Ohio Code 3719.064 – Prerequisites for initiation of medication-assisted treatment
(A) As used in this section:
Terms Used In Ohio Code 3719.064
- Certified nurse practitioner: means an advanced practice registered nurse who holds a current, valid license issued under Chapter 4723 of the Revised Code and is designated as a certified nurse practitioner in accordance with section 4723. See Ohio Code 1.64
- Certified nurse-midwife: means an advanced practice registered nurse who holds a current, valid license issued under Chapter 4723 of the Revised Code and is designated as a certified nurse-midwife in accordance with section 4723. See Ohio Code 1.64
- Clinical nurse specialist: means an advanced practice registered nurse who holds a current, valid license issued under Chapter 4723 of the Revised Code and is designated as a clinical nurse specialist in accordance with section 4723. See Ohio Code 1.64
- in writing: includes any representation of words, letters, symbols, or figures; this provision does not affect any law relating to signatures. See Ohio Code 1.59
- Physician assistant: means an individual who is licensed under Chapter 4730 of the Revised Code to provide services as a physician assistant to patients under the supervision, control, and direction of one or more physicians. See Ohio Code 1.64
- state: means the state of Ohio. See Ohio Code 1.59
- United States: includes all the states. See Ohio Code 1.59
(1) “Medication-assisted treatment” has the same meaning as in section 340.01 of the Revised Code.
(2) “Prescriber” means any of the following:
(a) An advanced practice registered nurse who holds a current, valid license issued under Chapter 4723 of the Revised Code and is designated as a clinical nurse specialist, certified nurse-midwife, or certified nurse practitioner;
(b) A physician authorized under Chapter 4731 of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery;
(c) A physician assistant who is licensed under Chapter 4730 of the Revised Code, holds a valid prescriber number issued by the state medical board, and has been granted physician-delegated prescriptive authority.
(3) “Qualifying practitioner” has the same meaning as in section 303(g)(2)(G)(iii) of the “Controlled Substances Act of 1970,” 21 U.S.C. § 823(g)(2)(G)(iii), as amended.
(B) Before initiating medication-assisted treatment, a prescriber shall give the patient or the patient’s representative information about all drugs approved by the United States food and drug administration for use in medication-assisted treatment. The information must be provided both orally and in writing. The prescriber or the prescriber’s delegate shall note in the patient’s medical record when this information was provided and make the record available to employees of the board of nursing or state medical board on their request.
If the prescriber is not a qualifying practitioner and the patient’s choice is opioid treatment and the prescriber determines that such treatment is clinically appropriate and meets generally accepted standards of medicine, the prescriber shall refer the patient to an opioid treatment program licensed under section 5119.37 of the Revised Code or a qualifying practitioner. The prescriber or the prescriber’s delegate shall make a notation in the patient’s medical record naming the program or practitioner to whom the patient was referred and specifying when the referral was made.