1     
ACCESS TO OPIOID PRESCRIPTION INFORMATION VIA

2     
PRACTITIONER DATA MANAGEMENT SYSTEMS

3     
2016 GENERAL SESSION

4     
STATE OF UTAH

5     
Chief Sponsor: Mike K. McKell

6     
Senate Sponsor: Curtis S. Bramble

7     

8     LONG TITLE
9     General Description:
10          This bill amends the Controlled Substance Database Act.
11     Highlighted Provisions:
12          This bill:
13          ▸     defines terms;
14          ▸     requires the Division of Occupational and Professional Licensing within the
15     Department of Commerce to make opioid prescription data information in its
16     controlled substance database accessible to an opioid prescriber or pharmacist via
17     the prescriber's or pharmacist's electronic data system;
18          ▸     limits access to and use of the information by an electronic data system, a
19     prescriber, or a pharmacist in accordance with rules established by the division;
20          ▸     requires rulemaking by the division;
21          ▸     requires the division to periodically audit use of the information; and
22          ▸     amends Controlled Substance Database Act penalty provisions.
23     Money Appropriated in this Bill:
24          None
25     Other Special Clauses:
26          None
27     Utah Code Sections Affected:

28     AMENDS:
29          58-37f-601, as last amended by Laws of Utah 2015, Chapter 326
30     ENACTS:
31          58-37f-303, Utah Code Annotated 1953
32     

33     Be it enacted by the Legislature of the state of Utah:
34          Section 1. Section 58-37f-303 is enacted to read:
35          58-37f-303. Access to opioid prescription information via an electronic data
36     system.
37          (1) As used in this section:
38          (a) "Dispense" means the same as that term is defined in Section 58-17b-102.
39          (b) "EDS user":
40          (i) means:
41          (A) a prescriber;
42          (B) a pharmacist; or
43          (C) an individual granted access to the database under Subsection 58-37f-301(3)(c);
44     and
45          (ii) does not mean an individual whose access to the database has been revoked by the
46     division pursuant to Subsection 58-37f-301(5)(b).
47          (c) "Electronic data system" means a software product or an electronic service used by:
48          (i) a prescriber to manage electronic health records; or
49          (ii) a pharmacist to manage the dispensing of prescription drugs.
50          (d) "Opioid" means any substance listed in Subsection 58-37-4(2)(b)(i) or (2)(b)(ii).
51          (e) "Pharmacist" means the same as that term is defined in Section 58-17b-102.
52          (f) "Prescriber" means a practitioner, as that term is defined in Section 58-37-2, who is
53     licensed under Section 58-37-6 to prescribe an opioid.
54          (g) "Prescription drug" means the same as that term is defined in Section 58-17b-102.
55          (2) Subject to Subsections (3) through (6), no later than January 1, 2017, the division
56     shall make opioid prescription information in the database available to an EDS user via the
57     user's electronic data system.
58          (3) An electronic data system may be used to make opioid prescription information in

59     the database available to an EDS user only if the electronic data system complies with rules
60     established by the division under Subsection (4).
61          (4) (a) The division shall make rules, in accordance with Title 63G, Chapter 3, Utah
62     Administrative Rulemaking Act, specifying:
63          (i) an electronic data system's:
64          (A) allowable access to and use of opioid prescription information in the database; and
65          (B) minimum actions that must be taken to ensure that opioid prescription information
66     accessed from the database is protected from inappropriate disclosure or use; and
67          (ii) an EDS user's:
68          (A) allowable access to opioid prescription information in the database via an
69     electronic data system; and
70          (B) allowable use of the information.
71          (b) The rules shall establish:
72          (i) minimum user identification requirements that in substance are the same as the
73     database identification requirements in Section 58-37f-301;
74          (ii) user access restrictions that in substance are the same as the database identification
75     requirements in Section 58-37f-301; and
76          (iii) any other requirements necessary to ensure that in substance the provisions of
77     Sections 58-37f-301 and 58-37f-302 apply to opioid prescription information in the database
78     that has been made available to an EDS user via an electronic data system.
79          (5) The division may not make opioid prescription information in the database
80     available to an EDS user via the user's electronic data system if:
81          (a) the electronic data system does not comply with the rules established by the
82     division under Subsection (4); or
83          (b) the EDS user does not comply with the rules established by the division under
84     Subsection (4).
85          (6) (a) The division shall periodically audit the use of opioid prescription information
86     made available to an EDS user via the user's electronic data system.
87          (b) The audit shall review compliance by:
88          (i) the electronic data system with rules established by the division under Subsection
89     (4); and

90          (ii) the EDS user with rules established by the division under Subsection (4).
91          (c) (i) If the division determines by audit or other means that an electronic data system
92     is not in compliance with rules established by the division under Subsection (4), the division
93     shall immediately suspend or revoke the electronic data system's access to opioid prescription
94     information in the database.
95          (ii) If the division determines by audit or other means that an EDS user is not in
96     compliance with rules established by the division under Subsection (4), the division shall
97     immediately suspend or revoke the EDS user's access to opioid prescription information in the
98     database via an electronic data system.
99          (iii) If the division suspends or revokes access to opioid prescription information in the
100     database under Subsection (6)(c)(i) or (6)(c)(ii), the division shall also take any other
101     appropriate corrective or disciplinary action authorized by this chapter or title.
102          Section 2. Section 58-37f-601 is amended to read:
103          58-37f-601. Unlawful release or use of database information -- Criminal and civil
104     penalties.
105          (1) (a) Any person who knowingly and intentionally releases:
106          (i) any information in the database or any information obtained from other state or
107     federal prescription monitoring programs by means of the database in violation of the
108     limitations under Part 3, Access, is guilty of a third degree felony; or
109          (ii) any information in the database accessed under Section 58-37f-303 by an electronic
110     data system, or accessed by a person via an electronic data system, in violation of rules
111     established by the division under Subsection 58-37f-303(4) is guilty of a third degree felony.
112          (b) Any person who negligently or recklessly releases:
113          (i) any information in the database or any information obtained from other state or
114     federal prescription monitoring programs by means of the database in violation of the
115     limitations under [Title 58, Chapter 37f,] Part 3, Access, is guilty of a class C misdemeanor; or
116          (ii) any information in the database accessed under Section 58-37f-303 by an electronic
117     data system, or accessed by a person via an electronic data system, in violation of rules
118     established by the division under Subsection 58-37f-303(4) is guilty of a class C misdemeanor.
119          (2) (a) Any person who obtains or attempts to obtain the following by
120     misrepresentation or fraud is guilty of a third degree felony:

121          (i) information from the database [or];
122          (ii) information from any other state or federal prescription monitoring [programs]
123     program by means of the database [by misrepresentation or fraud is guilty of a third degree
124     felony.]; or
125          (iii) information from the database or any other state or federal prescription monitoring
126     program via an electronic data system under Section 58-37f-303.
127          (b) Any person who obtains or attempts to obtain information from the database,
128     including via an electronic data system under Section 58-37f-303 that has access to the
129     database, for a purpose other than a purpose authorized by this chapter or by rule is guilty of a
130     third degree felony.
131          (3) (a) Except as provided in Subsection (3)(e), a person may not knowingly and
132     intentionally use, release, publish, or otherwise make available to any other person [any] the
133     following information for any purpose other than those specified in Part 3, Access:
134          (i) information obtained from the database [or];
135          (ii) information obtained from any other state or federal prescription monitoring
136     [programs] program by means of the database [for any purpose other than those specified in
137     Part 3, Access]; or
138          (iii) information in the database accessed under Section 58-37f-303 by:
139          (A) an electronic data system; or
140          (B) a person via an electronic data system.
141          (b) Each separate violation of this Subsection (3) is a third degree felony and is also
142     subject to a civil penalty not to exceed $5,000.
143          (c) The procedure for determining a civil violation of this Subsection (3) is in
144     accordance with Section 58-1-108, regarding adjudicative proceedings within the division.
145          (d) Civil penalties assessed under this Subsection (3) shall be deposited in the General
146     Fund as a dedicated credit to be used by the division under Subsection 58-37f-502(1).
147          (e) This Subsection (3) does not prohibit a person who obtains information from the
148     database under Subsection 58-37f-301(2)(f), (g), (i), or (4)(c) from:
149          (i) including the information in the person's medical chart or file for access by a person
150     authorized to review the medical chart or file; or
151          (ii) providing the information to a person in accordance with the requirements of the

152     Health Insurance Portability and Accountability Act of 1996.






Legislative Review Note
Office of Legislative Research and General Counsel