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Back to HB 1132
Arkansas General Assembly· HB 1132Died in House Committee at Sine Die adjournment.

An act TO INCREASE ACCESS TO HEALTHCARE SERVICES 10 PROVIDED BY ADVANCED PRACTICE REGISTERED NURSES, the official text

Shown verbatim: the complete text as captured from the official PDF posted by the Arkansas General Assembly, fetched 2026-07-23. Page and line markers are part of the official record; nothing is edited or removed. The official bill page.
Stricken language would be deleted from and underlined language would be added to present law.

1 State of Arkansas              A Bill
2 95th General Assembly

3 Regular Session, 2025                                          HOUSE BILL 1132

4

5 By: Representative Pilkington

6

7

8                                For An Act To Be Entitled

9   AN ACT TO INCREASE ACCESS TO HEALTHCARE SERVICES

10  PROVIDED BY ADVANCED PRACTICE REGISTERED NURSES; TO

11  AMEND THE PRESCRIPTIVE AUTHORITY OF AN ADVANCED

12  PRACTICE REGISTERED NURSE; AND FOR OTHER PURPOSES.

13

14

15                               Subtitle

16                       TO INCREASE ACCESS TO HEALTHCARE

17                       SERVICES PROVIDED BY ADVANCED PRACTICE

18                       REGISTERED NURSES; AND TO AMEND THE

19                       PRESCRIPTIVE AUTHORITY OF AN ADVANCED

20                       PRACTICE REGISTERED NURSE.

21

22 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS:

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24  SECTION 1. Arkansas Code � 17-87-310(a) and (b), concerning the

25 prescriptive authority of an advanced practice registered nurse, are amended

26 to read as follows:

27  (a) The Arkansas State Board of Nursing may grant a certificate of

28 prescriptive authority to an advanced practice registered nurse who:

29  (1) Submits proof of successful completion of an Arkansas State

30 Board of Nursing-approved advanced pharmacology course that shall include

31 preceptorial experience in the prescription of drugs, medicines, and

32 therapeutic devices; and

33  (2) Has either:

34                       (A) A certificate of full independent practice authority

35 under � 17-87-314; or

36                       (B) A collaborative practice agreement with a practicing

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1 physician who is licensed under the Arkansas Medical Practices Act, � 17-95-

2 201 et seq., � 17-95-301 et seq., and � 17-95-401 et seq., or a podiatrist

3 licensed by the Arkansas Board of Podiatric Medicine under � 17-96-101 et

4 seq., if employed by the podiatrist, and one (1) of the following healthcare

5 professionals who has training in scope, specialty, or expertise to that of

6 the advanced practice registered nurse on file with the Arkansas State Board

7 of Nursing:

8                           (i) A practicing physician who is licensed under the

9 Arkansas Medical Practices Act, � 17-95-201 et seq., � 17-95-301 et seq., and

10 � 17-95-401 et seq.;

11                          (ii) A podiatrist licensed by the Arkansas Board of

12 Podiatric Medicine under � 17-96-101 et seq., if employed by the podiatrist;

13 or

14                          (iii) An advanced practice registered nurse who has

15 a certificate of full independent practice authority under � 17-87-314.

16     (b)(1) An advanced practice registered nurse with a certificate of

17 prescriptive authority may receive and prescribe drugs, medicines, or

18 therapeutic devices appropriate to the advanced practice registered nurse's

19 area of practice in accordance with rules established by the Arkansas State

20 Board of Nursing.

21             (2)(A) An advanced practice registered nurse's prescriptive

22 authority shall extend only to drugs listed in Schedules III -- V and, if

23 expressly authorized by the collaborative practice agreement, also to those

24 hydrocodone combination products reclassified from Schedule III to Schedule

25 II as of October 6, 2014.

26                    (B) An advanced practice registered nurse's prescriptive

27 authority also extends to drugs listed in Schedule II if:

28                          (i) The prescription is for an opioid and the

29 prescription is only for a five-day period or less; or

30                          (ii)(a) The prescription is for a stimulant.

31                            (b) A prescription for a stimulant shall meet

32 the following criteria:

33                            (1) The prescription was originally

34 initiated by a physician;

35                            (2) The physician has evaluated the

36 patient within six (6) months before the advanced practice registered nurse

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1 issues a prescription; and

2                              (3) The prescription by the advanced

3 practice registered nurse is to treat the same condition as the original

4 prescription.

5                (B) The Arkansas State Board of Nursing shall adopt rules

6 for safe and appropriate prescribing of stimulant medications listed in

7 Schedule II.

8   (3)(A) The Arkansas State Board of Nursing shall promptly adopt

9 rules applicable to an advanced practice registered nurse that are consistent

10 with the Arkansas State Medical Board's rules governing the prescription of

11 dangerous drugs and controlled substances.

12               (B) Before approval of the Arkansas State Board of

13 Nursing's rules, the Arkansas State Medical Board shall review the proposed

14 rules and verify that the proposed rules are consistent with the Arkansas

15 State Medical Board's rules concerning the prescription of dangerous drugs

16 and controlled substances.

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