Section 311.858 - Services and procedures that may be performed by physician assistant - Restrictions(1) A physician assistant may perform medical services and procedures within the scope of medical services and procedures described in the initial or any supplemental application received by the board under KRS 311.854.(2) A physician assistant shall be considered an agent of the supervising physician in performing medical services and procedures described in the initial application or any supplemental application received by the board under KRS 311.854.(3) A physician assistant may initiate evaluation and treatment in emergency situations without specific approval.(4) A physician assistant may prescribe and administer all nonscheduled legend drugs and medical devices to the extent delegated by the supervising physician. A physician assistant who is delegated prescribing authority may request, receive, sign for, and distribute professional samples of nonscheduled legend drugs to patients.(5)(a) A physician assistant who has been approved by the board pursuant to paragraph (b) of this subsection, may prescribe and administer Schedules III, IV, and V controlled substances, as described in KRS Chapter 218A, to the extent delegated by the supervising physician and as permitted under paragraphs (c), (d), and (e) of this subsection.(b) Before a physician assistant engages in prescribing or administering controlled substances, the physician assistant shall:1. Have at least one (1) year of experience as a licensed and practicing physician assistant;2. Submit to the board a completed application for prescriptive authority for controlled substances signed by the physician assistant's supervising physician in accordance with KRS 311.856;3. Receive from the board, or its executive director, a notice that the application for prescriptive authority has been approved; and4. Obtain a Controlled Substance Registration Certificate through the United States Drug Enforcement Administration and register with the electronic system for monitoring controlled substances established in KRS 218A.202 and any other applicable state controlled substance regulatory authority.(c) Prescriptions issued by a physician assistant for Schedule III controlled substances, as described in KRS 218A.080, shall be limited to a thirty (30) day supply without any refill.(d) Prescriptions issued by a physician assistant for Schedule IV or V controlled substances, as described in KRS 218A.100 and 218A.120, shall be limited to the original prescription and refills not to exceed a six (6) month supply.(e) Notwithstanding paragraph (d) of this subsection, prescriptions issued by a physician assistant for benzodiazepines or Carisoprodol shall be limited to a thirty (30) day supply without any refill.(6) A physician assistant shall not submit direct billing for medical services and procedures performed by the physician assistant.(7) A physician assistant may perform local infiltrative anesthesia under the provisions of subsection (1) of this section, but a physician assistant shall not administer or monitor general or regional anesthesia unless the requirements of KRS 311.862 are met.(8) A physician assistant may perform services in the offices or clinics of the supervising physician. A physician assistant may also render services in hospitals or other licensed health care facilities only with written permission of the facility's governing body, and the facility may restrict the physician assistant's scope of practice within the facility as deemed appropriate by the facility.(9) A physician assistant shall not practice medicine or osteopathy independently. Each physician assistant shall practice under supervision as defined in KRS 311.840.Amended by 2020 Ky. Acts ch. 39,§ 5, eff. 7/14/2020.Effective:7/15/2002
Created 2002, Ky. Acts ch. 130, sec. 32, effective7/15/2002.