SLS 19RS-1177 ENGROSSED 2019 Regular Session SENATE BILL NO. 240(Substitute of Senate Bill No. 160 by Senator Boudreaux) BY SENATOR BOUDREAUX CONTROL DANGER SUBSTANCE. Provides relative to the provision of medication- assisted treatment (MAT). (8/1/19) 1 AN ACT 2 To enact R.S. 37:913(3)(c) and 1360.31(C)(4), relative to the provision of 3 medication-assisted treatment (MAT); to provide authority for advanced practice 4 registered nurses and physician assistants to provide MAT; to provide for 5 compliance with federal law and state rules relative to MAT; to provide for 6 minimum requirements for collaborating or supervising physicians; and to provide 7 for related matters. 8 Be it enacted by the Legislature of Louisiana: 9 Section 1. R.S. 37:913(3)(c) and 1360.31(C)(4) are hereby enacted to read as 10 follows: 11 §913. Definitions 12 As used in this Part: 13 * * * 14 (3)(a) * * * 15 * * * 16 (c) Advanced practice registered nursing may include the provision of 17 medication-assisted treatment (MAT), as authorized by the United States Page 1 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 240 SLS 19RS-1177 ENGROSSED 1 Department of Health and Human Services, Substance Abuse and Mental 2 Health Services Administration and in accordance with rules promulgated by 3 the board. At a minimum, rules promulgated by the board shall include a 4 requirement that in order for the APRN to provide MAT, his collaborating 5 physician shall also be authorized and in compliance with all federal and state 6 laws and rules authorizing the provision of MAT. For purposes of this 7 Subparagraph, "MAT" means the use of medications with counseling and 8 behavioral therapies to treat substance use disorders and prevent opioid 9 overdose. 10 * * * 11 §1360.31. Services performed by physician assistants 12 * * * 13 C.(1) * * * 14 * * * 15 (4) A physician assistant may provide medication-assisted treatment 16 (MAT), as authorized by the United States Department of Health and Human 17 Services, Substance Abuse and Mental Health Services Administration and in 18 accordance with rules promulgated by the board. At a minimum, rules 19 promulgated by the board shall include a requirement that in order for the PA 20 to provide MAT, his supervising physician shall also be authorized and in 21 compliance with all federal and state laws and rules authorizing the provision 22 of MAT. For purposes of this Subparagraph, "MAT" means the use of 23 medications with counseling and behavioral therapies to treat substance use 24 disorders and prevent opioid overdose. 25 * * * Page 2 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 240 SLS 19RS-1177 ENGROSSED The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Christine Arbo Peck. DIGEST SB 240 Engrossed 2019 Regular Session Boudreaux Present law provides for scope of practice and regulation of advanced practice registered nurses (APRNs) and physician assistants (PAs). Proposed law provides that APRNs and PAs may provide medication-assisted treatment in accordance with federal and state laws and state rules governing MAT services. Proposed law provides that, at a minimum, state rules shall require the APRN's collaborating physician and the PA's supervising physician to be authorized and in compliance with all federal and state laws and rules authorizing the provision of MAT. Proposed law defines MAT as the use of medications with counseling and behavioral therapies to treat substance use disorders and prevent opioid overdose. Effective August 1, 2019. (Adds R.S. 37:913(3)(c) and 1360.31(C)(4)) Page 3 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.