Montana State Legislature
SJR 20: Prescription Drug Abuse
The 2013 Legislature approved Senate Joint Resolution 20, for a study of ways to reduce prescription drug abuse. Legislators ranked the study seventh out of 17 study resolutions in a post-session poll, and the Legislative Council assigned the study to the Children and Families Committee. The committee reviewed and adopted a study plan at its meeting on June 25.
During its study, the committee heard from medical professionals about pain management and the use of prescription narcotics; from law enforcement officials who investigate and prosecute cases involving prescription drugs; and from national experts who have studied prescription drug abuse and ways to prevent it, including the use of prescription drug monitoring programs as a preventive tool. Members also heard from Montana state agencies about steps they are taking to reduce prescription drug use, misuse, and abuse.
The committee considered five study-related bill drafts during the interim and approved three of them for introduction in the 2015 Legislature. The bills would:
- extend the sunset date for the fee that certain health care providers pay for the Montana Prescription Drug Registry, from 2015 to 2017, and allow the fee to be increased from the current $15 to a maximum of $30;
- allow health care providers to submit prescriptions for controlled substances to pharmacies using electronic means; and
- clarify that health care professionals may notify law enforcement when they believe patients are illegally obtaining prescription painkillers or may cause an imminent threat to public health or safety. The bill also would provide immunity to providers who share the information.
The committee also considered draft legislation to require health care licensing boards to adopt uniform pain management rules for the use of opioids in treating chronic, noncancer pain and to require an adult to pick up a controlled substances prescription for a minor. Based on public comment received on those drafts, the committee decided against introducing the legislation in the 2015 session.
Following is a list of the legislation approved by the committee, using the official bill drafting (LC) number that has been assigned to the bill. The bill's progress through the legislative process may be followed using the LC number in the online bill-tracking system. The original LC number used for purposes of discussion is in parentheses behind the subject of each bill.
In some instances, the committee considered more than one version of the bill before approving a final version. All versions of those bills are listed below.
- LC 335: Allow Information Sharing with Law Enforcement (LCCF02)
- LC 336: Electronic Prescribing (LCCF03)
- LC 340: Prescription Drug Registry Fee (LCCF08)
-- August Version -- Final Version
The committee did not approve the following bill drafts:
- Summary of MPDR Funding Sources, August 2014
- LCCF09 Considerations and Decision Points, August 2014
- Funding Options for Prescription Drug Monitoring Programs, June 2014
- Comparison of Montana and Oklahoma Drug Registry Laws, June 2014
- Disposing of Unused Narcotic Drugs, June 2014
- Development and Funding of the Montana Prescription Drug Registry, May 2014
- LCCF01 Considerations, Sue O'Connell, May 2014
- Summary of SJR 20 Suggestions, March 2014
- HIPAA Issues in Prescription Drug Monitoring Programs, Alexis Sandru, January 2014
State Prescription Drug Monitoring Program Practices, Sue O'Connell, January 2014
- State Approaches to Curbing Prescription Drug Abuse, Sue O'Connell, January 2014
- Roundup of National and State Activity on Opioid Abuse, Sue O'Connell, November 2013
- Study Plan -- Adopted June 25, 2013
Related Links and Study Materials
- Funding Options for Prescription Drug Monitoring Programs, PDMP Technical and Training Assistance Center, 2013
- A Prescription for Change:Reducing Prescription Drug Abuse, PowerPoint Presentation, Montana Medical Association, May 2014
- Prescription Monitoring-The Oklahoma Approach, PowerPoint Presentation, Dan Vogt, Oklahoma Bureau of Narcotics, May 2014
- Montana Prescription Drug Registry, PowerPoint Presentation, Montana Interactive and Montana Board of Pharmacy, May 2014
- Montana Prescription Drug Registry 2014 Interim Report, Board of Pharmacy, May 2014
- Montana Prescription Drug Registry Statistics as of March 26, 2014
- The Prescription Drug Overdose Epidemic: Prevention and Mitigation A National Overview, Dr. Len Paulozzi, Centers for Disease Control and Prevention, March 2014
- Reversing the Opioid Epidemic, PowerPoint Presentation, Dr. Gary Franklin, University of Washington, March 2014
- Is There Geographic Variation in Mortality and Morbidity?, PowerPoint Presentation, Todd Harwell, DPHHS Chronic Disease Prevention and Health Promotion Bureau, March 2014
- Montana Substance Abuse Treatment Statistics, Department of Public Health and Human Services, March 2014
- Reducing Prescription Drug Abuse: Lessons Learned from an NGA Policy Academy, National Governor's Association, February 2014
- Workers' Compensation and Prescription Drugs, PowerPoint presentation by Dr. Carla Huitt, Medical Director, Montana Workers' Compensation, January 2014
- Montana State Fund Prescription Drug Efforts, Summary by State Fund Medical Team Director Bridget McGregor, January 2014
- Montana Medicaid Drug Abuse Prevention, PowerPoint presentation by David Campana, R. Ph., Montana Medicaid Program, January 2014
- Selected Prescription Drug Monitoring Program Best Practices with Examples, PowerPoint presentation by Peter Kreiner, PDMP Center of Excellence, January 2014
- Montana Prescription Drug Registry, PowerPoint presentation by Board of Pharmacy Executive Director Marcie Bough, November 2013
- Montana Pain Initiative, PowerPoint presentation by Program Director Kaye Norris, November 2013