Hawaii PAs Obtain Full Prescriptive Authority

Apr 23, 2015

Hawaii Governor David Ige signed a rule proposal authorizing PAs to prescribe Schedule II controlled substances, now giving Hawaii PAs full prescriptive authority. The Hawaii Academy of Physician Assistants (HAPA) worked closely with the Hawaii Medical Board to achieve this measure and was persistent in expediting the rule adoption after the U.S. Drug Enforcement Administration’s reclassification of hydrocodone combination products from Schedule III to Schedule II.

Full prescriptive authority for PAs is consistent with national standards and best practices and brings Hawaii to having four of AAPA’s Six Key Elements. Forty states and the District of Columbia have full prescriptive authority. The rule also increases the physician/PA ratio from two to four PAs at any one time. AAPA applauds HAPA’s diligent work to obtain these great improvements for PAs in Hawaii.

A PA who has been delegated the authority to prescribe Schedule II – V medications must register with the state’s Narcotics Enforcement Division. The rule revisions became effective April 16.

For more information, please contact Keisha Pitts, AAPA director of constituent organization outreach and advocacy (COOA), at [email protected].