Database of Statutes, Regulations, & Other Policies for Pain Management

For those new to this area, please see our glossary for laws (statutes & regulations), guidelines, and schedules of controlled substances.  

Note:  Please contact the PPSG at ppsg@uwcarbone.wisc.edu if we are missing any policies that have been adopted in your state.

 

Organization

Policy

Date

Federation of State Medical Boards

 
  • Model Policy on the Use of Opioid Analgesics in the Treatment of Chronic Pain
    this new policy supercedes the 2004 policy below
  (PDF)   July 2013

 

  • Model Policy for the Use of Controlled Substances for the Treatment of Pain 

 

(PDF)

 

May 2004

  • Model Guidelines for the Use of Controlled Substances for the Treatment of Pain (superceded by the Model Policy above, May 2004)

 

(PDF)

 

May 1998

  • Position of the FSMB in Support of the Adoption of Pain Management Guidelines 

 

(PDF)

 

February 2000

National Association of State Controlled Substances Authorities

 

  • Endorsement of Federation's Model Guidelines 

 

(PDF)

 

October 1999

Drug Enforcement Administration

 

  • The Drug Enforcement Administration and Proposed Model Guidelines for the Use of Controlled Substances in Pain Management 

 

(PDF)

 

March 1998

National Association of Boards of Pharmacy

 

  • Letter Endorsing Federation's Model Guidelines 

 

(PDF)

 

March 2001

 

State

Policy Type & Reference

Effective Date

 

Most Recent Amended or Effective Date

Alabama

 
  • Pain Management Act
    • 34-24-600 to 34-24-610
  (PDF)   05/08/13    

 

  • Medical Board Regulation

    • 540-X- 4-.08: Requirements for the Use of Controlled Substances for the Treatment of Pain

 

(PDF)

 

01/19/00

 

12/19/13

 
  • Medical Board Regulation

    • 540-X-19-.09. Requirements For The Use Of Controlled Substances For The Treatment Of Pain

  (PDF)   12/29/13    

Alaska

 
  • Medical Board Guideline

    • Prescribing Controlled Substances

  (PDF)   08/93   11/07/15

 

  • Nursing Board Policy Statement

    • The Use of Controlled Substances for the Treatment of Pain by Advanced Nurse Practitioner

 

(PDF)

 

01/20/09

 

--

Arizona

 

  • Medical Board Guideline

    • Reference for Physicians on the Use of Opioid Analgesics in the Treatment of Chronic Pain, in the Office Setting

 

(PDF)

 

2015

--

  • Osteopathic Board Guideline

    • ​Guidelines: The Prescribing of Controlled Substances for the Treatment of Pain Management

 

(PDF)

 

01/22/00

02/22/14

  • Nursing Board Guideline

    • Advisory Opinion: The Use Of Controlled Substances For The Treatment Of Chronic Pain

 

(PDF)

 

09/24/04

07/19/12

Arkansas

 

  • Intractable Pain Treatment Act

    • Chronic Intractable Pain Treatment Act

 

(PDF)

 

07/16/03

08/12

  • Medical Board Regulation

    • Regulation 2(6)

 

(PDF)

 

03/13/97

07/08/12

California

 

  • Intractable Pain treatment Act

    • § 2241.5. Administration of Controlled Substances to Person Experiencing Pain, Including "Intractable Pain"

 

(PDF)

 

01/01/07

--

  • Pain Patient's Bill of Rights

    • 124960: Legislative Findings and Declarations: Pain Patient's Bill of Rights

 

(PDF)

 

10/10/97

01/01/12
  • Medical Board Guideline

    • Guidelines for Prescribing Controlled Substances for Pain

 

(PDF)

 

11/14

--

  • Osteopathic Board Guideline

    • Guidelines for Prescribing Controlled Substances for Pain (adopted by reference)

  (PDF)   05/07/15  
  • Nursing Board Policy Statement

    • Pain Assessment: The Fifth Vital Sign

 

(PDF)

 

Spring/2000

 

Colorado

 

  • Controlled Substances Act

    • 18-18-308: Prescriptions

 

(PDF)

 

07/01/96

--

  • Intractable Pain treatment Act

    • 12-36-117: Unprofessional Conduct

 

(PDF)

 

08/06/97

--

  • Medical Board Guideline

    • Guidelines Regarding the Treatment of Terminally Ill Patients

 

(PDF)

 

11/12/98

07/01/10

 
  • Joint Board Policy
    • Policy for Prescribing and Dispensing Opioids
  (PDF)   N/A --

Connecticut

 

  • Medical Board Policy Statement

    • Statement of the Connecticut Medical Examining Board on the Use of Controlled Substances for the Treatment of Pain

 

(PDF)

 

02/15/05

06/21/05

  • Nursing Board Policy Statement

    • Statement of the Connecticut Board of Examiners for Nursing On the Use of Controlled Substances for the Treatment of Pain

 

(PDF)

 

12/20/06

--

Delaware

 

  • Medical Board Regulation

    • Section 18.0 Use of Controlled Substances for the Treatment of Pain

 

(PDF)

 

06/01/12

04/11/13

District of Columbia

 

  • Medical Board Regulation

    • Section 17-4614. Standards for the Use of Controlled Substances for the Treatment of Pain

 

(PDF)

 

02/10/06

03/02/12

 
  • Medical Board Guideline

    • Model Policy on the Use of Opioid Analgesics in the Treatment of Chronic Pain (adopted by reference)

  (PDF)   02/12/15  

Florida

 

  • Health Professions and Occupations

    • 456.44: Controlled substance prescribing

 

(PDF)

 

07/01/11

07/01/12

  • Medical Board Regulation

    • 64B8-9.013: Standards for the Use of Controlled Substances for the Treatment of Pain

 

(PDF)

 

12/21/99

10/17/10

  • Osteopathic Board Regulations

    • 64B15-14.005 Standards for the Use of Controlled Substances for Treatment of Pain

 

(PDF)

 

03/09/00

11/10/11

Georgia

 

  • Medical Board Rules

    • Rule 360-3-.06 Pain Management

 

(PDF)

 

02/02/12

11/05/13

 
  • Medical Board Guideline

    • Guidelines for the Use of Controlled Substances for the Treatment of Pain: Ten Steps

  (PDF)   01/11/08  

Hawaii

 

  • Pain Patient's Bill of Rights

    • 327H-1 - 2. Pain Patient's Bill of Rights:  Findings

 

(PDF)

 

07/01/04

05/30/08

  • Medical Board Guideline

    • Pain Management Guidelines

 

(PDF)

 

01/2006

--

Idaho

 

  • Medical Board Guideline

    • Idaho Board of Medicine Policy for the Use of Opioid Analgesics in the Treatment of Chronic Pain

 

(PDF)

 

09/06/13

 

  • Nursing Board Policy Statement

    • National Council of State Boards of Nursing Statement on the Regulatory Implications of Pain Management

 

(PDF)

 

10/25/07

--

 
  • Nursing Board Guidance

    • Pain Management Guidance for the Licensed Nurse

  (PDF)   11/11 --

Illinois

 

  • No Policies Found

 

 

 

 

 

Indiana

 

  • Medical Board Regulation

    • ​844 IAC 5-6 Opioid Prescribing Requirements

 

(PDF)

 

11/01/14

 

Iowa

 

  • Medical Board Regulation

    • 653 IAC 13.2: Standards of Practice - appropriate pain management

 

(PDF)

 

08/17/11

--

  • Joint Board Policy Statement

    • A Joint Statement on Pain by the Iowa Boards of Medicine, Nursing, Pharmacy and Physician Assistants

 

(PDF)

 

08/08 & 01/09

--

Kansas

 

  • Medical Board Guideline

    • Guidelines for the Use of Controlled Substances for the Treatment of Pain

 

(PDF)

 

10/17/98

--

  • Nursing Board Guideline

    • Guideline for Pain Management

 

(PDF)

 

07/11/01

--

  • Joint Board Policy Statement

    • Joint Policy Statement of the Kansas Boards of Healing Arts, Nursing and Pharmacy on the Use of Controlled Substances for the Treatment of Pain

 

(PDF)

 

07/17/02

--

 
  • Pain Patient's Quality of Care Act
  (PDF)   2006  

Kentucky

 
  • Medical Board Regulation
    • 201 KAR 9:260 Professional Standards for Prescribing and Dispensing Controlled Substances
  (PDF)   03/04/13  

Louisiana

 

  • Medical Board Regulation

    • LAC46:XLV.6915-.6923: Medications Used in the Treatment of Noncancer-Related Chronic or Intractable Pain

 

(PDF)

 

05/21/97

04/20/00

Maine

 

  • Joint Rule

    • Chapter 21: Use of Controlled Substances for Treatment of Pain

 

(PDF)

 

06/13/10

--

Maryland

 
  • Medical Board Guideline

    • Prescribing Controlled Substances

  (PDF)   03/01/96  

 

 

  • Nursing Board Guideline

    • Pain Management Nursing Role/Core Competency: A Guide for Nurses

 

(PDF)

 

--

--

Massachusetts

 

 

 

 

  • Pharmacy Board Policy Statement

    • 2009-01: Policy on the Management of Pain

 

(PDF)

 

03/31/09

08/16/11

  • Nursing Board Policy Statement

    • Advisory Ruling on the Management of Pain

 

(PDF)

 

02/11/09

12/10/14

Michigan

 

 

 

 

  • Public Health Statute

    • 333.16204a - 16204d

 

(PDF)

 

04/01/99

01/03/02

  • Pharmacy Board Guideline

    • Guidelines for the Use of Controlled Substances for the Treatment of Pain

 

(PDF)

 

2005

--

  • Nursing Board Guideline

    • Michigan Board of Nursing Guidelines for the Use of Controlled Substances for the Treatment of Pain

 

(PDF)

 

--

--

  • Joint Board Guideline

    • Michigan Guidelines for the Use of Controlled Substances for the Treatment of Pain & accompanying statement

 

(PDF)

 

2003

--

Minnesota

 

 

 

  • Intractable Pain Treatment Act

    • Controlled Substances Act 152.125: Intractable Pain

 

(PDF)

 

05/09/97

--

  • Medical Board Guideline

    • Model Policy for the Use of Controlled Substances for the Treatment of Pain

 

(PDF)

 

04/26/05

 

  • Joint Board Policy Statement

    • Joint Statement on Pain Management

 

(PDF)

 

8/2004

12/30/15

Mississippi

 

  • Medical Board Regulation

    • 30-17-2640:1.7 Use of Controlled Substances for Chronic (Non-Terminal) Pain

 

(PDF)

 

08/16/12

10/24/13

 
  • Medical Board Regulation

    • 30-17-2640:1.15 Pain Management Medical Practice

 

(PDF)

  08/16/12 08/09/14

Missouri

 

 

 

 

  • Intractable Pain Treatment Act

    • Medical Practice Act 334.105-107

 

(PDF)

 

08/28/95

--

Montana

 

 

  • No Policies Found

 

 

 

 

Nebraska

 

 

 

  • Public Health Statute
    • Public Health and Welfare: Article 24: Drugs:(D) Pain Management

 

(PDF)

 

03/30/99

2007

 
  • Medical Board Guideline
    • Guidelines for the Use of Controlled Substances for the Treatment of Pain
  (PDF)   02/07/99 12/14/12

Nevada

 

 

 

  • Medical Board Regulation
    • NAC 630.255: Intractable Pain

 

(PDF)

 

07/18/96

--

  • Medical Board Regulation
    • NAC 630.187: Adoption by Reference of Model Guidelines for the Use of Controlled Substances for the Treatment of Pain

 

(PDF)

 

07/19/00

05/30/12

New Hampshire

 
  • Medical Board Regulations
    • N.H. Admin. Rules Med 501.02(i)
  (PDF)   05/08/13 11/06/15

 

  • Medical Board Guideline
    • Guidelines for the Use of Controlled Substances in the Management of Chronic Pain

 

(PDF)

 

05/11/00

03/08/09

New Jersey

 

  • Medical Board Regulation
    • NJAC 13.35-7.6: Limitations on Prescribing, Administering or Dispensing of Controlled Substances: Special Exceptions for the Management of Pain

 

(PDF)

 

11/03/97

06/06/11

New Mexico

 

 

 

 

  • Health and Safety Statute
    • N.M. Stat Ann. 24-2D-1 to 24-2D-6: Pain Relief Act

 

(PDF)

 

04/05/99

05/16/12

  • Medical Board Regulation
    • 16.10.14 Managment of Pain with Controlled Substances

 

(PDF)

 

01/20/03

02/14/13

  • Joint Board Policy Statement
    • Joint Statement on the Management of Chronic Pain

 

(PDF)

 

06/05/05

--

  • Osteopathic Board Regulation
  • 16.17.5 Prescribing and Distribution of Controlled Substances
  (PDF)   03/16/14 --
  • Nursing Board Regulation
    • 16.12.9.1 Management of Chronic Pain with Controlled Substances

 

(PDF)

 

02/17/06

11/20/12

New York

 
  • Medical Board Policy Statement
    • Pain Management: A Guide for Physicians
  (PDF)   08/07 10/12

North Carolina

 

 

 

  • Medical Board Policy Statement
    • Policy for the Use of Opiates for the Treatment of Pain

 

(PDF)

 

01/15

--

  • Medical Board Policy Statement
    • End-of-Life Pesponsibilities and Palliative Care

 

(PDF)

 

10/21/99

10/14

  • Joint Board Policy Statement
    • Joint Statement on Pain Management in End-of-Live Care

 

(PDF)

 

10/21/99

10/14

North Dakota

 

 

  • Controlled Substances Statute
    • Controlled Substances Act 19-03.3-01 to 19-03.3-06 Controlled Substances for Care & Treatment

 

(PDF)

 

08/01/95

03/14/05

  • Nursing Board Policy Statement
    • Role of the Nurse in Pain Management

 

(PDF)

 

05/2006

10/12

Ohio

 

 

  • Intractable Pain Treatment Act
    • Medical Practice Act ORC 4731.052: Management of Intractable Pain with Dangerous Drugs

 

(PDF)

 

10/14/97

09/10/12

  • Medical Board Regulation
    • OAC 4731-21-01 to 4731-21-06: Drug Treatment of Intractable Pain

 

(PDF)

 

11/11/98

11/30/08

 
  • Joint Guidelines
    • Guidelines for Prescribing Opioids for the Treatment of Chronic, Non-Terminal Pain 80 mg of a Morphine Equivalent Daily Dose (MED) “Trigger Point”
  (PDF)   04/09/13 & 05/09/13 --

Oklahoma

 

 

 

 

  • Controlled Substances Statute
    • 63 Okl. St. 2-551: Appropriate Pain Management - High Doses of Controlled Dangerous Drugs

 

(PDF)

 

11/01/98

--

  • Medical Board Regulation
    • 435:10-7-11. Use of Controlled Substances for the Management of Chronic Pain

 

(PDF)

 

05/14/99

06/25/05

  • Medical Board Policy Statement
    • Use of Controlled Substances for the Treatment of Pain

 

(PDF)

 

03/10/05

--

  • Osteopathic Rules
    • Subchapter 9:510:5-9-1: Prescribing for Intractable Pain

 

(PDF)

 

06/25/99

--

 
  • Medical Board Guidelines
    • Opioid Prescribing Guidelines for
      Oklahoma Health Care Providers in the Office-Based Setting
  (PDF)   12/12/13 --
 
  • Joint Guidelines
    • Oklahoma Emergency Department (ED) and Urgent Care Clinic (UCC)
      Opioid Prescribing Guidelines
  (PDF)   10/21/13 --

Oregon

 

 

 

 

 

 

  • Pain Treatment Act
    • ORS § 677.470.-677.480: Pain Treatment Act

 

(PDF)

 

1995

2007

  • Medical Board Regulation
    • OAR 847-015-0030: Written Notice Disclosing the Material Risks Associated with Prescribed or Administered Controlled Substances for the Treatment of "Intractable Pain"

 

(PDF)

 

07/26/96

11/24/08

  • Medical Board Policy Statement
    • Statement of Philosophy on Pain Management

 

(PDF)

 

01/93

01/13

  • Pharmacy Board Policy Statement
    • Position Statement on the Treatment and Management of Pain

 

(PDF)

 

06/06

--

  • Nursing Board Policy Statement
    • Oregon State Board of Nursing Position Statement for Pain Management

 

(PDF)

 

06/17/04

04/12

Pennsylvania

 

  • Department of State (includes Medical Board)
    • Pennsylvania Guidelines on the Use of Opioids to Treat Chronic Noncancer Pain

 

(PDF)

 

05/15/14

 

Rhode Island

 

 

  • Intractable Pain treatment Act
    • 5-37.4-1 to 5-37.4-3

 

(PDF)

 

07/01/97

06/6/07

 
  • Palliative Care and Quality of Life Act
    • 23-89-3
  (PDF)   2013  
 
  • Department of Health Regulations
    • 14 060 009 Pain Management, Opioid Use and the Registration of Distributors of Controlled Substances in Rhode Island
  (PDF)   12/10/12 03/16/15
 
  • Medical Board Policy
    • Safe Opioid Prescribing
  (PDF)   N/A  

South Carolina

 

  • Joint Board Policy Statement
    • Joint Revised Pain Management Guidelines Approved by the South  Carolina Boards of Medical Examiners, Dentistry and Nursing

 

(PDF)

 

07/2009

11/14

 
  • Joint Board Policy Statement
    • Joint Position Statement on Pain Management for the South  Carolina Board of Nursing and the South Carolina Board of Pharmacy
  (PDF)   06&07/09  

South Dakota

 

  • No Policies Found

 

 

 

 

 

Tennessee

 

 

 

 

  • Medical Board Regulation
    • 0880-2-.14 Specifically Regulated Areas and Aspects of Medical Practice

 

(PDF)

 

06/30/99

07/03/14

  • Osteopathic Board Regulation
    • 1050-2-.13 Specifically Regulated Areas and Aspects of Medical Practice

 

(PDF)

 

01/24/00

07/16/14

 
  • Department of Health Guidelines
    • Tennessee Chronic Pain Guidelines
 

(PDF)

  09/24/14  

Texas

 

 

 

  • Intractable Pain Treatment Act
    • 107.002 - .052

 

(PDF)

 

09/01/03

 

  • Medical Board Regulation
    • 22 TAC 170.1-170.3: Pain Management

 

(PDF)

 

01/04/07

08/04/15

  • Pharmacy Board Policy Statement
    • Position Statement on the Treatment of Pain

 

(PDF)

 

08/29/01

--

Utah

 

 

  • Professional Board Regulation
    • R156-1-502. Unprofessional Conduct

 

(PDF)

 

--

--

 
  • Medical Board Guidelines
    • Model Policy for the Use of Opioid Analgesics in the Treatment of Chronic Pain (adopted by reference)
  (PDF)   N/A  

Vermont

 

  • Medical Board Guideline
    • Policy on the Use of Opioid Analgesics in the Treatment of Chronic Pain

 

(PDF)

 

12/7/05

04/02/14

Virginia

 

  • Medical Board Guideline
    • Guidance on the Use of Opioid Analgesics in the Treatment of Chronic Pain

 

(PDF)

 

06/24/04

10/24/13

Washington

 

 

 

 

  • Medical Board Regulation
    • WAC 246-919-850 - 863 Pain Management

 

(PDF)

 

01/02/12

--

  • Osteopathic Board Rules
    • WAC 246-854-240 - 253 Pain Management

 

(PDF)

 

07/01/11

--

  • Nursing Board Rules
    • WAC 246-840-460 - 493 Advanced Practice - Pain Management

 

(PDF)

 

07/02/11

--

West Virginia

 

 

  • Management of Pain Act
    • 30-3A-2

 

(PDF)

 

06/12/98

07/07/09

  • Medical Board Policy Statement
    • Policy on the Use of Opioid Analgesics in the Treatment of Chronic Pain

 

(PDF)

 

01/10/05

09/09/13

Wisconsin
 
  • Controlled Substances Statute
    • 961.001: Uniform Controlled Substance Act Declaration of Intent, 961.38 Prescriptions
  (PDF)   06/24/96 --
  • Medical Board Guidelines
    • Model Policy for the Use of Opioid Analgesics in the Treatment of Chronic Pain (referenced)
  (PDF)   N/A  
  • Pharmacy Board Policy Statement
    • Position Statement on the Treatment of Pain
  (PDF)   12/07/05 --
  • Nursing Board Policy Statement
    • Pain Management
  (PDF)   04/19/07 --
Wyoming
 
  • Joint Board Policy Statement
    • Wyoming Health Care Licensing Boards' Uniform Policy for the Use of Controlled Substances in the Treatment of Pain
  (PDF)   02/13/09 --