California 2017-2018 Regular Session

California Assembly Bill AB1998

Introduced
2/1/18  
Introduced
2/1/18  
Refer
2/12/18  
Refer
2/12/18  
Report Pass
3/12/18  
Refer
3/13/18  
Report Pass
4/11/18  
Report Pass
4/11/18  
Refer
4/12/18  
Report Pass
4/18/18  
Report Pass
4/18/18  
Refer
4/18/18  
Refer
4/18/18  
Report Pass
4/24/18  
Report Pass
4/24/18  
Refer
4/24/18  
Refer
4/24/18  
Refer
5/9/18  
Refer
5/9/18  
Report Pass
5/25/18  
Report Pass
5/25/18  
Engrossed
5/30/18  
Engrossed
5/30/18  
Refer
5/31/18  
Refer
5/31/18  
Refer
6/7/18  
Refer
6/7/18  
Report Pass
6/19/18  
Refer
6/19/18  
Refer
6/19/18  
Report Pass
6/19/18  
Report Pass
6/19/18  
Refer
6/19/18  
Refer
6/19/18  
Report Pass
6/28/18  
Report Pass
6/28/18  
Refer
7/2/18  
Refer
7/2/18  
Refer
8/6/18  

Caption

Opioids: safe prescribing policy.

Impact

The bill aims to reduce opioid prescriptions across California, establishing a framework that mandates healthcare providers to create a safety net against over-prescribing. It also requires practitioners to document any decisions around prescribing opioids that deviate from the established guidelines. The inclusion of provisions for the distribution of naloxone is particularly significant in addressing overdose risks among high-prescribing patients, reinforcing the commitment to both safety and harm reduction efforts.

Summary

Assembly Bill 1998, introduced by Assembly Member Rodriguez, addresses the ongoing opioid epidemic through the establishment of a safe prescribing policy for controlled substances classified as Schedule II and Schedule III. By July 1, 2019, healthcare practitioners, excluding veterinarians, who prescribe, administer, or furnish opioids are required to adopt, review, and periodically update a written safe prescribing policy aimed at minimizing opioid prescriptions while ensuring patients receive appropriate care. This legislation reflects a proactive approach to curb the high prevalence of opioid prescriptions while allowing flexibility for clinical judgment on a case-by-case basis.

Sentiment

The sentiment surrounding AB 1998 is largely supportive among public health advocates who see it as an essential measure to combat the opioid crisis. However, there are concerns from some healthcare practitioners about the potential rigidity of the policy and its implications for patient-specific treatment flexibility. The requirement for documentation may also be viewed as an additional administrative burden. Overall, the discourse reflects a balance between safeguarding patient health and mitigating the risks associated with opioid prescriptions.

Contention

While the intent behind AB 1998 is largely viewed positively, there are notable points of contention regarding its implementation. Critics argue about the potential risks of limiting prescribing practices for patients in need of strong pain management solutions. They express fears that stringent policies could inadvertently lead to inadequate pain relief for vulnerable populations, including those with chronic pain conditions. The challenge will be finding effective ways to ensure safe prescribing without compromising the quality of care patients receive.

Companion Bills

No companion bills found.

Previously Filed As

CA AB2115

Controlled substances: clinics.

CA AB1130

Substance use disorder.

CA SB667

Healing arts: pregnancy and childbirth.

CA SB1502

Controlled substances: xylazine.

CA SB883

Public Safety Omnibus.

CA AB1027

Social media platforms: drug safety policies.

CA AB1731

CURES database: buprenorphine.

CA SB1518

Public safety omnibus.

CA AB3029

Controlled substances.

CA AB3161

Health facilities: patient safety and antidiscrimination.

Similar Bills

CA AB527

Controlled substances.

CA SB419

Legislature: Whistleblower protection and retaliation prevention.

VA HB1898

Optometry; TPA-Formulary; TPA-Formulary Committee; dissolution.

VA SB1081

Optometry; dissolves TPA-Formulary and TPA-Formulary Committee.

IL SB0647

HEALTH-TECH

CA AB852

Health care practitioners: electronic prescriptions.

CA AB528

Controlled substances: CURES database.

CA AB1503

Pharmacy.