Senate Bill 78

Actions | Amendments
Last Action 03/02/21: floor amendment (6) filed
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

Actions

Top | Amendments
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

Proposed Amendments

Top | Actions
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

Last updated: 4/14/2021 8:30 AM (EDT)
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