HB1885: Opioids; limit on amount prescribed, extends sunset provision.
Be it enacted by the General Assembly of Virginia:
1. That § 54.1-2522.1, as it is currently effective, of the Code of Virginia is amended and reenacted as follows:
§ 54.1-2522.1. (Effective until July 1, 2019) Requirements of prescribers.
A. Any prescriber who is licensed in the Commonwealth to treat human patients and is authorized pursuant to §§ 54.1-3303 and 54.1-3408 to issue a prescription for a covered substance shall be registered with the Prescription Monitoring Program by the Department of Health Professions.
B. A prescriber registered with the Prescription Monitoring
Program or a person to whom he has delegated authority to access information in
the possession of the Prescription Monitoring Program pursuant to § 54.1-2523.2
shall, at the time of initiating a new course of treatment to a human patient
that includes the prescribing of opioids anticipated at the onset of treatment
to last more than 14 seven consecutive days, request information
from the Director for the purpose of determining what, if any, other covered
substances are currently prescribed to the patient. In addition, any prescriber
who holds a special identification number from the Drug Enforcement Administration
authorizing the prescribing of controlled substances approved for use in opioid
addiction therapy shall, prior to or as a part of execution of a treatment
agreement with the patient, request information from the Director for the
purpose of determining what, if any, other covered substances the patient is
currently being prescribed. Nothing in this section shall prohibit prescribers
from making additional periodic requests for information from the Director as
may be required by routine prescribing practices.
C. A prescriber shall not be required to meet the provisions of subsection B if:
1. The opioid is prescribed to a patient currently receiving hospice or palliative care;
2. The opioid is prescribed to a patient as part of treatment
for a surgical or invasive procedure and such prescription is not refillable
for no more than 14 consecutive days;
3. The opioid is prescribed to a patient during an inpatient hospital admission or at discharge;
4. The opioid is prescribed to a patient in a nursing home or a patient in an assisted living facility that uses a sole source pharmacy;
5. The Prescription Monitoring Program is not operational or available due to temporary technological or electrical failure or natural disaster; or
6. The prescriber is unable to access the Prescription Monitoring Program due to emergency or disaster and documents such circumstances in the patient's medical record.
2. That the second enactment of Chapter 113 and the second enactment of Chapter 406 of the Acts of Assembly of 2016 are amended and reenacted as follows:
2. That the provisions of this act shall expire on July 1,
2019 2022.
3. That the provisions of the first enactment of this act shall expire on July 1, 2022.
Be it enacted by the General Assembly of Virginia:
1. That § 54.1-2522.1, as it is currently effective, of the Code of Virginia is amended and reenacted as follows:
§ 54.1-2522.1. (Effective until July 1, 2019) Requirements of prescribers.
A. Any prescriber who is licensed in the Commonwealth to treat human patients and is authorized pursuant to §§ 54.1-3303 and 54.1-3408 to issue a prescription for a covered substance shall be registered with the Prescription Monitoring Program by the Department of Health Professions.
B. A prescriber registered with the Prescription Monitoring
Program or a person to whom he has delegated authority to access information in
the possession of the Prescription Monitoring Program pursuant to § 54.1-2523.2
shall, at the time of initiating a new course of treatment to a human patient
that includes the prescribing of opioids anticipated at the onset of treatment
to last more than 14 seven consecutive days, request information
from the Director for the purpose of determining what, if any, other covered
substances are currently prescribed to the patient. In addition, any prescriber
who holds a special identification number from the Drug Enforcement
Administration authorizing the prescribing of controlled substances approved
for use in opioid addiction therapy shall, prior to or as a part of execution
of a treatment agreement with the patient, request information from the
Director for the purpose of determining what, if any, other covered substances
the patient is currently being prescribed. Nothing in this section shall
prohibit prescribers from making additional periodic requests for information
from the Director as may be required by routine prescribing practices.
C. A prescriber shall not be required to meet the provisions of subsection B if:
1. The opioid is prescribed to a patient currently receiving hospice or palliative care;
2. The opioid is prescribed to a patient as part of treatment
for a surgical or invasive procedure and such prescription is not refillable
for no more than 14 consecutive days;
3. The opioid is prescribed to a patient during an inpatient hospital admission or at discharge;
4. The opioid is prescribed to a patient in a nursing home or a patient in an assisted living facility that uses a sole source pharmacy;
5. The Prescription Monitoring Program is not operational or available due to temporary technological or electrical failure or natural disaster; or
6. The prescriber is unable to access the Prescription Monitoring Program due to emergency or disaster and documents such circumstances in the patient's medical record.
2. That the second enactment of Chapter 113 and the second enactment of Chapter 406 of the Acts of Assembly of 2016 are amended and reenacted as follows:
2. That the provisions of this act shall expire on July 1,
2019 2022.
Be it enacted by the General Assembly of Virginia:
1. That § 54.1-2522.1, as it is currently effective, of the Code of Virginia is amended and reenacted as follows:
§ 54.1-2522.1. (Effective until July 1, 2019) Requirements of prescribers.
A. Any prescriber who is licensed in the Commonwealth to treat human patients and is authorized pursuant to §§ 54.1-3303 and 54.1-3408 to issue a prescription for a covered substance shall be registered with the Prescription Monitoring Program by the Department of Health Professions.
B. A prescriber registered with the Prescription Monitoring
Program or a person to whom he has delegated authority to access information in
the possession of the Prescription Monitoring Program pursuant to § 54.1-2523.2
shall, at the time of initiating a new course of treatment to a human patient
that includes the prescribing of opioids anticipated at the onset of treatment
to last more than 14 seven consecutive days, request information
from the Director for the purpose of determining what, if any, other covered
substances are currently prescribed to the patient. In addition, any prescriber
who holds a special identification number from the Drug Enforcement
Administration authorizing the prescribing of controlled substances approved
for use in opioid addiction therapy shall, prior to or as a part of execution
of a treatment agreement with the patient, request information from the
Director for the purpose of determining what, if any, other covered substances
the patient is currently being prescribed. Nothing in this section shall
prohibit prescribers from making additional periodic requests for information
from the Director as may be required by routine prescribing practices.
C. A prescriber shall not be required to meet the provisions of subsection B if:
1. The opioid is prescribed to a patient currently receiving hospice or palliative care;
2. The opioid is prescribed to a patient as part of treatment
for a surgical or invasive procedure and such prescription is not refillable
for no more than 14 consecutive days;
3. The opioid is prescribed to a patient during an inpatient hospital admission or at discharge;
4. The opioid is prescribed to a patient in a nursing home or a patient in an assisted living facility that uses a sole source pharmacy;
5. The Prescription Monitoring Program is not operational or available due to temporary technological or electrical failure or natural disaster; or
6. The prescriber is unable to access the Prescription Monitoring Program due to emergency or disaster and documents such circumstances in the patient's medical record.
2. That the second enactment of Chapter 113 and the second enactment of Chapter 406 of the Acts of Assembly of 2016 are amended and reenacted as follows:
2. That the provisions of this act shall expire on July 1,
2019 2022.
HOUSE BILL NO. 1885
Be it enacted by the General Assembly of Virginia:
1. That § 54.1-2522.1, as it is currently effective and as it shall become effective, of the Code of Virginia is amended and reenacted and that the Code of Virginia is amended by adding a section numbered 54.1-3408.05 as follows:
§ 54.1-2522.1. (Effective until July 1, 2019) Requirements of prescribers.
A. Any prescriber who is licensed in the Commonwealth to treat human patients and is authorized pursuant to §§ 54.1-3303 and 54.1-3408 to issue a prescription for a covered substance shall be registered with the Prescription Monitoring Program by the Department of Health Professions.
B. A prescriber registered with the Prescription Monitoring
Program or a person to whom he has delegated authority to access information in
the possession of the Prescription Monitoring Program pursuant to § 54.1-2523.2
shall, at the time of initiating a new course of treatment to a human patient
that includes the prescribing of opioids anticipated at the onset of treatment
to last more than 14 seven consecutive days,
request information from the Director for the purpose of determining what, if
any, other covered substances are currently prescribed to the patient. In
addition, any prescriber who holds a special identification number from the
Drug Enforcement Administration authorizing the prescribing of controlled
substances approved for use in opioid addiction therapy shall, prior to or as a
part of execution of a treatment agreement with the patient, request
information from the Director for the purpose of determining what, if any,
other covered substances the patient is currently being prescribed. Nothing in
this section shall prohibit prescribers from making additional periodic
requests for information from the Director as may be required by routine
prescribing practices.
C. A prescriber shall not be required to meet the provisions of subsection B if:
1. The opioid is prescribed to a patient currently receiving hospice or palliative care;
2. The opioid is prescribed to a patient as part of treatment for a surgical or invasive procedure and such prescription is not refillable;
3. The opioid is prescribed to a patient during an inpatient hospital admission or at discharge;
4. The opioid is prescribed to a patient in a nursing home or a patient in an assisted living facility that uses a sole source pharmacy;
5. The Prescription Monitoring Program is not operational or available due to temporary technological or electrical failure or natural disaster; or
6. The prescriber is unable to access the Prescription Monitoring Program due to emergency or disaster and documents such circumstances in the patient's medical record.
§ 54.1-2522.1. (Effective July 1, 2019) Requirements of prescribers.
A. Any prescriber who is licensed in the Commonwealth to treat human patients and is authorized pursuant to §§ 54.1-3303 and 54.1-3408 to issue a prescription for a covered substance shall be registered with the Prescription Monitoring Program by the Department of Health Professions.
B. Prescribers registered with the Prescription Monitoring
Program shall, at the time of initiating a new course of treatment to a human
patient that includes the prescribing of benzodiazepine or an opiate
anticipated at the onset of treatment to last more than 90 seven consecutive days,
request information from the Director for the purpose of determining what, if
any, other covered substances are currently prescribed to the patient. In
addition, any prescriber who holds a special identification number from the
Drug Enforcement Administration authorizing the prescribing of controlled
substances approved for use in opioid addiction therapy shall, prior to or as a
part of execution of a treatment agreement with the patient, request
information from the Director for the purpose of determining what, if any,
other covered substances the patient is currently being prescribed. Nothing in
this section shall prohibit prescribers from making additional periodic
requests for information from the Director as may be required by routine
prescribing practices.
C. The Secretary of Health and Human Resources may identify and publish a list of benzodiazepines or opiates that have a low potential for abuse by human patients. Prescribers who prescribe such identified benzodiazepines or opiates shall not be required to meet the provisions of subsection B. In addition, a prescriber shall not be required to meet the provisions of subsection B if the course of treatment arises from pain management relating to dialysis or cancer treatments.
§ 54.1-3408.05. Prescription of controlled substance containing opioids; limit.
A prescriber who prescribes a controlled substance containing an opioid to a patient shall not prescribe an amount greater than a seven-day supply unless (i) in the professional medical judgment of the prescriber, more than a seven-day supply of the controlled substance containing an opioid is required to stabilize the patient's acute medical condition or (ii) the prescription is for the management of pain associated with cancer, use in palliative or hospice care, or management of chronic pain not associated with cancer.