Illinois Laws

Requirements for Licensure and Operations of Medications for Opioid Use Disorder Treatment

Question:

Are physician assistants required to obtain additional state training beyond the federal DATA 2000 waiver requirements prior to prescribing medications for opioid use disorder?

Answer:
Yes
This answer is derived from 5 section of law
Citation:
  • citation 1: see full citation
    (b) A collaborating physician may, but is not required to, delegate prescriptive authority to a physician assistant as part of a written collaborative agreement. This authority may, but is not required to, include prescription of, selection of, orders for, administration of, storage of, acceptance of samples of, and dispensing medical devices, over the counter medications, legend drugs, medical gases, and controlled substances categorized as Schedule II through V controlled substances, as defined in Article II of the Illinois Controlled Substances Act, and other preparations, including, but not limited to, botanical and herbal remedies. The collaborating physician must have a valid, current Illinois controlled substance license and federal registration with the Drug Enforcement Agency to delegate the authority to prescribe controlled substances.        (1) To prescribe Schedule II, III, IV, or V controlled substances under this Section, a physician assistant must obtain a mid-level practitioner controlled substances license. Medication orders issued by a physician assistant shall be reviewed periodically by the collaborating physician.        (2) The collaborating physician shall file with the Department notice of delegation of prescriptive authority to a physician assistant and termination of delegation, specifying the authority delegated or terminated. Upon receipt of this notice delegating authority to prescribe controlled substances, the physician assistant shall be eligible to register for a mid-level practitioner controlled substances license under Section 303.05 of the Illinois Controlled Substances Act. Nothing in this Act shall be construed to limit the delegation of tasks or duties by the collaborating physician to a nurse or other appropriately trained persons in accordance with Section 54.2 of the Medical Practice Act of 1987.        (3) In addition to the requirements of this subsection (b), a collaborating physician may, but is not required to, delegate authority to a physician assistant to prescribe Schedule II controlled substances, if all of the following conditions apply:            (A) Specific Schedule II controlled substances by oral dosage or topical or transdermal application may be delegated, provided that the delegated Schedule II controlled substances are routinely prescribed by the collaborating physician. This delegation must identify the specific Schedule II controlled substances by either brand name or generic name. Schedule II controlled substances to be delivered by injection or other route of administration may not be delegated.            (B) (Blank).            (C) Any prescription must be limited to no more than a 30-day supply, with any continuation authorized only after prior approval of the collaborating physician.            (D) The physician assistant must discuss the condition of any patients for whom a controlled substance is prescribed monthly with the collaborating physician.            (E) The physician assistant meets the education requirements of Section 303.05 of the Illinois Controlled Substances Act. see full law
  • citation 2: see full citation
    (a) The controlled substances listed in this Section are included in Schedule II. see full law
  • citation 3: see full citation
    (14) Methadone;        (15) Methadone-Intermediate,  4-cyano-2-dimethylamino-4,4-diphenyl-1-butane; see full law
  • citation 4: see full citation
    (a) The controlled substances listed in this Section are included in Schedule III. see full law
  • citation 5: see full citation
    (d.5) Buprenorphine. see full law