SLS 14RS-470 REENGROSSED 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. (8/1/14) 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 limited dispensing of certain controlled substances;3 to provide for accessing the Prescription Monitoring Program in certain situations;4 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 REENGROSSED 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.(1) The pharmacist shall not dispense more than a ten-day supply at6 a dosage not to exceed the United States Food and Drug Administration's7 approved labeling for the medication if the prescriber for such medication is not8 licensed by the state of Louisiana, and the medication is a Schedule II controlled9 dangerous substance. The dispensing pharmacist shall notify the prescriber of10 the supply dispensed and the cancellation of the remainder of the prescription.11 (2) Within ninety days of the dispensing of a medication pursuant to12 Paragraph (E)(1) of this Section, such a medication shall not be dispensed again13 for the individual by a prescriber not licensed by the state of Louisiana.14 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 not dispense more than a ten-day supply at a dosage not to exceed the United States Food and Drug Administration's approved labeling for the medication if the prescriber is not licensed by the state of Louisiana, and the medication is a Schedule II controlled dangerous substance. Furthermore, the dispensing pharmacist shall notify the prescriber of the supply dispensed and the cancellation of the remainder of the prescription. Proposed law provides within 90 days of the dispensing of a medication pursuant to proposed law, such medication shall not be dispensed again for the individual by a prescriber 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 August 1, 2014. (Amends R.S. 40:978(A); adds R.S. 40:978(E) and (F)) SB NO. 496 SLS 14RS-470 REENGROSSED 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. Senate Floor Amendments to engrossed bill 1. Replaces the provision providing 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. Provides a provision providing a pharmacist not dispense more than a ten-day supply at a dosage not to exceed the United States Food and Drug Administration's approved labeling for the medication if the prescriber is not licensed by the state of Louisiana, and the medication is a Schedule II controlled dangerous substance.