Bill S483-2013

Relates to continuing medical education requirements for doctors, nurses and pharmacists

Relates to continuing medical education requirements for doctors, nurses and pharmacists; requires three hours of training on the prevention, treatment and mitigation of opiate analgesics and psychotropic drug addiction.

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  • Jan 8, 2014: REFERRED TO HIGHER EDUCATION
  • Jan 9, 2013: REFERRED TO HIGHER EDUCATION

Memo

BILL NUMBER:S483

TITLE OF BILL: An act to amend the education law, in relation to continuing medical education for doctors, nurses and pharmacists

PURPOSE: This bill requires that doctors, nurses, and pharmacists complete at least 3 hours of continuing education on opiate analgesics and psychotropic drugs each year.

SUMMARY OF PROVISIONS: Section 1 defines this bill as the Michael David Israel Physician Training Law.

Section 2 adds a new section to the education law that requires that all physicians complete three hours of continuing education on the prescription of opiate analgesics and psychotropic drugs and the risks of addiction to such drugs. Section 2 also defines opiate analgesics and psychotropic drugs.

Section 3 adds a new section to the education law that requires that all nurses complete three hours of continuing education on the prescription of opiate analgesics and psychotropic drugs and the risks of addiction to such drugs. Section 3 also defines opiate analgesics and psychotropic drugs.

Section 4 amends a section to the education law that requires that at least 3 hours of a pharmacist's 45 hours of continuing education every 3 years be dedicated to courses on the prevention, treatment, and mitigation of opiate analgesics and psychotropic drug addiction.

Section 5 allows for prorated continuing education requirements for new pharmacists.

Section 6 is the enacting clause.

JUSTIFICATION: Michael David Israel, the son of Avi and Julie Israel, was one of many young people across New York State who battled with prescription drug abuse. On June 4, 2011 Michael David Israel tragically took his own life.

Michael's story is not a unique one. Nationally deaths from prescription opiates have tripled since 1999, and overdoses from prescription opiates now hospitalize more people each year than cocaine or heroin. Additionally, in a recent University at Buffalo study of 75 addicts, 41 percent reported their addiction began with medicine prescribed legally by their doctors.

The rate at which doctors are prescribing opiates is also alarming. In New York State 37 prescriptions are written for hydrocodone, fentanyl, and oxycodone for every 100 New Yorkers. In Western New

York that rate is almost double, with 65 prescriptions being written for every 100 residents.

These statistics are concerning, and in some regards alarming. This bill would require medical professionals to continue to receive training and education on the dangers of opiate abuse and addiction as well as strategies to migrate patients from highly addictive pain management solutions to lower risk pain management solutions.

As new drugs and strategies continue to be developed, it is important that medical professionals stay up to date on this growing epidemic.

LEGISLATIVE HISTORY: 2012: S.6180/A.9102 Referred to Higher Education

FISCAL IMPLICATIONS: None to the state.

EFFECTIVE DATE: This act shall take effect immediately.


Text

STATE OF NEW YORK ________________________________________________________________________ 483 2013-2014 Regular Sessions IN SENATE (PREFILED) January 9, 2013 ___________
Introduced by Sen. KENNEDY -- read twice and ordered printed, and when printed to be committed to the Committee on Higher Education AN ACT to amend the education law, in relation to continuing medical education for doctors, nurses and pharmacists THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. This act shall be known and may be cited as the "Michael David Israel physician training law". S 2. The education law is amended by adding a new section 6524-a to read as follows: S 6524-A. MANDATORY CONTINUING MEDICAL EDUCATION. 1. ALL PHYSICIANS, IN ORDER TO MAINTAIN THEIR LICENSE IN GOOD STANDING, MUST COMPLETE THREE HOURS OF CONTINUING MEDICAL EDUCATION ON THE PRESCRIPTION OF OPIATE ANALGESICS AND PSYCHOTROPIC DRUGS AND THE RISKS OF ADDICTION IN THEIR ADMINISTRATION. THE CLASSES SHALL BE TAUGHT AND ADMINISTERED BY THE OFFICE OF THE PROFESSIONS ACCORDING TO REGULATIONS SET BY THE COMMIS- SIONER AND SHALL FOCUS ON THE PREVENTION, TREATMENT AND MITIGATION OF SUCH ADDICTIONS. 2. FOR PURPOSES OF THIS SECTION: A. "OPIATE ANALGESICS" SHALL MEAN THE MEDICINES BUPRENORPHINE, BUTOR- PHANOL, CODEINE, HYDROCODONE, HYDROMORPHONE, LEVORPHANOL, MEPERIDINE, METHADONE, MORPHINE, NALBUPHINE, OXYCODONE, OXYMORPHONE, PENTAZOCINE AND PROPOXYPHENE AS WELL AS THEIR BRAND NAMES, ISOMERS AND COMBINATIONS. B. "PSYCHOTROPIC DRUGS" SHALL MEAN ANY DRUG OR MEDICINE THAT AFFECTS MENTAL ACTIVITY, BEHAVIOR OR PERCEPTION INCLUDING ANTI-PSYCHOTICS, ANTI- DEPRESSANTS, ANTI-ANXIETY DRUGS OR ANXIOLYTICS AND HYPNOTICS. S 3. The education law is amended by adding a new section 6905-a to read as follows: S 6905-A. MANDATORY CONTINUING MEDICAL EDUCATION. 1. ALL PHYSICIANS, IN ORDER TO MAINTAIN THEIR LICENSE IN GOOD STANDING, MUST COMPLETE THREE
HOURS OF CONTINUING MEDICAL EDUCATION ON THE PRESCRIPTION OF OPIATE ANALGESICS AND PSYCHOTROPIC DRUGS AND THE RISKS OF ADDICTION IN THEIR ADMINISTRATION. THE CLASSES SHALL BE TAUGHT AND ADMINISTERED BY THE OFFICE OF THE PROFESSIONS ACCORDING TO REGULATIONS SET BY THE COMMIS- SIONER AND SHALL FOCUS ON THE PREVENTION, TREATMENT AND MITIGATION OF SUCH ADDICTIONS. 2. FOR PURPOSES OF THIS SECTION: A. "OPIATE ANALGESICS" SHALL MEAN THE MEDICINES BUPRENORPHINE, BUTOR- PHANOL, CODEINE, HYDROCODONE, HYDROMORPHONE, LEVORPHANOL, MEPERIDINE, METHADONE, MORPHINE, NALBUPHINE, OXYCODONE, OXYMORPHONE, PENTAZOCINE AND PROPOXYPHENE AS WELL AS THEIR BRAND NAMES, ISOMERS AND COMBINATIONS. B. "PSYCHOTROPIC DRUGS" SHALL MEAN ANY DRUG OR MEDICINE THAT AFFECTS MENTAL ACTIVITY, BEHAVIOR OR PERCEPTION INCLUDING ANTI-PSYCHOTICS, ANTI- DEPRESSANTS, ANTI-ANXIETY DRUGS OR ANXIOLYTICS AND HYPNOTICS. S 4. Subdivision 2 of section 6827 of the education law, as amended by chapter 21 of the laws of 2011, is amended to read as follows: 2. During each triennial registration period an applicant for regis- tration shall complete a minimum of forty-five hours of acceptable formal continuing education, as specified in subdivision four of this section, provided that no more than twenty-two hours of such continuing education shall consist of self-study courses AND PROVIDED THAT AT LEAST THREE HOURS ARE DEDICATED TO COURSES ON THE PREVENTION, TREATMENT AND MITIGATION OF OPIATE ANALGESIC AND PSYCHOTROPIC DRUG ADDICTION, AS SUCH TERMS ARE DEFINED IN SECTION SIXTY-FIVE HUNDRED TWENTY-FOUR-A OF THIS TITLE. Any pharmacist participating in collaborative drug therapy management pursuant to section six thousand eight hundred one-a of this article shall complete at least five hours of acceptable formal continu- ing education in the area or areas of practice generally related to any collaborative drug therapy management protocols to which the pharmacist may be subject. Any pharmacist whose first registration date following the effective date of this section occurs less than three years from such effective date, but on or after January first, nineteen hundred ninety-eight, shall complete continuing education hours on a prorated basis at the rate of one and one-quarter hours per month for the period beginning January first, nineteen hundred ninety-seven up to the first registration date thereafter. A licensee who has not satisfied the mandatory continuing education requirements shall not be issued a trien- nial registration certificate by the department and shall not practice unless and until a conditional registration certificate is issued as provided for in subdivision three of this section. Continuing education hours taken during one triennium may not be transferred to a subsequent triennium. S 5. Subdivision 2 of section 6827 of the education law, as added by chapter 311 of the laws of 1996, is amended to read as follows: 2. During each triennial registration period an applicant for regis- tration shall complete a minimum of forty-five hours of acceptable formal continuing education, as specified in subdivision four of this section, provided that no more than twenty-two hours of such continuing education shall consist of self-study courses AND PROVIDED THAT AT LEAST THREE HOURS ARE DEDICATED TO COURSES ON THE PREVENTION, TREATMENT AND MITIGATION OF OPIATE ANALGESIC AND PSYCHOTROPIC DRUG ADDICTION, AS SUCH TERMS ARE DEFINED IN SECTION SIXTY-FIVE HUNDRED TWENTY-FOUR-A OF THIS TITLE. Any pharmacist whose first registration date following the effective date of this section occurs less than three years from such effective date, but on or after January first, nineteen hundred ninety- eight, shall complete continuing education hours on a prorated basis at
the rate of one and one-quarter hours per month for the period beginning January first, nineteen hundred ninety-seven up to the first registra- tion date thereafter. A licensee who has not satisfied the mandatory continuing education requirements shall not be issued a triennial regis- tration certificate by the department and shall not practice unless and until a conditional registration certificate is issued as provided for in subdivision three of this section. Continuing education hours taken during one triennium may not be transferred to a subsequent triennium. S 6. This act shall take effect immediately, provided however that the amendments made to subdivision 2 of section 6827 of the education law made by section four of this act shall be subject to the expiration and reversion of such subdivision pursuant to section 5 of chapter 21 of the laws of 2011, as amended, when upon such date the provisions of section five of this act shall take effect and provided further, the addition, amendment and/or repeal of any rule or regulation necessary for the implementation of this act on its effective date are authorized and directed to be made and completed on or before such effective date.

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