Kentucky
General Assembly

01/06/21	introduced in Senate to Committee on Committees (S)
02/04/21	to Licensing & Occupations (S)
02/23/21	reported favorably, 1st reading, to Calendar floor amendments (1), (2), (3), (4) and (5) filed
02/24/21	2nd reading, to Rules
03/02/21	floor amendment (6) filed

Amendment	Senate Floor Amendment 1
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
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
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
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
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
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