West Virginia Code § 30-7-6b

Special volunteer license; civil immunity for voluntary services rendered
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to indigents.
(a) There is established a special volunteer license for advanced practice registered nurses
retired or retiring from the active practice of nursing who wish to donate their expertise for
the care and treatment of indigent and needy patients in the clinical setting of clinics
organized, in whole or in part, for the delivery of health care services withouet charge. The
special volunteer advanced practice registered nurse license shall be issued by the West
Virginia Board of Examiners for Registered professional nurses to advarnced practice
registered nurses licensed or otherwise eligible for licensure pursuant to this article and the
rules promulgated hereunder without the payment of an application fee, license fee or
renewal fee, shall be issued for the remainder of the licensing period, and renewed
consistent with the boards other licensing requirements. Thet board shall develop application
forms for the special license provided in this subsection which shall contain the advanced
practice registered nurse's acknowledgment that:
(1) The advanced practice registered nurse's practice pursuant to the special volunteer
advanced practice registered nurses license wsill be exclusively devoted to providing nursing
care to needy and indigent persons in West Virginia;
(2) The advanced practice registeredg nurse will not receive any payment or compensation,
either direct or indirect, or have the expectation of any payment or compensation but may
donate to the clinic the proceeeds of any reimbursement, for any nursing services rendered
pursuant to the special volunteer advanced practice registered nurse license;
(3) The advanced practice registered nurse will supply any supporting documentation that
the board may reasonably require; and
(4) The advanced practice registered nurse agrees to continue to participate in continuing
education as required by the board for the special volunteer advanced practice registered
nurWse license.
(b) Any person licensed as an advanced practice registered nurse in this state whose license
is in good standing may donate their expertise for the care and treatment of indigent and
needy patients pursuant to an arrangement with a clinic organized, in whole or in part, for
the delivery of health care services without charge to the patient. Services rendered
pursuant to an arrangement may be performed in either the office of the advanced practice
registered nurses or the clinical setting.
(c) A advanced practice registered nurse and his or her collaborating physician who render
nursing service to indigent and needy patients of a clinic organized, in whole or in part, for
the delivery of health care services without charge pursuant to a special volunteer advanced
practice registered nurse license authorized pursuant to subsection (a) of this section or
pursuant to an arrangement with a clinic as authorized pursuant to subsection (b) of this
section without payment or compensation or the expectation or promise of payment or
compensation is immune from liability for any civil action arising out of any act or omission
resulting from the rendering of the nursing service at the clinic unless the act or omission
was the result of the advanced practice registered nurse's and his or her collaborating
physician's gross negligence or willful misconduct. For the immunity pursuant to this
subsection to apply, there must be a written agreement between the licensed practical nurse
and the clinic pursuant to which the advanced practice registered nurse will provide
voluntary uncompensated nursing services under the control of the clinic toe patients of the
clinic before the rendering of any services by the advanced practice registered nurse at the
clinic: Provided, That any clinic entering into such written agreement irs required to maintain
liability coverage of not less than $1 million per occurrence.
(d) Notwithstanding the provisions of subsection (b) of this section, a clinic organized, in
whole or in part, for the delivery of health care services withtout charge is not relieved from
imputed liability for the negligent acts of a advanced practice registered nurse rendering
voluntary nursing services at or for the clinic pursuant to a special volunteer advanced
practice registered nurse license authorized pursuant to subsection (a) of this section or who
renders such care and treatment pursuant to an arrangement with a clinic as authorized
pursuant to subsection (b) of this section.
(e) For purposes of this section, "otherwise eligible for licensure" means the satisfaction of
all the requirements for licensure asg listed in section six of this article and in the rules
promulgated thereunder, except the fee requirements of that section and of the legislative
rules promulgated by the boared relating to fees.
(f) Nothing in this sectioLn may be construed as requiring the board to issue a special
volunteer advanced practice registered nurse license to any advanced practice registered
nurse whose license is or has been subject to any disciplinary action or to any advanced
practice registered nurse who has surrendered his or her license or caused such license to
lapse, expire and become invalid in lieu of having a complaint initiated or other action taken
against his or her license, or who has elected to place a advanced practice registered nurse
liceWnse in inactive status in lieu of having a complaint initiated or other action taken against
his or her license, or who has been denied a advanced practice registered nurse license.
(g) Any policy or contract of liability insurance providing coverage for liability sold, issued or
delivered in this state to any advanced practice registered nurse covered pursuant to the
provisions of this article shall be read so as to contain a provision or endorsement whereby
the company issuing such policy waives or agrees not to assert as a defense on behalf of the
policyholder or any beneficiary thereof, to any claim covered by the terms of such policy
within the policy limits, the immunity from liability of the insured by reason of the care and
treatment of needy and indigent patients by a advanced practice registered nurse who holds
a special volunteer advanced practice registered nurse license or who renders such care and
treatment pursuant to an arrangement with a clinic as authorized pursuant to subsection (b)
of this section.

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