A physician who meets one of the following criteria may be exempt.

• Employed directly by the Commonwealth of Virginia or the federal government and income from professional fees is less than 10% of annual salary
• Enrolled in a full-time graduate medical education program accredited by the American Council for Graduate Medical Education.
• Retired from active clinical
• Active clinical practice is limited to the provision of services, voluntarily and without compensation, to any patient of any clinic organized in whole or in part for the delivery of health care services without charge.
• Does not practice medicine in

An affidavit must be completed to claim an exemption under the law (Virginia Code § 38.2-5020.1).