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S.B. 248 Enrolled

             1     

CONTROLLED SUBSTANCE DATABASE AMENDMENTS

             2     
2011 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Curtis S. Bramble

             5     
House Sponsor: Bradley M. Daw

             6     
             7      LONG TITLE
             8      General Description:
             9          This bill modifies provisions relating to access to the Controlled Substance Database.
             10      Highlighted Provisions:
             11          This bill:
             12          .    authorizes certain individuals to access the controlled substance database for the
             13      purpose of reviewing a patient's request for workers' compensation benefits; and
             14          .    makes technical changes.
             15      Money Appropriated in this Bill:
             16          None
             17      Other Special Clauses:
             18          This bill takes effect on January 1, 2012.
             19      Utah Code Sections Affected:
             20      AMENDS:
             21          58-37f-301, as enacted by Laws of Utah 2010, Chapter 287 and last amended by
             22      Coordination Clause, Laws of Utah 2010, Chapter 312
             23     
             24      Be it enacted by the Legislature of the state of Utah:
             25          Section 1. Section 58-37f-301 is amended to read:
             26           58-37f-301. Access to database.
             27          (1) The division shall make rules, in accordance with Title 63G, Chapter 3, Utah
             28      Administrative Rulemaking Act, to:
             29          (a) effectively enforce the limitations on access to the database as described in this


             30      part; and
             31          (b) establish standards and procedures to ensure accurate identification of individuals
             32      requesting information or receiving information without request from the database.
             33          (2) The division shall make information in the database available only to the following
             34      individuals, in accordance with the requirements of this chapter and division rules:
             35          (a) personnel of the division specifically assigned to conduct investigations related to
             36      controlled substance laws under the jurisdiction of the division;
             37          (b) authorized division personnel engaged in analysis of controlled substance
             38      prescription information as a part of the assigned duties and responsibilities of their
             39      employment;
             40          (c) in accordance with a written agreement entered into with the department,
             41      employees of the Department of Health:
             42          (i) whom the director of the Department of Health assigns to conduct scientific studies
             43      regarding the use or abuse of controlled substances, provided that the identity of the individuals
             44      and pharmacies in the database are confidential and are not disclosed in any manner to any
             45      individual who is not directly involved in the scientific studies; or
             46          (ii) when the information is requested by the Department of Health in relation to a
             47      person whom the Department of Health suspects may be improperly obtaining or providing a
             48      controlled substance;
             49          (d) a licensed practitioner having authority to prescribe controlled substances, to the
             50      extent the information:
             51          (i) (A) relates specifically to a current or prospective patient of the practitioner; and
             52          (B) is sought by the practitioner for the purpose of:
             53          (I) prescribing or considering prescribing any controlled substance to the current or
             54      prospective patient;
             55          (II) diagnosing the current or prospective patient;
             56          (III) providing medical treatment or medical advice to the current or prospective
             57      patient; or


             58          (IV) determining whether the current or prospective patient:
             59          (Aa) is attempting to fraudulently obtain a controlled substance from the practitioner;
             60      or
             61          (Bb) has fraudulently obtained, or attempted to fraudulently obtain, a controlled
             62      substance from the practitioner;
             63          (ii) (A) relates specifically to a former patient of the practitioner; and
             64          (B) is sought by the practitioner for the purpose of determining whether the former
             65      patient has fraudulently obtained, or has attempted to fraudulently obtain, a controlled
             66      substance from the practitioner;
             67          (iii) relates specifically to an individual who has access to the practitioner's Drug
             68      Enforcement Administration identification number, and the practitioner suspects that the
             69      individual may have used the practitioner's Drug Enforcement Administration identification
             70      number to fraudulently acquire or prescribe a controlled substance;
             71          (iv) relates to the practitioner's own prescribing practices, except when specifically
             72      prohibited by the division by administrative rule;
             73          (v) relates to the use of the controlled substance database by an employee of the
             74      practitioner, described in Subsection (2)(e); or
             75          (vi) relates to any use of the practitioner's Drug Enforcement Administration
             76      identification number to obtain, attempt to obtain, prescribe, or attempt to prescribe, a
             77      controlled substance;
             78          (e) in accordance with Subsection (3)(a), an employee of a practitioner described in
             79      Subsection (2)(d), for a purpose described in Subsection (2)(d)(i) or (ii), if:
             80          (i) the employee is designated by the practitioner as an individual authorized to access
             81      the information on behalf of the practitioner;
             82          (ii) the practitioner provides written notice to the division of the identity of the
             83      employee; and
             84          (iii) the division:
             85          (A) grants the employee access to the database; and


             86          (B) provides the employee with a password that is unique to that employee to access
             87      the database in order to permit the division to comply with the requirements of Subsection
             88      58-37f-203 (3)(b) with respect to the employee;
             89          (f) a licensed pharmacist having authority to dispense a controlled substance to the
             90      extent the information is sought for the purpose of:
             91          (i) dispensing or considering dispensing any controlled substance; or
             92          (ii) determining whether a person:
             93          (A) is attempting to fraudulently obtain a controlled substance from the pharmacist; or
             94          (B) has fraudulently obtained, or attempted to fraudulently obtain, a controlled
             95      substance from the pharmacist;
             96          (g) federal, state, and local law enforcement authorities, and state and local
             97      prosecutors, engaged as a specified duty of their employment in enforcing laws:
             98          (i) regulating controlled substances; or
             99          (ii) investigating insurance fraud, Medicaid fraud, or Medicare fraud;
             100          (h) a mental health therapist, if:
             101          (i) the information relates to a patient who is:
             102          (A) enrolled in a licensed substance abuse treatment program; and
             103          (B) receiving treatment from, or under the direction of, the mental health therapist as
             104      part of the patient's participation in the licensed substance abuse treatment program described
             105      in Subsection (2)(h)(i)(A);
             106          (ii) the information is sought for the purpose of determining whether the patient is
             107      using a controlled substance while the patient is enrolled in the licensed substance abuse
             108      treatment program described in Subsection (2)(h)(i)(A); and
             109          (iii) the licensed substance abuse treatment program described in Subsection
             110      (2)(h)(i)(A) is associated with a practitioner who:
             111          (A) is a physician, a physician assistant, an advance practice registered nurse, or a
             112      pharmacist; and
             113          (B) is available to consult with the mental health therapist regarding the information


             114      obtained by the mental health therapist, under this Subsection (2)(h), from the database; [and]
             115          (i) an individual who is the recipient of a controlled substance prescription entered into
             116      the database, upon providing evidence satisfactory to the division that the individual requesting
             117      the information is in fact the individual about whom the data entry was made[.];
             118          (j) the following licensed physicians for the purpose of reviewing and offering an
             119      opinion on an individual's request for workers' compensation benefits under Title 34A, Chapter
             120      2, Workers' Compensation Act, or Title 34A, Chapter 3, Utah Occupational Disease Act:
             121          (i) a member of the medical panel described in Section 34A-2-601 ; or
             122          (ii) a physician offering a second opinion regarding treatment.
             123          (3) (a) A practitioner described in Subsection (2)(d) may designate up to three
             124      employees to access information from the database under Subsection (2)(e).
             125          (b) The division shall make rules, in accordance with Title 63G, Chapter 3, Utah
             126      Administrative Rulemaking Act, to establish background check procedures to determine
             127      whether an employee designated under Subsection (2)(e)(i) should be granted access to the
             128      database.
             129          (c) The division shall grant an employee designated under Subsection (2)(e)(i) access
             130      to the database, unless the division determines, based on a background check, that the
             131      employee poses a security risk to the information contained in the database.
             132          (d) The division may impose a fee, in accordance with Section 63J-1-504 , on a
             133      practitioner who designates an employee under Subsection (2)(e)(i), to pay for the costs
             134      incurred by the division to conduct the background check and make the determination
             135      described in Subsection (3)(b).
             136          (4) (a) An individual who is granted access to the database based on the fact that the
             137      individual is a licensed practitioner or a mental health therapist shall be denied access to the
             138      database when the individual is no longer licensed.
             139          (b) An individual who is granted access to the database based on the fact that the
             140      individual is a designated employee of a licensed practitioner shall be denied access to the
             141      database when the practitioner is no longer licensed.


             142          Section 2. Effective date.
             143          This bill takes effect on January 1, 2012.


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