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SECOND REGULAR SESSION
SENATE BILL NO. 1580
103RD GENERAL ASSEMBLY
INTRODUCED BY SENATOR BEAN.
6781S.01I KRISTINA MARTIN, Secretary
AN ACT
To 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Section A. Section 195.070, RSMo, is repealed and one new 1
section enacted in lieu thereof, to be known as section 195.070, 2
to read as follows:3
195.070. 1. A physician, podiatrist, dentist, a 1
registered optometrist certified to administer 2
pharmaceutical agents as provided in section 336.220, or an 3
assistant physician in accordance with section 334.037 or a 4
physician assistant in accordance with section 334.747 in 5
good faith and in the course of his or her professional 6
practice only, may prescribe, administer, and dispense 7
controlled substances or he or she may cause the same to be 8
administered or dispensed by an individual as authorized by 9
statute. 10
2. An advanced practice registered nurse, as defined 11
in section 335.016, but not a certified registered nurse 12
anesthetist as defined in subdivision (8) of section 13
335.016, who holds a certificate of controlled substance 14
prescriptive authority from the board of nursing under 15
section 335.019 and who is delegated the authority to 16
prescribe controlled substances under a collaborative 17
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practice arrangement under section 334.104 may prescribe any 18
controlled substances listed in Schedules III, IV, and V of 19
section 195.017, and may have restricted authority in 20
Schedule II. Prescriptions for Schedule II medications 21
prescribed by an advanced practice registered nurse who has 22
a certificate of controlled substance prescriptive authority 23
are restricted to only those medications containing 24
hydrocodone and Schedule II controlled substances for 25
hospice patients pursuant to the provisions of section 26
334.104. However, no such certified advanced practice 27
registered nurse shall prescribe controlled substance for 28
his or her own self or family. Schedule III narcotic 29
controlled substance and Schedule II - hydrocodone 30
prescriptions shall be limited to a one hundred twenty-hour 31
supply without refill. 32
3. A veterinarian, in good faith and in the course of 33
the veterinarian's professional practice only, and not for 34
use by a human being, may prescribe, administer, and 35
dispense controlled substances and the veterinarian may 36
cause them to be administered by an assistant or orderly 37
under his or her direction and supervision. 38
4. A practitioner shall not accept any portion of a 39
controlled substance unused by a patient, for any reason, if 40
such practitioner did not originally dispense the drug, 41
except: 42
(1) When the controlled substance is delivered to the 43
practitioner to administer to the patient for whom the 44
medication is prescribed as authorized by federal law. 45
Practitioners shall maintain records and secure the 46
medication as required by this chapter and regulations 47
promulgated pursuant to this chapter; or 48
(2) As provided in section 195.265. 49
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5. An individual practitioner shall not prescribe or 50
dispense a controlled substance for such practitioner's 51
personal use except in a medical emergency. 52
6. Notwithstanding any provision of law to the 53
contrary: 54
(1) A physician licensed pursuant to chapter 334 shall 55
not delegate to any other individual the authority to order 56
ketamine hydrochloride for mental health purposes under the 57
physician's registration with the federal Drug Enforcement 58
Administration and the state bureau of narcotics and 59
dangerous drugs; 60
(2) A physician licensed pursuant to chapter 334 who 61
delegates the administration of ketamine hydrochloride for 62
mental health purposes to a certified registered nurse 63
anesthetist shall be on site and immediately available to 64
supervise and respond to patient needs during such 65
administration; and 66
(3) Intravenous ketamine hydrochloride treatment for 67
mental health purposes shall not be administered without a 68
documented diagnosis and treatment plan from a physician 69
licensed under chapter 334. 70
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