Texas Laws

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

Question:

What practitioners are authorized to prescribe medications for opioid use disorder?

Answer:
  • Physicians
  • Nurse practitioners
  • Physician assistants
This answer is derived from 7 section of law
Citation:
  • citation 1: see full citation
    A physician may not prescribe, order, or administer a narcotic drug for the purpose of treating drug dependency unless the physician prescribes, orders, or administers an approved narcotic drug for the maintenance or detoxification of persons with a drug dependency as part of a program permitted by the department. see full law
  • citation 2: see full citation
    (7) “Narcotic drug” has the meaning assigned by Chapter 481 (Texas Controlled Substances Act). see full law
  • citation 3: see full citation
    (1) “Approved narcotic drug” means a drug approved by the United States Food and Drug Administration for maintenance or detoxification of a person physiologically addicted to the opiate class of drugs. see full law
  • citation 4: see full citation
    (a) A physician may delegate to an advanced practice registered nurse or physician assistant, acting under adequate physician supervision, the act of prescribing or ordering a drug or device as authorized through a prescriptive authority agreement between the physician and the advanced practice registered nurse or physician assistant, as applicable. see full law
  • citation 5: see full citation
    (b) Except as provided by Subsection (b-1), a physician may delegate the prescribing or ordering of a controlled substance only if:(1) the prescription is for a controlled substance listed in Schedule III, IV, or V as established by the commissioner of the Department of State Health Services under Chapter 481, Health and Safety Code;(2) the prescription, including a refill of the prescription, is for a period not to exceed 90 days;(3) with regard to the refill of a prescription, the refill is authorized after consultation with the delegating physician and the consultation is noted in the patient’s chart; and(4) with regard to a prescription for a child less than two years of age, the prescription is made after consultation with the delegating physician and the consultation is noted in the patient’s chart.(b-1) A physician may delegate the prescribing or ordering of a controlled substance listed in Schedule II as established by the commissioner of the Department of State Health Services under Chapter 481, Health and Safety Code, only:(1) in a hospital facility-based practice under Section 157.054, in accordance with policies approved by the hospital’s medical staff or a committee of the hospital’s medical staff as provided by the hospital bylaws to ensure patient safety, and as part of the care provided to a patient who:(A) has been admitted to the hospital for an intended length of stay of 24 hours or greater; or(B) is receiving services in the emergency department of the hospital; or(2) as part of the plan of care for the treatment of a person who has executed a written certification of a terminal illness, has elected to receive hospice care, and is receiving hospice treatment from a qualified hospice provider. see full law
  • citation 6: see full citation
    (a) In this section, “advanced practice registered nurse” means a registered nurse licensed by the board to practice as an advanced practice registered nurse on the basis of completion of an advanced educational program. The term includes a nurse practitioner, nurse midwife, nurse anesthetist, and clinical nurse specialist. The term is synonymous with “advanced nurse practitioner” and “advanced practice nurse.” see full law
  • citation 7: see full citation
    (14) “Prescriptive authority agreement” means an agreement entered into by a physician and an advanced practice registered nurse or physician assistant through which the physician delegates to the advanced practice registered nurse or physician assistant the act of prescribing or ordering a drug or device. see full law