Indiana board establishes drug prescription authority for advanced practice nurses

On April 28, 2025, the Indiana Senate introduced Senate Bill 80, a legislative proposal aimed at expanding the authority of advanced practice registered nurses (APRNs) in the state. The bill seeks to address ongoing healthcare challenges exacerbated by the COVID-19 pandemic by allowing qualified APRNs to prescribe medications, including controlled substances, under specific guidelines set by the Indiana Board of Nursing.

Key provisions of Senate Bill 80 include the establishment of a program that grants APRNs the authority to prescribe drugs, contingent upon meeting certain educational and licensure requirements. This authority is set to expire every two years unless renewed, ensuring that APRNs maintain up-to-date qualifications. The bill specifically excludes certified registered nurse anesthetists from these provisions, focusing instead on other advanced practice roles.

The introduction of this bill has sparked notable discussions among lawmakers and healthcare professionals. Proponents argue that expanding prescribing authority for APRNs could alleviate pressure on the healthcare system, particularly in underserved areas where physician shortages are prevalent. They emphasize that APRNs are well-trained and capable of managing patient care effectively, especially in the wake of increased demand for healthcare services during and after the pandemic.

Opposition to the bill has emerged from some physician groups who express concerns about patient safety and the adequacy of APRNs' training in pharmacology. Critics argue that the complexities of prescribing controlled substances require a level of expertise that may exceed the training of APRNs. This debate highlights the ongoing tension between different healthcare provider groups regarding the scope of practice and patient care responsibilities.

The implications of Senate Bill 80 extend beyond immediate healthcare access. Economically, the bill could lead to reduced healthcare costs by allowing APRNs to manage more patient care independently, potentially decreasing the burden on emergency services and hospitals. Socially, it may improve health outcomes in rural and underserved communities by increasing access to necessary medications and healthcare services.

As the bill progresses through the legislative process, its future remains uncertain. Stakeholders are closely monitoring discussions and potential amendments that could shape the final version of the legislation. If passed, Senate Bill 80 could significantly alter the landscape of healthcare delivery in Indiana, reflecting a broader trend toward empowering non-physician providers in the healthcare system.