Nurse practitioners and physician’s assistants would be allowed to treat up to 100 patients per year so long as they:
Are licensed in a state that already allows them to prescribe controlled substances;
Complete approved training on opioid addiction treatment;
Are supervised by a physician who is approved to prescribe opioid addiction medicine or are certified addiction treatment nurse practitioners that work with a physician in a “qualified practice setting” when state law allows it.
Certain physicians would be able to request that the 100 patient cap be lifted after one year so that they can treat as many patients for opioid addiction in a year as they want to. In order to be eligible for this cap to be lifted:
Physicians must be substance abuse treatment specialists as recognized by specific board or society certifications;
Non-specialist physicians must complete approved training and practice in a “qualified practice setting.” A qualified practice setting would be defined as clinics that have oversight, performance metrics, or quality review, or that are serving high-need populations.
The Government Accountability Office (GAO) would be required to examine changes in:
Treatment availability and utilization;
Quality of treatment programs;
Integration with routine healthcare services;
Impact on state-level policies and legislation;
Use of nurse practitioner and physician’s assistant prescribers.