen • Angela Dunn, Rad Tech

• Emily Wilson, LBA • Uma Prasad, MD, Vice-Chair

• VACANT • David Roberts, RT

• Sandra Catchings, DDS - Citizen
  Genetic Counseling Advisory Board

• Meghan Archer - Citizen Respiratory Therapy Advisory Board

• Lydia Higgs, GC, Chair • Santiera Brown-Yearling, RRT, Chair

• Tifany Lewis, GC • Daniel Grinnan, MD

• Richard Lucidi, MD • Denver Supinger

• Martha Thomas, GC, Vice-Chair • Shari A. Toomey, RRT, Vice-Chair

• Todd Zischke, RRT
  Midwifery Advisory Board

• Rebecca Banks, LM, Chair Surgical Assisting Advisory Board

• Ildiko Baugus, LM, Vice-Chair • Jessica Wilhelm, SA, Chair

• Jennifer Green, CPM • Thomas Gochenour, SA, Vice-Chair

• Katie Greene - Citizen • Srikanth Mahavadi, DPM

• Story Jones, CNM • Nicole Meredith, RN

• Deborah Redmond, SA
  Occupational Therapy Advisory Board

• Raziuddin Ali, MD

• Caroline Barnes, OT

• Bobby Blair, OT

• Dennis Lites

• Leah Savelyev, OT
  Virginia Board of Medicine Board Briefs #102 Page 22

BOARD MEETINGS

Upcoming Meetings

Recent Minutes

the Midwifery Formulary Agenda 10:00AM (Mon) Minutes Aug 20 2025 Draft Agenda 10:00AM (Wed) Minutes

Boards of Medicine and Nursing Workgroup - Virginia Board of Medicine Board Briefs #102 Page 23 Aug 25 2025 Draft Psychotropic Medications to Children and Revision of Board Room 4Oct 27 2025 10:00AM (Mon) Advisory Board on Surgical Assisting Training Room 1 Date Event Room Agenda Minutes Date Event Room Sep 5 2025 8:30AM (Fri) Legislative Committee Oct 20 2025 10:00AM (Mon) Advisory Board on Behavioral Analysts Training Room 1 Oct 20 2025 1:00PM (Mon) Advisory Board on Genetic Counseling Training Room 1 Oct 21 2025 10:00AM (Tue) Advisory Board on Occupational Therapy Training Room 1 Oct 21 2025 1:00PM (Tue) Advisory Board on Respiratory Care Training Room 1 Oct 22 2025 10:00AM (Wed) Advisory Board on Acupuncture Training Room 1 Oct 22 2025 1:00PM (Wed) Advisory Board on Radiological Technology Training Room 1 Oct 23 2025 10:00AM (Thu) Advisory Board on Athletic Training Training Room 1 Oct 23 2025 1:00PM (Thu) Advisory Board on Physician Assistants Training Room 1 Oct 24 2025 10:00AM (Fri) Advisory Board on Midwifery Training Room 1 Oct 24 2025 2:30PM (Fri) Advisory Board on Polysomnographic Technology Training Room 1 Oct 30 2025 8:30AM (Thu) Regular Board Adolescents

Agenda 8:30AM (Fri) Minutes Agenda 8:30AM (Thu) Minutes Agenda 2:30PM (Fri) Minutes Agenda 1:00PM (Thu) Minutes Agenda 10:00AM (Thu) Minutes Agenda 10:00AM (Tue) Minutes Agenda 1:00PM (Mon) Minutes

BOARD DECISIONS

The following list contains decisions from March 2025 to August 2025. You may access these decisions at www.dhp.virginia.gov (select "License Lookup") or at www.vahealthprovider.com for most MDs, DOs and

DPMs. You may also contact the Board Office at (804) 367-4505 to request a copy.

LICENSE ACTION LICENSEE ACTIONS NO.

M.D. 046274 conviction in the U.S. District Court for the Eastern District of Virginia, to wit; (i) conspiracy Oakton, VA to distribute oxycodone and amphetamines, Schedule II controlled substances; (ii) Mandatory suspension based on a felony 5/23/25 0101-Allingham, David Geoffrey, DATE OF Virginia Board of Medicine Board Briefs #102 Page 24 Jun 12 2025 Training Room Draft Jun 12 2025 Training Room Draft Aug 1 2025 Draft Jun 26 2025 Draft Jun 13 2025 Advisory Board on Polysomnographic Training Room Draft Jun 10 2025 Training Room Draft Jun 9 2025 Training Room Draft Executive CommitteeRegular BoardAdvisory Board on Physician AssistantsAdvisory Board on Athletic TrainingAdvisory Board on Occupational TherapyAdvisory Board on Genetic Counseling Technology

statements relating to healthcare matters.

204182 Suffolk, VA continuing education in professional boundaries based on violating physician/patient boundaries by becoming inappropriately invo patients outside of a professional setting for his

own personal benefit.

284358 by the Mississippi State Board of Medical Ridgeland, MS Licensure.

029899 1/27/2025 Charles City, VA

204468 6/20/2024. El Paso, TX

205897 safety.

274493 by the Medical Board of California. San Francisco, CA

000597 shall be stayed upon proof of entry into HPMP Hampton, VA within 12 months of Order entry.

000597 Hampton, VA safety.

283224 shall be stayed upon entry into HPMP within 12 Gladwin MI practice with reasonable skill and safety due to Amico, Frank, D.O. Monetary penalty of $5,000, and within 12 6/18/25 0102- illness and/or substance abuse. months of entry shall provide written proof of successful completion of (20) hours of Bulat, Elizabeth, M.D. 0101-7/7/25 Continued indefinite suspension; suspension Bertram, Kyndahl, D.O. Brown, Sandra, Surg. Asst. months of the Order based on inability to 5/21/2025 5/21/25 lved with Asagwara, Rommel, M.D. Mandatory suspension based on action taken Brown, Sandra, Surg. Asst. Continued on indefinite suspension. Suspension 6/18/25 6/9/25 Virginia Board of Medicine Board Briefs #102 Page 25 Babcock, Ryan, D.O. Compliance with Board's Order entered 7/9/25 Ault, Peter, N, Jr., MD Compliance with Board's Order entered Brody, David, M.D. Mandatory suspension based on action taken 4/23/25 6/16/25 maintaining drug premises; and (iii) false

Gladwin, MI 283224 safety.

001430 pattern of disruptive behavior or interaction in a Ruther Glen, VA healthcare setting.

239178 1/27/2025. Chesapeake, VA

001985 Suspension shall be stayed upon proof of entry into HPMP within 12 months from entry of this Order.

002677 based on inability to practice with reasonable Red House, VA skill and safety due to illness and/or substance abuse.

266760 safety.

M.D, 258941 conditions based on action taken by the Tennessee Board of Medical Examiners. Kingsport, TN

M.D, 258941 the Tennessee Board of Medical Examiners. Kingsport, TN

026338 1/30/2020. Franklin, VA

207608 Medical Board. Tucson, AZ

000361 unlicensed practice. Yorktown, VA

Collins, Kristina Marie, D.C. Reprimand; continued on indefinite suspension. Davis, Anthony W., R.T. 6/16/25 3/27/25 0104-0117-Required to enter HPMP within 30 days of Order Dunlap, Leigh Anne Young, Dunlap, Leigh Anne Young, Mandatory suspension due to action taken by 4/28/25 4/25/25 0101-0101-Indefinite probation, subject to terms and Bulat, Elizabeth, M.D. 5/21/25 Burkhart, Tiffany, B.A. Reprimand; based on repeated engagement in a Dula Razzolini, Giulia, M.D. 4/23/25 5/21/25 Virginia Board of Medicine Board Briefs #102 Page 26 Edwards, Alan, W., M.D. 3/31/25 Campbell, Charles, M.D. Compliance with Board's Order entered Epstein, Andrew, D.O. Reprimand based on action of North Carolina Fox, Brigitte, A., L.Ac. Reprimand; $1,000 fine based on allowing 3/24/25 3/4/25 3/5/25

000361 Yorktown, VA

280905 Hudson, NH 1/29/2025.

246389 Boca Raton, FL

240386 surrender of South Carolina license in lieu of Charleston, SC disciplinary action.

102727 conditions based on signing blank prescription Lynchburg, VA forms to be completed by the hospice director of benzodiazepines for hospice patients.

056480 12/4/2024. Roper, NC

045403 5/22/2025.

045403 conditions based on one patient case of inappropriate prescribing.

008803 10/11/2024 Woodbridge, Va

274383 the Connecticut Medical Examining Board. Derby, CT

256292 Centreville, VA

259560 Maine license in lieu of disciplinary action. Sarasota, FL Gezen, Murat Tahir, M.D. Reprimand; license subject to terms and 7/23/25 0101- Georgi, Jennifer, M.D. Mandatory suspension based on voluntary Hiatt, David Ellis, M.D. 5/22/25 6/2/25 Reprimand; license subject to terms and Virginia Board of Medicine Board Briefs #102 Page 27 Fox, Brigitte, A., L.Ac. Compliance with Board Order entered 3/5/25. Hudson, Maude, OT Jones, Elaine Celeste, M.D. Mandatory suspension based on surrender of 3/28/25 5/14/25 4/1/25 Fredenburg, David, C., M.D. Gaines, Richard, M.D. Reinstatement granted. Hayek, Craig, M.D. Hiatt, David Ellis, M.D. Idrees, Jahanzaib, M.D. Iskander, George, M.D. Compliance with Board Order entered 5/6/2024. 5/28/25 7/21/25 7/1/25 6/4/25 7/7/25 6/4/25 nursing for medications including opioids and

000059 Nursing and Midwifery Council, United Kingdom. Nokesville, VA

VA 275245 Carolina Medical Board

267333 Order based on inability to practice with Roanoke, VA reasonable skill and safety due to illness and/or substance abuse.

272248 Order based on inability to practice with Virginia Beach, VA reasonable skill and safety due to illness and/or substance abuse.

272248 2025. Virginia Beach, VA

M.D. 255440 HPMP within 12 months of entry. Washington, DC

M.D. 255440 Washington, DC

M.D. 272239 suspended, based on action taken by the New York Board for Professional Medical Conduct. Baltimore, MD

054100 unused medication from patients without DEA Virginia Beach, VA registration.

Jr., R.T. 008879

Jr., R.T. 008879

Kerman, Ilan Anatole, M.D. Kidd, Alexandra Merritt, M.D. 5/8/2025 6/25/25 0101-0101-Required to enter HPMP within 30 days of the Required to enter HPMP within 30 days of the MacCannon, Deidre Spicer, Reinstatement granted upon proof of entry into MacCannon, Deidre Spicer, Compliance with Board Order entered 7/23/25. Mainolfi-Palarata, Maria, Mandatory suspension; right to renew license is Matthews, Anthony Leonard, Matthews, Anthony Leonard, Compliance with Board Order entered 4/7/2025. 7/23/25 7/29/25 3/17/25 3/20/25 0101-0101-0101-0117-0117-5/9/25 Mancoll, John Stuart, M.D. Reprimand; based on practice of accepting 5/19/25 Virginia Board of Medicine Board Briefs #102 Page 28 Kelly, Parveen, L.M. 7/7/25 Kidd, Alexandra, M.D. Compliance with Board Order entered May 8, 6/25/25 Kent, Collin, M.D. Danville, Reprimand; based on action taken by the North 5/1/25

Jr., R.T. 008879 into HPMP within 12 months of Order entry.

007112 Chesapeake, VA

007112 no less than 1 year from the date of entry of Chesapeake, VA Order based on inability to practice with reasonable skill and safety due to illness and/or substance abuse.

236854 Midlothian, VA

004666 months of the Order based on inability to Chesapeake, VA practice with reasonable skill and safety due to illness and/or substance abuse.

004666 Smithfield, VA

004847 months with terms; based on inappropriate Martinsburg, WV prescribing in 1 patient case.

277355 Laguna Hills, CA the Colorado Medical Board.

241370 12/29/2021. Midlothian, VA

253484 the subject of professional boundaries, based Staunton, VA on unprofessional and disruptive conduct.

202943 conviction in the Circuit Court of Culpepper Chester, VA County, VA, to wit; propose sex comp 15+ y offender 7+. Meehan, Kenneth, J., P.A. 0110-4/2/25 Continued indefinite suspension for a period of Moody, Stacey, P.A. Patel, Deepack, D.O. Mandatory suspension based on a felony 4/23/25 5/23/25 0110-0102-Suspended; required to enter HPMP within 12 Matthews, Anthony Leonard, Suspension shall be stayed upon proof of entry 0117-4/7/25 Meehan, Kenneth J., P.A. Myers, Joanna, P.A. Reprimand and Probation for a period of 12 Parks, Daniel Emery, M.D. Reprimand; continuing education; 20 hours in 3/20/25 3/13/25 5/9/25 Virginia Board of Medicine Board Briefs #102 Page 29 Miller, Brent, M.D. Moody, Stacey, P.A. Compliance with Board Order entered 4/23/25. Okay, Ashanti, M.D. 5/28/25 7/29/25 3/31/25 Nyotowidjojo, Iwan, M.D. 5/2/25

M.D. 273876 contract(s).

275912 information on licensure application. Dallas, TX

Dallas, TX 275912 3/27/2025.

232149 behavior or an interaction in a health care Alington, VA setting that could interfere with patient care.

203486 Mechanicsville, VA

057790

268960 than 18 months based on violating professional boundaries.

Keni', Radiologic 009768 radiologic technologist in Virginia without holding Technologist upon payment of monetary penalty of $500 paid Virginia Beach, VA within 90 days of date of Order.

D.O. 202581 1/24/2024. Bristol, VA

Fairfax, VA 222206

001877 Henrico, VA

245339 inappropriate standard of care. Scott-Clemons, Aarona Reprimand based on practicing as a limited 7/15/25 0120- Pence, Taylor Showalter, Shauberger, James Ross, 0101-7/9/25 0102-6/4/25 Reprimand; Required to comply with HPMP Rashid, Haroon, M.D. Reprimand; based on engaging in disruptive Schubert, Christopher, M.D. a valid license. License reinstated contingent 4/10/25 3/17/25 Samdani, Attique, M.D. 3/20/25 Indefinitely suspended for a period of not less Virginia Board of Medicine Board Briefs #102 Page 30 Rhoades, Robert, D.O. Compliance with Board Order entered 4/8/2020. Smith, Ayanna, Surg Tech. Compliance with Board Order entered 7/7/2024. 7/25/25 6/4/25 Pimpalwar, Ashwin, M.D. Monetary penalty of $5,000 due to omitting 4/30/25 Pimpalwar, Ashwin, M.D. Silas, Glen Howard, M.D. Smith, Oronde, A., M.D. Reprimand based on one patient case of 5/12/2025 3/19/25 5/6/25

001639 conviction in the Circuit Court for the City of Buena Vista, VA Buena Vista, VA, to wit: aggravated sexual battery.

042195

239403 5/28/2025. South Boston, VA

239403 on violation of Consent Order entered 7/22/2021. South Boston, VA

265063 5/29/2025. Chester, VA

Chester, VA 265063 days of the Order based on inability to practice with reasonable skill and safety due to illness and/or substance abuse.

244993 unlicensed practice of medicine and radiologic Hashem, M.D. technology. Woodbridge, VA

Hashem, M.D. 244993 Rockville, MD

D.C. 557902 safety. Henrico, VA

262644 conditions based on failure to comply with Dearborn, MI reporting obligations.

Vahabzadeh-Monshie, Reprimand; based on aiding and abetting the 0101-5/1/25 Tobias, Paul, W., A.T. Mandatory suspension based on felony Uppal, Navdeep Singh, M.D. 5/5/2025 5/29/25 0126-0101-Reprimand; required to enter HPMP within 30 Whelan, Schuyler Matthew, 6/26/25 0104-Vahabzadeh-Monshie, Compliance with Board Order entered 5/1/25. 6/10/25 0101-Zalzala, Sajad, M.D. 6/25/25 Reprimand; license subject to terms and Virginia Board of Medicine Board Briefs #102 Page 31 Trieu, Due Kien, M.D. Reprimand; monetary penalty of $2,500, based Uppal, Navdeep Singh, M.D. 5/28/25 7/7/25 Trent, Jeanie Lee, M.D. Trieu, Duc Kien, M.D. 7/14/25 6/9/25 Spotsylvania, VA

262644 6/25/2025. Dearborn, MI Respiratory Care Practitioners, Occupational Therapists, Athletic Trainers, Behavioral Analysts, Radiologic Technologists, Surgical Technologists or Certified Surgical Assistants were issued a license and a reprimand, or violation with no sanction, based upon practicing without a license for a period of time:

Virginia Board of Medicine Board Briefs #102 Page 32 Zalzala, Sajad, M.D. 7/15/25 Brown, Tabitha Kay, Surg Tech. Edwards, Kara, Surg Tech. Fallon, Victoria Rose, Surg Tech. Irizarry, Keani Ane, Surg Tech. Jennings, Franchot, Surg Tech. Jones, Casey, Surg Tech. 7/21/2025 5/27/2025 5/15/2025 6/12/2025 3/6/2025 6/5/2025 0137-003584 0137-003398 0137-003510 0137-003495 0137-003531 0137-000427 Asante, Ruth Gina, Surg Tech. Aurentz, Wendy, Radiologic Technologist Basnight, Ashley Jenell, Surg Tech. Bizub, Anina, Surg Tech. Brooks, Magen, Surg Tech. Brown, Sandra, Surg Asst. Carlton, Lauren, Surg Tech. Enamorado Banegas, Merlin, Surg Tech. Flores, Alexis Taylor, Surg Tech. Green, Maria Zahtaim, Surg Tech. Hall, Sylvester, Surg Tech. Humm, Autumn, Surg Tech. Jenkins, Savannah Danielle, Surg Tech. Johnson, Carissa, Surg Tech. 6/18/2025 7/15/2025 3/10/2025 6/18/2025 4/17/2025 4/17/2025 7/15/2025 7/23/2025 3/12/2025 6/12/2025 5/6/2025 7/1/2025 5/8/2025 6/4/2025 0137- 003573 0137-003480 0120-013813 0137-003575 0137-003560 0137-003403 0136-000597 0137-003460 0137-003462 0137-003591 0137-003409 0137-003542 0137-003463 0137-003528

Virginia Board of Medicine Board Briefs #102 Page 33 McCandlish, Catherine, Surg Tech. Piette, Jessie, Surg Tech. Webster, Jennifer, Surg Asst. 6/13/2025 3/10/2025 6/2/2025 0137-003544 0137-003404 0136-001055 Juarez, Victoria Tatianna, R.T. Lee, Ebony Nicole, Surg Tech. Lopez, Jazmin, Surg Tech. Lowrance, Sarah, Surg Tech. Martin, Kelly Megginson, Surg Tech. Mills, Anita, Surg Tech. Restall, Violetta, Surg Tech. Rich, Olivia, Surg Tech. Rosa, Lisette, Surg Tech. Simms, Dianna, Surg Tech. Torrence, Evelyn, Surg Tech. Weaver, Robyn, Surg Tech. Williams, Shelley, Radiologic Technologist 4/22/2025 6/25/2025 6/16/2025 7/15/2025 4/17/2025 4/18/2025 7/29/2025 3/10/2025 4/18/2025 5/5/2025 7/1/2025 5/2/2025 5/8/2025 0137- 003597 0117-011495 0137-003475 0137-003555 0137-003545 0137-000391 0137-003574 0137-003461 0137-003464 0137-003474 0137-003485 0137-003402 0120-013660