House Bill 377

Actions | Amendments
Last Action recommitted to Appropriations & Revenue (H)
Title AN ACT relating to the substitution of opioids in pharmacies and declaring an emergency.
Bill Documents Bill
Impact Statements Fiscal Note
Local Mandate
Bill Request Number 354
Sponsors A. Wuchner, B. DeWeese, T. Burch, J. Carney, J. Hoover, M. Rader, S. Santoro, B. Waide, S. Westrom
Summary of Original Version Create a new section of KRS 315 to define terms; require the Board of Pharmacy to publish and, in some cases, determine qualifying drugs for a list of opioid analgesics that incorporate tamper-resistance technologies and prohibit substitution or interchange of those drugs without the pharmacy verifying that the substitute provides substantially similar tamper-resistance properties as determined by the board or without obtaining written consent of the prescriber; EMERGENCY.
Index Headings of Original Version 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
Proposed Amendments House Committee Substitute 1
House Floor Amendment 1
House Floor Amendment 2
House Floor Amendment 3
House Floor Amendment 4

Actions

Top | Amendments
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)

Proposed Amendments

Top | Actions
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

Last updated: 1/16/2019 3:37 PM (EST)