Revision: March 19, 2025, 3:58 p.m.
Senate Health and Human Services
March 19, 2025
2025-1139s
09/08
Amendment to SB 252
Amend the bill by replacing all after the enacting clause with the following:
1 Physicians and Surgeons; Telemedicine for Non-Opioid or Opioid Controlled Drugs in Schedule II Through IV. Amend RSA 329:1-d, III to read as follows:
III. A physician licensed under this chapter may prescribe non-opioid and opioid controlled drugs classified in schedule II through IV by means of telemedicine [after establishing a physician-patient relationship with the patient]. When prescribing a non-opioid or opioid controlled drug classified in schedule II through IV by means of telemedicine a subsequent [in-person exam] evaluation shall be conducted by a practitioner licensed to prescribe the drug at intervals appropriate for the patient, medical condition, and drug, but not less than annually. [The prescription authority under this paragraph shall be limited to a physician licensed under this chapter, or a physician assistant in accordance with RSA 328-D:3-b, and] All prescribing shall be in compliance with all federal and state laws and regulations.
2 Physician Assistants; Telemedicine for Non-Opioid or Opioid Controlled Drugs in Schedule II Through IV. Amend RSA 328-D:3-b, XIII to read as follows:
XIII. A physician assistant may prescribe, dispense, order, administer, and procure drugs and medical devices. Physician assistants may plan and initiate a therapeutic regimen that includes ordering and prescribing non pharmacological interventions, including but not limited to durable medical equipment, nutrition, blood and blood products, and diagnostic support services including but not limited to home healthcare, hospice, and physical and occupational therapy. A physician assistant licensed under this chapter may prescribe non-opioid and opioid controlled drugs classified in schedule II through IV by means of telemedicine. When prescribing a non-opioid or opioid controlled drug classified in schedule II through IV by means of telemedicine a subsequent evaluation shall be conducted by a practitioner licensed to prescribe the drug at intervals appropriate for the patient, medical condition, and drug, but not less than annually. All prescribing shall be in compliance with all federal and state laws and regulations.
3 New Paragraph; Advanced Practice Registered Nurses; Telemedicine for Non-Opioid or Opioid Controlled Drugs in Schedule II Through IV. Amend RSA 326-B:11 by inserting after paragraph III the following new paragraph:
III-a. An APRN licensed under this chapter may prescribe non-opioid and opioid controlled drugs classified in schedule II through IV by means of telemedicine. When prescribing a non-opioid or opioid controlled drug classified in schedule II through IV by means of telemedicine, a subsequent evaluation shall be conducted by a practitioner licensed to prescribe the drug at intervals appropriate for the patient, medical condition, and drug, but not less than annually. The prescription authority under this paragraph shall be limited to an APRN licensed under this chapter, and all prescribing shall be in compliance with all federal and state laws and regulations.
4 Effective Date. This act shall take effect 60 days after its passage.
2025-1139s
AMENDED ANALYSIS
This bill modifies the requirements for the use of telemedicine to prescribe non-opioids and opioids classified in schedules II through IV, including authorizing physician assistants and advanced practice registered nurses to do so.