SB18-022 - Clinical Practice For Opioid Prescribing

Passed/Signed into Law
Concerning clinical practice measures for safer opioid prescribing.

Opioid and Other Substance Use Disorders Interim Study Committee. The bill restricts the number of opioid pills that a health care practitioner, including physicians, physician assistants, advanced practice nurses, dentists, optometrists, podiatrists, and veterinarians, may prescribe for an initial prescription to a seven-day supply and allows each health care practitioner to exercise discretion to include a second fill for a seven-day supply, unless, in the judgment of the practitioner, the patient:


  • Has chronic pain that typically lasts longer than 90 days or past the time of normal healing, as determined by the podiatrist, or following transfer of care from another podiatrist who prescribed an opioid to the patient;
  • Has been diagnosed with cancer and is experiencing cancer-related pain; or
  • Is experiencing post-surgical pain that, because of the nature of the procedure, is expected to last more than 14 days.

Additionally, an advanced practice nurse may prescribe a refill if the patient is undergoing palliative or hospice care. The restrictions repeal on September 1, 2021.

Current law allows health care practitioners and other individuals to query the prescription drug monitoring program (program). The bill requires health care practitioners to indicate his or her specialty or practice area upon the initial query and to query the program prior to prescribing the second fill for an opioid unless the person receiving the prescription meets certain requirements.

The bill requires the department of public health and environment to report to the general assembly its findings from studies regarding the prescription drug monitoring program conducted pursuant to a federal grant program.

(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)


Latest update: May 21, 2018
05/21/2018 - Governor Signed
05/16/2018 - Sent to the Governor
05/16/2018 - Signed by the Speaker of the House
05/15/2018 - Signed by the President of the Senate
05/07/2018 - Senate Considered House Amendments - Result was to Concur - Repass
05/07/2018 - House Third Reading Passed - No Amendments
05/04/2018 - House Second Reading Special Order - Passed with Amendments - Committee
05/03/2018 - House Committee on Health, Insurance, & Environment Refer Amended to House Committee of the Whole
02/23/2018 - Introduced In House - Assigned to Health, Insurance, & Environment
02/22/2018 - Senate Third Reading Passed - No Amendments
02/21/2018 - Senate Second Reading Passed with Amendments - Committee
02/20/2018 - Senate Second Reading Laid Over Daily - No Amendments
02/16/2018 - Senate Second Reading Laid Over Daily - No Amendments
02/14/2018 - Senate Second Reading Laid Over to 02/16/2018 - No Amendments
02/13/2018 - Senate Second Reading Laid Over Daily - No Amendments
02/08/2018 - Senate Committee on Health & Human Services Refer Amended to Senate Committee of the Whole
01/10/2018 - Introduced In Senate - Assigned to Health & Human Services