S.B.274. Health; controlled substances; prescription for opioids; limit, and require prescribers to prescribe an opioid antagonist under certain circumstances. Amends sec. 17744b of 1978 PA 368 (MCL 333.17744b) & adds sec. 7333b.

Michigan Senate
Last action 2 months ago
Polls (closed):
Yay (0)    Nay (0)

Summary

                    Senate Bill 274 would amend the Public Health Code to allow a pharmacist to fill partially in increments a prescription for a Schedule 2 controlled substance in certain situations.  It would also limit the supply of an opioid a prescriber could prescribe to a patient being treated for acute pain, beginning July 1, 2018.  The bill would take effect 90 days after enactment.  (MCL 333.7333 and proposed 333.7333b)

Specifically, the bill would state that a pharmacist may partially fill in increments a prescription for a Schedule 2 controlled substance in any of the following three instances:

·         The pharmacist is unable to supply the full quantity of the controlled substance prescribed or the patient requests a smaller quantity of the controlled substance than was prescribed. A prescription that was partially filled under this section must not be filled more than 30 days after the prescription was issued.

·         The prescription was filled upon the oral prescription of a practitioner.  The pharmacist who fills this prescription must record the quantity dispensed and maintain that documentation. A prescription partially filled under this section must not be filled more than 72 hours after the first partial filling.

·         The prescription is for a terminally ill patient whose terminal illness is documented by the pharmacist as required by the Michigan Board of Pharmacy or its designated or established authority. A prescription partially filled under this section must not be filled more than 60 days after the prescription was issued.

Currently under the Code, a prescription may only be filled partially under the third instance—in the case of a terminally ill patient.

The bill would also create a new section of the Code which would provide that a prescriber treating a patient for acute pain may not prescribe more than a seven-day supply of an opioid within a seven-day period.

Acute pain as used in that section would mean pain that is the normal, physiological response to a noxious chemical or a thermal or mechanical stimulus and is typically associated with invasive procedures, trauma, and disease and usually lasts for a limited amount of time.

BACKGROUND:

According to the bill sponsor, the bill is intended to reduce the number of unused opioids in medical cabinets and on the streets.  It is hoped that limiting an initial opioid prescription when treating a patient for acute pain would lessen the likelihood that the patient would develop a dependence on that opioid.

FISCAL IMPACT:

Senate Bill 274 would not have any significant fiscal impacts on any units of state or local government.
                

In an effort to be an unbiased source of information, all text in this summary comes directly from government resources.

Actions

  • ASSIGNED PA 0251'17 WITH IMMEDIATE EFFECT

    Wed, Dec 27th 2017
  • APPROVED BY GOVERNOR 12/27/2017 @ 12:25 PM

    Wed, Dec 27th 2017
  • FILED WITH SECRETARY OF STATE 12/27/2017 @ 2:26 PM

    Wed, Dec 27th 2017
  • PRESENTED TO GOVERNOR 12/19/2017 @ 10:26 AM

    Wed, Dec 27th 2017
  • FULL TITLE AGREED TO

    Tue, Dec 12th 2017
  • read a third time

    Tue, Dec 12th 2017
  • ORDERED ENROLLED

    Tue, Dec 12th 2017
  • returned to Senate

    Tue, Dec 12th 2017
  • inserted full title

    Tue, Dec 12th 2017
  • passed; given immediate effect Roll Call # 483 Yeas 97 Nays 13

    Tue, Dec 12th 2017
  • GIVEN IMMEDIATE EFFECT

    Tue, Dec 12th 2017
  • HOUSE AMENDMENT(S) CONCURRED IN ROLL CALL # 565 YEAS 36 NAYS 1 EXCUSED 1 NOT VOTING 0

    Tue, Dec 12th 2017
  • read a second time

    Tue, Dec 5th 2017
  • placed on third reading

    Tue, Dec 5th 2017
  • amended

    Tue, Dec 5th 2017
  • referred to second reading

    Tue, Oct 3rd 2017
  • reported with recommendation without amendment

    Tue, Oct 3rd 2017
  • referred to Committee on Health Policy

    Tue, Jul 11th 2017
  • read a first time

    Tue, Jul 11th 2017
  • received on 06/22/2017

    Tue, Jul 11th 2017
  • PASSED ROLL CALL # 300 YEAS 36 NAYS 1 EXCUSED 1 NOT VOTING 0

    Wed, Jun 21st 2017
  • PLACED ON ORDER OF THIRD READING WITH SUBSTITUTE S-2

    Tue, Jun 20th 2017
  • SUBSTITUTE S-2 CONCURRED IN

    Tue, Jun 20th 2017
  • REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITH SUBSTITUTE S-2

    Tue, Jun 20th 2017
  • REFERRED TO COMMITTEE OF THE WHOLE WITH SUBSTITUTE S-1

    Tue, Jun 6th 2017
  • COMMITTEE RECOMMENDED IMMEDIATE EFFECT

    Tue, Jun 6th 2017
  • REPORTED FAVORABLY WITH SUBSTITUTE S-1

    Tue, Jun 6th 2017
  • REFERRED TO COMMITTEE ON HEALTH POLICY

    Wed, Mar 22nd 2017
  • INTRODUCED BY SENATOR MARTY KNOLLENBERG

    Wed, Mar 22nd 2017