ARIZONA
HOUSE OF REPRESENTATIVES
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HB 2549: controlled substances; dosage limit |
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PRIME SPONSOR: Representative Carter, LD 15 BILL STATUS: Senate Engrossed |
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Relating to prescriptions and dosage
limitations.
Provisions
1. Includes an available opioid assistance and referral call service that is designated by ADHS as an option to be used when a physician must do a consultation regarding the issuance of a prescription that exceeds 90 MMEs per day.
a. Contains a retroactive date of April 26, 2018. (Sec. 10, 13)
2. Permits the Arizona Poison Control System to provide statewide opioid assistance and referral resources through a toll-free telephone service. (Sec. 12, 13)
3. Allows a health professional to issue a prescription that exceeds 90 MMEs if the consulting physician who is board-certified in pain or an opioid call service agrees with the higher dose.
a. Contains a retroactive date of April 26, 2018. (Sec. 10, 13)
4. Clarifies that the 90 MME limitation applies to prescriptions, rather than prescription orders. (Sec. 10)
5. Exempts prescriptions capped at a 14-day supply that are issued following a surgical procedure from the 90 MME per day limitation.
a. Contains a retroactive date of April 26, 2018. (Sec. 10, 13)
6. Clarifies that the 90 MME limit applies to prescriptions that are filled or dispensed outside of a health care institution.
a. Contains a retroactive date of April 26, 2018. (Sec. 10, 13)
7. States that a health care institution, private office or clinic must apply to ADHS for licensure as a pain clinic within 60 days of meeting the statutory definition of a pain clinic. (Sec. 11)
8. Allows a nurse practitioner with advanced pain certification to act as a medical director of a pain clinic. (Sec. 11)
9. Prohibits a naturopathic physician from dispensing opioids and classifies a violation as unprofessional conduct. (Sec. 3, 4)
10. Exempts implantable devices dispensed by an allopathic or osteopathic physician, physician assistant, certified nurse midwife or nurse practitioner from the prohibition against dispensing controlled substances.
a. Contains a retroactive date of April 26, 2018. (Sec. 1, 2, 5-9, 13)
11. Makes technical and conforming changes. (Sec. 3, 4, 10)
Current Law
New prescription orders for opioids are prohibited from containing more than 90 MMEs per day. Exemptions from the 90 MME per day limitation are provided for specified individuals and continuations of an existing prescription that was issued within the last 60 days. If a health professionals determines that a prescription containing more than 90 MMEs is necessary, the health professional must consult with an allopathic or osteopathic physician who is board-certified in pain (A.R.S. § 32-3248.01 as added by Laws 2018, First Special Session, Chapter 1, Section 29).
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Fifty-third Legislature HB 2549
Second Regular Session Version 4: Senate Engrossed
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