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Historic win: Vermont advances optometry’s nationwide scope momentum

June 25, 2026

Vermont becomes the 17th state to authorize optometric laser procedures—and the third state in 2026 to modernize optometric practice.

Tag(s): Advocacy, State Advocacy


Key Takeaways

  • Vermont becomes the 17th state to authorize doctors of optometry to perform in-office procedures, including ophthalmic laser. 
  • The victory marks the third major state scope win for optometry in 2026. 
  • The new law advances patient access to timely, in-office eye health care. 
  • Beginning July 1, 2028, Vermont doctors of optometry who complete requisite specialty license will be authorized to perform specific laser procedures, injections and minor surgical procedures 

In another historic win for patients and doctors of optometry, Vermont has enacted legislation modernizing optometric scope of practice and expanding access to essential eye health care services. 

Signed by Gov. Phil Scott on June 18, the new law creates an Advanced Therapeutic Procedures Specialty License and, beginning July 1, 2028, authorizes qualified Vermont doctors of optometry to provide additional in-office procedures, including certain ophthalmic laser procedures. 

With this victory, Vermont becomes the 17th state in the nation to authorize doctors to perform ophthalmic laser procedures—and the third state in 2026 to achieve a major scope advancement, following landmark wins in Kansas and Tennessee. 

"This is a historic day for Vermont patients and doctors of optometry," says Tina Keshava, O.D., Vermont Optometric Association (VOA) president. "For years, Vermont doctors have worked to ensure our laws reflect the education and training we receive today. This legislation will improve access to care across our state and help more patients receive the services they need closer to home." 

Vermont doctors of optometry who complete the required training will be authorized to perform a range of in-office procedures, including: 

  • Laser capsulotomy  
  • Laser peripheral iridotomy (LPI)  
  • Laser trabeculoplasty (SLT)  
  • Corneal cross-linking  
  • Removal of certain eyelid and periocular lesions  
  • Repair of minor eyelid injuries  
  • Periocular injections for medications and anesthesia  

The VOA spearheaded the effort, leading a years-long campaign to educate policymakers and advance legislation that reflects contemporary optometric education and patient care needs. The success was bolstered by support from the AOA State Government Relations Center, whose advocacy expertise and partnership helped reinforce Vermont optometry's efforts. 

For Vermont patients, the law will mean improved access to timely care closer to home. For optometry, it represents another important milestone in a growing nationwide movement to modernize outdated practice laws and ensure doctors of optometry can practice to the full extent of their education, training and licensure. 

Scope wins continue nationwide 

Vermont’s victory follows Tennessee and Kansas, which earlier this year became the 15th and 16th states to modernize optometric scope with a focus on laser authority and clinical standards. 

Together, these wins demonstrate the continued strength of state affiliate advocacy and the growing recognition among policymakers that modernizing optometric practice laws improves access to essential eye health and vision care. 

"Vermont's victory is about more than one state; it reflects the growing momentum behind expanding patient access to care across America," says AOA President Jacquie M. Bowen, O.D. "As the third major scope advancement of 2026, this historic win demonstrates the increasing recognition of doctors of optometry as essential healthcare providers at the ready to address Americans’ needs. The AOA is proud to stand alongside the VOA and affiliates nationwide as we continue advancing the future of eye health care." 

Join your state optometric association or the AOA State Government Relations Committee to be part of optometry’s next big win.