Minnesota Aprn Collaborative Agreement
Since August 2018, 15 PAs in Minnesota have received a federal waiver regimen for the treatment of opioid addiction with products containing buprenorphine. A Minnesota PA may prescribe controlled substances if they are delegated by a supervisory physician and defined in a delegation agreement. With the right training or experience, a Minnesota PA can obtain a federal waiver to distribute products containing buprenorphine, as long as the supervising physician is certified, trained or licensed to treat and manage patients with opioid use disorder. Mr. Minn. Stat. No. 147A.18 Contrary to the prescribed agreement that is not respected with the Board of Nursing (BON), statute 148.235 of the MedicalLy Prescribed Drugs and Therapeutic Devices Act requires that all NSPA registration documents and numbers be retained in the BON.  In order to prescribe controlled substances, an AED number must have been assigned to the ARNA and all federal AED requirements for controlled substances must be met. When applying for a DEA number, the APRN must submit its APRN license, personal information, general information and a deposit fee. Nominations have been good for three years.  Nurses must follow a period of control or collaboration.
The requirements are 2,080 hours. Under the bill, NRPA should no longer work under a cooperation agreement and would have the right to serve as primary care providers and perform tasks such as prescribing drugs and conducting and interpreting diagnostic studies. Dentists must have a written agreement to work with a dentist. The statute sets out what should be included in the agreement, including practical parameters and possible restrictions on services. Dentists may prescribe painkillers, anti-inflammatory drugs and antibiotics if described in the written practice agreement. Mr. Minn. Stat. 150A.105 A nurse may work in a hospital or an integrated environment. He or she will enter into a cooperation agreement with one or more advanced physicians or nurse practitioners. At least one staff member must have experience in treating patients with similar illnesses. Under a cooperation agreement with a physician, an NP must exercise at least 2,080 hours before a full independent practice authority can be granted.
Mr. Minn. Stat. 148.211 In their bill, NPAs who want to prescribe drugs and who must work with a physician without written consent should work for three years in a place that employs both doctors and nurses. In some cases, a nurse needs an AED number; this is necessary for some, but not all types of prescriptions (mn.gov/boards/nursing/advanced-practice/how-to-obtain-your-dea-number-and-register-for-minnesota-prescription-monitoring-program-pmp/). APRNEs with questions are forwarded to the DEA office. Since August 2018, 66 Minnesota PNs have received a federal waiver regimen for treating opioid addiction with products containing buprenorphine. In accordance with its standardization power and with appropriate training or experience, an NP may, in independent practice, obtain a federal waiver declaration to distribute products containing buprenorphine.