Kentucky
General Assembly

01/25/22	introduced in House to Committee on Committees (H)
01/26/22	taken from Committee on Committees (H) 1st reading returned to Committee on Committees (H)
03/07/22	to Licensing, Occupations, & Administrative Regulations (H)
03/09/22	reported favorably, 2nd reading, to Rules with Committee Substitute (1) and Committee Amendment (1-title) posted for passage in the Regular Orders of the Day for Thursday, March 10, 2022 floor amendments (1), (2) and (3) filed to Committee Substitute
03/11/22	floor amendments (4) and (5) filed to Committee Substitute 3rd reading, passed 84-8 with Committee Substitute (1) and Committee Amendment (1-title)
03/14/22	received in Senate to Committee on Committees (S)
03/29/22	to Licensing & Occupations (S)

Amendment	House Committee Substitute 1
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
Sponsor	A. Koenig
Summary	Make title amendment.
Index Headings	Title Amendments - HB 354

Amendment	House Floor Amendment 1
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
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
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
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
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