(A)Subject to division (B) of this section, a certified mental health assistant may prescribe to a patient a controlled substance only if the controlled substance is one of the following:
(1)Buprenorphine, but only for a patient that is actively engaged in opioid use disorder treatment;
(2)A benzodiazepine, but only in the following circumstances:
(a)For a patient diagnosed by the supervising physician as having a chronic anxiety disorder;
(b)For a patient with acute anxiety or agitation, but only in an amount indicated for a period not to exceed seven days.
(3)A stimulant that has been approved by the federal food and drug administration for the treatment of attention deficit hyperactivity disorder, but only if the supervising physician has diagnosed the patient with, or confir
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(A) Subject to division (B) of this section, a certified mental health assistant may prescribe to a patient a controlled substance only if the controlled substance is one of the following:
(1) Buprenorphine, but only for a patient that is actively engaged in opioid use disorder treatment;
(2) A benzodiazepine, but only in the following circumstances:
(a) For a patient diagnosed by the supervising physician as having a chronic anxiety disorder;
(b) For a patient with acute anxiety or agitation, but only in an amount indicated for a period not to exceed seven days.
(3) A stimulant that has been approved by the federal food and drug administration for the treatment of attention deficit hyperactivity disorder, but only if the supervising physician has diagnosed the patient with, or confirmed the patient's diagnosis of, attention deficit hyper activity disorder.
(B) Except as provided in division (C) of this section, a certified mental health assistant licensed under this chapter who has been granted physician-delegated prescriptive authority by the physician supervising the certified mental health assistant shall comply with all of the following as conditions of prescribing a controlled substance identified in division (A) of this section as part of a patient's course of treatment for a particular condition:
(1) Before initially prescribing the drug, the certified mental health assistant or the certified mental health assistant's delegate shall request from the drug database a report of information related to the patient that covers at least the twelve months immediately preceding the date of the request. If the certified mental health assistant practices primarily in a county of this state that adjoins another state, the certified mental health assistant or delegate also shall request a report of any information available in the drug database that pertains to prescriptions issued or drugs furnished to the patient in the state adjoining that county.
(2) If the patient's course of treatment for the condition continues for more than ninety days after the initial report is requested, the certified mental health assistant or delegate shall make periodic requests for reports of information from the drug database until the course of treatment has ended. The requests shall be made at intervals not exceeding ninety days, determined according to the date the initial request was made. The request shall be made in the same manner provided in division (B)(1) of this section for requesting the initial report of information from the drug database.
(3) On receipt of a report under division (B)(1) or (2) of this section, the certified mental health assistant shall assess the information in the report. The certified mental health assistant shall document in the patient's record that the report was received and the information was assessed.
(C) Division (B) of this section does not apply in any of the following circumstances:
(1) A drug database report regarding the patient is not available, in which case the certified mental health assistant shall document in the patient's record the reason that the report is not available.
(2) The drug is prescribed in an amount indicated for a period not to exceed seven days.
(3) The drug is prescribed to a hospice patient in a hospice care program, as those terms are defined in section3712.01of the Revised Code, or any other patient diagnosed as terminally ill.
(4) The drug is prescribed for administration in a hospital, nursing home, or residential care facility.
(5) If the state board of pharmacy no longer maintains the drug database.
(D) The state medical board shall adopt rules in accordance with Chapter 119. of the Revised Code to implement this section, including both of the following:
(1) Standards and procedures to be followed by a certified mental health assistant who has been granted physician-delegated prescriptive authority regarding the review of patient information available through the drug database under division (A)(5) of section4729.80of the Revised Code.
The rules adopted under this division do not apply if the state board of pharmacy no longer maintains the drug database.
(2) Standards and procedures to be followed by a certified mental health assistant in the use of buprenorphine for use in medication-assisted treatment, including regarding detoxification, relapse prevention, patient assessment, individual treatment planning, counseling and recovery supports, diversion control, and other topics selected by the board after considering best practices in medication-assisted treatment.
The board may apply the rules to all circumstances in which a certified mental health assistant prescribes drugs for use in medication-assisted treatment or limit the application of the rules to prescriptions for medication-assisted treatment issued for patients being treated in office-based practices or other practice types or locations specified by the board.
The rules adopted under this division shall be consistent with this chapter and, to the extent consistent with this chapter, rules adopted under sections4723.51,4730.55, and4731.056of the Revised Code.
Last updated April 8, 2025 at 3:56 PM