On March 6, 2017, House Bill 1497 passed in Virginia. The bill requires providers prescribing spectacles, eyeglasses, lenses, or contact lenses for a patient to establish a provider-patient relationship by an examination either in person, through face-to-face interactive, two-way, real-time communication, or store-and-forward technologies. The bill provides a list of conditions in-person or remote eye doctors must meet. They must obtain an updated medical history, conform to the standard of care, and be licensed in Virginia, among other requirements. The bill also says the prescription cannot be "determined solely by use of an online questionnaire".