Last Action | 03/29/22: to Licensing & Occupations (S) |
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Title | AN ACT relating to prescriptive authority and making an appropriation therefor. |
Bill Documents |
Current/Final
Introduced |
Bill Request Number | 1419 |
Sponsors | R. Webber, P. Minter, K. Banta, T. Bojanowski, K. Bratcher, J. Calloway, M. Cantrell, J. Donohue, D. Fister, P. Flannery, K. Fleming, K. Flood, C. Freeland, A. Gentry, D. Graham, D. Hale, M. Hart, S. Heavrin, R. Huff, T. Huff, J. Jenkins, N. Kirk-McCormick, D. Lewis, S. Lewis, B. McCool, C. Miller, J. Miller, J. Nemes, R. Palumbo, P. Pratt, J. Raymond, R. Roberts, T. Smith, C. Stevenson, P. Stevenson, W. Thomas, J. Tipton, T. Truett, K. Upchurch, S. Westrom, B. Wheatley, R. White, L. Willner |
Summary of Original Version | Amend KRS 314.042 to require that advanced practice registered nurses exempted from a CAPA-NS include certified nurse practitioners, certified nurse midwifes, and certified registered nurse anesthetists; allow the CAPA-CS to include limitations on drugs and amounts and requirements for the APRN to communicate with the physician before prescribing; 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, including promulgation of administrative regulations; exempt an equivalently qualified out-of-state APRN from the CAPA-CS requirement to prescribe under licensure by endorsement; prohibit an APRN from prescribing controlled substances without a CAPA-CS until the board has completed its review and notified the APRN in writing; create a new section of KRS Chapter 194A to create the Controlled Substance Prescribing Boards Advisory Council within the Office of the Inspector General; establish membership of the board; require meetings to discuss matters relating to the prescribing on controlled substances; require annual report. |
Index Headings of Original Version |
Drugs and Medicines - Controlled Substance Prescribing Boards Advisory Council, creation Health and Medical Services - Advanced practice registered nurses, prescriptive authority Licensing - Licensed advanced practice registered nurses, prescriptive authority Nurses - Advanced practice registered nurses, prescriptive authority Occupations and Professions - Advanced practice registered nurses, prescriptive authority Physicians and Practitioners - Advanced practice registered nurses, prescriptive authority Boards and Commissions - Controlled Substance Prescribing Boards Advisory Council, creation Boards and Commissions - Nursing board, advanced practice registered nurse licensees, prescriptive authority Administrative Regulations and Proceedings - Kentucky Board of Nursing, determination of license in good standing |
Jump to Proposed Amendments |
House Committee Substitute 1 House Committee Amendment 1 House Floor Amendment 1 House Floor Amendment 2 House Floor Amendment 3 House Floor Amendment 4 House Floor Amendment 5 |
Votes | Vote History |
01/25/22 |
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01/26/22 |
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03/07/22 |
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03/09/22 |
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03/11/22 |
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03/14/22 |
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03/29/22 |
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Amendment | House Committee Substitute 1 |
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Summary | Retain original CAPA-CS provisions; delete original provisions relating to the Controlled Substance Prescribing Boards Advisory Council; hold an APRN prescribing without a CAPA-CS to the same standard of care as other prescribers; create a new section of KRS Chapter 218A to establish the Controlled Substance Prescribing Review Panel within the Office of the Inspector General; establish membership and duties of the panel; hire support staff for the panel; investigate prescribers with suspect prescribing patterns; require at least quarterly meetings to discuss matters relating to prescribing controlled substances; mandate an annual report; sunset the panel on July 15, 2026, unless otherwise authorized by the General Assembly; APPROPRIATION. |
Index Headings |
Drugs and Medicines - Controlled Substance Prescribing Review Panel, creation Health and Medical Services - Controlled Substance Prescribing Review Panel, creation Licensing - Controlled Substance Prescribing Review Panel, prescribers Nurses - Controlled Substance Prescribing Review Panel, prescribers Occupations and Professions - Controlled Substance Prescribing Review Panel, prescribers Physicians and Practitioners - Controlled Substance Prescribing Review Panel, prescribers Substance Abuse - Controlled Substance Prescribing Review Panel, creation Appropriations - Controlled Substance Prescribing Review Panel, support resources, funding Advisory Boards, Commissions, and Committees - Controlled Substance Prescribing Review Panel, creation Sunset Legislation - Controlled Substance Prescribing Review Panel, end date |
Amendment | House Committee Amendment 1 |
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Sponsor | A. Koenig |
Summary | Make title amendment. |
Index Headings | Title Amendments - HB 354 |
Amendment | House Floor Amendment 1 |
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Sponsor | K. Moser |
Summary | 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; direct 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, practitioners, licensing boards Health and Medical Services - Controlled substance prescribing, practitioners, licensing boards Licensing - Controlled substance prescribing, practitioners, licensing boards Nurses - Controlled substance prescribing, practitioners, licensing boards Physicians and Practitioners - Controlled substance prescribing, practitioners, licensing boards State Agencies - Controlled Substance Prescribing Review and Enforcement Advisory Council, establish Substance Abuse - Controlled substance prescribing, practitioners, licensing boards Reports Mandated - Controlled Substance Prescribing Review and Enforcement Advisory Council, annual Advisory Boards, Commissions, and Committees - Controlled Substance Prescribing Review and Enforcement Advisory Council, establish |
Amendment | House Floor Amendment 2 |
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Sponsor | K. Moser |
Summary | 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); prohibit an advanced practice registered nurse from prescribing under a CPA-CS until after two years of licensed practice; allow an advanced practice registered nurse to prescribe controlled substances without a CAPA-CS after eight years of prescribing under a CAPA-CS; set standards and restrictions for prescribing without a 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 Licensing - Advanced practice registered nurses, collaborative agreement Occupations and Professions - Advanced practice registered nurses, collaborative agreement |
Amendment | House Floor Amendment 3 |
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Sponsor | K. Moser |
Summary | 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); 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; direct 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 - Advanced practice registered nurses, prescriptive authority Drugs and Medicines - Controlled substance prescribing reviews, boards, administrative regulations Nurses - Advanced practice registered nurses, prescriptive authority Physicians and Practitioners - Advanced practice registered nurses, prescriptive authority Health and Medical Services - Controlled substances, prescriptive authority Licensing - Controlled substance prescribing reviews, boards, administrative regulations State Agencies - Controlled Substance Prescribing Review and Enforcement Advisory Council, establish Substance Abuse - Controlled Substance Prescribing Review and Enforcement Advisory Council, establish Reports Mandated - Controlled Substance Prescribing Review and Enforcement Advisory Council, annual Advisory Boards, Commissions, and Committees - Controlled Substance Prescribing Review and Enforcement Advisory Council, establish |
Amendment | House Floor Amendment 4 |
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Sponsor | K. Moser |
Summary | 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); require an advanced practice registered nurse to pass each component of the United States Medical Licensing Examination prior to prescribing controlled substances; allow an advanced practice registered nurse to prescribe controlled substances without a CAPA-CS after eight years of prescribing under a CAPA-CS; set standards and restrictions for prescribing without a CAPA-CS. |
Index Headings |
Drugs and Medicines - Advanced practice registered nurses, prescriptive authority Licensing - Advanced practice registered nurses, collaborative agreement Nurses - Controlled substances, prescriptive authority collaborative agreement Occupations and Professions - Advanced practice registered nurses, collaborative agreement Physicians and Practitioners - Advanced practice registered nurses, collaborative agreement |
Amendment | House Floor Amendment 5 |
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Sponsor | K. Moser |
Summary | Amend KRS 314.042 to reinstate the one-year moratorium on new advanced practice registered nurses prescribing controlled substances; require an advanced practice registered nurse to pass each component of the United States Medical Licensing Examination prior to prescribing controlled substances. |
Index Headings |
Drugs and Medicines - Advanced practice registered nurses, prescriptive authority Licensing - Advanced practice registered nurses, prescriptive authority Nurses - Controlled substances, prescriptive authority, collaborative agreement Occupations and Professions - Advanced practice registered nurses, prescriptive authority Physicians and Practitioners - Advanced practice registered nurses, prescriptive authority |
Last updated: 2/8/2023 2:57 PM (EST)