{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/54.1-2708.4.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/54.1-2708.4.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/54.1-2708.4.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/54.1-2708.4.html"}],"law_id":79390,"edition_id":1,"section_id":79390,"structure_id":14304,"section_number":"54.1-2708.4","catch_line":"Board to adopt regulations related to prescribing of opioids","history":"2017, cc. 291, 682.","full_text":"The Board shall adopt regulations for the prescribing of opioids, which shall include guidelines for:\n\n1\n\nThe treatment of acute pain, which shall include (i) requirements for an appropriate patient history and evaluation, (ii) limitations on dosages or day supply of drugs prescribed, (iii) requirements for appropriate documentation in the patient’s health record, and (iv) a requirement that the prescriber request and review information contained in the Prescription Monitoring Program in accordance with § 54.1-2522.1;2\n\nThe treatment of chronic pain, which shall include, in addition to the requirements for treatment of acute pain set forth in subdivision 1, requirements for (i) development of a treatment plan for the patient, (ii) an agreement for treatment signed by the provider and the patient that includes permission to obtain urine drug screens, and (iii) periodic review of the treatment provided at specific intervals to determine the continued appropriateness of such treatment; and3\n\nReferral of patients to whom opioids are prescribed for substance abuse counseling or treatment, as appropriate.","order_by":null,"text":{"0":{"id":284195,"text":"The Board shall adopt regulations for the prescribing of opioids, which shall include guidelines for:","type":"section","prefixes":[""],"prefix":"","entire_prefix":"","prefix_anchor":"","level":1,"next_prefix":"1"},"1":{"id":284196,"text":"The treatment of acute pain, which shall include (i) requirements for an appropriate patient history and evaluation, (ii) limitations on dosages or day supply of drugs prescribed, (iii) requirements for appropriate documentation in the patient’s health record, and (iv) a requirement that the prescriber request and review information contained in the Prescription Monitoring Program in accordance with § 54.1-2522.1;","type":"section","prefixes":["1"],"prefix":"1","entire_prefix":"1","prefix_anchor":"1","level":1,"prior_prefix":"","next_prefix":"2"},"2":{"id":284197,"text":"The treatment of chronic pain, which shall include, in addition to the requirements for treatment of acute pain set forth in subdivision 1, requirements for (i) development of a treatment plan for the patient, (ii) an agreement for treatment signed by the provider and the patient that includes permission to obtain urine drug screens, and (iii) periodic review of the treatment provided at specific intervals to determine the continued appropriateness of such treatment; and","type":"section","prefixes":["2"],"prefix":"2","entire_prefix":"2","prefix_anchor":"2","level":1,"prior_prefix":"1","next_prefix":"3"},"3":{"id":284198,"text":"Referral of patients to whom opioids are prescribed for substance abuse counseling or treatment, as appropriate.","type":"section","prefixes":["3"],"prefix":"3","entire_prefix":"3","prefix_anchor":"3","level":1,"prior_prefix":"2"}},"ancestry":[{"id":14304,"edition_id":1,"name":"Board of Dentistry","identifier":"1","label":"article","depth":4,"order_by":1,"parent_id":13007,"metadata":{},"date_created":"2026-06-26 03:47:40","date_modified":"2026-06-26 03:47:40","permalink":{"id":241531,"object_type":"structure","relational_id":14304,"identifier":"1","token":"54.1\/III\/27\/1","url":"\/54.1\/III\/27\/1\/","edition_id":1,"permalink":0,"preferred":1}},{"id":13007,"edition_id":1,"name":"Dentistry","identifier":"27","label":"chapter","depth":3,"order_by":1,"parent_id":12758,"metadata":{},"date_created":"2026-06-26 03:44:08","date_modified":"2026-06-26 03:44:08","permalink":{"id":241529,"object_type":"structure","relational_id":13007,"identifier":"27","token":"54.1\/III\/27","url":"\/54.1\/III\/27\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12758,"edition_id":1,"name":"Professions and Occupations Regulated by Boards Within the Department of Health Professions","identifier":"III","label":"subtitle","depth":2,"order_by":1,"parent_id":12754,"metadata":{},"date_created":"2026-06-26 03:43:51","date_modified":"2026-06-26 03:43:51","permalink":{"id":241105,"object_type":"structure","relational_id":12758,"identifier":"III","token":"54.1\/III","url":"\/54.1\/III\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12754,"edition_id":1,"name":"Professions and Occupations","identifier":"54.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:51","date_modified":"2026-06-26 03:43:51","permalink":{"id":239313,"object_type":"structure","relational_id":12754,"identifier":"54.1","token":"54.1","url":"\/54.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":80904,"structure_id":14304,"section_number":"54.1-2700","catch_line":"Definitions","url":"\/54.1-2700\/","token":"54.1\/III\/27\/1\/54.1-2700","metadata":false},{"id":78045,"structure_id":14304,"section_number":"54.1-2701","catch_line":"Exemptions","url":"\/54.1-2701\/","token":"54.1\/III\/27\/1\/54.1-2701","metadata":false},{"id":83590,"structure_id":14304,"section_number":"54.1-2702","catch_line":"Board; membership; terms of office; officers; quorum","url":"\/54.1-2702\/","token":"54.1\/III\/27\/1\/54.1-2702","metadata":false},{"id":58154,"structure_id":14304,"section_number":"54.1-2703","catch_line":"Inspection of dental offices and laboratories","url":"\/54.1-2703\/","token":"54.1\/III\/27\/1\/54.1-2703","metadata":false},{"id":55583,"structure_id":14304,"section_number":"54.1-2704","catch_line":"Nominations","url":"\/54.1-2704\/","token":"54.1\/III\/27\/1\/54.1-2704","metadata":false},{"id":83708,"structure_id":14304,"section_number":"54.1-2705","catch_line":"Investigation of applicant for license","url":"\/54.1-2705\/","token":"54.1\/III\/27\/1\/54.1-2705","metadata":false},{"id":57563,"structure_id":14304,"section_number":"54.1-2706","catch_line":"Revocation or suspension; other sanctions","url":"\/54.1-2706\/","token":"54.1\/III\/27\/1\/54.1-2706","metadata":false},{"id":59141,"structure_id":14304,"section_number":"54.1-2707","catch_line":"Reserved","url":"\/54.1-2707\/","token":"54.1\/III\/27\/1\/54.1-2707","metadata":false},{"id":69053,"structure_id":14304,"section_number":"54.1-2708","catch_line":"Disciplinary action discretion","url":"\/54.1-2708\/","token":"54.1\/III\/27\/1\/54.1-2708","metadata":false},{"id":69997,"structure_id":14304,"section_number":"54.1-2708.1","catch_line":"Repealed","url":"\/54.1-2708.1\/","token":"54.1\/III\/27\/1\/54.1-2708.1","metadata":false},{"id":84917,"structure_id":14304,"section_number":"54.1-2708.2","catch_line":"Recovery of monitoring costs","url":"\/54.1-2708.2\/","token":"54.1\/III\/27\/1\/54.1-2708.2","metadata":false},{"id":71771,"structure_id":14304,"section_number":"54.1-2708.3","catch_line":"Regulation of mobile dental clinics","url":"\/54.1-2708.3\/","token":"54.1\/III\/27\/1\/54.1-2708.3","metadata":false},{"id":79390,"structure_id":14304,"section_number":"54.1-2708.4","catch_line":"Board to adopt regulations related to prescribing of opioids","url":"\/54.1-2708.4\/","token":"54.1\/III\/27\/1\/54.1-2708.4","metadata":false}],"previous_section":{"id":71771,"structure_id":14304,"section_number":"54.1-2708.3","catch_line":"Regulation of mobile dental clinics","url":"\/54.1-2708.3\/","token":"54.1\/III\/27\/1\/54.1-2708.3","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/54.1-2708.4\/","history_text":"

This law was first created in 2017. The record of its establishment is cataloged in chapters 291<\/a> and 682<\/a> of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year.<\/p>","references":false,"refers_to":[{"id":72705,"section_number":"54.1-2522.1","catch_line":"(Effective July 1, 2027) Requirements of practitioners","order_by":null,"url":"\/54.1-2522.1\/"}],"permalink":{"id":241581,"object_type":"law","relational_id":79390,"identifier":"54.1-2708.4","token":"54.1\/III\/27\/1\/54.1-2708.4","url":"\/54.1-2708.4\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/54.1-2708.4\/","token":"54.1\/III\/27\/1\/54.1-2708.4","dublin_core":{"Title":"Board to adopt regulations related to prescribing of opioids","Type":"Text","Format":"text\/html","Identifier":"\u00a7 54.1-2708.4","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

The Board<\/span> shall adopt regulations for the prescribing of opioids, which shall include guidelines for:<\/p><\/section>\n\t\t\t\t\t\t

1.<\/span> The treatment of acute pain, which shall include (i) requirements for an appropriate patient history and evaluation, (ii) limitations on dosages or day supply of drugs prescribed, (iii) requirements for appropriate documentation in the patient’s health record, and (iv) a requirement that the prescriber request and review information contained in the Prescription Monitoring Program in accordance with § 54.1-2522.1<\/a>; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

2.<\/span> The treatment of chronic pain, which shall include, in addition to the requirements for treatment of acute pain set forth in subdivision 1, requirements for (i) development of a treatment plan for the patient, (ii) an agreement for treatment signed by the provider and the patient that includes permission to obtain urine drug screens, and (iii) periodic review of the treatment provided at specific intervals to determine the continued appropriateness of such treatment; and <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

3.<\/span> Referral of patients to whom opioids are prescribed for substance abuse counseling or treatment, as appropriate. <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nBOARD TO ADOPT REGULATIONS RELATED TO PRESCRIBING OF OPIOIDS (\u00a7 54.1-2708.4)\n\nThe Board shall adopt regulations for the prescribing of opioids, which shall\ninclude guidelines for:\n\n1. The treatment of acute pain, which shall include (i) requirements for an\nappropriate patient history and evaluation, (ii) limitations on dosages or day\nsupply of drugs prescribed, (iii) requirements for appropriate documentation in\nthe patient’s health record, and (iv) a requirement that the prescriber\nrequest and review information contained in the Prescription Monitoring Program\nin accordance with § 54.1-2522.1;\n\n2. The treatment of chronic pain, which shall include, in addition to the\nrequirements for treatment of acute pain set forth in subdivision 1,\nrequirements for (i) development of a treatment plan for the patient, (ii) an\nagreement for treatment signed by the provider and the patient that includes\npermission to obtain urine drug screens, and (iii) periodic review of the\ntreatment provided at specific intervals to determine the continued\nappropriateness of such treatment; and\n\n3. Referral of patients to whom opioids are prescribed for substance abuse\ncounseling or treatment, as appropriate.\n\nHISTORY: 2017, cc. 291, 682.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}