MASCA Legislative Report 4/17
Attachments
Top News of the Week
P-D: McCaskill raises nearly $3 million in quarter P-D: Prescription drug monitoring program gets long-awaited approval in Missouri Senate AP: Missouri House passes prescription drug monitoring program KWMU: Synthetic opioid deaths surge across St. Louis region
Key Updates
PDMP: Attached is an overview of the PDMP bill that was approved by the Senate on Thursday evening. The next step is to send the bill to conference, which is the process in which the House and Senate each appoint five members to a committee with the goal of finding a compromise between the different versions. Below is a list of the controversial items added to the bill during debate on the Senate floor:
Situations when a prescriber is exempted from mandated use of the PDMP:
Hospitals and ASCs distribute controlled substances for purpose of inpatient care
Hospitals and ASCs that prescribe five days or less provided that the prescriber utilizes the program or ensures that the program has been utilized since the patients admission
A controlled substances is administered directly to the patient in an emergency room setting;
Previously established prescriber-patient relationship and a nonopioid controlled substance, other than benzodiazepine, is being prescribed;
Note the substitute already exempts:
During a medical emergency which, in the professional opinion of the prescriber, is likely to result in harm to the patient;
When it is not reasonably possible to utilize the program due to the circumstances beyond the control of the prescriber;
When patient has a terminal illness, or resides in long term care facility
Disciplinary Action: Removes Schaaf’s language to require regulatory board to discipline prescriber if program is not used
Sunset: Puts a six year sunset on the program unless reauthorized by the general assembly
Data Purge: Requires department to delete patient data after 180 days
Training: Requires department to establish training program for anyone using database
Drug Classifications: Restricts PDMP to opioids and benzodiazepines, rather than all Schedule II, II and IV
Hearings this week
TUESDAY - 04/18/17
House-General Laws TUESDAY - 04/18/17 12:00 PM Public Hearing:
SB 213
Rowden, Caleb
Establishes requirements for certain settlement offers of tort claims which must be accepted within a specified period of time.
Committee Members: Cornejo, Robert (R) / Mathews, Kirk (R) / Carpenter, Jon (D) / Anderson, Sonya (R) / Arthur, Lauren (D) / Basye, Chuck (R) / Cross, Gary (R) / Evans, Jean (R) / McCreery, Tracy (D) / Merideth, Peter (D) / Roeber, Rebecca (R) / Schroer, Nick (R) / Taylor, Jared (R)
House-Judiciary TUESDAY - 04/18/17 4:00 PM or upon conclusion of afternoon session, HR 1 Executive Session:
HB 725
McGaugh, Joe Don
Modifies the definition of dependent for purposes of workers' compensation claims.
Committee Members: McGaugh, Joe Don (R) / Corlew, Kevin (R) / Mitten, Gina (D) / Beard, Nathan (R) / DeGroot, Bruce (R) / Ellebracht, Mark (D) / Gregory, David (R) / Marshall, Nick (R) / Roberts, Steve (D) / Reisch, Cheri (R) / White, William (R)
WEDNESDAY - 04/19/17
Senate-Government Reform (POSTING CHANGE) WEDNESDAY - 04/19/17 8:00 AM, SCR 1
HB 573
McGaugh, Joe Don
Establishes requirements for certain settlement offers of tort claims which must be accepted within a specified period of time.
Committee Members: Emery, Ed (R) / Schatz, Dave (R) / Eigel, Bill (R) / Munzlinger, Brian (R) / Rizzo, John (D) / Rowden, Caleb (R) / Sifton, Scott (D)
Senate-Health and Pensions WEDNESDAY - 04/19/17 10:00 AM, SCR 1
HB 780
Hill, Justin
Establishes a state innovation waiver task force to develop a health care reform plan.
Committee Members: Schaaf, Rob (R) / Koenig, Andrew (R) / Chappelle-Nadal, Maria (D) / Onder, Bob (R) / Sater, David (R) / Schupp, Jill (D) / Silvey, Ryan (R)
House-Rules-Administrative Oversight (POSTING CHANGE) WEDNESDAY - 04/19/17 5:00 PM or upon adj., whichever is later, HR 7 Executive Session:
HB 437
Neely, James
Allows persons with certain serious medical conditions to use medical cannabis.
HB 1069
Bondon, Jack
Changes the laws regarding hospital licensure.
Committee Members: Barnes-60, Jason (R) / Sommer, Chrissy (R) / Arthur, Lauren (D) / Austin, Kevin (R) / Berry, T.J. (R) / Carpenter, Jon (D) / Corlew, Kevin (R) / Engler, Kevin (R) / Mathews, Kirk (R) / Roeber, Rebecca (R) / Runions, Joe (D) / Unsicker, Sarah (D) / Vescovo, Rob (R) / Wiemann, John D. (R)
