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Bills on the Hill, Part 2: E-Prescribing, PDMP, State Prescription Forms and CRNPs


By Michael D.I. Siget, JD, MPA, PAMED’s Legislative & Regulatory Counsel


Last week, I wrote about bills that were introduced in the General Assembly regarding credentialing, opioids and non-compete clauses. In part 2 of Bills on the Hill, I will focus on e-prescribing requirements, amendments to the ABC-MAP law, state prescription forms and independent practice for certified nurse practitioners.

HB 353, introduced by Rep. Tedd Nesbit, would require prescribers to prescribe any Schedule II through IV controlled substance through an electronic prescribing system, thus eliminating written and oral prescriptions. The bill does contain an exception for Schedule III and IV controlled substances in emergency situations as prescribed by the Secretary of Health through regulations.

HB 353 was referred to the House Health Committee on Feb. 6, 2017.

Click here to review PAMED's top advocacy priorities for 2017-18.

HB 395, introduced by Rep. Gene DiGorolamo, would exempt non-narcotic Schedule V controlled substances used to treat an epilepsy or seizure disorder from the initial querying requirements under the Achieving Better Care by Monitoring All Prescriptions Program (ABC-MAP) Act, known as the PDMP law.

HB 395 was reported out of the House Health Committee on March 13 and is currently before the House of Representatives.

HB 396, introduced by Rep. Gene DiGorolamo, would amend the PDMP law by requiring a prescriber to query the PDMP system each time a patient is prescribed any controlled substance by the prescriber. Under current law, prescribers are only required to query the PDMP each time a patient is prescribed an opioid or a benzodiazepine.

HB 396 was referred to the House Human Services Committee on Feb. 8, 2017.

HB 575, introduced by Rep. Tina Davis, would create an official state prescription form issued by the Secretary of Health in groups of 25 or 100. Each form would be serially numbered. Except when prescribing a controlled substance through an electronic prescribing system, prescribers would be required to use a state prescription form when prescribing any Schedule II through V controlled substance.

HB 575 was referred to the House Judiciary Committee on Feb. 21, 2017.

SB 25, introduced by Sen. Camera Bartolotta, would grant certified registered nurse practitioners independent practice rights after certain conditions were met, including collaboration with a physician for no less than three years and 3,600 hours.  CRNPs would have to complete 30 hours of continuing education every two years, would be allowed to independently prescribe controlled substances, and would be allowed to join medical staffs of a health care facility.

SB 25 is similar in scope to last session's SB 717, which passed the Senate but failed to get voted out of the House Professional Licensure Committee.

PAMED opposes SB 25, and encourages members to urge their Senator to vote 'no.' Click here to email your state Senator through PAMED's website.

SB 25 was referred to the Senate Consumer Protection & Professional Licensure Committee on Feb. 15, 2017.

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Bills on the Hill, Part 1: Credentialing, Opioids, and Non-Compete Clauses

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