Last Action | 03/02/21: floor amendment (6) filed |
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Title | AN ACT relating to the prescriptive authority of advanced practice registered nurses. |
Bill Documents | Introduced |
Bill Request Number | 1113 |
Sponsors | J. Adams, P. Hornback, K. Berg, T. Buford, R. Girdler, M. McGarvey, R. Thomas, D. Yates |
Summary of Original Version | Amend KRS 314.011 to allow designated advanced practice registered nurses certified in psychiatric-mental health nursing to prescribe up to two sequential refills for a 30 day supply of psychostimulants; amend KRS 314.042 to remove the one-year practice requirement before an APRN may prescribe controlled substances under a CAPA-CS; establish conditions for an APRN to prescribe controlled substances without a CAPA-CS after four years of controlled substance prescribing authority under a CAPA-CS; require an APRN to confirm with the nursing board that the APRN's license is in good standing before prescribing without a CAPA-CS; set procedures for the nursing board's license review; prohibit any attempt to require or compel an APRN to maintain a CAPA-CS to prescribe after the four year threshold; exempt an equivalently qualified out-of-state APRN from the CAPA-CS requirement to prescribe under licensure by endorsement; require an APRN with less than four years of prescribing controlled substances to maintain a CAPA-CS until the four years are completed. |
Index Headings of Original Version |
Physicians and Practitioners - Advanced practice registered nurses, prescriptive authority of Boards and Commissions - Nursing board, advanced practice registered nurse licensees, prescriptive authority of Health and Medical Services - Advanced practice registered nurses, prescriptive authority of Licensing - Licensed advanced practice registered nurses, prescriptive authority of Nurses - Advanced practice registered nurses, prescriptive authority of Occupations and Professions - Advanced practice registered nurses, prescriptive authority of |
Jump to Proposed Amendments |
Senate Floor Amendment 1 Senate Floor Amendment 2 Senate Floor Amendment 3 Senate Floor Amendment 4 Senate Floor Amendment 5 Senate Floor Amendment 6 |
01/06/21 |
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02/04/21 |
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02/23/21 |
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02/24/21 |
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03/02/21 |
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Amendment | Senate Floor Amendment 1 |
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Sponsor | R. Alvarado |
Summary | Delete original provisions, amend KRS 314.042 to add requirements for the Collaborative Agreement for the Advanced Practice Registered Nurse's Prescriptive Authority for Controlled Substances (CAPA-CS). |
Index Headings |
Drugs and Medicines - Advanced practice registered nurses, prescriptive authority Nurses - Controlled substances, prescriptive authority collaborative agreement Physicians and Practitioners - Advanced practice registered nurses, collaborative agreement |
Amendment | Senate Floor Amendment 2 |
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Sponsor | R. Alvarado |
Summary | Delete original provisions, create a new section of KRS Chapter 218A to establish the Controlled Substance Prescribing Review and Enforcement Advisory Council to provide advice, guidance, and recommendations to state licensing boards charged with enforcing and reviewing prescribing practices; establish membership, terms of office, and duties of the council; require the council to work in cooperation with affected entities; require the Cabinet for Health and Family Services to provide staff, facilities, and resources for the meetings of the council; require other entities to cooperate with the council; amend KRS 218A.205 to require every state licensing board to promulgate administrative regulations relating to reviewing, investigating and enforcing violations of prescribing practices. |
Index Headings |
Drugs and Medicines - Controlled Substance Prescribing Review and Enforcement Advisory Council, establishing Drugs and Medicines - Controlled substance prescribing reviews, boards, administrative regulations Health and Medical Services - Controlled Substance Prescribing Review and Enforcement Advisory Council, establishing Hospitals and Nursing Homes - Controlled Substance Prescribing Review and Enforcement Advisory Council, establishing Licensing - Controlled substance prescribing reviews, boards, administrative regulations Nurses - Controlled Substance Prescribing Review and Enforcement Advisory Council, establishing Nurses - Controlled substance prescribing reviews, boards, administrative regulations Pharmacists - Controlled Substance Prescribing Review and Enforcement Advisory Council, establishing Pharmacists - Controlled substance prescribing reviews, boards, administrative regulations Physicians and Practitioners - Controlled Substance Prescribing Review and Enforcement Advisory Council, establishing Physicians and Practitioners - Controlled substance prescribing reviews, boards, administrative regulations Public Health - Controlled Substance Prescribing Review and Enforcement Advisory Council, establishing State Agencies - Controlled Substance Prescribing Review and Enforcement Advisory Council, establishing Substance Abuse - Controlled Substance Prescribing Review and Enforcement Advisory Council, establishing Reports Mandated - Controlled Substance Prescribing Review and Enforcement Advisory Council, annual |
Amendment | Senate Floor Amendment 3 |
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Sponsor | R. Alvarado |
Summary | Retain original provisions except delete provision for 2 sequential prescriptions; require the written CAPA-CS to be a standardized agreement developed by the Kentucky Board of Medical Licensure and a copy to be furnished to the board, and that the physician associated with the CAPA-CS be in good standing with the Kentucky Board of Medical Licensure; mandate requirements for the collaboration, restore language requiring 1 year experience; increase experience requirement for discontinuing a CAPA-CS from 4 to 8 years. |
Index Headings |
Drugs and Medicines - Advanced practice registered nurses, prescriptive authority Nurses - Controlled substances, prescriptive authority collaborative agreement Physicians and Practitioners - Advanced practice registered nurses, collaborative agreement |
Amendment | Senate Floor Amendment 4 |
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Sponsor | R. Alvarado |
Summary | Delete original provisions, amend KRS 314.011 to amend the definition of "advanced practice registered nurse" to eliminate restrictions on hydrocodone and limit other designated prescriptions to a 30 day supply; amend KRS 314.042 to increase the experience requirement for advanced practice registered nurse prescribing controlled substances from 1 year to 3 years. |
Index Headings |
Drugs and Medicines - Advanced practice registered nurses, prescriptive authority Nurses - Advanced practice registered nurses, definition Physicians and Practitioners - Advanced practice registered nurses, collaborative agreement |
Amendment | Senate Floor Amendment 5 |
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Sponsor | R. Alvarado |
Summary | Delete original provisions; amend KRS 314.042 to delete provisions for the Collaborative Agreement for the Advanced Practice Registered Nurse's Prescriptive Authority for Controlled Substances (CAPA-CS). |
Index Headings |
Drugs and Medicines - Advanced practice registered nurses, prescriptive authority Nurses - Controlled substances, prescriptive authority collaborative agreement Physicians and Practitioners - Advanced practice registered nurses, collaborative agreement |
Amendment | Senate Floor Amendment 6 |
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Sponsor | J. Adams |
Summary | Retain original provisions; create a new section of KRS Chapter 314 to establish the controlled substance prescribing boards advisory council within the Office of the Inspector General of the Cabinet for Health and Family Services; require the council to meet at least quarterly and issue an annual report. |
Index Headings |
Boards and Commissions - Controlled substance prescribing boards advisory council, establishment of Drugs and Medicines - Controlled substance prescribing boards advisory council, establishment of Public Health - Controlled substance prescribing boards advisory council, establishment of Health and Medical Services - Controlled substance prescribing boards advisory council, establishment of |
Last updated: 11/9/2023 2:52 PM (EST)