Opioid prescribing regulations move forward
Tuesday, January 30, 2018
Posted by: Bryan Campbell
A Legislative Update from CEO Bryan Campbell:
We are nearing the halfway point of the 2018 Florida Legislative Session, and SB 8/HB 21, bills which would change rules for prescribing opioids in Florida, continue to move forward. Right now, each bill has passed two committees in the House and Senate, and face one more committee stop before hitting the floor for a final vote. As a reminder, here are the key provisions of the bill:
- A 3-7 day cap on opioid prescriptions for opioid-naïve acute pain patients
- Mandatory checking of the Prescription Drug Monitoring Program for every prescription of opioids
- Mandatory 2 credit hour CME course required on renewal for physicians writing opioid prescriptions
Here are some frequently asked questions I receive on a daily basis about the bill:
So my cancer patients need to come in to get a new script every 3 or 7 days?
-No, this limit is only for opioid-naïve, acute pain patients.
Will E-FORCSE be easier to use?
-Yes and no. The system will be upgraded to a newer, more intuitive system that also pulls data from multiple states, so you will be able to see if a patient is shopping across state lines. Georgia is one of the states you will be able to access. However, at this time it will still be a separate login into the system. There will be an option to do a single sign-on integration with your existing EMR, but there will be a fee associated with that.
When will these rules take effect?
-The bill, if passed, would go into effect on July 1, 2018
There are other bills we are continuing to monitor in Tallahassee as well.
SB 80/HB 37 – This bill would allow a physician to operate a Direct Primary Care model without needing to adhere to several of the Florida Insurance Code requirements which are currently in place for this model. This bill has already passed the House and is in its final committee stop in the Senate.
SB 628/HB 81 – This bill would prohibit the use of MOC as a condition of licensure, credentialing or admitting privileges in Florida. Unfortunately, this bill has not moved at this time in either house.
SB 162/HB 217 – This bill would prohibit insurance companies from retroactively denying claims in certain circumstances. This bill has moved in the Senate but has not in the House.
SB 1876/HB 1165 – This bill would allow for the state to eliminate the current cap on number of trauma centers in the state, would approve certain pending trauma centers, and would change the formula for future trauma center development.
The Florida Legislative Session is scheduled to end on Friday, March 9, so we will see the fate of these bills decided in the coming weeks, and we will continue to monitor them for you