II
111th CONGRESS
2d Session
S. 3575
IN THE SENATE OF THE UNITED STATES
July 13, 2010
Mr. Durbin (for himself, Mr. Sessions, Mr. Dodd, Mr. Brown of Ohio, Mr. Vitter, and Mr. Alexander) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions
A BILL
To amend and reauthorize the controlled substance monitoring program under section 399O of the Public Health Service Act and to authorize the Secretary of Veterans Affairs to share information about the use of controlled substances by veterans with State prescription monitoring programs to prevent misuse and diversion of prescription medicines.
Short title
This Act may be cited as
the National All Schedules
Prescription Electronic Reporting Reauthorization Act of
2010
.
Amendment to purpose
Paragraph (1) of section 2 of the National All Schedules Prescription Electronic Reporting Act of 2005 (Public Law 109–60) is amended to read as follows:
foster the establishment of State-administered controlled substance monitoring systems in order to ensure that—
health care providers have access to the accurate, timely prescription history information that they may use as a tool for the early identification of patients at risk for addiction in order to initiate appropriate medical interventions and avert the tragic personal, family, and community consequences of untreated addiction; and
appropriate law enforcement, regulatory, and State professional licensing authorities have access to prescription history information for the purposes of investigating drug diversion and prescribing and dispensing practices of errant prescribers or pharmacists; and
.
Amendments to controlled substance monitoring program
Section 399O of the Public Health Service Act (42 U.S.C. 280g–3) is amended—
in subsection (a)(1)—
in subparagraph
(A), by striking or
;
in subparagraph
(B), by striking the period at the end and inserting ; or
;
and
by adding at the end the following:
to maintain and operate an existing State controlled substance monitoring program.
;
by amending subsection (b) to read as follows:
Minimum requirements
The Secretary shall maintain and, as appropriate, supplement or revise (after publishing proposed additions and revisions in the Federal Register and receiving public comments thereon) minimum requirements for criteria to be used by States for purposes of clauses (ii), (v), (vi), and (vii) of subsection (c)(1)(A).
;
in subsection (c)—
in paragraph (1)(B)—
in
the matter preceding clause (i), by striking (a)(1)(B)
and
inserting (a)(1)(B) or (a)(1)(C)
;
in
clause (i), by striking program to be improved
and inserting
program to be improved or maintained
; and
in
clause (iv), by striking public health
and inserting
public health or public safety
;
in paragraph (3)—
by
striking If a State that submits
and inserting the
following:
In general
If a State that submits
;
by
inserting before the period at the end and include timelines for full
implementation of such interoperability
; and
by adding at the end the following:
Monitoring of efforts
The Secretary shall monitor State efforts to achieve interoperability, as described in subparagraph (A).
;
in paragraph (5)—
by
striking implement or improve
and inserting establish,
improve, or maintain
; and
by
adding at the end the following: The Secretary shall redistribute any
funds that are so returned among the remaining grantees under this section in
accordance with the formula described in subsection (a)(2)(B).
;
in the matter
preceding paragraph (1) in subsection (d), by striking In implementing
or improving
all that follows through with the
following:
and inserting In establishing, improving, or
maintaining a controlled substance monitoring program under this section, a
State shall comply, or with respect to a State that applies for a grant under
subsection (a)(1)(B) or (C) submit to the Secretary for approval a statement of
why such compliance is not feasible and a plan for bringing the State into
compliance, with the following:
;
in subsections
(e), (f)(1), and (g), by striking implementing or improving
each
place it appears and inserting establishing, improving, or
maintaining
;
in subsection (f)—
in paragraph
(1)(B) by striking misuse of a schedule II, III, or IV substance
and inserting misuse of a controlled substance included in schedule II,
III, or IV of section 202(c) of the Controlled Substance Act
;
and
add at the end the following:
Evaluation and reporting
Subject to subsection (g), a State receiving a grant under subsection (a) shall provide the Secretary with aggregate data and other information determined by the Secretary to be necessary to enable the Secretary—
to evaluate the success of the State’s program in achieving its purposes; or
to prepare and submit the report to Congress required by subsection (k)(2).
Research by other entities
A department, program, or administration receiving nonidentifiable information under paragraph (1)(D) may make such information available to other entities for research purposes.
;
by redesignating subsections (h) through (n) as subsections (i) through (o), respectively;
in subsections
(c)(1)(A)(iv) and (d)(4), by striking subsection (h)
each place
it appears and inserting subsection (i)
;
by inserting after subsection (g) the following:
Education and access to the monitoring system
A State receiving a grant under subsection (a) shall take steps to—
facilitate prescriber use of the State’s controlled substance monitoring system; and
educate prescribers on the benefits of the system both to them and society.
;
in subsection
(m)(1), as redesignated, by striking establishment, implementation, or
improvement
and inserting establishment, improvement, or
maintenance
;
in subsection
(n)(8), as redesignated, by striking and the District of
Columbia
and inserting , the District of Columbia, and any
commonwealth or territory of the United States
; and
by amending subsection (o), as redesignated, to read as follows:
Authorization of appropriation
To carry out this section, there are authorized to be appropriated $15,000,000 for fiscal year 2011 and $10,000,000 for each of fiscal years 2012 through 2015.
.
Amendments to title 38
Exception with respect to confidential nature of claims
Section 5701 of title 38, United States Code, is amended by adding at the end the following new subsection:
Under regulations the Secretary shall prescribe, the Secretary may disclose information about a veteran or the dependant of a veteran to a State controlled substance monitoring program, including a program approved by the Secretary of Health and Human Services under section 399O of the Public Health Service Act (42 U.S.C. 280g–3), to the extent necessary to prevent misuse and diversion of prescription medicines.
.
Exception with respect to confidentiality of certain medical records
Section 7332(b)(2) of such title is amended by adding at the end the following new subparagraph:
To a State controlled substance monitoring program, including a program approved by the Secretary of Health and Human Services under section 399O of the Public Health Service Act (42 U.S.C. 280g–3), to the extent necessary to prevent misuse and diversion of prescription medicines.
.
Report
In general
Not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit to Congress a report on the participation of the Department of Veterans Affairs in State controlled substance monitoring programs, including programs approved by the Secretary of Health and Human Services under section 399O of the Public Health Service Act (42 U.S.C. 280g–3).
Elements
The report required by paragraph (1) shall include the following:
A summary of the activities of the Department of Veterans Affairs relating to programs described in paragraph (1).
A list of the programs described in paragraph (1) in which the Department is participating.
A description of how the Secretary determines which programs described in paragraph (1) in which to participate.
The status of the regulations, if any, prescribed by the Secretary under section 5701(l) of title 38, United States Code, as added by subsection (a) of this section.