Kentucky
General Assembly

02/08/12	introduced in House
02/09/12	to Health & Welfare (H)
02/13/12	posted in committee
02/23/12	reported favorably, 1st reading, to Consent Calendar with Committee Substitute
02/24/12	2nd reading, to Rules
02/27/12	posted for passage in the Consent Orders of the Day for Wednesday, February 29, 2012
02/28/12	floor amendment (1) filed to Committee Substitute
02/29/12	taken from the Consent Orders of the Day, placed in the Regular Orders of the Day
03/07/12	floor amendment (2) filed to Committee Substitute
03/09/12	floor amendment (3) filed to Committee Substitute, floor amendment (4-title) filed
03/23/12	taken from the Regular Orders of the Day recommitted to Appropriations & Revenue (H)

Amendment	House Committee Substitute 1
Impact Statements	Fiscal Note
Summary	Retain original provisions except exempt pharmacists in hospital based pharmacies filling prescriptions for inpatient care from compliance and allow a practitioner to prohibit substitution when the practitioner determines that substitution is not in the best interest of the patient.
Index Headings	Health and Medical Services - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Hospitals and Nursing Homes - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Pharmacists - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Physicians and Practitioners - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Public Medical Assistance - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Substance Abuse - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Medicaid - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Drugs and Medicines - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Local Mandate - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Fiscal Note - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Local Mandate - Tamper resistant opioid analgesic drugs, require list and prohibit substitution

Amendment	House Floor Amendment 1
Sponsor	B. Damron
Summary	Retain original provisions except clarify that opioid analgesic drugs shall continue to be available to nursing home and hospice care patients without modification.
Index Headings	Health and Medical Services - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Hospitals and Nursing Homes - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Pharmacists - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Physicians and Practitioners - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Public Medical Assistance - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Substance Abuse - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Medicaid - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Drugs and Medicines - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Local Mandate - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Fiscal Note - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Local Mandate - Tamper resistant opioid analgesic drugs, require list and prohibit substitution

Amendment	House Floor Amendment 2
Sponsor	B. Damron
Summary	Retain original provisions except clarify that the FDA must determine that a drug incorporates tamper-resistant technologies; require that the pharmacy board promulgate an administrative regulation determining which drugs incorporate these technologies; require that the drug bear a labeling claim relating to its reduction of tampering or abuse potential; require that the pharmacy board create a list of any available drugs determined by the FDA to be substantially similar to other opioid analgesic drugs incorporating a tamper-resistant technology.
Index Headings	Health and Medical Services - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Hospitals and Nursing Homes - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Pharmacists - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Physicians and Practitioners - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Public Medical Assistance - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Substance Abuse - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Medicaid - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Drugs and Medicines - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Local Mandate - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Fiscal Note - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Local Mandate - Tamper resistant opioid analgesic drugs, require list and prohibit substitution

Amendment	House Floor Amendment 3
Sponsor	A. Wuchner
Summary	Retain provisions of HCS1; delete the emergency clause.
Index Headings	Health and Medical Services - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Hospitals and Nursing Homes - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Pharmacists - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Physicians and Practitioners - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Public Medical Assistance - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Substance Abuse - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Medicaid - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Drugs and Medicines - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Local Mandate - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Fiscal Note - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Local Mandate - Tamper resistant opioid analgesic drugs, require list and prohibit substitution

Amendment	House Floor Amendment 4
Sponsor	A. Wuchner
Summary	Make title amendment.
Index Headings	Health and Medical Services - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Hospitals and Nursing Homes - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Pharmacists - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Physicians and Practitioners - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Public Medical Assistance - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Substance Abuse - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Medicaid - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Drugs and Medicines - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Local Mandate - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Fiscal Note - Tamper resistant opioid analgesic drugs, require list and prohibit substitution Local Mandate - Tamper resistant opioid analgesic drugs, require list and prohibit substitution