S 64 Vermont Senate · 2025-2026 Regular Session

An act relating to amendments to the scope of practice for optometrists

This Vermont bill (S 64) creates a new "advanced therapeutic procedures specialty" for optometrists, allowing them to perform specific eye treatments currently restricted to ophthalmologists. It permits optometrists with this specialty to conduct procedures like removing superficial eye foreign bodies, minor lesion excisions (e.g., chalazia), corneal crosslinking, certain laser treatments (capsulotomy, iridotomy), and targeted injections (e.g., for chalazia or subconjunctival therapy). The bill explicitly prohibits optometrists from performing complex surgeries such as LASIK, corneal transplants, retinal procedures, or injections into the vitreous chamber. This directly affects licensed optometrists in Vermont who pursue the specialty and expands patient access to certain eye care services within defined boundaries.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
May 2026
Senate Passage
May 2026
House Passage
May 2026
Signed into Law
May 2026
Introduced Feb 11, 2025 Signed May 29, 2026
Maddy AI version diff · 5 comparisons

What changed between versions

As EnactedOpens in a new window As Passed by Both House and Senate (OfficialOpens in a new window) · 2 edits
MINOR
The governor amended S.64 before signing it into law, making two substantive changes: reducing the State Board of Optometry from seven members (four optometrists) to five members (three optometrists), and delaying the effective date from January 1, 2027 to July 1, 2028. All other provisions of the bill - including the new advanced therapeutic procedures specialty, prohibited practices list, educational and preceptorship requirements, and reporting obligations - remain unchanged between the two versions.
SCOPE

The State Board of Optometry was reduced from seven members (four optometrists, one ophthalmologist, two public members) to five members (three optometrists, one ophthalmologist, two public members), decreasing optometrist representation on the board by one seat.

TIMELINE

The effective date of the entire act was delayed from January 1, 2027 to July 1, 2028, pushing back implementation by approximately 18 months. This affects when optometrists can begin applying for the new advanced therapeutic procedures specialty and performing the expanded procedures.

Floor votes · House May 28, 2026

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
76
Key actions
35
Committee
33
Amendments
10
May 29, 2026
Signed into law
Senate Message: Signed by Governor June 18, 2026
executive
May 29, 2026
Signed into law
Signed by Governor on June 18, 2026
executive
May 28, 2026
Introduced
Senate Message: House proposal of amendment concurred in
lower
May 28, 2026
Upper · Passed
Rules suspended & messaged to House forthwith, on motion of Senator Baruth
upper
May 28, 2026
Upper · Passed
As passed by Senate and House
upper
May 28, 2026
Introduced
House proposal of amendment concurred in
upper
May 28, 2026
Introduced
House proposal of amendment; text
upper
May 28, 2026
Upper · Passed
House message: House passed bill in concurrence with proposal(s) of amendment
upper
May 28, 2026
Introduced
Read third time and passed in concurrence with proposal of amendment
lower
May 28, 2026
Lower · Passed
Which was agreed to on a Roll Call Passed -- Needed 66 of 131 to Pass -- Yeas = 93, Nays = 38
lower
May 28, 2026
Introduced
Rep. Nugent of South Burlington moved that the House propose to the Senate to amend the bill, which was agreed to
lower
May 28, 2026
Lower · Passed
Rep. Mrowicki of Putney recommended for the Committee on Appropriations
lower
May 28, 2026
Lower · Passed
Rep. Waszazak of Barre City recommended for the Committee on Ways and Means
lower
May 28, 2026
Lower · Passed
Rep. Birong of Vergennes reported for the Committee on Government Operations and Military Affairs
lower
May 28, 2026
Lower · Passed
Rep. Soucy of Barre Town reported for the Committee on Health Care
lower
May 22, 2026
Committee
Pending entry on Notice Calendar, referred to Committee on Appropriations per Rule 35(a)
lower
May 21, 2026
Committee
Pending entry on Notice Calendar, referred to Committee on Ways and Means per Rule 35(a)
lower
May 8, 2026
Lower · Passed
Rep. Soucy of Barre Town moved to commit the bill to the Committee on Government Operations and Military Affairs, which was agreed to
lower
Apr 1, 2026
Introduced
Read first time and referred to the Committee on Health Care
lower
Mar 26, 2026
Introduced
Motion to amend bill agreed to
upper
Mar 26, 2026
Introduced
Recommendation of amendment by Senator(s) Morley, text
upper
Mar 26, 2026
Upper · Passed
Reported favorably by Senator Norris for Committee on Appropriations
upper
Mar 26, 2026
Upper · Passed
Reported favorably by Senator Mattos for Committee on Finance
upper
Mar 26, 2026
Upper · Passed
Reported favorably by Senator Morley for Committee on Health and Welfare
upper
Mar 26, 2026
Upper · Passed
Reported favorably by Senator Collamore for Committee on Government Operations
upper
Mar 26, 2026
Introduced
Recommendation of amendment to be offered by Senator(s) Morley
upper
Mar 26, 2026
Upper · Passed
Favorable report by Committee on Appropriations
upper
Mar 26, 2026
Upper · Passed
Favorable report by Committee on Finance
upper
Mar 26, 2026
Upper · Passed
Favorable report by Committee on Health and Welfare
upper
Mar 26, 2026
Upper · Passed
Favorable report by Committee on Government Operations
upper
Mar 25, 2026
Introduced
Recommendation of amendment to be offered by Senator(s) Morley
upper
Mar 25, 2026
Upper · Passed
Favorable report by Committee on Appropriations
upper
Mar 25, 2026
Upper · Passed
Favorable report by Committee on Finance
upper
Mar 25, 2026
Upper · Passed
Favorable report by Committee on Health and Welfare
upper
Mar 25, 2026
Upper · Passed
Favorable report by Committee on Government Operations
upper
Mar 24, 2026
Introduced
Recommendation of amendment to be offered by Senator(s) Morley
upper
Mar 24, 2026
Upper · Passed
Favorable report by Committee on Appropriations
upper
Mar 24, 2026
Upper · Passed
Favorable report by Committee on Finance
upper
Mar 24, 2026
Upper · Passed
Favorable report by Committee on Health and Welfare
upper
Mar 24, 2026
Upper · Passed
Favorable report by Committee on Government Operations
upper
Mar 20, 2026
Committee
Referred to Committee on Appropriations per Senate Rule 31
upper
Mar 20, 2026
Upper · Passed
Favorable report by Committee on Finance
upper
Mar 20, 2026
Upper · Passed
Favorable report by Committee on Government Operations
upper
Mar 20, 2026
Upper · Passed
Favorable report by Committee on Health and Welfare
upper
Mar 17, 2026
Committee
Referred to Committee on Finance per Senate Rule 31
upper
Mar 17, 2026
Upper · Passed
Favorable report by Committee on Health and Welfare
upper
Mar 17, 2026
Upper · Passed
Favorable report by Committee on Government Operations
upper
Feb 27, 2025
Upper · Passed
Rules suspended & bill committed to Committee on Health and Welfare with the report of Committee on Government Operations intact, on motion of Senator Collamore
upper
Feb 27, 2025
Upper · Passed
Favorable report by Committee on Government Operations
upper
Feb 14, 2025
Upper · Passed
Committee on Health and Welfare relieved; bill committed to Committee on Government Operations on motion of Senator Lyons
upper
Feb 11, 2025
Introduced
Read 1st time & referred to Committee on Health and Welfare
upper
19 primary · 0 co-sponsors

Sponsors