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SECOND REGULAR SESSION
HOUSE BILL NO. 3055
103RD GENERAL ASSEMBL Y
INTRODUCED BY REPRESENT A TIVE KEA THLEY .
6818H.01I JOSEPH ENGLER, Chief Clerk
AN ACT
T o repeal section 195.070, RSMo, and to enact in lieu thereof one new section relating to the
ordering and administration of ketamine for mental health purposes.
Be it enacted by the General Assembly of the state of Missouri, as follows:
Section A. Section 195.070, RSMo, is repealed and one new section enacted in lieu
2 thereof, to be known as section 195.070, to read as follows:
195.070. 1. A physician, podiatrist, dentist, a registered optometrist certified to
2 administer pharmaceutical agents as provided in section 336.220, or an assistant physician in
3 accordance with section 334.037 or a physician assistant in accordance with section 334.747
4 in good faith and in the course of his or her professional practice only , may prescribe,
5 administer , and dispense controlled substances or he or she may cause the same to be
6 administered or dispensed by an individual as authorized by statute.
7 2. An advanced practice registered nurse, as defined in section 335.016, but not a
8 certified registered nurse anesthetist as defined in subdivision (8) of section 335.016, who
9 holds a certificate of controlled substance prescriptive authority from the board of nursing
10 under section 335.019 and who is delegated the authority to prescribe controlled substances
11 under a collaborative practice arrangement under section 334.104 may prescribe any
12 controlled substances listed in Schedules III, IV , and V of section 195.017, and may have
13 restricted authority in Schedule II. Prescriptions for Schedule II medications prescribed by an
14 advanced practice registered nurse who has a certificate of controlled substance prescriptive
15 authority are restricted to only those medications containing hydrocodone and Schedule II
16 controlled substances for hospice patients pursuant to the provisions of section 334.104.
17 However , no such certified advanced practice registered nurse shall prescribe controlled
EXPLANA TION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is
intended to be omitted from the law . Matter in bold-face type in the above bill is proposed language.
18 substance for his or her own self or family . Schedule III narcotic controlled substance and
19 Schedule II - hydrocodone prescriptions shall be limited to a one hundred twenty-hour supply
20 without refill.
21 3. A veterinarian, in good faith and in the course of the veterinarian's professional
22 practice only , and not for use by a human being, may prescribe, administer , and dispense
23 controlled substances and the veterinarian may cause them to be administered by an assistant
24 or orderly under his or her direction and supervision.
25 4. A practitioner shall not accept any portion of a controlled substance unused by a
26 patient, for any reason, if such practitioner did not originally dispense the drug, except:
27 (1) When the controlled substance is delivered to the practitioner to administer to the
28 patient for whom the medication is prescribed as authorized by federal law . Practitioners
29 shall maintain records and secure the medication as required by this chapter and regulations
30 promulgated pursuant to this chapter; or
31 (2) As provided in section 195.265.
32 5. An individual practitioner shall not prescribe or dispense a controlled substance for
33 such practitioner's personal use except in a medical emer gency .
34 6. Notwithstanding any prov ision of law to the contrary:
35 (1) No physician licensed under chapter 334 shall delegate the authority to order
36 ketamine hydr ochloride for mental health purposes under the physician's regi stration
37 with the federal Drug Enfor cement Administration and the state burea u of narco tics
38 and dangerous drugs to any other individual;
39 (2) Any physician licensed under chapter 334 who delegates the administration
40 of ketamine hydr ochloride for mental health purposes to a certified r egister ed nurse
41 anesthetist shall be on site and immediately available to supervise and r espond to
42 patient needs during such administration; and
43 (3) Intravenous ketamine hydr ochloride tr eatment for mental health purposes
44 shall not be administer ed without a documented diagnosis and tr eatment plan fr om a
45 physician licensed under chapter 334.
✔
HB 3055 2