S1202B2177A10707 SFL:JSL 10/20/16 #90 A10707
AMENDMENTS TO SENATE BILL NO. 1202
Sponsor: REPRESENTATIVE GIBBONS
Printer's No. 2177
Amend Bill, page 1, line 7, by inserting after "opioids"
further providing for definitions, for powers and duties of
board, for requirements for dispensers and pharmacies and for
requirements for prescribers,
Amend Bill, page 1, lines 12 through 15, by striking out all
of said lines
Amend Bill, page 2, by inserting between lines 29 and 30
Section 1. Section 3 the act of October 27, 2014 (P.L.2911,
No.191), known as the Achieving Better Care by Monitoring All
Prescriptions Program (ABC-MAP) Act, is amended by adding
definitions to read:
Section 3. Definitions.
The following words and phrases when used in this act shall
have the meanings given to them in this section unless the
context clearly indicates otherwise:
* * *
"Benzodiazepine." A psychoactive drug whose core chemical
structure is the fusion of a benzene ring and a diazepine ring
and works on the central nervous system, acting selectively on
gamma-aminobutyric acid type A (GABA(A)) receptors in the brain.
* * *
"Observation status." When a patient receives onsite
services from the hospital for more than 23 consecutive hours,
the onsite services received by the patient include a hospital
bed and meals that have been provided in an area of the hospital
other than the hospital emergency room, and the patient has not
been formally admitted as an inpatient at the hospital.
"Opioid drug product." Any of the following:
(1) A preparation or derivative of opium.
(2) A synthetic narcotic that has opiate-like effects,
but is not derived from opium.
(3) A group of naturally occurring peptides that bind at
or otherwise influence opiate receptors, including opioid
agonist.
* * *
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Section 2. Sections 5(5) of the act is amended by adding a
subparagraph to read:
Section 5. Powers and duties of board.
The board shall have the following powers and duties:
* * *
(5) Develop policies and procedures to:
* * *
(xvi) Require and ensure registration of all
prescribers and dispensers with the program.
Section 3. Section 7(c) and 8(a) of the act are amended and
the sections are amended by adding subsections to read:
Section 7. Requirements for dispensers and pharmacies.
* * *
(c) Frequency.--A dispenser or pharmacy shall submit all
information required under subsection (b) to the system no later
than [72 hours] the close of the subsequent business day after
dispensing a controlled substance.
* * *
(e) System query.--
(1) A dispenser shall query the system before dispensing
an opioid drug product or a benzodiazepine prescribed to a
patient if any of the following apply:
(i) The patient is a new patient of the dispenser.
(ii) The patient pays cash when they have insurance.
(iii) The patient requests a refill early.
(iv) The patient is getting opioid drug products or
benzodiazepines from more than one prescriber.
(2) For the purposes of this subsection, a new patient
does not include an individual going to the same pharmacy, or
a different physical location of that pharmacy, if the
patient's record is available to the dispenser.
Section 8. Requirements for prescribers.
(a) System query.--A prescriber shall query the system:
(1) for each patient the first time the patient is
prescribed a controlled substance by the prescriber for
purposes of establishing a baseline and a thorough medical
record; [or]
(2) if a prescriber believes or has reason to believe,
using sound clinical judgment, that a patient may be abusing
or diverting drugs[.]; or
(3) each time a patient is prescribed an opioid drug
product or benzodiazepine by the prescriber.
(a.1) Query not required.--If a patient has been admitted to
a licensed health care facility or is in observation status in a
licensed health care facility, the prescriber does not need to
query the system after the initial query under subsection (a)(1)
as long as the patient remains admitted to the licensed health
care facility or remains in observation status in a licensed
health care facility.
* * *
Section 4. The act is amended by adding a section to read:
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Amend Bill, page 4, line 11, by striking out "2" and
inserting
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See A10707 in
the context
of SB1202