DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part of the
legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law
or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
HB 192 Original 2017 Regular Session Moreno
Abstract: Provides for a 7-day limit on certain opioid prescriptions.
Proposed law prohibits a medical practitioner from prescribing more than a 7-day supply when
issuing a first time opioid prescription for outpatient use to an adult patient with an acute condition.
Further prohibits a medical practitioner from issuing a prescription for more than a 7-day supply of
an opioid to a minor at any time and requires the practitioner to discuss with a parent or guardian
of the minor the risks associated with opioid use and the reasons why the prescription is necessary.
Proposed law exempts prescriptions for more than a 7-day supply which, in the professional medical
judgment of the medical practitioner, are necessary to treat the adult or minor patient's acute medical
condition or are necessary for the treatment of chronic pain management, pain associated with a
cancer diagnosis, or for palliative care.
Proposed law requires a medical practitioner to do both of the following prior to issuing a
prescription for an opioid:
(1)Consult with the patient regarding the quantity of the opioid and the patient's option to fill
the prescription in a lesser quantity.
(2)Inform the patient of the risks associated with the opioid prescribed.
Proposed law authorizes a pharmacist filling a prescription for an opioid to dispense the prescribed
substance in an amount less than the recommended full quantity indicated on the prescription if
requested by the patient. Further authorizes the patient to request that the pharmacist fill an
additional amount not to exceed the remaining prescribed quantity at any time prior to the expiration
of the prescription.
Proposed law requires, if the dispensed amount is less than the recommended full quantity, the
pharmacist or a designee to ensure that the actual dispensed amount is accurately recorded in the
prescription monitoring program. Further requires the pharmacist or a designee to also, within seven
days, make a notation in the interoperable electronic health record of the patient if the pharmacist
has access to the record.
(Adds R.S. 40:978(G) and (H))