SLS 14RS-470 ENGROSSED Page 1 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Regular Session, 2014 SENATE BILL NO. 496 BY SENATOR HEITMEIER CONTROL DANGER SUBSTANCE. Provides for limits on certain prescriptions. (gov sig) AN ACT1 To amend and reenact R.S. 40:978(A) and to enact R.S. 40:978(E) and (F), relative to2 prescriptions; to provide for the prohibition of dispensing certain controlled3 substances; to provide for accessing the Prescription Monitoring Program in certain4 situations; to provide for an effective date; and to provide for related matters.5 Be it enacted by the Legislature of Louisiana:6 Section 1. R.S. 40:978(A) is hereby amended and reenacted, and R.S. 40:978(E) and7 (F) are hereby enacted to read as follows: 8 ยง978. Prescriptions 9 A. Except when dispensed or administered directly by a medical practitioner10 or administered by a person authorized to administer by such practitioner, other than11 a pharmacist, to an ultimate user, no controlled dangerous substance included in12 Schedule II, which is a prescription drug as determined under the Louisiana Revised13 Statutes, of 1950, may be dispensed or administered without either the written14 prescription of a practitioner, or an electronic prescription order as provided by15 federal law or regulation, except that in emergency situations, as prescribed by the16 department by regulation, such drug may be dispensed or administered upon oral17 SB NO. 496 SLS 14RS-470 ENGROSSED Page 2 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. prescription reduced promptly to writing and filed by the pharmacist. Prescriptions1 shall be retained in conformity with the requirements of R.S. 40:976. No prescription2 for a Schedule II substance may be refilled nor may such prescription be filled3 more than ninety days after the date of the prescription.4 * * *5 E. A pharmacist shall not dispense any Schedule II controlled dangerous6 substance based upon a prescription of a prescriber who is not licensed by the7 state of Louisiana.8 F. A prescriber shall access the Prescription Monitoring Program prior9 to initially prescribing any Schedule II controlled dangerous substance to a10 patient for the treatment of non-cancer-related chronic or intractable pain.11 Section 2. This Act shall become effective upon signature by the governor or, if not12 signed by the governor, upon expiration of the time for bills to become law without signature13 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If14 vetoed by the governor and subsequently approved by the legislature, this Act shall become15 effective on the day following such approval.16 The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Christopher D. Adams. DIGEST Heitmeier (SB 496) Present law provides no prescription for a Schedule II substance may be refilled. Proposed law provides a Schedule II prescription may not be filled more than 90 days after the date of the prescription. Proposed law provides a pharmacist shall not dispense any Schedule II controlled dangerous substance upon a prescription of a prescriber who is not licensed by the state of Louisiana. Proposed law provides a prescriber shall access the Prescription Monitoring Program prior to initially prescribing any Schedule II controlled dangerous substance to a patient for the treatment of non-cancer-related chronic or intractable pain. Effective upon signature of the governor or lapse of time for gubernatorial action. (Amends R.S. 40:978(A); adds R.S. 40:978(E) and (F)) SB NO. 496 SLS 14RS-470 ENGROSSED Page 3 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Summary of Amendments Adopted by Senate Committee Amendments Proposed by Senate Committee on Health and Welfare to the original bill 1. Deletes the provisions prohibiting prescription for any controlled substance being issued for more than 120 dosage units or a 30-day supply of the maximum total daily dosage and the provision prohibiting more than three controlled substance prescriptions issued for a patient by a licensed practitioner during the same 30-day period. 2. Provides a pharmacist not dispense any Schedule II controlled dangerous substance upon a prescription of a prescriber who is not licensed by the state of Louisiana and a prescriber access the Prescription Monitoring Program prior to initially prescribing any Schedule II controlled dangerous substance to a patient for the treatment of non-cancer-related chronic or intractable pain.