Action Center

Scope of Practice
Action Alert
March 19, 2019 

Successfully defeated this session was Senate Bill 132, which would have expanded the prescriptive authority of Advanced Practice Registered Nurses (APRNs). The bill ultimately died in the Senate Licensing, Occupations and Administrative Regulations Committee without a hearing.

March 12, 2019 

A special Legislative Alert was distributed to members yesterday regarding unfriendly floor amendments that have been attached to Senate Bill 22. SB22 would allow Kentucky to enter the Interstate Medical Licensure Compact (IMLC) and would provide an expedited, multistate licensure procedure for physicians who qualify. However, the amendments attached were proposed by the Kentucky Coalition of Nurse Practitioners and Nurse Midwives (KCNPNM) and would expand their scope of practice by phasing out a requirement for advanced practice registered nurses (APRNs) to have a collaborative agreement (CAPA-CS) with a physician in order to prescribe controlled substances.

KMA is asking that members contact both their Senators and Representatives to oppose the addition of the APRN language to SB22 or any other bill currently working its way through the legislative process.

PLEASE CONTACT YOUR
SENATOR AND REPRESENTATIVE
AND ASK THEM TO OPPOSE THE ADDITION OF
THE APRN LANGUAGE TO SB 22 OR ANY OTHER BILL


Legislative Message Line: (800) 372-7181
March 11, 2019

As indicated in previous KMA Legislative Alerts, the Kentucky Coalition of Nurse Practitioners and Nurse Midwives (KCNPNM) have promoted legislation, Senate Bill (SB) 132, throughout the 2019 legislative session that would expand their scope of practice by phasing out a requirement for advanced practice registered nurses (APRNs) to have a collaborative agreement (CAPA-CS) with a physician in order to prescribe controlled substances. This issue was recently heavily debated in the Senate and after much discussion the Senate wisely halted the progress forward.  However, in the final days of session, KCNPNM has now focused its attention on the House of Representatives where they are attempting to attach the language of SB 132 to an unrelated bill, Senate Bill (SB) 22, through unfriendly floor amendments. SB22, sponsored by Sen. Ralph Alvarado, would allow Kentucky to enter the Interstate Medical Licensure Compact (IMLC) and would provide an expedited, multistate licensure procedure for physicians who qualify. Please contact your Representative and ask them to oppose all amendments to SB 22. 

When communicating with your Representative, feel free to emphasize the following points.
  • Data collected by KASPER, the state's warehouse for controlled substance prescribing data, shows that from 2011-2018, prescribing of schedule II-V controlled substances by APRNs have increased by over 300% overall. 
  • As we attempt to curb the abuse of controlled substances, we must employ every tool at our fingertips to its fullest ability.  To that end, rather than eliminate the collaborative agreement, we ask you consider supporting strengthening that agreement. 
  • Removal of the CAPA-CS does nothing to increase access to care in the rural areas.  It only impacts prescribing of controlled substances.
  • The CAPA-CS does not prohibit or impede an APRNs ability to bring their expertise and care to Kentuckians who live in our state's HPSA (Health Professional Shortage) areas.  They have had the ability to treat and diagnose independently and prescribe with a collaborative agreement for over 10 years in any area they choose.  The question is, why are they not already there? 
  • Making it easier to prescribe controlled substances should not be considered as a reason to get APRNs to rural areas.
  • Research shows that APRNs by and large practice in the same general areas as physicians. 
  • In recent years, the Kentucky General Assembly and relevant state licensing boards have passed an array of legislation and regulations designed to increase oversight of the prescribing and dispensing of controlled substances in order to decrease the supply. Removal of the CAPA-CS is a step backwards in these efforts.
  • The details put forth in amendments to SB 22 have not been discussed or vetted with members of the House.  This is an extremely complicated issue that should be vetted in the open where legislators can ask and have questions answered rather than cramming it through as an amendment with language that did not make it through the Senate and was never discussed with House members openly.
  • Removing the CAPA-CS for APRNs will make it easier for more prescriptions and doses of controlled substances to be prescribed.
PLEASE CONTACT YOUR REPRESENTATIVE AND
ASK THEM TO OPPOSE ALL AMENDMENTS TO SENATE BILL 22.


Legislative Message Line: (800) 372-7181
February 26, 2019

Senate Bill 132, sponsored by Sen. Paul Hornback, would expand the prescriptive authority of Advanced Practice Registered Nurses (APRNs). Unfortunately, the Commonwealth of Kentucky continues to grapple with the overwhelming effects of the nation's latest and most severe opiate-related epidemic. KMA is concerned that a dramatic increase in the number of controlled substance prescribers will create additional opportunities for the abuse, misuse, and diversion of such medications, further exacerbating the state's current opioid epidemic. Therefore, KMA opposes SB132 and any other legislative and regulatory efforts by non-physician practitioners to establish or expand prescriptive authority.

Last week Rep. Kim Moser filed House Bill 440, which would strengthen the controlled substances collaborative agreement between physicians and APRNs and address concerns that have been raised by the Coalition of Nurse Practitioners and Nurse Midwives regarding the effectiveness of such agreements. KMA is supportive of this HB440, and it has been assigned to the House Health and Family Services Committee.

Please contact your Senator and ask them to oppose Senate Bill 132.

PLEASE CONTACT YOUR SENATOR
AND ASK THEM TO
OPPOSE SENATE BILL 132.
 
Legislative Message Line: (800) 372-7181
 
Please contact members of the House Health and Family Services Committee and ask them to bring House Bill 440 to a vote and to support strengthening the collaborative agreement between physicians and APRNs.

PLEASE CONTACT THE MEMBERS OF THE
HOUSE HEALTH & FAMILY SERVICES COMMITTEE
AND ASK THEM TO
BRING HOUSE BILL 440 TO A VOTE.
 
Legislative Message Line: (800) 372-7181
February 19, 2019

Senate Bill 132, sponsored by Sen. Paul Hornback, would expand the prescriptive authority of Advanced Practice Registered Nurses (APRNs). Unfortunately, the Commonwealth of Kentucky continues to grapple with the overwhelming effects of the nation's latest and most severe opiate-related epidemic. KMA is concerned that a dramatic increase in the number of controlled substance prescribers will create additional opportunities for the abuse, misuse, and diversion of such medications, further exacerbating the state's current opioid epidemic. Therefore, KMA opposes SB132 and any other legislative and regulatory efforts by non-physician practitioners to establish or expand prescriptive authority.

SB132 passed by a narrow margin from Tuesday’s Senate Licensing and Occupations Committee. It now moves on to the full Senate.

PLEASE CONTACT YOUR SENATOR
AND ASK THEM TO
OPPOSE SENATE BILL 132.
 
Legislative Message Line: (800) 372-7181


February 15, 2019

Senate Bill 132 would expand the prescriptive authority of Advanced Practice Registered Nurses (APRNs). Unfortunately, the Commonwealth of Kentucky continues to grapple with the overwhelming effects of the nation's latest and most severe opiate-related epidemic. KMA is concerned that a dramatic increase in the number of controlled substance prescribers will create additional opportunities for the abuse, misuse, and diversion of such medications, further exacerbating the state's current opioid epidemic. Therefore, KMA opposes SB132 and any other legislative and regulatory efforts by non-physician practitioners to establish or expand prescriptive authority.
 
SB132 is scheduled to be heard TUESDAY by the Senate Licensing, Occupations and Administrative Regulations Committee. Please contact your Senator as soon as possible and ask them to OPPOSE SB132.

Legislative Message Line: (800) 372-7181


February 12, 2019

Senate Bill 132 would expand the prescriptive authority of Advanced Practice Registered Nurses (APRNs). Unfortunately, the Commonwealth of Kentucky continues to grapple with the overwhelming effects of the nation's latest and most severe opiate-related epidemic. KMA is concerned that a dramatic increase in the number of controlled substance prescribers will create additional opportunities for the abuse, misuse, and diversion of such medications, further exacerbating the state's current opioid epidemic. Therefore, KMA opposes SB132 and any other legislative and regulatory efforts by non-physician practitioners to establish or expand prescriptive authority.
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