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HB 377/FN/LM (BR 354) - A. Wuchner, B. DeWeese, T. Burch, J. Carney, J. Hoover, M. Rader, S. Santoro, B. Waide, S. Westrom

     AN ACT relating to the substitution of opioids in pharmacies and declaring an emergency.
     Create a new section of KRS 315 to define terms; require the Board of Pharmacy to publish and, in some cases, determine qualifying drugs for a list of opioid analgesics that incorporate tamper-resistance technologies and prohibit substitution or interchange of those drugs without the pharmacy verifying that the substitute provides substantially similar tamper-resistance properties as determined by the board or without obtaining written consent of the prescriber; EMERGENCY.


     HCS/FN - Retain original provisions except exempt pharmacists in hospital based pharmacies filling prescriptions for inpatient care from compliance and allow a practitioner to prohibit substitution when the practitioner determines that substitution is not in the best interest of the patient.
     HFA (1, R. Damron) - Retain original provisions except clarify that opioid analgesic drugs shall continue to be available to nursing home and hospice care patients without modification.
     HFA (2, R. Damron) - Retain original provisions except clarify that the FDA must determine that a drug incorporates tamper-resistant technologies; require that the pharmacy board promulgate an administrative regulation determining which drugs incorporate these technologies; require that the drug bear a labeling claim relating to its reduction of tampering or abuse potential; require that the pharmacy board create a list of any available drugs determined by the FDA to be substantially similar to other opioid analgesic drugs incorporating a tamper-resistant technology.
     HFA (3, A. Wuchner) - Retain provisions of HCS1; delete the emergency clause.
     HFA (4/Title, A. Wuchner) - Make title amendment.

     Feb 8-introduced in House
     Feb 9-to Health & Welfare (H)
     Feb 13-posted in committee
     Feb 23-reported favorably, 1st reading, to Consent Calendar with Committee Substitute
     Feb 24-2nd reading, to Rules
     Feb 27-posted for passage in the Consent Orders of the Day for Wednesday, February 29, 2012
     Feb 28-floor amendment (1) filed to Committee Substitute
     Feb 29-taken from the Consent Orders of the Day, placed in the Regular Orders of the Day
     Mar 7-floor amendment (2) filed to Committee Substitute
     Mar 9-floor amendment (3) filed to Committee Substitute, floor amendment (4-title) filed
     Mar 23-taken from the Regular Orders of the Day; recommitted to Appropriations & Revenue (H)

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