The House bill passed the Senate last week, and the House rejected the Senate’s version and requested a conference. The Senate has not yet accepted conference, but may do so next week. We have worked with the sponsor to rewrite the bill, but those will cause opposition in the Senate again. There is no reason to pass a watered down statewide bill that will override the county programs, as those are beginning to fill in the map of Missouri. A big thank you to Senator Schatz and Representative Rehder for getting it this far and not accepting a bad bill just to claim a victory.
HB 1137 is not going to go anywhere this year. The bill specifies that a law enforcement officer, paramedic, emergency services personnel, or other first responder who administers an emergency opioid antagonist to an individual shall report such use of the emergency opioid antagonist to the police or sheriff’s department in the appropriate jurisdiction, and such police or sheriff’s department shall produce and provide a police report to the appropriate prosecutor in order to supply such department with information that may support a charge for illegal possession of drugs and use of drugs or drug paraphernalia.
Allows motorcycle operators over 21 years of age, who have completed a motorcycle safety education course or who have possessed a motorcycle license for at least two years, to operate a motorcycle without a helmet if they are covered by a health insurance policy. This bill comes up every year and never makes it through. This bill was passed by the House with only 93 votes, which is unusually low for it. It was assigned to the Senate Transportation committee. Please contact your Senators to let them know your opinion.
The house bill cleared the Senate this weekend. However, it didn’t happen without a lot of debate and likely some staging to get some bad amendments added to it. While Senator Schatz could have defeated the amendments, the Senators would then have filibustered it. Now the bill will go to conference since the House and Senate versions are different. Here is information about the amendments.
- Requires all new admittances into a hospital are checked on the PDMP database – we need to modify this
- Purges all the data after 180 days – bad amendment
- Only tracks Opioid and Benzos in the database – bad amendment
- Requires training on using the PDMP – Not a big deal
Representative Steve Lynch is sponsoring H.B. 294. It specifies that an individual who seeks medical assistance for themselves, or someone else who is experiencing an overdose, can’t be charged with certain offenses if the evidence for those offenses was discovered during the delivery of the emergency assistance. The purpose of the bill is to encourage people to report overdoses timely in order to save lives.
The House bill (good version – HB90) passed the House, was assigned to, heard in, and passed out of the Senate Committee this week. This bill is moving not due to a faux endorsement by Senator Rob Schaaf, the long time opponent. The one item that Schaaf insists be included in the bill is mandatory use on all scripts written by physicians. He also wants to make this the “standard of care” which subjects practitioners to more lawsuits, and in lawsuits, more liability.
The Saint Louis county PDMP is set to go into effect later this month. Physicians can now sign-up for access to the system.
HB29 received first round approval last week in the House, but took several amendments related to alcohol, but did not change the provisions of the underlying legislation related to powdered alcohol. The bill needs a final vote before moving to the Senate. The new version regulates it like other alcohol, which is a good first step.
HB 90, the good version of the PDMP sponsored by Rep. Holly Rehder, continues to make progress. It should get out of the House soon but who knows what will happen in the Senate. Senator Schaaf is once again pretending to come up with a compromise. His current one is that he will support it if it requires physicians to check the PDMP every time they prescribe narcotics. His real intent is that he wants to make physicians look bad by voting against a PDMP bill if it had this in it.
There is some light at the end of the tunnel. Due to some controversy generated by Senator Schaaf, the MSMA refused to vote him in as President of the MSMA last week. He was President-Elect. Instead they voted in a family physician. The Saint Louis County PDMP is scheduled to go into effect at the end of April. We’ll see how well this works and how many other counties than join this the PDMP. Some early predictions are that this county wide collaboration may eventually cover 80% of the state.
An update on the status of these bills by the Nurse Practitioners. HB 244 which would expand the distance of collaborative practice as well as the number of NPs a physician could collaborate with was passed out of committee. HB 165 which would have removed many of the aspects of collaborative practice and really expanded their scope of practice did not. HB 823 which would allow the to prescribe more Schedule II drugs is unlikely to go too far this year.
Please go to https://www.acep.org/savingmillions/ for information on this campaign.