Kentucky
General Assembly

01/08/13	introduced in House
01/09/13	to Health & Welfare (H)
02/06/13	posted in committee
02/25/13	taken from Health & Welfare (H) 1st reading returned to Health & Welfare (H)
02/26/13	reported favorably, 2nd reading, to Rules with Committee Substitute floor amendments (1) and (3) filed to Committee Substitute, floor amendments (2) and (4-title) filed
02/27/13	posted for passage in the Regular Orders of the Day for Thursday, February 28, 2013 floor amendment (6) filed to Committee Substitute, floor amendments (5) and (7-title) filed
03/04/13	taken from the Regular Orders of the Day recommitted to Health & Welfare (H)

Amendment	House Committee Substitute 1
Impact Statements	Fiscal Note
Summary	Create a new section of KRS Chapter 217.005 to 217.215 to exempt licensed health-care providers from disciplinary action for prescribing or dispensing naloxone for an opioid overdose; create another new section of KRS 217.005 to KRS 217.215 to allow a prescription for naloxone to be written with an authorization for a third party individual to administer the drug; provide that the third party individual who administers naloxone in good faith is immune from civil liability.
Index Headings	Drugs and Medicines - Naloxone, permit prescription Emergency Medical Services - Naloxone, permit prescription Health and Medical Services - Naloxone, permit prescription Licensing - Naloxone, permit prescription Nurses - Naloxone, permit prescription Pharmacists - Naloxone, permit prescription Physicians and Practitioners - Naloxone, permit prescription Public Health - Naloxone, permit prescription Substance Abuse - Naloxone, permit prescription Fiscal Note - Naloxone, permit prescription

Amendment	House Floor Amendment 1
Sponsor	T. Burch
Summary	Retain original provisions and clarify that a third party individual who administers naloxone in good faith is immune from criminal and civil liability.
Index Headings	Drugs and Medicines - Naloxone, permit prescription Emergency Medical Services - Naloxone, permit prescription Health and Medical Services - Naloxone, permit prescription Licensing - Naloxone, permit prescription Nurses - Naloxone, permit prescription Pharmacists - Naloxone, permit prescription Physicians and Practitioners - Naloxone, permit prescription Public Health - Naloxone, permit prescription Substance Abuse - Naloxone, permit prescription Fiscal Note - Naloxone, permit prescription

Amendment	House Floor Amendment 2
Piggyback?	Yes
Sponsor	A. Wuchner
Summary	Retain original provisions; create a new section of KRS 218A to allow a practitioner to prohibit substitution when the practitioner determines that substitution is not in the best interest of the patient; exempt drugs prescribed or dispensed for patients in a nursing home or hospice care setting; 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; require the Kentucky Board of Pharmacy to publish and, in some cases, determine qualifying drugs for a list of opioid analgesics that incorporate tamper-resistance technologies; exempt from compliance pharmacists in hospital-based pharmacies filling prescriptions for inpatient care; name Section 3 of this bill the STOPP in Kentucky Act of 2013; and to establish that the provisions of Section 3 of this bill will expire upon the adoption of national standards related to tamper-resistant technology for drugs by the United States Food and Drug Administration.
Index Headings	Drugs and Medicines - Naloxone, permit prescription Emergency Medical Services - Naloxone, permit prescription Health and Medical Services - Naloxone, permit prescription Licensing - Naloxone, permit prescription Nurses - Naloxone, permit prescription Pharmacists - Naloxone, permit prescription Physicians and Practitioners - Naloxone, permit prescription Public Health - Naloxone, permit prescription Substance Abuse - Naloxone, permit prescription Fiscal Note - Naloxone, permit prescription

Amendment	House Floor Amendment 3
Piggyback?	Yes
Sponsor	A. Wuchner
Summary	Retain original provisions; create a new section of KRS 218A to allow a practitioner to prohibit substitution when the practitioner determines that substitution is not in the best interest of the patient; exempt drugs prescribed or dispensed for patients in a nursing home or hospice care setting; 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; require the Kentucky Board of Pharmacy to publish and, in some cases, determine qualifying drugs for a list of opioid analgesics that incorporate tamper-resistance technologies; exempt from compliance pharmacists in hospital-based pharmacies filling prescriptions for inpatient care; name Section 3 of this bill the STOPP in Kentucky Act of 2013; establish that the provisions of Section 3 of this bill will expire upon the adoption of national standards related to tamper-resistant technology for drugs by the United States Food and Drug Administration.
Index Headings	Drugs and Medicines - Naloxone, permit prescription Emergency Medical Services - Naloxone, permit prescription Health and Medical Services - Naloxone, permit prescription Licensing - Naloxone, permit prescription Nurses - Naloxone, permit prescription Pharmacists - Naloxone, permit prescription Physicians and Practitioners - Naloxone, permit prescription Public Health - Naloxone, permit prescription Substance Abuse - Naloxone, permit prescription Fiscal Note - Naloxone, permit prescription

Amendment	House Floor Amendment 4
Sponsor	A. Wuchner
Summary	Make title amendment.
Index Headings	Drugs and Medicines - Naloxone, permit prescription Emergency Medical Services - Naloxone, permit prescription Health and Medical Services - Naloxone, permit prescription Licensing - Naloxone, permit prescription Nurses - Naloxone, permit prescription Pharmacists - Naloxone, permit prescription Physicians and Practitioners - Naloxone, permit prescription Public Health - Naloxone, permit prescription Substance Abuse - Naloxone, permit prescription Fiscal Note - Naloxone, permit prescription

Amendment	House Floor Amendment 5
Sponsor	T. Moore
Summary	Amend KRS 413.140, and create a new section of KRS Chapter 413 to create a special 20-year statute of limitations for actions against abortion providers.
Index Headings	Drugs and Medicines - Naloxone, permit prescription Emergency Medical Services - Naloxone, permit prescription Health and Medical Services - Naloxone, permit prescription Licensing - Naloxone, permit prescription Nurses - Naloxone, permit prescription Pharmacists - Naloxone, permit prescription Physicians and Practitioners - Naloxone, permit prescription Public Health - Naloxone, permit prescription Substance Abuse - Naloxone, permit prescription Fiscal Note - Naloxone, permit prescription

Amendment	House Floor Amendment 6
Sponsor	T. Moore
Summary	Amend KRS 413.140, and create a new section of KRS Chapter 413 to create a special 20-year statute of limitations for actions against abortion providers.
Index Headings	Drugs and Medicines - Naloxone, permit prescription Emergency Medical Services - Naloxone, permit prescription Health and Medical Services - Naloxone, permit prescription Licensing - Naloxone, permit prescription Nurses - Naloxone, permit prescription Pharmacists - Naloxone, permit prescription Physicians and Practitioners - Naloxone, permit prescription Public Health - Naloxone, permit prescription Substance Abuse - Naloxone, permit prescription Fiscal Note - Naloxone, permit prescription

Amendment	House Floor Amendment 7
Sponsor	T. Moore
Summary	Make title amendment.
Index Headings	Drugs and Medicines - Naloxone, permit prescription Emergency Medical Services - Naloxone, permit prescription Health and Medical Services - Naloxone, permit prescription Licensing - Naloxone, permit prescription Nurses - Naloxone, permit prescription Pharmacists - Naloxone, permit prescription Physicians and Practitioners - Naloxone, permit prescription Public Health - Naloxone, permit prescription Substance Abuse - Naloxone, permit prescription Fiscal Note - Naloxone, permit prescription