Effective Date of Rule: Thirty-one days after filing.

     Purpose: The nursing care quality assurance commission (NCQAC) adopted this rule to implement chapter 28, Laws of 2005. This legislation rescinded the requirement for advanced registered nurse practitioners (ARNPs) to have a joint practice arrangement (JPA) with a physician or osteopathic physician when prescribing drugs listed on Schedules II through IV.

     Citation of Existing Rules Affected by this Order: Repealing WAC 246-840-421, 246-840-422, 246-840-423, 246-840-424, 246-840-426 and 246-840-427; and amending WAC 246-840-420.

     Statutory Authority for Adoption: RCW 18.79.240 and chapter 28, Laws of 2005.

      Adopted under notice filed as WSR 05-17-044 on August 9, 2005.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.

     Date Adopted: November 4, 2005.

Judith D. Personnett, Ed.D, RN, Chair

Nursing Care Quality Assurance

OTS-8157.2

AMENDATORY SECTION(Amending WSR 97-13-100, filed 6/18/97, effective 7/19/97)

WAC 246-840-420   Authorized prescriptions by the ARNP with prescriptive authority.   (1) Prescriptions for drugs ((shall)) must comply with all applicable state and federal laws.

     (2) The prescriber must sign all prescriptions ((shall be signed by the prescriber with)) and include the initials ARNP.

     (3) ((Prescriptions for)) An ARNP may not, under RCW 18.79.240(1) and chapter 69.50 RCW, prescribe controlled substances in Schedule((s)) I ((through IV are prohibited by RCW 18.79.240 (1)(r))).

     (4) Any ARNP with prescriptive authorization who prescribes ((Schedule V)) controlled substances ((shall)) must register with the drug enforcement administration.

[Statutory Authority: Chapter 18.79 RCW. 97-13-100, § 246-840-420, filed 6/18/97, effective 7/19/97.]

     The following sections of the Washington Administrative Code are repealed:

WAC 246-840-421	How do advanced registered nurse practitioners qualify for prescriptive authority for Schedule II - IV drugs?
WAC 246-840-422	Criteria for joint practice arrangement.
WAC 246-840-423	Endorsement of joint practice arrangements for ARNP licensure.
WAC 246-840-424	Process for joint practice arrangement termination.
WAC 246-840-426	Education for prescribing Schedule II - IV drugs.
WAC 246-840-427	Jurisdiction.