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U. S. Pain Policy Resources
Database of State Statutes, Regulations, and
Other Official Governmental Policies


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@med.wisc.edu if we are missing any policies that have been adopted in your state.  

Organization
Policy Title
Date
Federation of State Medical Boards

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


05/2004

Model Guidelines for the Use of Controlled Substances for the Treatment of Pain (superceded by the Model Policy above, May 2004) 05/02/98
Position of the FSMB in Support of the Adoption of Pain Management Guidelines
02/23/00
National Association of State
Controlled Substances Authorities
Endorsement of Federation's Model Guidelines
10/29/99
Drug Enforcement Administration The Drug Enforcement Administration and Proposed Model Guidelines for the Use of Controlled Substances in Pain Management
03/17/98
National Association of Boards of Pharmacy Letter Endorsing Federation's Model Guidelines
03/26/01

Click a state on the map to take you to its policies, or scroll through the table below

Illinois New Hampshire Massachusetts Connecticut

Legend

 
 

AL | AK | AZ | AR | CA | CO | CT | DE |DC| FL | GA | HI | ID | IL | IN | IA | KS | KY | LA | ME | MD | MA | MI | MN | MS | MO | MT | NE | NV | NH | NJ | NM | NY | NC | ND | OH | OK | OR | PA | RI | SC | SD | TN | TX | UT | VT | VA | WA | WV | WI | WY

State
Policy Type
Policy Reference
Effective Date
Amended Date

AL

Medical Board Regulation 540-X-4-.08: Guidelines for the Use of Controlled Substances for the Treatment of Pain
01/24/00
--
AK Nursing Board Policy Statement

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

01/20/09

 
AZ

Medical Board Guideline

The Guidelines for the Use of Controlled Substances for the Treatment of Chronic Pain

June 2003

--

Osteopathic Board Guideline

Guidelines: The Prescribing of Controlled Substances for the Treatment of Pain Management
01/22/00
--
Nursing Board Guideline Advisory Opinion: The Use Of Controlled Substances For The Treatment Of Chronic Pain
09/24/04
01/2009
AR

Intractable Pain Treatment Act

Chronic Intractable Pain Treatment Act

04/16/03

--

Medical Board Regulation

Regulation 2(6)

03/13/97

12/03/98

CA Intractable Pain Treatment Act § 2241.5. Administration of Controlled Substances to Person Experiencing Pain, Including "Intractable Pain"
01/01/07
--

Pain Patient's Bill of Rights

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

10/10/97

--

Medical Board Policy Statement A Statement by the Medical Board
07/01/94
--
Medical Board Guideline Guidelines for Prescribing Controlled Substances for Pain
1994
2007
Pharmacy Board Policy Statement Dispensing Controlled Substances for Pain
1996
--
Nursing Board Policy Statement Pain Management Policy
04/1994
03/1999

CO

Controlled Substances Act 18-18-308: Prescriptions
07/01/96
--
Intractable Pain Treatment Act 12-36-117: Unprofessional Conduct
08/06/97
--
Medical Board Guideline Policy for the Use of Controlled Substances for the Treatment of Pain
05/16/96
07/01/10
CT

Medical Board Policy Statement

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

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
12/20/06
 
DE Medical Board Guideline Model Policy for the Use of Controlled Substances for the Treatment of Pain
06/02/09
--
DC Medical Board Regulation

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

02/10/06
--
FL Civil Rights Act, Health Care Advance Directives 765.1103: Pain Management and Palliative Care
2002
--

Medical Board Regulation

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

12/21/99

--

Osteopathic Board Regulations 64B15-14.005 Standards for the Use of Controlled Substances for Treatment of Pain
03/09/00
11/14/06
Pharmacy Board Regulation 64B16-27.831 Standards of Practice for the Dispensing of Controlled Substances for Treatment of Pain
08/29/02
02/24/03
Joint Board Policy Statement Joint Policy Statement of the Florida Boards of Medicine, Nursing, Osteopathic Medicine, and Pharmacy
09/19/05
 
GA Medical Board Rules

Rule 360-3-.02 Unprofessional Conduct Defined

2011  
Medical Board Guideline Guidelines for the Use of Controlled Substances for the Treatment of Pain: Ten Steps
01/11/08
--
HI

Pain Patient's Bill of Rights

327H-1. Pain Patient's Bill of Rights; Findings

07/01/04

--
Medical Board Guideline Pain Management Guidelines
01/2006
 
ID

Medical Board Guideline

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

03/04/95

08/26/05
Nursing Board Policy Statement National Council of State Boards of Nursing Statement on the Regulatory Implications of Pain Management
10/25/07
 
IL No policies found

--

--
--
IN No policies found

--

--
--

IA

Medical Board Regulation 653 IAC 13.2: Standards of Practice - Prescribing or Administering Controlled Substances for the Treatment of Patients with Chronic, Nonmalignant or Intractable Pain
06/25/97
06/26/02
Pharmacy Board Policy Statement The Treatment of Pain
02/12/02
--
Joint Board Policy Statement A Joint Statement on Pain by the Iowa Boards of Medicine, Nursing, Pharmacy and Physician Assistants
01/21/09
--
KS

Medical Board Guideline

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

10/17/98

--

Nursing Board Guideline Guideline for Pain Management
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
07/17/02
--
KY Medical Board Policy Statement Opinion Regarding the Use of Controlled Substances in Pain Treatment

03/22/01

10/10/08
LA Medical Board Regulation LAC46:XLV.6915-.6923: Medications Used in the Treatment of Noncancer-Related Chronic or Intractable Pain
05/21/97
04/20/00
ME Joint Rule Chapter 21: Use of Controlled Substances for Treatment of Pain
06/13/10
--
MD

Medical Board Guideline

Prescribing Controlled Substance

03/01/96

--
Nursing Board Guideline Pain Management Nursing Role/Core Competency: A Guide for Nurses
--
--
MA

Medical Board Guideline

Prescribing Practices, Policy and Guidelines - Management of Pain

05/03/89

12/12/01

Medical Board Guideline Model Policy for the Use of Controlled Substances for the Treatment of Pain
12/12/01
12/15/04
Pharmacy Board Policy Statement 2009-01: Policy on the Management of Pain
03/31/09
08/16/01
Nursing Board Policy Statement Advisory Ruling on the Management of Pain
02/11/09
11/11/10

MI

Public Health Statute

Public Health Code MSA 14.15: General Provisions

04/01/99

01/08/02

Pharmacy Board Guideline Guidelines for the Use of Controlled Substances for the Treatment of Pain
2005
--
Nursing BoardGuideline Michigan Board of Nursing Guidelines for the Use of Controlled Substances for the Treatment of Pain
--
--
Joint Board Guideline Michigan Guidelines for the Use of Controlled Substances for the Treatment of Pain & accompanying statement
late 2003
--
MN

Intractable Pain Treatment Act

Controlled Substances Act 152.125: Intractable Pain

05/09/97

--

Medical Board Guideline Policy for the Use of Controlled Substances for the Treatment of Pain
11/10/07
--
Joint Board Policy Statement Joint Statement on Pain Management
Aug. 2004
Dec 2009
MS Medical Board Regulation
Use of Controlled Substances for Chronic (Non-Terminal) Pain
04/18/99

10/14/04

Medical Board Policy Statement Pain, Pain Management and Mississippi State Board of Medical Licensure Scrutiny
1997
--
MO Intractable Pain Treatment Act Medical Practice Act 334.105-107: Intractable Pain Treatment Act
8/28/95

--

Medical Board Guideline Palliative Care Guidelines
01/2001
--
Medical Board Guideline Missouri Guidelines for the Use of Controlled Substances for the Treatment of Pain
01/2007
--
Joint Board Policy Statement Joint Statement on Pain Management by the Missouri Board of Healing Arts, Board of Nursing and Board of Pharmacy 12/2008 --
MT

Medical Board Guideline

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

01/23/09

03/27/09

Joint Board Policy Statement Statement of the Prescribing and Filling of Controlled Substances in the Treatment of Chronic Pain
07/27/02
--
NE Public Health Statute
Public Health and Welfare; Article 24: Drugs;(D) Pain Management
03/30/99

--

Medical Board Guideline Guidelines for the Use of  Controlled Substances for the Treatment of Pain
02/07/99
06/03/05
Pharmacy Board Statute 71-2418 - 71-2420 Statutes Pertaining to Pain Management with Drugs 12/01/08  
NV Medical Practice Statute NRS 630.3066: Prescribing or Administering Amygdalin, Procaine Hydrochloride, or Certain Controlled Substances for the Treatment of Intractable Pain Not Grounds for Initiating Disciplinary Action
07/02/95

--

Medical Board Regulation NAC 630.255: Intractable Pain
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
07/19/00
--
NH Medical Board Guideline Guidelines for the Use of Controlled Substances in the Management of Chronic Pain

05/11/00

03/08/09

NJ Medical Board Regulation

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

11/03/97

--

NM

Health and Safety Statute

N.M. Stat Ann. 24-2D-1 to 24-2D-6: Pain Relief Act

02/01/96

--

Medical Board Regulation Management of Chronic Pain with Controlled Substances
01/20/03
04/03/05
Joint Board Policy Statement Joint Statement on the Management of Chronic Pain
05/05/05
--
Nursing Board Regulation Management of Chronic Pain with Controlled Substances 02/17/06  
NY

Medical Board Policy Statement

Pain Management: A Guide for Physicians

08/2007

--
NC Medical Board Policy Statement Policy for the Use of Controlled Substances for the Treatment of Pain
09/13/96

09/2008

Medical Board Policy Statement End-of-Life Responsibilities and Palliative Care
10/21/99
03/2008
Joint Board Policy Statement Joint Statement on Pain Management in End-of-Life Care
10/21/99
01/2011
ND

Controlled Substances Statute

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

08/01/95

03/14/05

Nursing Board Policy Statement Role of the Nurse in Pain Management
05/2006
11/2010
OH Intractable Pain Treatment Act Medical Practice Act  ORC 4731.052: Management of Intractable Pain with Dangerous Drugs
10/14/97

--

Medical Board Regulation OAC 4731-21-01 to 4731-21-06: Drug Treatment of Intractable Pain
11/11/98
--
OK

Controlled Substances Statute

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

11/1/98

--

Medical Board Regulation 435:10-7-11. Use of Controlled Substances for the Management of Chronic Pain
05/14/99
06/25/05
Medical Board Policy Statement Use of Controlled Substances for the Treatment of Pain
03/10/05
--
Osteopathic Rules Subchapter 9: 510: 5-9-1: Prescribing for Intractable Pain 06/25/99  
OR

Pain Treatment Act

ORS § 677.470-677.480: Pain Treatment Act

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"
07/26/96
--
Medical Board Policy Statement Current Statement of Philosophy on Pain Management
04/16/99
04/08/11
Pharmacy Board Poicy Statement Position Statement on the Treatment and Management of Pain
06/06
--
Nursing Board Policy Statement Oregon State Board of Nursing Position Statement for Pain Management
06/17/04
Joint Board Policy Statement Oregon Pain Management Commission Joint Statement on Pain Management
09/15/06
--
PA Medical Board Guideline Guidelines on the Use of Controlled Substances in the Treatment of Pain
10/20/98

--

RI

Intractable Pain Treatment Act 5-37.4-1 to 5-37.4-3: The Intractable Pain Treatment Act
07/01/97
8/01/05
Medical Board Guideline
Guidelines for Long Term Pain Management
05/10/95

--

SC

Medical Board Guideline

Pain Management Guidelines

07/2009
Joint Board Policy Statement Joint Position Statement on Pain Management for The South Carolina Board of Nursing and The South Carolina Board of Pharmacy
07/09
 
SD Medical Board Guideline

The Federation of State Medical Boards of the United States, Inc Model Policy for the Use of Controlled Substances for the Treatment of Pain

01/99
--
TN Intractable Pain Treatment Act

Tenn. Code Ann. 63-6-1101 - 63-6-1109

06/02/01

--

Medical Board Regulation 0880-2-.14 Authority of Physician to Prescribe for the Treatment of Pain
06/30/99

07/01/06

Osteopathic Board Regulation 1050-2-.13 Specifically Regulated Areas And Aspects Of Medical Practice
01/24/00
08/11/03
Medical Board Policy Statement Policy: Management of Prescribing with an Emphasis on Addictive or Dependence-Producing Drugs
09/19/95
--
TX

Intractable Pain Treatment Act

Tex.Rev.Civ.Stat.Art.4495c: Intractable Pain Treatment Act

11/01/89

04/01/05

Medical Board Regulation 22 TAC 170.1-170.3: Authority of Physician to Prescribe for the Treatment of Pain
01/04/07
--
Pharmacy Board Policy Statement Position Statement on the Treatment of Pain
08/29/01
--
UT

Medical Board Guideline

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

02/10/99

--

Professional Board Regulation R156-1-502. Unprofessional Conduct
--
--
VT Medical Board Guideline Model Policy for the Use of Controlled Substances for the Treatment of Pain
12/7/05

--

VA

Medical Board Guideline

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

06/24/04

--

WA Medical Board Rules Pain Management Rules 06/10/10  

Medical Board Regulation

WAC 246-919-800, 810, 820, 830: Pain Management

12/18/99

--

Osteopathic Board Rules Pain Management Rules
07/01/11
--
Nursing Board Rules Advanced Practice - Pain Management Rules 07/02/11  
WV

Intractable Pain Treatment Act

30-3A: Management of Intractable Pain

06/12/98

06/06/02

Medical Board Policy Statement Policy for the Use of Controlled Substances for the Treatment of Pain
01/10/05
05/10/10
Joint Board Policy Statement West Virginia Boards of Examiners for Registered Nurses, Medicine, Osteopathy, and Pharmacy Joint Policy on Pain Management at the End of Life
03/12/01
--
WI

Controlled Substances Statute

961.001: Uniform Controlled Substance Act Declaration of Intent, 961.38 Prescriptions

06/24/96

--

Medical Board Policy Statement Position Statement on Pain Management
03/14/07
--
Pharmacy Board Policy Statement Position Statement on the Treatment of Pain
12/07/05
--
Nursing Board Policy Statement Pain Management
04/19/07
--
WY

Medical Board Policy Statement

Letter to the Wyoming Physicians

02/13/09

--

Joint Board Policy Statement Wyoming Health Care Licensing Boards’ Uniform Policy for the Use of Controlled Substances in the Treatment of Pain
02/13/09
--

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Last updated: April 12, 2012

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