2018 Regular Session ENROLLED
SENATE BILL NO. 477(Substitute of Senate Bill No. 189 by Senator LaFleur)
BY SENATOR LAFLEUR
1 AN ACT
2 To enact R.S. 37:1164(59) and 1226.4; relative to electronic prescribing of noncontrolled
3 legend drugs; to provide for a definition of chart order; to provide for bidirectional
4 transmission; to provide for authority to the Louisiana State Law Institute to
5 alphabetize the definition list; and to provide for related matters.
6 Be it enacted by the Legislature of Louisiana:
7 Section 1. R.S. 37:1164(59) and 1226.4 are hereby enacted to read as follows:
8 §1164. Definitions
9 As used in this Chapter, the following terms have the meaning ascribed to
10 them by this Section:
11 * * *
12 (59) "Chart Order" is a lawful order entered on the electronic or paper
13 chart or medical record of an inpatient or resident of an institutional facility by
14 a practitioner or his licensed healthcare designee for a drug or device and shall
15 be considered a prescription drug order provided it contains the following:
16 (a) Full name of the patient.
17 (b) Date of issuance.
18 (c) Name, strength, and dosage form of the drug prescribed.
19 (d) Directions for use.
20 (e) Name of the prescribing practitioner.
21 (f) The prescribing practitioner's written or electronic signature or the
22 written or electronic signature of the practitioner's licensed healthcare designee,
23 who shall be a licensed nurse, pharmacist, or physician practicing in a
24 long-term care facility. The licensed healthcare designee shall be authorized to
25 document a chart order in the patient's medical record on behalf of the
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions. SB NO. 477 ENROLLED
1 prescribing practitioner pending the prescribing practitioner's signature, or to
2 communicate a prescription to a pharmacy whether telephonically, by facsimile
3 transmission, or electronically.
4 * * *
5 §1226.4. Chart orders; bidirectional transmission; renewal
6 A. The institutional facility is the only party to the prescription drug
7 chart order that shall be required to maintain a copy of the prescriber's
8 signature unless otherwise required by federal law.
9 B. Bidirectional electronic transmission of chart orders between the
10 institutional facility and the pharmacy shall be permitted when transmission
11 occurs in a manner that complies with rules promulgated by the Centers for
12 Medicare and Medicaid Services and other federal rules or regulations.
13 C. Renewal of ongoing chart orders shall be signed by the prescriber at
14 the appropriate time interval based on facility type and federal regulation, state
15 law, or rule. Unless otherwise indicated, chart orders shall be ongoing until such
16 time as the practitioner discontinues the order and such discontinuation is
17 communicated to the pharmacy.
18 D. The board may promulgate rules to recognize and regulate the use of
19 chart orders that are not otherwise specifically provided for in this Section.
20 Section 2. The Louisiana State Law Institute is hereby authorized and directed to
21 alphabetize the definitions contained in R.S. 37:1164.
PRESIDENT OF THE SENATE
SPEAKER OF THE HOUSE OF REPRESENTATIVES
GOVERNOR OF THE STATE OF LOUISIANA
APPROVED:
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.