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Utah House approves database registration for prescribers and hospital overdose reporting package

Utah House of Representatives · January 26, 2010
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Summary

On Jan. 26 the House passed two measures aimed at curbing prescription-drug abuse: HB28 requires prescribers who hold prescribing controlled-substance licenses to register for the state's controlled-substance database (veterinarians exempted by amendment), and a substituted HB35 requires hospitals to report prescription overdoses so DOPL can notify prescribing physicians. Both bills move to the Senate.

The Utah House of Representatives on Jan. 26 approved a pair of bills designed to increase use of the state's controlled-substance database and to inform prescribers when patients suffer prescription-drug overdoses.

Representative Bradley Daw introduced House Bill 28 as a recodification of existing law with a policy change requiring holders of licenses that permit prescribing of controlled substances to register for the controlled-substance database. An amendment adopted on the floor excluded veterinarians from that registration requirement.

"This database has been demonstrated to be a very valuable tool," sponsor Representative Dahl said during debate, arguing broader registration would reduce prescription shopping and help physicians identify patients at risk. The bill also calls for a brief educational component during license renewal to increase awareness of the database.

Representative Bigelow flagged the fiscal implications and practical rollout, noting the bill’s fiscal note requires a one-time appropriation: "we will have to appropriate $29,000 for this bill," he said. Sponsors replied that most costs are one-time and that expanded registration is expected to increase fee revenue in later years.

On privacy and operations, sponsors said the Division of Occupational and Professional Licensing (DOPL) would retain ownership and custody of the data. "The contractor will write the software, but they will in no way see or administer or own the data," a sponsor said, describing a vendor role limited to software development and maintenance.

Separately, the House approved a substituted House Bill 35 requiring hospitals to report suspected prescription-drug overdoses to DOPL. DOPL would use the database to determine likely prescribing physicians and notify them so they can follow up with patients. Sponsor Representative Dahl said the measure is intended to inform physicians and assist treatment efforts; the substitute carries a fiscal note because DOPL estimated roughly 4,000 overdoses per year and the notification workload that would follow.

Both measures drew supportive floor discussion from members concerned about rising prescription-drug addiction; representatives urged DOPL and the Legislature to monitor implementation, fiscal impacts and privacy safeguards as the rules and operational details are developed.

HB28 passed the House 66–3. The first-substitute HB35 passed 67–3. Both bills were transmitted to the Senate for further consideration.