The second session of the 53rd Arizona Legislature adjourned sine die at 12:26 am on May 4, 2018.

Session Stats

Days of Session  116
Bills Posted 1206
Bills Passed 369
Bills Vetoed  23
Bills Signed  346
Mem. Res Posted 122
Mem. Res. Passed 28

 


Each year, AACHC's Legislative Advisory Committee establishes a legislative agenda for us to follow at the state and federal levels. During our state session, AACHC monitors bills related to our agenda as well as any other bills affecting healthcare. Use the bill tracker below to help you learn more about these bills. You can also log into your Request to Speak account to support, oppose or remain neutral on these (state bills only) and leave your comments. Click here for more information on how to join the Request to Speak program.

 

Update on Bills followed by AACHC

53rd Legislature - 2nd Regular Session 2018

Bills followed by AACHC

*Click here to download a PDF copy of the latest matrix below

ADMINISTRATIVE HEALTH RULES, LICENSURE AND PROCEDURES

H2067 | Unlawful medical marijuana recommendation                                                  

Rep. Leach

It is a class 6 (lowest) felony for a licensed health professional to intentionally or knowingly violate any law or any standard or rule adopted pursuant to a law when making a recommendation for medical marijuana to a patient.

  • House Health do pass 6-3
  • Passed House third reading 35-25
  • Passed Senate House and Human Services 5-2
  • Held in Rules
  • Passed Senate third reading 17-13
  • Transmitted to House

H2084 S/E 1290 | Indoor tanning; minors; restricted use

Rep. Carter

Tanning facility operators or employees are prohibited from allowing a person under 18 years of age to use a "tanning device" (defined). Tanning facilities are required to maintain a record of each customer using a tanning device for at least two years. Tanning facilities are prohibited from advertising or distributing promotional materials that claim that using a tanning device is free from risk or will result in medical or health benefits.

  • House Health do pass 8-1
  • Rules 6-0-3
  • Passed House third reading 45-15
  • S/E S1290
  • Passed House Health 7-0-2
  • Passed House third read, amended 33-23-4
  • Transmitted to Senate
  • Held awaiting Senate action on House amendments

H2197 | Health Professional; workforce data

Rep. Carter

When an accident occurs to a peace officer, the peace officer is permitted to select a physician from an alternative physicians list, which the Industrial Commission is required to establish.

  • House health do pass 9-0
  • Rules 6-0-3
  • Passed House third vote 60-0
  • Passed Senate Health and Human Services 7-0
  • Passed Commerce and Safety 7-0-1
  • Rules, proper for consideration
  • Democrat and Republican Caucus, Yes
  • Passed Senate third read, 30-0
  • Transmitted to Governor
  • Signed by Governor (5/16)

H2256 | Podiatrists; examination; repeal

Rep. Carter

Eliminates the requirement for podiatrists to pass an oral and practical examination to obtain a license. Statutes governing examinations are repealed.

  • From House Health do pass 8-1
  • Rules 6-0-3
  • Passed House third read 58-2
  • Transmit to Senate
  • Passed House 58-0-2
  • Transmitted to Governor, (3-21-18)
  • Signed by Governor (3/23)

H2258 | Diabetes; Annual Report

Rep. Carter

AACHC supports this bill

The Arizona Diabetes Program, working in conjunction with other specified state agencies and diabetes stakeholders, is required to compile an annual report on the prevalence and costs of diabetes in Arizona, the Program's plan for reducing the incidence of diabetes and improving diabetes care in Arizona, and other specified diabetes-related information. By January 31 of each year, the Department of Health Services is required to provide the report to the Governor and the Legislature.

  • Passed out of House Health DPA 9-0
  • Rules 6-0-3
  • Passed House third read 57-2-1
  • Passed Senate HHS 7-0
  • Rules, proper for consideration
  • Signed by Governor (3/29)

H2274 | County Contributions; Hospitalization; Medical; Repeal

Rep. Thorpe

Repeals the county contributions for AHCCCS hospitalization and medical care for

FY2017-18 contained in the FY2017-18 budget. The state has no obligation to refund monies paid. Contains legislative findings, including a declaration that county payments to the disproportionate uncompensated care pool should be discontinued beginning in FY2018-19.

  • House Approps DP 12-0-1
  • Passed House third read 58-2
  • Transmit to Senate
  • Senate Second Read

H2322 | Health Insurers; provider credentialing

Rep Carter

AACHC supports this bill

Health insurers are required to establish a process for the electronic submission of a credentialing or recredentialing application and supporting documentation. A credentialing committee of at least two persons is required to review credentialing applications. Establishes deadlines for a health insurer to acknowledge receipt of an application, provide notification of an incomplete application, and conclude the credentialing process. A health insurer is prohibited from denying a claim for a covered service provided to a subscriber by a participating provider who has been approved to contract with a network plan if the covered services are provided after the effective date of the contract. Health insurers that comply in good faith with these requirements are immune from civil liability for the purposes of reviewing and approving a credentialing application. Effective January 1, 2019.

  • House Health DP amended; 9-0
  • Rules 6-0-3
  • Passed House third reading 56-4
  • Transmit to Senate
  • Rules, proper for consideration
  • Retained
  • Passed Senate third read 28-0-2
  • Transmitted to House
  • Passed House 58-0-2
  • Signed by Governor (4/17)

H2389 | Syringe access programs; authorization

Rep Rivero

Counties, municipalities, and/or nongovernmental organizations are authorized to establish and operate a needle and hypodermic syringe access program. A program is required to offer a list of specified services, including disposal of used needles and hypodermic syringes, injection supplies at no cost, access to kits that contain an opioid antagonist or referrals to programs that provide an opioid antagonist, and personal consultations concerning mental health or addiction treatment. An employee, volunteer or participant in the program cannot be charged with or prosecuted for possession of a needle, hypodermic syringe or other injection supply item obtained from or returned to a program or a residual amount of a controlled substance contained in a used needle, hypodermic syringe or injection supply item obtained from or returned to a program.

  • House health DP amended 8-1
  • Rules 6-0-3
  • Passed House third reading 56-4
  • Transmit to Senate
  • Passed Government committee 6-0-1
  • Passed Senate third reading 22-8
  • Conference Committee Appointed

H2324 | Community Health Workers; voluntary certification

Rep. Carter

AACHC supports this bill

The Department of Health Services is required to adopt rules relating to the establishment and administration of a voluntary process for the certification of "community health workers" (defined) that includes a list of criteria. Establishes disciplinary action for certificate holders and other penalties for violations. Establishes a 9-member Community Health Workers Advisory Board within the Dept to make recommendations to the Dept regarding community health worker requirements, competencies and standards. Amendment will be offered in Senate Health and Human Services.

  • House Health DP amended 8-0-1
  • Rules 6-0-3
  • Passed House third reading 56-1-3
  • Passed Senate Health and Human Services 5-2
  • Passed Commerce and Public Safety 7-0-1
  • Do pass action
  • Withdrawn from HHS
  • Adopted by COMPS
  • Transmitted to House
  • Senate third read amended, passed 24-6
  • Concurrence recommended
  • Passed House final reading, 55-2-3
  • Transmitted to Governor
  • Signed by Governor (5/16)

H2450 | Genetic testing information; confidentiality; exceptions

Rep. Udall

The list of persons that genetic testing and information derived from genetic testing may be released to is modified to include a person or entity that provides services to a health care provider or clinical laboratory if the provider or laboratory has an agreement requiring the person or entity to protect the confidentiality of the information as required by federal law, a statewide health information exchange, the health insurance carrier of the person tested, a nationally recognized accreditation organization, a health professional licensing board in Arizona, and an entity that is responsible for the payment of a health care provider's charges and that uses the information only for the purpose of payment of those charges.

  • House Health DPA 8-1
  • Rules 6-0-3
  • Retained on the calendar

H2547 | Health Providers; pain management; prohibitions

Rep. Carter

Health care insurers, insurer's utilization review agents, and Arizona Long-Term Care System program contractors are prohibited from assessing a patient's satisfaction with pain management by a treating provider to determine the provider's compensation or quality incentive payments, and from imposing a financial penalty or taking disciplinary action against a treating provider for a patient's dissatisfaction with pain management by that provider.

  • Referred to House Health (2/6)

H2548 | Health professionals; continuing education; opioids

Rep. Carter

AACHC supports this bill

The three hours of opioid-related continuing education that each health professional who is authorized to prescribe or dispense schedule II controlled substances is required to complete is required to be included as part of any continuing education requirements for that health professional.

  • House Health do pass 9-0
  • Rules 6-0-3
  • Passed House third read 59-0-1
  • Transmit to Senate
  • HHS do pass 5-0-2
  • No action in Rules committee
  • Passed Senate third reading 30-0
  • Transmitted to Governor
  • Signed by Governor (4/5)

S1247 | Health insurance; mandated provision prohibited

Sen. Barto

Counties and municipalities are prohibited from requiring an employer to provide health insurance to the employer's employees.

  • Senate Health & Human Services do pass 5-2
  • Rules PFC
  • Passed Senate 17-13
  • Referred to House
  • Do pass action in Local and International Affairs Committee 4-3
  • Passed Rules Committee 7-0-0-2
  • Bill passed by s/v 27-25
  • Transmitted to Governor
  • Signed by Governor (4/10)

S1470 | Sunrise process; health professionals; modifications

Sen. Borrelli

Declares that it is not a legitimate use of state power to protect existing businesses and agencies against competition. The list of criteria that must be met to establish health profession regulations is modified. Requires the Legislature to implement the least restrictive alternative method of regulation to address the specific harm or danger identified. If a less restrictive regulation cannot address a specific harm or danger identified, the regulation may include licensure by the state. An individual who is licensed or certified in another state or jurisdiction of the U.S. is not subject to any additional regulatory requirement to become licensed or certified in Arizona, except to address a specific harm or danger that is unique to this state. The written report that health professional groups proposing that any health professional group not presently regulated be regulated or that proposes to increase the scope of practice of a health profession are required to submit must be submitted before the start of the legislative session for which the legislation is proposed, or by an earlier deadline set by legislative rule, instead of by September 1. The President of the Senate and the Speaker of the House of Representatives are required to assign the written report to the appropriate legislative committees, instead of the committee of reference. The health-related legislative committees are authorized to conduct hearings on the written report before the legislative session convenes. Information that must be contained in the report is modified. Establishes a list of criteria the Legislature is required to use to review any legislation to increase a scope of practice. AS PASSED SENATE.

  • Passed Senate Government
  • 7-0
  • Rules PFCA
  • (Proper for Consideration Amended)
  • Passed Senate third read     21-9
  • Passed Government Committee 4-3-0-1
  • Held in Rules
  • House second read
  • Held in House

S1471 | Estimated Costs; insurers; health providers

Sen. Barto

Beginning January 1, 2019, a "health care system" that offers a "health care plan" (both defined) in Arizona is required to establish an interactive mechanism on its publicly accessible website where an enrollee can obtain information on the payments made by the system to network health care facilities or health care providers for comparable health care services as well as quality data for those facilities or providers to the extent available. Beginning January 1, 2019, a "health insurer" that offers a "health care plan" (both defined) in Arizona and that contracts with the Arizona Health Care Cost Containment System Administration or the Department of Administration Benefits Division is required to establish for all health care plans it offers in Arizona a shared savings program where enrollees are directly incentivized to shop for lower-cost, high-quality participating health care providers or health care facilities for comparable health care services. At a patient's request, a health care provider or health care facility is required to provide to the patient an estimate of the current procedural terminology or other billing codes for a procedure or service that is scheduled to occur at least 48 hours after the request. Some exceptions.

  • Senate Health and Human Services DPA 5-2
  • Passed Third Read 16-14
  • Transmitted to House
  • Held in Banking and Insurance Committee
  • House second read
  • Held in House

AHCCCS BILLS

H2127 S/E 1087 | (formerly DCS reports; study; report) Children’s Health Insurance Program

Rep. Cobb

AACHC supports this bill

If the Director of the Arizona Health Care Cost Containment System (AHCCCS) determines that the amount of state monies appropriated combined with available federal monies may be insufficient for the Children's Health Insurance Program (CHIP), the Director is required to immediately notify the Governor and the Legislature. After consulting with the Governor, the AHCCCS Administration is required to stop processing new applications for CHIP until verifying that funding is sufficient. If the federal government eliminates funding for CHIP, the AHCCCS Administration is required to immediately stop processing new applications and provide at least 30 days' notice to AHCCCS contractors and members that CHIP will terminate. Previously, the AHCCCS Administration was required to immediately notify the Governor and the Legislature and stop processing new applications for CHIP if the state's federal medical assistance percentage for CHIP was less than 100 percent.

  • Passed Health 8-0-1
  • Rules 7-0-2
  • Passed House 46-12
  • Referred to Senate Health and Human Services, Appropriations (2/15)
  • S/E 1087
  • Passed House Health amended 8-0-1
  • Discussion only in appropriations committee
  • Held in House

H2135 | AHCCCS: Chiropractic Services

Rep Carter

The list of medically necessary health and medical services that Arizona Health Care Cost Containment System (AHCCCS) contractors are required to provide is expanded to include chiropractic services that are performed by a licensed chiropractor and that are ordered by a primary care physician or primary care practitioner pursuant to rules adopted by the AHCCCS Administration.

  • Passed House Health DPA
  • 9-0
  • Rules 6-0-3
  • Amended by Health passed

H2228 | AHCCCS; Annual Waiver; applicability

Rep. Cook

The requirement for the Arizona Health Care Cost Containment System (AHCCCS) to apply to the Centers for Medicare and Medicaid Services for a waiver to allow Arizona to implement a work requirement, establish a lifetime limit on AHCCCS coverage of five years of benefits, and impose cost-sharing requirements does not include or apply to American Indians or Alaska natives who are eligible for AHCCCS services through the Indian Health Service or through a Tribal or Urban Indian Health Program.

  • House Health do pass 9-0
  • Rules 9-0
  • Passed House 58-0
  • Referred to Senate Health and Human Services (2/15)
  • Do pass from HHS committee 6-0-1
  • Do pass Senate COW
  • Passed Senate third reading 28-0-2
  • Transmitted to Governor
  • Signed by Governor (4/12)

S1086 | AHCCCS; chiropractic services

Sen. Barto

AACHC is neutral on this bill

Any health care provider lien that is not recorded within statutory deadlines is effective against any final settlement or final judgment for damages if the lien is recorded 30 days before the final settlement is agreed to or the final judgment is paid. Previously, a hospital or ambulance service lien that was not recorded within statutory deadlines was effective against any settlement or judgment for damages if the line was recorded 30 days before the settlement was agreed to or the judgment was paid.

  • Senate Health & Human Services do pass 6-1
  • Senate Approp DP
  • 7-2-1
  • Rules PFC
  • Passed Senate third read 29-1
  • Transmit to House Health
  • Do pass health with Strike Everything (SB1087) 8-0-1
  • House Second Read
  • Held in House

H2237 | Psychologists; licensure; requirements

Rep. Cobb

AACHC supports this bill

An applicant for licensure as a psychologist automatically meets a list of specified licensure requirements if the applicant earned a doctoral degree from a program that was accredited by the Psychological Clinical Science Accreditation System at the time of graduation.

  • House Health do pass 8-1
  • Rules 7-0-2
  • Passed out of the House 48-11-1
  • Assigned to Senate HHS
  • Senate second read

S1246 | Behavioral Health Board

Sen. Barto

AACHC supports this bill

Various changes relating to the Board of Behavioral Health Examiners. The Board is required to establish fees by rule, instead of being required to establish a fee schedule annually by a formal vote. Various notices are no longer required to be in writing. A motion by the Board to initiate an investigation must be made at an open and property noticed Board meeting and must include specified information. Modifies requirements for licensure by endorsement for a person who is licensed or certified in one or more other states or federal jurisdictions.

  • Passed Senate Health & Human Services with amend 6-0-1
  • Senate Rules PFC
  • Passed Third Read 30-0
  • Assigned to Health, Rules
  • Passed House Health 7-0
  • Rules 7-0-2
  • Transmitted to Governor
  • Signed by Governor (3/21)

ORAL HEALTH BILLS

S1445 | AHCCCS; dental care; pregnant women

Sen. Yee

AACHC supports this bill

The list of covered services under the Arizona Health Care Cost Containment System (AHCCCS) is expanded to include dental services of up to $1,000 per member for a person who is at least 21 years of age and in any stage of pregnancy. Appropriates $1.27 million from the general fund and $2.95 million from federal Medicaid authority in FY2018-19 to the AHCCCS Administration for dental services to pregnant women.

  • From Senate Health and Human DPA 6-0-1
  • Appropriations 9-1
  • Senate Third Read 27-3
  • House Health DPA 7-0-2
  • Appropriations do pass 11-0-2
  • House second read
  • Held in House

S1377 S/E H2235 | Dental Therapy; licensure; regulation

Senator Barto

AACHC is neutral on this bill

A person who practices "dental therapy" (defined) in Arizona is required to be licensed by the Board of Dental Examiners, and requirements for licensure are established. A dental therapist license expires on June 30 of every third year unless renewed by the licensee. Dental therapists are prohibited from practicing dental therapy except under and pursuant to a written collaborative agreement with a supervising dentist, and requirements for those agreements are established. It is a class 6 (lowest) felony for a person to practice dental therapy without a license. Dental therapists are added to various Board statutes relating to dentists and dental hygienists. AS PASSED SENATE.

  • Passed Senate House and Human Services 4-3
  • Senate Education 4-2-1
  • Passed Third Read amended 22-8
  • Failed in House Health 4-5
  • Strike everything in Senate Commerce 5-2
  • Failed House Health 4-5
  • Passed House final read, 47-13
  • Transmitted to Governor
  • Signed by Governor (5/16)

PHARMACY HEALTH BILLS

First Special Session

H2001 | Controlled substances; regulation; appropriation

Rep. Mesnard

Makes various changes relating to the regulation of controlled substances. Doctors of medicine, osteopathic physicians, homeopathic physicians, physicians assistants and registered nurses are prohibited from dispensing schedule II controlled substances for pain management but are authorized to do so for medication-assisted treatment for substance use disorders. Dentists, optometrists and podiatrists are prohibited from dispensing a schedule II controlled substance for pain management. Health professionals who are authorized to prescribe controlled substances are required to limit the "initial prescription" (defined) for a patient for a schedule II controlled substance for pain management to no more than a 5-day supply, except following a surgical procedure the initial prescription must be limited to no more than a 14-day supply. Some exceptions. Health professionals who are authorized to prescribe controlled substances are prohibited from issuing a new prescription order for a schedule II controlled substance for pain management that exceeds 90 morphine milligram equivalents per day. Some exceptions. If a patient is prescribed more than 90 morphine milligram equivalents per day, the prescribing health professional is required to also prescribe naloxone hydrochloride or another opioid antagonist. Beginning January 1, 2019, a schedule II controlled substance for pain management may be dispensed in a county with a population of 150,000 persons or more only with an electronic prescription order. Beginning July 1, 2019, a schedule II controlled substance for pain management may be dispensed in a county with a population of less than 150,000 persons only with an electronic prescription order. Health insurers are authorized to impose a prior authorization requirement for certain health care services provided to an enrollee, and requirements for prior authorization procedures are established, including timeline requirements. Establishes specific requirements that apply to prior authorization requests related to prescription drugs for chronic pain conditions. Beginning January 1, 2019, "pain management clinics" (defined) are required to meet the same licensure requirements as health care institutions. Until July 1, 2023, a person who, in good faith, seeks medical assistance for someone experiencing a drug-related overdose and a person who experiences a drug-related overdose and who is in need of medical assistance cannot be charged with or prosecuted for the possession or use of a controlled substance or drug paraphernalia if the evidence for the violation was gained as a result of seeking medical assistance. The Department of Health Services is required to develop opioid abuse prevention campaign strategies that target youth and at-risk populations. County health departments are authorized to provide to a person who is at risk of experiencing or who is experiencing an opioid-related overdose a kit that contains naloxone hydrochloride or another opioid antagonist. Counties are required to establish at least one location in the county where a person may drop off any legal or illegal drug or paraphernalia and receive a referral to a substance abuse treatment facility. Requires licensed health professionals and medical students to take at least three hours of opioid-related clinical education. Establishes various reporting requirements. Appropriates $10 million from the general fund in FY2018-19 to the newly established Substance Use Disorder Services Fund. The Arizona Health Care Cost Containment System Administration is required to enter into agreements with one or more contractors for substance use disorder services using monies from the Fund, and requirements for the agreements are specified.

  • Passed House Health 8-0-1 (1/23)

H2030 | Pain treatment; dosage limitation; prohibition

Rep. Lawrence

The state and any department, agency, board or commission, and any political subdivision are prohibited from limiting the morphine milligram equivalents per day of a schedule II controlled substance that may be prescribed for pain management by a licensed health professional.

  • Held
  • Referred to House Health (2/7)

H2038 | Drug overdose review teams; records

Rep. Carter

Law enforcement agencies are required to provide unredacted reports to the chairperson of a local Drug Overdose Fatality Review Team on request. All information and records acquired by a Team are confidential and not subject to subpoena, discovery or introduction into evidence in a civil or criminal proceeding or disciplinary action.

  • Passed House judiciary and Public Safety 9-0
  • Rules 9-0
  • Passed House 57-0
  • Sent to Senate
  • Referred to Senate Health and Human Services (2/15)
  • Senate third read passed 30-0
  • Transmitted to Governor
  • Signed by Governor (3/20)

H2040 | Pharmacy board; definitions; reporting

Rep. Carter

Various changes relating to the Board of Pharmacy. The definition of "pharmacy" is expanded to include a "satellite pharmacy" (defined). For the purpose of Board regulations, the list of acts constituting unprofessional conduct is expanded to include failing to maintain effective controls against the diversion of controlled substances or precursor chemicals to unauthorized persons or entities. If a medical practitioner, pharmacy or health care facility dispenses a controlled substance listed in specified statutes, the person or entity is required to submit the required informational report to the Board once each day. (w/ amendment)

  • Passed House Health DPA 8-0-1
  • Passed Rules 7-0-2
  • Passed third read 58-1
  • Passed Senate Health and Human Services 7-0
  • HHS (ref Bill) adopted Barto flr amend (ref HHS) adopted
  • Passed Senate third read 28-0-2
  • Transmitted to House
  • Passed House 57-0-3
  • Transmitted to Governor
  • Signed by Governor (4/17)

H2107 | Prescription drug costs; patient notification

Rep. Syms

A pharmacy benefits manager or other entity that administers prescription drug benefits is Arizona cannot prohibit by contract a pharmacy or pharmacist from informing the patient that the patient may be able to procure a prescription medication at a lower cost, including paying the cash price.

  • Passed House Health DPA/ SE 9-0
  • Rules 6-0-3
  • Passed Senate third read 60-0
  • Senate HHS committee pass 7-0
  • Senate third read 30-0
  • Transmitted to Governor
  • Signed by Governor (4/5)

H2149 | Pharmacies; remote dispensing

Rep. Weninger

AACHC supports this bill

or the purpose of pharmacy licensure and regulations, the definition of "pharmacy" is expanded to include a "remote dispensing site pharmacy" (defined) where a pharmacy technician or pharmacy intern prepares, compounds or dispenses prescription medications under "remote supervision by a pharmacist" (defined as a pharmacist directing and controlling their actions through the use of audio and visual technology). A remote dispensing site pharmacy is required to obtain and maintain a pharmacy license issued by the Board of Pharmacy. Additional licensing requirements for remote dispensing site pharmacies are established, including requirements for continuous video surveillance, and recordkeeping and inventory requirements. Establishes minimum experience and professional education requirements a pharmacy technician must have before preparing, compounding or dispensing prescription medications at a remote dispensing site pharmacy. A pharmacy technician working at a remote dispensing site pharmacy is required to maintain an active, nationally recognized pharmacy technician certification approved by the Board of Pharmacy, and is prohibited from performing extemporaneous sterile or nonsterile compounding. A pharmacist is limited to supervising one remote dispensing site pharmacy if the pharmacist is simultaneously supervising and dispensing at another licensed pharmacy, and is limited to two if the pharmacist is not simultaneously supervising and dispensing at another licensed pharmacy. AS PASSED HOUSE.

  • Passed House Health 7-1
  • Rules 9-0
  • Passed House 58-0
  • Passed Senate Health and Human Services 7-0
  • Passed Senate third reading 30-0
  • Transmitted to Governor
  • Signed by Governor (3/20)

H2194 S/E | NOW: Podiatrists; special meetings

Rep. Carter

Licensed podiatrists are no longer required to obtain a separate registration to dispense drugs and devices from the State Board of Podiatry Examiners.

  • House Health DP/ SE
  • 9-0
  • Rules 6-0-3
  • Passed House third reading 57-0-3
  • Transmit to Senate Appropriations
  • Senate second read
  • Senate Appropriations do-pass amended, strike everything 10-0e

H2250 | Physician Assistants; prescribing authority; delegation

Rep Carter

Prescription orders issued by a physician assistant are no longer required to contain the name and contact information of the supervising physician. Prescriptions for a schedule II or III controlled substance are no longer prohibited from being refilled without the written consent of the supervising physician. Physician assistants are permitted to obtain a drug from a pharmacist without a written order from the supervising physician.

  • From House Health DPA 9-0
  • Rules 6-0-3
  • Passed House third reading 54-6
  • Transmit to Senate
  • Do pass HHS Senate 6-0-1
  • Senate Democrat and Republican Caucus Yes
  • Passed Senate third read 26-4
  • Transmitted to House
  • Passed House 55-2-3
  • Transmitted to Governor
  • Signed by Governor (4/17)

H2398 S/E | now Illegal substances education; partnership

Formerly- Health education; marijuana; opioids; alcohol

Rep. Thorpe

School districts and charter schools are required to annually provide at least two hours of health education for students in grades 5 through 12 concerning the negative health effects of using tobacco, marijuana and illegal drugs, abusing opioids and other prescription drugs, and abusing alcohol. The Department of Education is required to develop the curriculum and resources to be used for the health education. The list of permitted uses of monies in the Health Education Account, which is funded by tobacco taxes, is expanded to include this health education program. Due to voter protection, this legislation requires the affirmative vote of at least 3/4 of the members of each house of the Legislature for passage.

  • Passed House Health DPA/SE 9-0
  • House Rules 7-0-2
  • House Third Read 57-0-3
  • Passed Senate Health and Human Services 5-1-1
  • Senate Democrat and Republican Caucus Yes
  • Senate COW, do pass action
  • Passed Senate third read 29-1
  • Transmitted to House
  • Final House vote, passed 59-0-1
  • Vetoed by Governor (4/20)

H2549 | Controlled substances; dosage limit

Rep Carter

If a health professional believes that a patient requires more than 90 morphine milligram equivalents per day of a schedule II controlled substance that is an opioid and the patient is not exempt from the limit, the professional is authorized to issue a prescription for more than 90 morphine milligram equivalents per day if, after consulting with a licensed physician who is board-certified in pain, the consulting physician agrees with the higher dose.

  • House Health DP amended 9-0
  • Rules 6-0-3
  • House third read 57-0-3
  • Transmit to Senate
  • Do pass HHS 5-0-2
  • HHS (ref Bill) adopted Barto floor amend (ref Bill) adopted
  • Passed Senate third read 30-0
  • Transmitted to House
  • Passed House 58-0-2
  • Transmitted to Governor
  • Signed by Governor (4/17)

H2633 | Pharmacists; controlled substances

Rep. Cobb

An initial prescription for a schedule II controlled substance that is an opioid that is written for more than a five-day supply or more than 90 morphine milligram equivalents per day is deemed to meet the requirements of a statutory exemption from the applicable limit when the initial prescription is presented to the dispenser, and a pharmacist is not required to verify with the prescriber whether the initial prescription complies with the applicable statutory limit.

  • House Health DPA 9-0
  • Rules 6-0-3
  • House third read 59-0-1
  • Transmitted to Senate
  • Passed House Final 59-0-1
  • Signed by Governor (3/27)

S1111 | Workers’ compensations; opioids; dispensed medications

Sen Fann

A physician is required to limit the "initial prescription" (defined) for any opioid medication for an employee on workers' compensation to no more than a 5-day supply, except that an initial prescription for an opioid medication following a surgical procedures is limited to no more than a 14-day supply. Some exceptions. When a narcotic or opium-based controlled substance listed in schedule II or a prescription of any opioid medication is used, the physician must include in the report to the Industrial Commission documentation that a physical examination of the employee was conducted, that a "substance use risk assessment" (defined) of the employee was conducted, and that the employee gave informed consent for any opioid treatment. The treatment plan for these medications must include face-to-face follow up visits to reevaluate the employee's continued use of opioids, criteria and procedures for tapering and discontinuing opioid prescription or administration, and criteria and procedures for offering or referring the employee for treatment for dependence on or addiction to opioids. A workers' compensation insurance carrier, self-insured employer or the Industrial Commission is responsible for the payment of medications dispensed in a "closed-door pharmacy" only if a list of specified conditions apply.

  • Senate Commerce-Public Safety
  • 6-2-1
  • Rules PFC
  • Passed Senate third read 28-2
  • Transmitted to House
  • Do pass Banking and Insurance 7-1
  • Passed Rules 7-0-2
  • Passed House third read 56-3-1
  • Signed by Governor (3/29)

MISCELLANEOUS

HB2535 | DCS; prohibited acts; firearms

Rep. Payne

AACHC opposes this bill

The Department of Child Safety (DCS), the DCS Director, a child welfare agency or a governing board of a child welfare agency are prohibited from adopting, implementing or enforcing a rule or policy relating to the possession, transfer or storage of a firearm.

  • Passed out of House Judiciary and public safety 5-4
  • Passed rules 6-0-3
  • Stricken from House consent calendar

SB1389 | HIV; needs assessment; prevention

Sen Brophy McGee

Requires ADHS to conduct a statewide HIV needs assessment by Nov. 1, 2020. Identify community-based agencies that serve the HIV population outside the HIV Service System. Conduct outreach to increase community involvement in HIV education and awareness. Develop a social media initiative for HIV testing. Annually analyze specified data to develop and implement HIV training and education initiatives. The report would have to be provided by Jan. 1, 2021. The program would be called the “HIV Action Program” and would end on July 1, 2028.

  • Passed House Rules (2/26) with a 6-0-3 vote
  • House Majority and Minority Caucus Yes
  • Passed House third read, 35-22-3
  • Transmitted to Senate
  • Transmitted to Governor
  • Signed by Governor (4/10)