Board Info

If you have any questions regarding the Kentucky Nursing Laws or Kentucky Administrative​ Regulations, contact Morgan Ransdell, General Counsel, at 502-415-3964​ or send a message using the Legal Contact Form

Kentucky Nursing Laws, KRS Chapter 314 (Legislative Research Commission)

Kentucky Administrative Regulations

Pending Regulation Changes Filed With the Legislative Research Commission (LRC)

For each pending regulation summarized below, the associated Adobe PDF document lists: regulation number; title; changes proposed; new or revised material to be incorporated by reference; place, time and date of the scheduled public hearing; the manner in which persons shall submit notification of attending the public hearing or written comments. In addition, all regulations listed below may be reviewed and monitored via the Kentucky Legislative Research Commission website:

• 201 KAR 201:057
• 201 KAR 201:215
• 201 KAR 201:320

Material Incorporated by Reference

Kentucky Board of Nursing

• 201 KAR 20:057
1. AACN Scope and Standards for Acute Care Nurse Practitioner Practice (2017)
2. AACN Scope and Standards for Acute Care Clinical Nurse Specialist Practice (2014)
3. Neonatal Nursing: Scope and Standards of Practice (2013)
4. Nursing: Scope and Standards of Practice (2015)
5. Pediatric Nursing: Scope and Standards of Practice (2015)
6. Psychiatric-Mental Health Nursing: Scope and Standards of Practice (2014)
7. Scope of Practice for Nurse Practitioners (2019)
8. Standards of Practice for Nurse Practitioners (2019)
9. Scope of Nurse Anesthesia Practice (2013)
10. Standards for Nurse Anesthesia Practice (2019)
11. Office Based Anesthesia (2019)
12. Standards for the Practice of Midwifery (2011)
13. Oncology Nursing Scope and Standards of Practice (2019)
14. The Women’s Health Nurse Practitioner: Guidelines for Practice and Education (2014)
15. Definition of Midwifery and Scope of Practice of Certified Nurse-Midwives and Certified Midwives (2012)
16. Standards for Professional Nursing Practice in the Care of Women and Newborns (2019)
17. APRN Prescriptive Authority Notification Form (6/2018)
18. Common CAPA-NS Form (6/2015)


• 201 KAR 20:070
1. Certified List of Kentucky PON Graduates (6/2010)
2. Certified List of Out of State PON Graduates (6/2010)


• 201 KAR 20:215
1. Application for Individual Review (9/2005)
2. Nursing Employment Evaluation Form (6/2016)


• 201 KAR 20:220
  1. Application for Provider Approval (1/2017)
  2. Application for Provider Renewal (1/2017)
  
  
• 201 KAR 20:360
1. Annual Report of the Program of Nursing (10/2018)


• 201 KAR 20:370
1. Application for Licensure (1/2016)
2. Annual Licensure Renewal Application: RN or LPN (2/2021)
3. Application for Licensure as an APRN (1/2016)
4. Annual Licensure Renewal Application: RN and APRN (2/2021)
5. Application for RN and APRN Licensure (1/2016)
6. Application for Retired Status (8/2004)
7. Annual Licensure Renewal Application: APRN with RN Compact License (Not KY) (2/2021)
8. Annual Licensure Renewal Application: APRN with Kentucky RN License (2/2021)
9. APRN Practice Data (6/2012)


• 201 KAR 20:390
1. NISF Application (12/2001)
2. NISF Request for Deferral (10/1996)
3. NISF Contract (10/2013)
4. NISF Promissory Note (10/2013)


• 201 KAR 20:411
1. Application for Initial or Continued SANE Course Approval (10/2018)
2. SANE Application for Credential (10/2018)
3. Annual Credential Renewal Application: SANE Credential with RN in KY (2/2021)
4. Annual Credential Renewal Application: SANE with RN Compact License (Not KY) (2/2021)
5. Sexual Assault Nurse Examiner (SANE) Education Guidelines (2018)


• 201 KAR 20:470
1. Application for DT Training Program Approval (6/2006)
2. Application for DT Credential (1/2016)
3. Application for Renewal of DT Credential (5/2018)
4. Checklist for DT Competency Validation (9/2007)
5. DT Training Program Guide (8/2001)
6. List of DT Training Program Graduates (9/2007)


• 201 KAR 20:490
1. Policies and Procedures for Infusion Nursing (5th ed. 2016)
2. Infusion Nursing: Standards of Practice (2016)


• 201 KAR 20:506
1. Interstate Commission of Nurse Licensure Compact Administrators, Final Rules (1/2021)
2. Interstate Commission of Nurse Licensure Compact Administrators, Bylaws (8/2017)


• 201 KAR 20:600
1. Midwives Alliance of North America Core Competencies (12/2014)
2. Standards and Qualifications for the Art and Practice of Midwifery, MANA (10/2005)


• 201 KAR 20:620
1. Certified Professional Midwife Application for Licensure (1/2020)
2. Certified Professional Midwife Licensure Renewal Application (1/2020)


• 201 KAR 20:660
1. LCPM Incident Report (1/2020)
2. LCPM Annual Report Form (12/2020)


• 201 KAR 20:670
1. Informed Refusal Form (1/2020)

201 KAR 20:065

201 KAR 20:065 Professional standards for prescribing Buprenorphine-MonoProduct or Buprenorphine-Combined-with-Naloxone by APRNs for medication assisted treatment (“MAT”) for opioid use disorder. On December 17, 2020, the Kentucky Board of Nursing (KBN) decided to seek promulgation of regulation amendments that: (1) modify the definition of consultation; (2) allow lab test results [blood count (CBC), a comprehensive quantitative drug screen, liver function tests, a complete metabolic panel (CMP), HIV screening, and hepatitis serology] to be reviewed within thirty (30) days after induction; (3) allow patient consent for the release of prior medical records to be obtained within thirty (30) days after induction; (4) require a pregnancy test recommendation only in the case of a female patient of childbearing age, and allow the patient to decline the recommendation; (5) alter the obstetrical consult requirement to make it a plan, rather than a prerequisite, allow the patient to decline the consult; (6) specify that the obstetrical consult is not required if the APRN is an obstetrical care provider; (7) remove requirement that the obstetrical consult provider hold a DEA-X registration; (8) reduce the frequency of required KASPER checks from every visit to no less frequently than every ninety (90) days; (9) require the submission of the DEA-X registration via the APRN Update online portal; (10) clarify the pharmacology CE requirement; (11) set requirements to be followed when deviating from regulatory provisions; (12) require consideration of weaning only where relevant and clinically appropriate; (13) abolish the mental health evaluation requirement; (14) remove the statement of qualifications to perform required behavioral health counseling, and the statement regarding the required duration of the counseling; and (15) require alcohol and gabapentin testing only in the two GCMS/LCMS confirmed screens conducted each year.

201 KAR 20:370

201 KAR 20:370 Applications for Licensure. On February 15, 2021, KBN decided to seek promulgation of amended renewal applications as material incorporated by reference in this regulation. These changes: (1) state that verification of primary state of residence may be required; (2) state that traffic misdemeanors, other than DUI, should not be reported, which is consistent with §1(3) of the regulation; (3) remove KHEAA sentence from attestation, per passage of HB118 (2019); (4) add a question regarding “branch of active duty service” where the military question is present; (5) require entry of current mailing address each year; and (6) change the date on the document 2/2021.

201 KAR 20:411

201 KAR 20:411 – Sexual Assault Nurse Examiner Program standards and credential requirements. On February 15, 2021, KBN decided to seek promulgation of amended Sexual Assault Nurse Examiner (SANE) renewal applications as material incorporated by reference in this regulation. These changes: (1) state that verification of primary state of residence may be required; (2) state that traffic misdemeanors, other than DUI, should not be reported; (3) remove KHEAA sentence from attestation, per passage of HB118 (2019); (4) add a question regarding “branch of active duty service” where the military question is present; and (5) change the date to 2/2021.

201 KAR 20:471

201 KAR 20:471 – The changes at issue arise from the promulgation of 201 KAR 20:472, 201 KAR 20:474, 201 KAR 20:476, and 201 KAR 20:478. The changes implemented through each of the four new regulations are separately addressed in the regulatory impact analysis provided with 201 KAR 20:472, 201 KAR 20:474, 201 KAR 20:476, and 201 KAR 20:478.

201 KAR 20:472

201 KAR 20:472 – The fee increases set forth in this amendment are addressed below. This regulation: heightens the qualification requirements for a DT training program administrator and for faculty; creates an assistant program director and preceptor roles, and sets minimum qualifications for the roles; assigns responsibility for the overall conduct of a DT training program to a renal dialysis organization licensed pursuant to 902 KAR 20:018; requires the submission to the Board of Centers for Medicaid Services (CMS) reports, surveys and correction plans; specifies an “in state” requirement as a prerequisite for approval, but clarifies that graduates of out-of-state DT training programs may obtain the credential in Kentucky pursuant to 201 KAR 20:476 Section 1(1)(b); specifies that the two hundred hour clinical component last a minimum of ten weeks and involve direct patient contact; sets new DT training program curriculum requirements including principles of dialysis, psychosocial and physical needs of end stage renal disease patients, related principles of pharmacology, and infection control; requires Board approval for substantive syllabus and curriculum changes; allows for didactic education to be accomplished via distance learning technologies; requires publication of pre-admission requirements; requires students to be certified in basic life support; defines the internship phase of DT training, which replaces the “DT applicant” phase and designation; modifies program completion requirements; and modifies the format of the material incorporated by reference within the regulation (DT training program application and list of DT training program graduates).

201 KAR 20:474

201 KAR 20:474 – The fee increases set forth in this amendment are addressed below. This amendment: expands site visit authorization, including the option of agency participation during site visit conducted by the CMS to evaluate DT training program compliance with 201 KAR 20:472 and 201 KAR 20:474; identifies specific criteria for DT training program annual reports, including student completion and certification rates; requires six months notice of voluntary closure, and provides a teach out option or an option under which current trainees transfer to other programs; requires applications and supporting documents seeking to continue approval status to be submitted more than 30 days prior to the expiration of approval status, and imposing a $300 fine when such materials are submitted less than 90 days prior to the expiration of approval status; increases the fee applicable to an active program’s application for continued approval status from $800 to $1,000; states that lapsed programs must cease all training activity; increases the fee required when a lapsed program applies for reinstatement of approval status from $950 to $1,000; clarifies the circumstances under which a site visit may occur, and provides for the recovery of hearing costs in cases where a hearing disposition under KRS Chapter 13B is adverse to the DT training program.

201 KAR 20:476

201 KAR 20:476 – This regulation will change the DT renewal cycle from two years to one year. In light of this change, the fee required in conjunction with a renewal application has been halved, resulting in no net renewal fee change. This regulation, in conjunction with 201 KAR 20:472, eliminates the DT Trainee role designation, and replaces it with an 18-month period of provisional licensure. During this period, all provisionally licensed DTs will be required to obtain certification from the Board of Nephrology Examiners Nursing Technology (BONENT), the Nephrology Nursing Certification Commission (NNCC), or the National Association of Nephrology Technicians/Technologists (NANT). The application for DT initial licensure and reinstatement has been edited and reformatted, as has the application for DT renewal.

201 KAR 20:478

201 KAR 20:478 – This regulation requires that DT notify the board of a current email address, but does not otherwise substantively alter DT scope of practice or disciplinary procedures.

201 KAR 20:506

201 KAR 20:506 – Nurse Licensure Compact. On February 18, 2021, KBN decided to seek promulgation of amended rules of the Interstate Commission of Nurse Compact Administrators as material incorporated by reference in this regulation. Three new rules have been added, each of which is described below: Rule 408 – Federal Criminal Records; Rule 409 – Active Duty Military Personnel or Their Spouses; and Rule 502 – Dispute Resolution. Rule 408 does not modify existing law or KBN practices in any way, but merely codifies within compact rules the prohibition on the release of National Crime Information Center (NCIC) reports received by party states to the compact, even as between the Interstate Commission of Nurse Licensure Compact Administrators and party states to the compact. Rule 409 does not modify existing law or KBN practices in any way, but merely codifies within compact rules the recognition of an active duty military member’s ability to designate any state in which the member is licensed as the primary state of residence during the period of service. Rule 502 sets the method for dispute resolution that applies when compact party states have a dispute related to the compact. It is very similar to the dispute resolution mechanism that existed under prior compact rules.

201 KAR 20:660

201 KAR 20:660 – Licensed certified professional midwives duty to report. On December 17, 2020, KBN decided to seek promulgation of regulation amendments that: (1) remove the requirement for reporting the outcome of all referrals; (2) provide for the confidentiality of LCPM incident reports and annual reports; (3) require the reporting of aggregate incident and annual report data that does not disclose confidential information; and (4) incorporate the new annual report form by reference.