Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic (2021)

Chapter: Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers

Previous Chapter: Appendix E: Organizations Providing Links to Requirements
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.

APPENDIX F
STATE CONTINUING MEDICAL EDUCATION (CME) REQUIREMENTS FOR PRESCRIBERS

This is a revised version of the State Requirements for Pain Management CME by the New England Journal of Medicine and the Board-by-Board Overview of Continuing Medical Education by the Federation of State Medical Boards last updated on July 1, 2020 (FSMB, 2021; NEJM Knowledge+, n.d.). Hawaii, Idaho, Kansas, Missouri, Montana, North Dakota, and South Dakota do not have specific CME requirements for prescribers and are not included in the following table. These documents are not intended to be a comprehensive statement of the law and are not to be relied on as authoritative.

Alabama 2 hours every 2 years
Alabama Controlled Substance Certificate holders must complete 2 Category 1 hours every 2 years in the area of controlled substance prescribing practices, recognizing signs of the abuse or misuse of controlled substances, or controlled substance prescribing for chronic pain.
Ala. Admin. Code r. 540+x+14.02
Alabama
(Physician Assistant, PA)
4 hours every 2 years
Licensees who hold a Qualified Alabama Controlled Substances Certificate are required 4 hours of AMA PRA Category 1 Credit™ in advanced pharmacology and prescribing trends relating to controlled substances every two years.
Ala. Admin. Code r. 540+x+14.02
Alaska 2 hours every 2 years
Each licensee who holds a Drug Enforcement Administration (DEA) number, must take at least 2 hours (American Medical Association [AMA] Category 1 or American Osteopathic Association [AOA] Category 1 or 2) in pain management and opioid use and addiction.
Alaska Admin. Code tit. 12, § 40.200.
Alaska
(PA)
2 hours every 2 years
Holders of a valid federal DEA registration number are required 2 hours in pain management and opioid misuse and abuse.
Alaska Statute § 8-36-070(a)
Arizona
(Medicine/Osteoapthy, MD/DO)
3 hours every 2 years
Health care professionals with a valid DEA registration number must complete 3 hours of opioid-related substance use disorder or addiction-related CME each renewal cycle.
Ariz. Admin. Code R422-207
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Arizona
(PA)
3 hours every cycle
Effective April 26, 2018, licensees who are authorized to prescribe Schedule II controlled substances and hold a valid DEA number or a licensee who is authorized to dispense controlled substances shall complete a minimum of 3 hours of CE related to opioids, substance abuse/use disorder, or addiction every renewal.
Ariz. Rev .Stat. 32-3248.02
Arkansas
(PA)
1 hours every year; plus one-time requirements
Beginning with 2019 renewals, all licensees are required to complete 1 hour on the prescribing of opioids and benzodiazepines. PAs authorized to prescribe Schedule II medications must complete a one-time requirement of 5 hours in the area of pain management. All licensed prescribers must complete a one-time requirement of 3 hours in prescribing education, including Board Regulations and Laws, record keeping, and maintaining safe, professional boundaries within the first 2 years of licensure.
Ark. Code R. 060.00.001 Reg. No. 17
California
(MD/DO)
12 hours or units, one-time
Physicians (except pathologists and radiologists) must take 12 units on pain-management and the appropriate care and treatment of the terminally ill. OR, physicians may complete 12 credit hours in the subjects of treatment and management of opiate-dependent patients, including 8 hours of training in buprenorphine treatment or other similar medicinal treatment for opioid use disorders.

General internists and family physicians who have over 25% of the patient population at least 65 years of age are required to complete at least 20 percent of their mandatory CME in geriatric medicine.
Cal. Code Reg. tit. 16, §1336

Cal. Bus. & Prof. Code § Sec. 2190.5

Cal. Bus. & Prof. Code § Sec. 2190.6

Cal. Bus. & Prof. Code § Sec. 2190.3
California
(PA)
6 hours, one-time
Licensees authorized to prescribe controlled substances have a one-time requirement of 6 hours of controlled substance education that includes 3 hours specific to Schedule II substances. Effective January 1, 2019, controlled substance education must include the risks of addiction associated with the use of Schedule II controlled substances.
16 Cal. Admin. Code §1635
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Colorado
(PA)
1 hour every 6 years
Effective March 30, 2020, all physicians and physician assistants are required 2 hours of training to demonstrate competency in preventing substance abuse and/or to demonstrate competency in treating patients with substance use disorders, every renewal. Training must cover or be related to the following topics: the best practices for opioid prescribing, according to the most recent version of the Division’s Guidelines for the Safe Prescribing and Dispensing of Opioids; the recognition of substance use disorders; the referral of patients with substance use disorders for treatment; and the use of the electronic prescription drug monitoring program created in Colo. Rev. Stat. 12-280-4
Colo. Rev. Stat. 12-280-4
Connecticut 1 hour every 6 years
Physicians must take 1 contact hour of training or education on the topic of risk management, including, but not limited to, prescribing controlled substances and pain management.
Conn. Gen. Stat. § 20-l0(b)
Connecticut
(PA)
1 hour every 2 years
Maintain certification through the National Commission on Certification of Physician Assistants and complete 1 hour of prescribing controlled substances and pain management every two years.
Conn. Gen. Stat. § 20-l0(b)
Delaware
(MD/DO/PA)
2 hours, every 2 years
Practitioners with prescriptive authority are required to complete 2 hours of continuing education in the area of controlled substance prescribing practices, treatment of chronic pain, or other topics relating to controlled substances, and 1 hour on Delaware Law pertaining to the prescribing and distribution of controlled substances within the first year of registration.
24 Del. Admin. Code Uniform Controlled Substances Act Regulations 3.1.3.
Washington, DC 1 course every 2 years
Physicians, PAs, and Nurses must complete 1 course in the subject of pharmacology.
D.C. Mun. Regs. tit.17, § 4614 D.C. Official Code § 3--1205.10
Florida
(MD/DO)
2 hours every 2 years
Each person registered with the DEA and authorized to prescribe controlled substances must complete 2 hours of AMA Category 1 or AOA Category 1A on prescribing controlled substances.
Fla. Admin. Code. Ann. R. 64B15-13.001
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Florida
(PA)
10 hours every 2 years
PAs registered with the DEA and authorized to prescribe controlled substances must complete 10 hours in the specialty area of the supervising physician, 3 of which must be on the safe and effective prescribing of controlled substance medications.
Fla. Stat. Ann. 456.0301
Georgia 3 hours
Each licensee with a DEA registration and who prescribes controlled substances must complete 3 hours of Category 1 CME on responsible opioid prescribing.
Ga. Comp. R. & Regs. r. 360-15-.01
Georgia
(PA)
3 hours every 2 years
Licensees who are authorized to issue prescription drugs are required a minimum of 3 hours in practice specific pharmaceuticals (according to prescription order privileges of the supervising physician) every renewal cycle.
Ga. Comp. R. & Regs. r. 360-15-.01
Illinois 3 hours every 3 years
Beginning in 2020, physicians must complete 3 CME hours on safe opioid prescribing practices. CME taken by physicians as a requirement for licensure in another state, or for purposes of board certification application or renewal, count toward this new requirement.
720 Ill. Controlled Substances Act 570/315.5
Illinois
(PA)
3 hours every 2 years
Licensees who prescribe controlled substances must complete 3 hours of safe opioid prescribing practices every two years. Licensees with Schedule II controlled substances prescriptive authority are required 10 hours of pharmacology every two years.
720 Ill. Controlled Substances Act 570/315.5
Indiana 2 hours every 2 years
Physicians must complete 2 hours of CME on the topic of opioid prescribing and opioid abuse.
Ind. Code 35-48-3-3.5
Indiana
(PA)
2 hours every 2 years
Effective July 1, 2019, all practitioners registered to dispense controlled substances must have completed 2 hours of continuing education during the previous two years addressing the topics of opioid prescribing and opioid abuse.
Ind. Code 35-48-3-3.5
Iowa 2 hours, every 5 years
Physicians must complete 2 hours of Category 1 training for chronic pain management.
Iowa Admin. Code r. 653-11.4(1)
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Iowa
(PA)
2 hours, every 2 years
Licensees who have prescribed opioids during the previous licensing period are required to complete 2 hours regarding the Centers for Disease Control and Prevention’s (CDC’s) Guideline for Prescribing Opioids for Chronic Pain every two years.
Iowa Admin. Code r. 653-11.4(272C)
Kentucky 60 hours every 3 years
30 must be in Category 1; One-time domestic violence course for primary care physicians; A minimum of 2 hours must be acquired once every 10 years in HIV/AIDS education; For each three (3) year continuing education cycle beginning on January 1, 2015, at least 4.5 hours of approved continuing education hours relating to the use of Kentucky All Schedule Prescription Electronic Reporting, pain management, addiction disorders, or a combination of two (2) or more of those subjects for licensees who are authorized to prescribe or dispense controlled substances within the Commonwealth.
201 Ky. Admin. Regs. 9:310
Louisiana 3 hours one-time only
All licensees with a Controlled Dangerous Substance (CDS) license must complete a one-time, 3 our CME course on drug diversion training, best prescribing practices of controlled substances, and appropriate treatment for addiction.
La. Admin. Code tit. 46, pt. XLV, § 435
Louisiana
(PA)
3 hours one-time only
Practitioners with a CDS license are required at least 3 hours of Board-approved continuing education on the best practices for the prescribing of CDS, drug diversion training, appropriate treatment for addiction, and the treatment of chronic pain.
La. Admin. Code tit. 46, pt. XLV, § 435
Maine
(MD/DO)
3 hours every 2 years
All licensees must complete 3 hours of AMA category 1 CME on opioid prescribing every 2 years.
Maine Admin Law §1726
Maine
(PA)
3 hours every 2 years
Licensees with prescriptive authority are required 3 hours on the prescribing of opioid medication every renewal.
Maine Legislative Document 1660
Maryland 1 hours every 2 years
Physicians must complete 1 Category 1 CME hour on opioid prescribing.
Code Of Md. Regs. 10.40.02.03(B)
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Maryland
(PA)
2 hours one-time only
PAs applying for a new or renewal registration to dispense or prescribe controlled dangerous substances from the Office of Controlled Substances Administration must complete a one-time requirement of 2 hours on the prescribing or dispensing of controlled dangerous substances.
Code Of Md. Regs. 10.40.02.03(B)
Massachusetts 3 credit hours each cycle
Licensees must complete 3 credits on opioids and pain management.
Mass. General Law, Chapter 94C, Section 18
Massachusetts
(PA)
Every renewal cycle
Licensees authorized to prescribe controlled substances must complete continuing education relative to: effective pain management, the risks of abuse and addiction associated with opioid medications, the identification of patients at risk for substance abuse, counseling patients about the side effects, addictive nature and proper storage and disposal of prescription medications, appropriate prescription quantities with an increased risk of abuse, and opioid antagonists and overdose prevention treatments.
Mass. General Law, Chapter 94C, Section 18
Michigan
(MD/DO)
3 hours every 3 years
Physicians must complete 3 hours of Category 1 CME in the area of pain and symptom management
Mich. Board of Registration in Medicine, Policy 2019-06, “Risk Management CME Credits and Physician Burnout;”
Mich. Admin. Code R. 338.2371-.2382
Michigan
(PA)
One-time training
Beginning September 1, 2019, a PA seeking a controlled substance license, or who is licensed to prescribe or dispense controlled substances, must complete a one-time training in opioids and controlled substance awareness prior to being issued a controlled substance license.
Mich. Admin. Code R. 338.2371-.2382
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Minnesota
(MD/DO/PA)
2 hours
All health care licensees who have authority to prescribe controlled substances must obtain 2 hours of continuing education credits between Jan. 1, 2020 and Dec. 31, 2022 that include content on best practices in prescribing opioids and controlled substances and non-pharmacological and implantable device alternatives for treatment of pain and ongoing pain.
Minn. Stat. § 214.12
Mississippi 5 hours
Those with active DEA certificates must complete 5 Category 1 hours on the subject of prescribing medications with an emphasis on controlled substances.
Miss. Code Rules 50 013 001
Mississippi
(PA)
10 hours every 2 years
PAs authorized to prescribe controlled substances must show proof of completing 10 hours related to the prescribing of medications with an emphasis on controlled substances each renewal.
Miss. Code Rules 50 013 001
Nebraska 3 hours every 2 years
Physicians who prescribe controlled substances must complete at least 3 hours of CME every 2 years regarding prescribing opioids. One half hour of these 3 hours must cover Prescription Drug Monitoring Programs (PDMPs).
Neb. Admin. R. & Regs. Tit. 172, Ch. 88, § 016
Nebraska
(PA)
3 hours every 2 years
Beginning with renewals on or after October 1, 2018, licensees who prescribe controlled substances must complete at least 3 hours on prescribing opiates, which may include, but is not limited to, education regarding prescribing and administering opiates, the risks and indicators regarding development of addiction to opiates, and emergency opiate situations. One half-hour of the 3 hours must cover the PDMP described in sections 71-2454 to 71-2456 of the Nebraska Revised Statutes.
Neb. Admin. R. & Regs. Tit. 172, Ch. 88, § 016
Nevada
(MD)
4 hours every 2 years
Physicians must complete 2 Category 1 hours in medical ethics, pain management, or addiction care, 2 Category 1 hours in misuse and abuse of controlled substances, prescribing opioids, or addiction.
Nev. Rev. Stat. 630.253; Nev. Admin. Code ch. 630, s. 153, 154, 155
Nevada
(DO)
2 hours every odd year renewal
Osteopathic physicians must complete 2 hours in ethics, pain management, or addiction care.
Nev. Rev. Stat. 630.253; Nev. Admin. Code ch. 630, s. 153, 154, 155
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Nevada
(PA)
2 hours every odd year renewal
PAs must complete 2 hours in ethics, pain management, and/or addiction care every renewal.
Nev. Rev. Stat. 630.253; Nev. Admin. Code ch. 630, s. 153, 154, 155
New Hampshire 3 hours every 2 years
Physicians who hold a DEA license number must complete 3 hours of continuing education or pass an online examination, in the area of pain management and addiction disorder or a combination, as a condition for initial licensure and license renewal as part of their 2-year renewal cycle.
N.H. Rev. Stat. § 126-A:97
New Hampshire
(PA)
3 hours each year
Licensees who hold a DEA license number are required to complete 3 hours of continuing education or pass an online examination, in the area of pain management and addiction disorder or a combination, as a condition for initial licensure and license renewal.
N.H. Rev. Stat. § 126-A:97
New Jersey 1 hour every 2 years
Physicians must complete 1 Category 1 credit hour in topics concerning prescription opioid drugs, including responsible prescribing practices, alternatives to opioids for managing and treating pain, and the risks and signs of opioid abuse, addiction, and diversion.
N.J. Stat. Ann. § 45:9-7.1; N.J. Admin. Code 13:35-6.15.
New Jersey
(PA)
1 hour every 2 years
Licensees authorized to prescribe controlled substances are required 1 hour in topics related to responsible opioid prescribing, alternatives to opioids for managing and treating pain, and the risks and signs of opioid abuse, addiction, and diversion.
N.J. Stat. Ann. § 45:9-7.1; N.J. Admin. Code 13:35-6.15
New Mexico
(MD)
5 hours every 3 years
New and current physician licensees who hold a federal DEA registration and a New Mexico controlled substances registration must complete 5 CME hours in the pharmacology of controlled substances, addiction and diversion, regulations for prescribing controlled substances, or pain management.
N.M. Code R. § 16.10.14.11
New Mexico
(PA)
3 hours every 2 years
Licensees who hold a federal DEA registration and a New Mexico controlled substances registration must complete 3 CME hours in the pharmacology of controlled substances, addiction and diversion, regulations for prescribing controlled substances, or pain management.
N.M. Code R. § 16.10.14.11
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
New Mexico
(Osteopathic Physician Assistant, OPA)
6 hours every 3 years
Licensees who hold a federal DEA registration and a license to prescribe opioids are required to complete 6 hours of non-cancer pain management education each triennial renewal cycle.
N.M. Code R. § 16. 17.4.11
New York
(MD/DO/PA)
3 hours every 3 years
Licensees authorized to prescribe controlled substances must complete at least 3 hours of training in pain management, palliative care, and addiction every three years.
N.Y. Pub Health Law §3309-A
North Carolina 3 hours every 3 years
Physicians who prescribe controlled substances must complete at least 3 hours of Category 1 CME designed to address controlled substance prescribing practices and shall include instruction on controlled substance prescribing practices, recognizing signs of the abuse or misuse of controlled substances, and controlled substance prescribing for chronic pain management.
N.C. Admin. Code tit. 21, r. 32R.0101
North Carolina
(PA)
2 hours every 2 years
Licensees authorized to prescribe controlled substances are required 2 hours in controlled substances every renewal.
N.C. Admin. Code tit. 21, r. 32R.0101
Ohio 20 hours every 2 years
Physician owner/operators of pain management clinics must complete 20 hours of Category 1 CME in pain medicine every 2 years, to include one or more courses addressing the potential for addiction.
Ohio Admin. Code § 4731-29-01
Ohio
(PA)
12 hours every 2 years
PAs authorized to prescribe must complete 12 hours in pharmacology pertaining to medicine/medications from an accredited institution recognized by the state medical board every two years.
Ohio Rev. Code § 4730.49
Oklahoma
(MD)
1 hour every 3 years
Licensees must complete at least 1 hour of education in pain management OR 1 hour of education in opioid use or addiction in each renewal cycle unless the licensee has demonstrated to the satisfaction of the Board that the licensee does not currently hold a valid federal DEA registration number.
Okla. Admin. Code § 435:10-1 5-1
Oklahoma
(DO)
1 hour, every 2 years
Osteopathic physicians must earn 1 hour on prescribing, dispensing, and administering controlled substances.
Okla. Admin. Code § 510:10-3-8
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Oklahoma
(PA)
1 hour, every 2 years
PAs must earn 1 hour of Category 1 CME on the topic of substance abuse.
Okla. Admin. Code § 435:10-1 5-1
Oregon 6 hours one time
Licensees must complete a 1-hour course on pain management and a minimum of 6 CME credit hours in the subject of pain management and/or the treatment of terminally ill and dying patients. Exceptions include licensees holding Lapsed, Limited, Telemedicine, Teleradiology, or Telemonitoring licenses.
Ore. Admin. R § 847-008-0070
Oregon
(PA)
6 hours one time
There is a one-time requirement of 6 hours in pain management and/or treatment of the terminally ill and dying patients. An additional 1 hour must be specific to Oregon provided by the Pain Management Commission of the Department of Human Services.
Ore. Admin. R § 847-008-0075(1)
Pennsylvania
(MD/DO)
4 hours, once, for initial licensure; 2 hours, every 2 years
Within 12 months of initial licensure, licensees must take 2 hours of CME on pain management or identification of addiction, as well as 2 hours on practices of prescribing or dispensing opioids. Subsequent license renewals require 2 hours of CME on pain management, identification of addiction, or prescribing practices.
Pa. Code tit. 49, § 16.19
Pennsylvania
(PA/OPA)
2 hours, every 2 years
Licensees with prescriptive authority, as a condition of license renewal, are required 2 hours in pain management, the identification of addiction or the practices of prescribing or dispensing of opioids.
35 Pa. Stat. § 872.3
Rhode Island
(MD/DO/PA)
8 hours one-time
Effective January 2, 2020, licensees who prescribe Schedule II opioids have a one-time requirement of 8 hours of Category I CME in any or all of the following topics: The appropriate prescribing of opioids for pain; Pharmacology; Adverse events; Potential for dependence; Tolerance; Substance use disorder; and Alternatives to opioids for pain management.
216-20-20 R.I. Code Regs. §4.4
South Carolina 2 hours every 2 years
Licensees must complete at least 2 hours of Category 1 credits related to approved procedures for prescribing and monitoring schedules II-IV controlled substances.
S.C. Code § 40-47-40; S.C. Code Regs. 81-95
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
South Carolina
(PA)
4 hours every 2 years
All licensees who are authorized to prescribe controlled substances are required 4 hours of controlled substance education every renewal.
S.C. Code § 40-47-965
Tennessee
(MD)
2 hours every 2 years
Licensees must complete 2 hours on controlled substance prescribing, including instruction in the Department’s treatment guidelines on opioids, benzodiazepine, barbiturates, and carisoprodol and may include topics such as addiction, risk management tolls, and other topics approved by the Board. Providers of intractable pain treatment must have specialized CME in pain management.
Tenn. Comp. R. & Regs. 0880-02-.19; Tenn. Comp. R. & Regs. 0880-02-.14
Tennessee
(DO)
2 hours every 2 years
At least 2 credit hours must be a course(s) designated to address prescribing practices.
Tenn. Comp. R. & Regs. 1050-02-.12
Tennessee
(PA)
2 hours every 2 years
All licensees are required 2 hours of prescribing controlled substances which must include instruction in the Tenn. Chronic Pain Guidelines.
Tenn. Comp. R. & Regs. 0880-02-.19; Tenn. Comp. R. & Regs. 0880-02-.14
Texas 2 hours every 2 years
Licensees must complete 2 AMA Category 1 or AOA Category 1A hours on medical ethics and/or professional responsibility, including, but not limited to, risk management, domestic abuse, or child abuse. Licensees practicing in a pain management clinic must complete 10 hours of CME annually in the area of pain management.
Tex. Occupations Code §§ 156.051 through 156.057; Tex. Admin. Code tit. 22, § 166.2
Texas
(PA)
2 hours every 2 years
Beginning with 2021 renewals and annually thereafter, licensees practicing direct patient care must complete 2 hours of Category 1 credit covering safe and effective pain management related to the prescription of opioids and controlled substances. Additionally, licensees authorized to prescribe or dispense opioids shall annually attend at least 1 hour covering best practices and topics related to pain management and treatment options.
Tex. Occupations Code § 157.0513(a)
Utah
(MD/DO)
3.5 hours
Controlled substance prescribers must complete at least 3.5 hours of continuing education in 1 or more controlled substance prescribing classes.
Utah Admin. Code r. 156-67-304
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Utah
(PA)
4 hours every 2 years
All controlled substance prescribers must complete 4 hours in controlled substance prescribing every renewal, .5 of which must be completed through an online tutorial and test, as described by the Board in section 58-37f-402.* The remaining 3.5 hours may be completed through an AMA PRA Category 1 Credit™ course that meets Board requirements.
*The online tutorial and test may only be offered by the Division of Occupational and Professional Licensing. Access the training here: https://dopl.utah.gov/csd/index.html.
Utah Admin. Code r. 156-68-304
Vermont
(MD)
3 hours every 2 years
Licensees must earn 1 hour on hospice, palliative care, or pain management services. Additionally, each licensee who holds a DEA registration number must earn at least 2 CME hours on the safe and effective prescribing of controlled substances and pain management.
12-5 Vt. Code R. § 200 26 Vt. Stat. Ann. § 1400

Vt. Rules of the Board of Medical Practice § 22.1.6
Vermont
(PA)
2 hours every 2 years
Beginning with 2018 renewals, all licensees who prescribe controlled substances must show evidence of 2 hours related to the safe and effective prescribing of controlled substances.
Vt. Rules of the Board of Medical Practice § 28.3.3
Virginia 2 hours every 2 years
Licensees must earn 2 hours in pain management, proper prescribing of controlled substances and the diagnosis and management of addiction.
Va. Code § 54.1-2912.1
Virginia
(PA)
2 hours every 2 years
Effective July 1, 2017, prescribers are required 2 hours in topics related to pain management, responsible prescribing of covered/controlled substances, and diagnosis and management of addiction every renewal.
Va. Code § 54.1-2912.1
Washington
(MD/DO/PA)
1-hour, one-time requirement
Effective January 1, 2019, any physician licensed to prescribe opioids must complete a 1-hour CE requirement regarding best practices in the prescribing of opioids or the opioid prescribing rules of the Washington Administrative Code.
Wa. Admin. Code 246-919-875.
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
West Virginia
(MD/DO/PA/OPA)
3 hours, every 2 year renewal cycle
Physicians who have prescribed, administered, or dispensed any controlled substance pursuant to a West Virginia license in the two-year license cycle preceding renewal, are required to complete 3-hours of Board-approved CME in drug diversion training and best practice prescribing of controlled substances training during each reporting period.
W. Va. Code R. § 24-1-15; W. Va. Code, § 30-1-7a; W. Va. Code R. § 24-1-15.2.g.
Wisconsin 2 hours every 2 years
Licensees must complete 2 hours of Category 1 hours on the opioid prescribing guidelines issued by the Board.
Wis. Admin. Code MED § 13.02.
Wyoming
(MD/DO/PA)
3 hours every 2 years
Licensees who have prescriptive authority must complete 3 hours of continuing education related to the responsible prescribing of controlled substance or treatment of substance abuse disorders every 2 years.
Wy. Stat. § 33-21-129
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
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Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
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Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
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Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
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Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
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Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
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Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Page 89
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Page 90
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Page 91
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Page 92
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Page 93
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Page 94
Suggested Citation: "Appendix F: State Continuing Medical Education (CME) Requirements for Prescribers." National Academy of Medicine. 2021. Educating Together, Improving Together: Harmonizing Interprofessional Approaches to Address the Opioid Epidemic. Washington, DC: The National Academies Press. doi: 10.17226/27108.
Page 95
Next Chapter: Appendix G: State Continuing Education (CE) Requirements for Nursing
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