KRS 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 supervision a greement

under KRS 311.854.

(2) A physician assistant may initiate evaluation and treatment in emergency situations

without specific approval.

(3) A physician assistant may prescribe and administer all nonscheduled legend drugs

and medical devices to the e xtent approved by the supervising physician. A

physician assistant who is approved and has prescribing authority may request,

receive, sign for, and distribute professional samples of nonscheduled legend drugs

to patients.

(4) (a) A physician assistant who has been approved by the board pursuant to

paragraph (b) of this subsection, may prescribe and administer Schedules II,

III, IV, and V controlled substances, as described in KRS Chapter 218A, to

the extent approved by the supervising physician and as perm itted under

paragraphs (c), (d), (e), and (f) 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 p racticing

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; and

4. Obtain a Controlled Substance Registration Certificate through the

United States Drug Enforcement Administration and regis ter 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 narcotic Schedule II

controlled substances classified under KRS 218A.060, except for

hydrocodone combination products as defined in KRS 218A.010, shall be

limited to a seventy-two (72) hour supply without any refill.

(d) Prescriptions issued by a physician assistant for hydrocodone combi nation

products as defined in KRS 218A.010, nonnarcotic Schedule II controlled

substances, and Schedule III controlled substances, as defined in KRS

218A.060 and 218A.080, shall be limited to a thirty (30) day supply without

any refill.

(e) Prescriptions issued by a physician assistant for Schedule IV or V controlled

substances, as defined in KRS 218A.100 and 218A.120, shall be limited to the

original prescription and refills not to exceed a six (6) month supply.

(f) Notwithstanding paragraph (e) of this su bsection, prescriptions issued by a

physician assistant for benzodiazepines or Carisoprodol shall be limited to a

thirty (30) day supply without any refill.

(5) A physician assistant shall not submit direct billing for medical services and

procedures performed by the physician assistant.

(6) 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.

(7) 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 writ ten 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.

(8) A physician assistant shall not practice medicine or osteopathy indepe ndently. Each

physician assistant shall practice under a supervision agreement as described in

KRS 311.854.