| State | Policy Type & Reference | | Effective Date | Most Recent Amended or Effective Date |
| Alabama |
| | (PDF) | 05/08/13 | |
| | (PDF) | 01/19/00 | 12/19/13 |
| | (PDF) | 12/29/13 | |
| Alaska |
| Medical Board Guideline | (PDF) | 08/93 | 11/07/15 |
| Nursing Board Policy Statement | (PDF) | 01/20/09 | |
| Arizona |
| Medical Board Guideline | (PDF) | 2015 | -- |
| Osteopathic Board Guideline | (PDF) | 01/22/00 | 02/22/14 |
| Nursing Board Guideline | (PDF) | 09/24/04 | 07/19/12 |
| Arkansas |
| Intractable Pain Treatment Act | (PDF) | 07/16/03 | 08/12 |
| Medical Board Regulation | (PDF) | 03/13/97 | 07/08/12 |
| California |
| Intractable Pain treatment Act | (PDF) | 01/01/07 | -- |
| Pain Patient's Bill of Rights | (PDF) | 10/10/97 | 01/01/12 |
| Medical Board Guideline | (PDF) | 11/14 | -- |
| Osteopathic Board Guideline | (PDF) | 05/07/15 | |
| Nursing Board Policy Statement | (PDF) | Spring/2000 | |
| Colorado |
| Controlled Substances Act | (PDF) | 07/01/96 | -- |
| Intractable Pain treatment Act | (PDF) | 08/06/97 | -- |
| Medical Board Guideline | (PDF) | 11/12/98 | 07/01/10 |
| Joint Board Policy - Policy for Prescribing and Dispensing Opioids
| (PDF) | N/A | -- |
| Connecticut |
| Medical Board Policy Statement | (PDF) | 02/15/05 | 06/21/05 |
| Nursing Board Policy Statement | (PDF) | 12/20/06 | -- |
| Delaware |
| Medical Board Regulation | (PDF) | 06/01/12 | 04/11/13 |
| District of Columbia |
| Medical Board Regulation | (PDF) | 02/10/06 | 03/02/12 |
| Medical Board Guideline | (PDF) | 02/12/15 | |
| Florida |
| Health Professions and Occupations | (PDF) | 07/01/11 | 07/01/12 |
| Medical Board Regulation | (PDF) | 12/21/99 | 10/17/10 |
| Osteopathic Board Regulations | (PDF) | 03/09/00 | 11/10/11 |
| Georgia |
| Medical Board Rules | (PDF) | 02/02/12 | 11/05/13 |
| Medical Board Guideline | (PDF) | 01/11/08 | |
| Hawaii |
| Pain Patient's Bill of Rights | (PDF) | 07/01/04 | 05/30/08 |
| Medical Board Guideline | (PDF) | 01/2006 | -- |
| Idaho |
| Medical Board Guideline | (PDF) | 09/06/13 | |
| Nursing Board Policy Statement | (PDF) | 10/25/07 | -- |
| Nursing Board Guidance | (PDF) | 11/11 | -- |
| Illinois |
| No Policies Found | | | |
| Indiana |
| Medical Board Regulation | (PDF) | 11/01/14 | |
| Iowa |
| Medical Board Regulation | (PDF) | 08/17/11 | -- |
| Joint Board Policy Statement | (PDF) | 08/08 & 01/09 | -- |
| Kansas |
| Medical Board Guideline | (PDF) | 10/17/98 | -- |
| Nursing Board Guideline | (PDF) | 07/11/01 | -- |
| Joint Board Policy Statement | (PDF) | 07/17/02 | -- |
| - Pain Patient's Quality of Care Act
| (PDF) | 2006 | |
| Kentucky |
| Medical Board Regulation - 201 KAR 9:260 Professional Standards for Prescribing and Dispensing Controlled Substances
| (PDF) | 03/04/13 | |
| Louisiana |
| Medical Board Regulation | (PDF) | 05/21/97 | 04/20/00 |
| Maine |
| Joint Rule | (PDF) | 06/13/10 | -- |
| Maryland |
| Medical Board Guideline | (PDF) | 03/01/96 | |
| Nursing Board Guideline | (PDF) | -- | -- |
| Massachusetts |
| Pharmacy Board Policy Statement | (PDF) | 03/31/09 | 08/16/11 |
| Nursing Board Policy Statement | (PDF) | 02/11/09 | 12/10/14 |
| Michigan |
| Public Health Statute | (PDF) | 04/01/99 | 01/03/02 |
| Pharmacy Board Guideline | (PDF) | 2005 | -- |
| Nursing Board Guideline | (PDF) | -- | -- |
| Joint Board Guideline | (PDF) | 2003 | -- |
| Minnesota |
| Intractable Pain Treatment Act | (PDF) | 05/09/97 | -- |
| Medical Board Guideline | (PDF) | 04/26/05 | |
| Joint Board Policy Statement | (PDF) | 8/2004 | 12/30/15 |
| Mississippi |
| Medical Board Regulation | (PDF) | 08/16/12 | 10/24/13 |
| Medical Board Regulation | (PDF) | 08/16/12 | 08/09/14 |
| Missouri |
| Intractable Pain Treatment Act | (PDF) | 08/28/95 | -- |
| Montana |
| | | | |
| Nebraska |
| Public Health Statute - Public Health and Welfare: Article 24: Drugs:(D) Pain Management
| (PDF) | 03/30/99 | 2007 |
| Medical Board Guideline - Guidelines for the Use of Controlled Substances for the Treatment of Pain
| (PDF) | 02/07/99 | 12/14/12 |
| Nevada |
| Medical Board Regulation - NAC 630.255: Intractable Pain
| (PDF) | 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
| (PDF) | 07/19/00 | 05/30/12 |
| New Hampshire |
| Medical Board Regulations - N.H. Admin. Rules Med 501.02(i)
| (PDF) | 05/08/13 | 11/06/15 |
| Medical Board Guideline - Guidelines for the Use of Controlled Substances in the Management of Chronic Pain
| (PDF) | 05/11/00 | 03/08/09 |
| New Jersey |
| Medical Board Regulation - NJAC 13.35-7.6: Limitations on Prescribing, Administering or Dispensing of Controlled Substances: Special Exceptions for the Management of Pain
| (PDF) | 11/03/97 | 06/06/11 |
| New Mexico |
| Health and Safety Statute - N.M. Stat Ann. 24-2D-1 to 24-2D-6: Pain Relief Act
| (PDF) | 04/05/99 | 05/16/12 |
| Medical Board Regulation - 16.10.14 Managment of Pain with Controlled Substances
| (PDF) | 01/20/03 | 02/14/13 |
| Joint Board Policy Statement - Joint Statement on the Management of Chronic Pain
| (PDF) | 06/05/05 | -- |
| - Osteopathic Board Regulation
- 16.17.5 Prescribing and Distribution of Controlled Substances
| (PDF) | 03/16/14 | -- |
| Nursing Board Regulation - 16.12.9.1 Management of Chronic Pain with Controlled Substances
| (PDF) | 02/17/06 | 11/20/12 |
| New York |
| Medical Board Policy Statement - Pain Management: A Guide for Physicians
| (PDF) | 08/07 | 10/12 |
| North Carolina |
| Medical Board Policy Statement - Policy for the Use of Opiates for the Treatment of Pain
| (PDF) | 01/15 | -- |
| Medical Board Policy Statement - End-of-Life Pesponsibilities and Palliative Care
| (PDF) | 10/21/99 | 10/14 |
| Joint Board Policy Statement - Joint Statement on Pain Management in End-of-Live Care
| (PDF) | 10/21/99 | 10/14 |
| North Dakota |
| Controlled Substances Statute - Controlled Substances Act 19-03.3-01 to 19-03.3-06 Controlled Substances for Care & Treatment
| (PDF) | 08/01/95 | 03/14/05 |
| Nursing Board Policy Statement - Role of the Nurse in Pain Management
| (PDF) | 05/2006 | 10/12 |
| Ohio |
| Intractable Pain Treatment Act - Medical Practice Act ORC 4731.052: Management of Intractable Pain with Dangerous Drugs
| (PDF) | 10/14/97 | 09/10/12 |
| Medical Board Regulation - OAC 4731-21-01 to 4731-21-06: Drug Treatment of Intractable Pain
| (PDF) | 11/11/98 | 11/30/08 |
| Joint Guidelines - Guidelines for Prescribing Opioids for the Treatment of Chronic, Non-Terminal Pain 80 mg of a Morphine Equivalent Daily Dose (MED) “Trigger Point”
| (PDF) | 04/09/13 & 05/09/13 | -- |
| Oklahoma |
| Controlled Substances Statute - 63 Okl. St. 2-551: Appropriate Pain Management - High Doses of Controlled Dangerous Drugs
| (PDF) | 11/01/98 | -- |
| Medical Board Regulation - 435:10-7-11. Use of Controlled Substances for the Management of Chronic Pain
| (PDF) | 05/14/99 | 06/25/05 |
| Medical Board Policy Statement - Use of Controlled Substances for the Treatment of Pain
| (PDF) | 03/10/05 | -- |
| Osteopathic Rules - Subchapter 9:510:5-9-1: Prescribing for Intractable Pain
| (PDF) | 06/25/99 | -- |
| Medical Board Guidelines - Opioid Prescribing Guidelines for
Oklahoma Health Care Providers in the Office-Based Setting
| (PDF) | 12/12/13 | -- |
| Joint Guidelines - Oklahoma Emergency Department (ED) and Urgent Care Clinic (UCC)
Opioid Prescribing Guidelines
| (PDF) | 10/21/13 | -- |
| Oregon |
| Pain Treatment Act - ORS § 677.470.-677.480: Pain Treatment Act
| (PDF) | 1995 | 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"
| (PDF) | 07/26/96 | 11/24/08 |
| Medical Board Policy Statement - Statement of Philosophy on Pain Management
| (PDF) | 01/93 | 01/13 |
| Pharmacy Board Policy Statement - Position Statement on the Treatment and Management of Pain
| (PDF) | 06/06 | -- |
| Nursing Board Policy Statement - Oregon State Board of Nursing Position Statement for Pain Management
| (PDF) | 06/17/04 | 04/12 |
| Pennsylvania |
| Department of State (includes Medical Board) - Pennsylvania Guidelines on the Use of Opioids to Treat Chronic Noncancer Pain
| (PDF) | 05/15/14 | |
| Rhode Island |
| Intractable Pain treatment Act | (PDF) | 07/01/97 | 06/6/07 |
| Palliative Care and Quality of Life Act | (PDF) | 2013 | |
| Department of Health Regulations - 14 060 009 Pain Management, Opioid Use and the Registration of Distributors of Controlled Substances in Rhode Island
| (PDF) | 12/10/12 | 03/16/15 |
| Medical Board Policy | (PDF) | N/A | |
| South Carolina |
| Joint Board Policy Statement - Joint Revised Pain Management Guidelines Approved by the South Carolina Boards of Medical Examiners, Dentistry and Nursing
| (PDF) | 07/2009 | 11/14 |
| Joint Board Policy Statement - Joint Position Statement on Pain Management for the South Carolina Board of Nursing and the South Carolina Board of Pharmacy
| (PDF) | 06&07/09 | |
| South Dakota |
| | | | |
| Tennessee |
| Medical Board Regulation - 0880-2-.14 Specifically Regulated Areas and Aspects of Medical Practice
| (PDF) | 06/30/99 | 07/03/14 |
| Osteopathic Board Regulation - 1050-2-.13 Specifically Regulated Areas and Aspects of Medical Practice
| (PDF) | 01/24/00 | 07/16/14 |
| Department of Health Guidelines - Tennessee Chronic Pain Guidelines
| (PDF) | 09/24/14 | |
| Texas |
| Intractable Pain Treatment Act | (PDF) | 09/01/03 | |
| Medical Board Regulation - 22 TAC 170.1-170.3: Pain Management
| (PDF) | 01/04/07 | 08/04/15 |
| Pharmacy Board Policy Statement - Position Statement on the Treatment of Pain
| (PDF) | 08/29/01 | -- |
| Utah |
| Professional Board Regulation - R156-1-502. Unprofessional Conduct
| (PDF) | -- | -- |
| Medical Board Guidelines - Model Policy for the Use of Opioid Analgesics in the Treatment of Chronic Pain (adopted by reference)
| (PDF) | N/A | |
| Vermont |
| Medical Board Guideline - Policy on the Use of Opioid Analgesics in the Treatment of Chronic Pain
| (PDF) | 12/7/05 | 04/02/14 |
| Virginia |
| Medical Board Guideline - Guidance on the Use of Opioid Analgesics in the Treatment of Chronic Pain
| (PDF) | 06/24/04 | 10/24/13 |
| Washington |
| Medical Board Regulation - WAC 246-919-850 - 863 Pain Management
| (PDF) | 01/02/12 | -- |
| Osteopathic Board Rules - WAC 246-854-240 - 253 Pain Management
| (PDF) | 07/01/11 | -- |
| Nursing Board Rules - WAC 246-840-460 - 493 Advanced Practice - Pain Management
| (PDF) | 07/02/11 | -- |
| West Virginia |
| Management of Pain Act | (PDF) | 06/12/98 | 07/07/09 |
| Medical Board Policy Statement - Policy on the Use of Opioid Analgesics in the Treatment of Chronic Pain
| (PDF) | 01/10/05 | 09/09/13 |
| Wisconsin |
| Controlled Substances Statute - 961.001: Uniform Controlled Substance Act Declaration of Intent, 961.38 Prescriptions
| (PDF) | 06/24/96 | -- |
| Medical Board Guidelines - Model Policy for the Use of Opioid Analgesics in the Treatment of Chronic Pain (referenced)
| (PDF) | N/A | |
| Pharmacy Board Policy Statement - Position Statement on the Treatment of Pain
| (PDF) | 12/07/05 | -- |
| Nursing Board Policy Statement | (PDF) | 04/19/07 | -- |
| Wyoming |
| Joint Board Policy Statement - Wyoming Health Care Licensing Boards' Uniform Policy for the Use of Controlled Substances in the Treatment of Pain
| (PDF) | 02/13/09 | -- |
