04RS HB595


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HB 595 (BR 2115) - M. Marzian, R. Thomas, P. Bather, C. Belcher, T. Burch, De. Butler, L. Clark, J. Coleman, T. Edmonds, D. Graham, C. Hoffman, D. Horlander, J. Jenkins, C. Meade, R. Meeks, C. Miller, R. Nelson, R. Palumbo, D. Pasley, K. Stein, J. Wayne, S. Westrom

     AN ACT relating to prescriptive authority of advanced registered nurse practitioners.
     Amend KRS 314.011 to authorize advanced registered nurse practitioners to prescribe and dispense controlled substances; amend KRS 314.042 to require an advanced registered nurse practitioner to enter into a written collaborative practice agreement with a physician that defines the scope of the prescriptive authority prior to prescribing or dispensing controlled substances; amend KRS 218A.010 to define an advanced registered nurse practitioner as a practitioner and add an advanced registered nurse practitioner to the list of practitioners authorized to sign a prescription.


     HCS - Require a collaborative agreement between a physician and an advanced registered nurse practitioner before the ARNP may prescribe Schedule II to V controlled substances; make technical correction.

     SCS - Direct the Legislative Research Commission to conduct a study regarding the advisability of advanced registered nurse practitioners prescribing Schedule II through Schedule V controlled substances; report study results to the appropriate committees by October 1, 2004.

     SCA (1/Title, G. Tapp) - Make title amendment.

     SFA (1, B. Guthrie) - Deletes language in the third "WHEREAS" regarding advanced registered nurse practitioners working under the supervision of a physician and inserts language to state that they work "in collaboration with" a physician.

     SFA (2, T. Buford) - Retain original provisions of the bill; add physician assistants to the study on prescriptive authority for controlled substances.

     SFA (3/Title, T. Buford) - Make title amendment.

     SFA (4, B. Guthrie) - Clarify language related to a shortage of physicians in rural areas, and the role of advanced registered nurse practitioners in improving access to care in those areas; change controlled substance language from Schedule II through V to "various levels"; and make technical corrections.

     Feb 25-introduced in House
     Feb 26-to Health and Welfare (H); posted in committee
     Mar 4-reported favorably, 1st reading, to Calendar with Committee Substitute
     Mar 5-2nd reading, to Rules
     Mar 9-posted for passage in the Regular Orders of the Day for Wednesday, March 10, 2004
     Mar 10-3rd reading, passed 77-15 with Committee Substitute
     Mar 11-received in Senate
     Mar 16-to Licensing, Occupations & Administrative Regulations (S)
     Mar 23-taken from committee; 1st reading; returned to Licensing, Occupations & Administrative Regulations (S)
     Mar 24-Reported favorably, 2nd reading, to Rules; floor amendment (1) filed to Committee Substitute
     Mar 25-floor amendments (2) and (4) filed to Committee Substitute, floor amendment (3-title) filed ; posted for passage in the Regular Orders of the Day for Friday, March 26, 2004
     Mar 26-3rd reading; floor amendment (1) withdrawn ; floor amendment (2) defeated ; floor amendment (3-title) ruled out of order ; passed 30-2 with Committee Substitute, committee amendment (1-title), floor amendment (4)
     Mar 29-received in House; to Rules (H); placed in the Orders of the Day; House concurred in Senate Committee Substitute, committee amendment (1-title), floor amendment (4) ; passed 89-1; enrolled, signed by each presiding officer; delivered to Governor
     Apr 9-signed by Governor (Acts ch. 106)

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