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News Items>
Info from MO BON re: prescribing narcotics
July 8, 2008
Newly posted to the MO State Board of Nursing Website: http://pr.mo.gov/nursing.asp Senate Bill 724 and Controlled Substance Prescriptive Authority for APRNs Yes, SB724 was passed and signed by the Governor. No, APRNs may not start writing prescriptions for controlled substances yet. What’s the story? SB 724 describes laws that give APRNs permission to write prescriptions for certain controlled substances. It also has language that will impact the content of most collaborative practice agreements (CPAs). Many of these changes are from our CP rules that have now been further clarified in statute. There will be a legal determination as to when these new laws will be in full effect. Rules will have to be promulgated in order to carry out many of the new laws. The rule making process is time consuming and in this case the MSBN will be working very closely with several other associations and state agencies, including but not limited to the Missouri Nurses Association, Department of Health, Bureau of Narcotics and Dangerous Drugs (BNDD), Board of Healing Arts, Board of Pharmacy and the Drug Enforcement Agency (DEA), to be sure that all needs are met. Do not apply for BNDD or DEA numbers yet. The Board of Nursing has to write the rules that pertain to the criteria and application process that APRNs will have to follow in order to receive a certificate of eligibility for controlled substance prescriptive authority. These rules and similar rules that have to be written by BNDD, and others have to go through the rule making process. This will take at least a year. If you send in money with an application to BNDD or DEA, they will keep your money and decline your application until the process is in place. CRNAs may not have controlled substance prescriptive authority delegated to them in a collaborative practice agreement (CPA). They may enter into a CPA with a physician if they choose, but cannot have controlled substance prescriptive authority delegated to them. We will keep up to date information on the website to let you know where we are in the process. There are some parts of this new legislation that will go into effect August 28, 2008. Please refer to the “CPA changes effective August 28, 2008” posted here on the website for details.
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