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This Week's Poll



6-28-19

Nonopioid Alternatives


Staff Reports


As of July 1, 2019, CS/CS/HB 451 will become law. Patients under a doctor’s care must be offered nonopioid alternatives for pain management. The bill summary states that  every competent adult has the right of self-determination regarding healthcare decisions, including the right to refuse treatment with a Schedule II opioid controlled substance.


The bill requires the Department of Health (DOH) to develop and publish on its website an educational pamphlet regarding the use of nonopioid alternatives for the treatment of pain.


The pamphlet must include:


Information on available nonopioid alternatives for the treatment of pain, including nonopioid medicinal drugs or drug products and nonpharmacological therapies; and


The advantages and disadvantages of the use of nonopioid alternatives.


Additionally, the bill requires a health care practitioner, except a health care practitioner licensed under ch. 465, F.S., (the practice of pharmacy), prior to providing anesthesia or ordering, administering, dispensing or prescribing a Schedule II opioid drug to a patient in a nonemergency situation, to:


Inform the patient of available nonopioid alternatives for the treatment of pain, which may include nonopioid medicinal drugs or drug products, interventional procedures or treatments, acupuncture, chiropractic treatments, massage therapy, physical therapy, occupational therapy, or any other appropriate therapy as determined by the health care practitioner;


Discuss the advantages and disadvantages of the use of nonopioid alternatives, including whether the patient is at a high risk of, or has a history of, controlled substance abuse or misuse and the patient’s personal preferences;


Provide the patient with the educational pamphlet developed by the DOH; and


Document the nonopioid alternatives considered in the patient’s record.


The bill does not state  a time frame for DOH to develop and publish the pamplet.