- Prior Authorization Requirements For Providers Prescribing Buprenorphine-Containing Products
State law or statute prohibits or limits the use of prior authorization for buprenorphine containing products by either the state Medicaid plan or private insurance companies.
A health insurance plan shall not require prior authorization for prescription drugs for a patient who is receiving medication-assisted treatment if the dosage prescribed is within the U.S. FDA’s dosing recommendations. VT. STAT. ANN. tit. 18, § 4754
- Education Required for Addiction Counselor Credentialing
Vermont credentials two types of addiction counselors. An Alcohol and Drug Counselor requires a bachelor’s degree, 270 hours of relevant education courses and 4,000 hours of supervised experience. A Licensed Alcohol and Drug Counselor requires a master’s degree, completion of relevant education courses and 2,000 hours of supervised experience. 26 Vt. Stat. Ann. §3236 and Vermont Alcohol and Drug Certification Board
- Licensed Professional Counselor Ability to Diagnose
Clinical mental health counselors diagnose and treat mental conditions or psychiatric disabilities and emotional disorders. Counselors use psychoeducational techniques aimed at the prevention of such conditions or disabilities and provide consultations to individuals, couples, families, groups, organizations and communities. 26 V.S.A. §3261
- Peer Support Specialist Certification or Credentialing Authority
There are currently no statutory or regulatory standards for the certification of peer support service providers.
- Certified Nurse Midwife Practice Authority
Transition to independent practice and prescriptive period required.
Before full independent practice and prescriptive authority, APRNs (includes NMs) with fewer than 2,400 hours and two years of nursing practice must be in a collaborative practice agreement with a physician. Vt. Stat. Ann. §26-28-1613
NMs may prescribe medical, therapeutic, or corrective measures under administrative rules adopted by the board. Vt. Stat. Ann. §26.1572
- Nurse Practitioner Practice Authority
Transition to independent practice and prescriptive period required.
Before full independent practice and prescriptive authority, NPs with fewer than 2,400 hours and 2 years of nursing practice must be in a collaborative practice agreement with a physician. Vt. Stat. Ann. §26-28-1613
NPs may prescribe medical, therapeutic, or corrective measures under administrative rules adopted by the Board. Vt. Stat. Ann. §26.1572
- Nurse Practitioner Authority to Sign POLST Forms
NPs are authorized to sign clinician orders for life-sustaining treatment forms. Vt. Stat. Ann. tit. 18 §9708
- Nurse Practitioner as a Primary Care Provider
NPs are recognized in state policy as primary care providers. NPs providing primary care may be primary care providers of record. Vt. Board of Nursing Rules §8.5(a)
- Authority to perform ophthalmic procedures
Optometrists may examine, diagnose and treat abnormalities of the eye, including foreign body removal. Vt. Stat. Ann. §28-1703
- Injectable Authority
Optometrists are limited to the treatment of anaphylaxis only. Vt. Stat. Ann. §28-1703
- Prescription of controlled substances
Optometrists may prescribe Schedule III-V controlled substances. Vt. Stat. Ann. §28-1728
- Dental Hygienists with Direct Access
A dental hygienist may provide services in a school or institution under a general supervision agreement with a dentist. The physical presence of the dentist is not required at the practice site of the dental hygienist, but the agreement stipulates that the dentist must review all patient records. The dental hygienist must have three years licensed clinical practice experience. Vermont Board of Dental Examiners Rules 10.2
- Dental Therapists
Dental therapists must practice under the general supervision of a dentist. May prescribe drugs and Schedule V controlled substances. A collaborative agreement is required and must outline practice settings, limitations on services, protocols for prescribing medications, among other items. Vt. Stat. Ann. §26-12 Subchapter 3A
- Practice of Teledentistry
Vermont does not explicitly allow for the practice of teledentistry.
- Administration of COVID-19 Vaccine
Vermont has not enacted legislation allowing pharmacists to administer the COVID-19 vaccine. However, the federal PREP Act does allow pharmacists to administer the COVID-19 vaccine through the duration of the public health emergency.
- Prescription Adaptation
Vermont does not allow pharmacists to modify prescriptions.
- Prescription of Hormonal Contraceptives
A pharmacist may prescribe and dispense self-administered hormonal contraceptives in a manner consistent with a valid State protocol approved by the Commissioner of Health, after consultation with the Director of Professional Regulation and the Board of Pharmacy (BOP). The pharmacist must have training and education in that area that is sufficient to perform the duties involved and document prescribing, including notifying the patient’s primary care provider within 5 business days. 26 V.S.A. § 2023
- Prescription of Tobacco Cessation Aids
A pharmacist may prescribe and dispense tobacco cessation products, approved by the Food and Drug Administration (FDA), in a manner consistent with a valid State protocol approved by the Commissioner of Health, after consultation with the Director of Professional Regulation and the Board of Pharmacy (BOP). The pharmacist must have training and education in that area that is sufficient to perform the duties involved and document prescribing, including notifying the patient’s primary care provider within 5 business days. 26 V.S.A. § 2023
- Supervision Requirements (Practice and Prescriptive Authority)
Collaboration allowed with a physician for practice and prescriptive authority.
A PA shall engage in practice as a PA in this state only if the PA has entered into a written practice agreement. A practice agreement shall include all of the following: (1) Processes for physician communication, availability, decision-making, and periodic joint evaluation of services delivered when providing medical care to a patient. (2) An agreement that the physician assistant’s scope of practice shall be limited to medical care that is within the PA’s education, training and experience. Specific restrictions, if any, on the PA’s practice shall be listed. (3) A plan to have a physician available for consultation at all times when the PA is practicing medicine. (4) The signatures of the PA and the participating physician; no other signatures shall be required.
A PA may prescribe, dispense, administer and procure drugs and medical devices to the same extent as may a physician. A PA who prescribes controlled substances shall be registered with the federal Drug Enforcement Administration. VT. STAT. ANN. tit. 26 § 1735a
- Number of PAs Supervised
Vermont does not currently have any provisions related to the number of PAs a physician can supervise or collaborate with.
- Chart Co-Signatures
Vermont does not currently have any provisions related to chart review or chart co-signatures.
- Adaptable Proximity Requirements
Statute allows adaptable proximity.
A practice agreement may specify the extent of the collaboration required between the PA and physicians and other health care professionals; provided, however, that a physician shall be accessible for consultation by telephone or electronic means at all times when a PA is practicing. VT. STAT. ANN. tit. 26 § 1735a
- Scope of Practice Determination
The delegation agreement must identify the PA’s scope of practice and that the delegation of medical care is appropriate to the PA’s level of competence. All medical care must be delegated by the supervising physician. Vt. Stat. Ann. tit. 26, §1735a
Most Recent Vermont SOP Legislative Search Results
H 206 : Department of State Health Access Duties
Relates to miscellaneous changes affecting the duties of the Department…
Subject: Dental Therapists
H 960 : Health Care
Addresses several health care related topics, including mental health, hospital…
Subject: PA SOP Determination, PA Supervision Requirements
H 742 : State Response to Coronavirus
Relates to the state response to coronavirus, provides protections for…
Subject: Other Physician Assistant Bills
H 723 : Telemedicine Health Insurance Coverage
Relates to health insurance coverage for store-and-forward telemedicine.
H 663 : Contraceptive Access
Proposes to require health insurance plans to cover all methods…
Subject: Pharmacist Prescription of Hormonal Contraceptives
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