Beyond State Scope of Practice Laws for Advanced Practitioners

Additional Supervision Requirements for Buprenorphine Prescribing

Published in: Journal of Substance Abuse Treatment (2022). doi: 10.1016/j.jsat.2021.108715

Posted on RAND.org on March 31, 2022

by Barbara Andraka-Christou, Adam J. Gordon, Joanne Spetz, Rachel Totaram, Matthew Golan, Olivia Randall-Kosich, Jordan M. Harrison, Spencer Calder, Stefan G. Kertesz, Bradley D. Stein

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This study of state buprenorphine prescribing laws found that

  • one state prohibits all advanced practice clinicians from prescribing buprenorphine
  • five states require a waivered supervising physician for PAs prescribing buprenorphine
  • three states require a waivered supervising physician for NPs prescribing buprenorphine.

Studies of state NP/PA supervision should include non-scope of practice laws.

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