Senate
File
2268
-
Introduced
SENATE
FILE
2268
BY
HART
A
BILL
FOR
An
Act
requiring
practitioners
to
discuss
the
dangers
of
opioid
1
abuse
with
patients.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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Section
1.
NEW
SECTION
.
124.309
Prescriptions
for
opioids
1
——
patient
discussion
requirements.
2
1.
Prior
to
issuing
an
initial
prescription
for
an
opioid
3
during
a
patient’s
course
of
treatment
for
acute
or
chronic
4
pain
and
again
prior
to
issuing
a
third
prescription
for
5
an
opioid
during
the
patient’s
same
course
of
treatment,
a
6
practitioner
shall
discuss
with
the
patient
or
the
patient’s
7
parent
or
guardian
if
the
patient
is
under
the
age
of
eighteen
8
and
is
not
an
emancipated
minor,
the
risks
associated
with
the
9
opioid
prescribed,
including
but
not
limited
to
all
of
the
10
following:
11
a.
The
risks
of
addiction
and
overdose
associated
with
12
opioids.
13
b.
The
reasons
why
the
prescription
is
necessary.
14
c.
Alternative
treatments
that
may
be
available.
15
d.
The
addictive
nature
of
opioids,
both
physical
and
16
psychological.
17
e.
The
dangers
of
taking
opioids
with
alcohol,
sedatives,
18
benzodiazepines,
and
other
central
nervous
system
depressants,
19
including
the
possibility
of
fatal
respiratory
depression.
20
2.
The
practitioner
shall
include
a
note
in
the
patient’s
21
medical
record
that
the
patient
or
the
patient’s
parent
or
22
guardian,
as
applicable,
has
discussed
with
the
practitioner
23
the
risks
of
developing
a
physical
or
psychological
dependence
24
on
the
prescribed
opioid
and
any
alternative
treatments
that
25
may
be
available.
26
3.
The
board
of
medicine,
in
consultation
with
the
board
27
of
pharmacy,
shall
develop
and
make
available
to
practitioners
28
guidelines
for
the
discussion
required
pursuant
to
this
29
section.
30
EXPLANATION
31
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
32
the
explanation’s
substance
by
the
members
of
the
general
assembly.
33
This
bill
requires
any
practitioner
issuing
an
initial
34
prescription
for
an
opioid
during
a
patient’s
course
of
35
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2268
treatment
to
first
discuss
the
risks
of
opioid
use
and
abuse
1
with
a
patient
or
the
patient’s
parent
or
guardian.
The
2
practitioner
is
also
required
to
inform
the
patient
or
the
3
patient’s
parent
or
guardian
of
any
available
alternatives
to
4
the
opioid.
The
practitioner
must
repeat
this
conversation
5
before
issuing
a
third
prescription
for
an
opioid
during
the
6
patient’s
same
course
of
treatment.
The
bill
directs
the
board
7
of
medicine,
in
consultation
with
the
board
of
pharmacy,
to
8
develop
guidelines
for
the
required
discussion.
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