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S7115Senate2019-2020 SessionSame asA9034

Allow Partial Prescription Fills

Official title

“Relates to the dispensing of partially filled prescriptions”

Sponsor Gustavo RiveraSD-33+4 co-sponsorsAffects Education
Status
Vetoed
Impact
5/10
Moderate
Outcome
Vetoed

Bill progress

Vetoed

What's happening

This bill allows prescriptions for controlled substances to be partially filled at the request of the prescriber or patient.

Why it matters

  1. Could help reduce the risk of misuse or diversion of controlled substances. by allowing patients to obtain only part of a prescription, potentially lowering the amount of unused medication in circulation.

  2. Gives patients and prescribers more flexibility and control. over pain management or other therapies involving controlled substances, which may lead to more personalized care and the ability to adjust treatment as needs change.

  3. Could lower prescription costs and waste for patients. by letting them pay for and receive only what they currently need, rather than being required to fill the entire prescription at once.

  4. Ensures accountability and proper record-keeping. by requiring that partial fills are documented like refills, maintaining a clear record for regulatory and safety purposes.

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Who cares

Headline styles

Allow Partial Prescription Fills

Plain English, a few words. Used as the page title.

Sponsors

Primary sponsor
Gustavo Rivera

Senator · Senate District 33

Chair, Health

History

  1. Vetoed memo.74
  2. Delivered to governor
  3. Returned to senate
  4. Passed assembly
  5. Ordered to third reading cal.408
  6. Substituted for A9034
  7. Referred to higher education
  8. Delivered to assembly
  9. Passed senateVote 61–0
  10. Advanced to third reading
  11. 2nd report cal.
  12. 1st report cal.174
Show 1 earlier action
  1. Referred to health

Companion bill

The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.

A9034Assembly

Allow Partial Prescription Fills

Assembly Floor Calendar · Sponsor John T. McDonald III

Impact 4 · Low0% to pass

Full text

2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗

STATE OF NEW YORK

7115

IN SENATE (Prefiled)

January 8, 2020

Introduced by Sen. RIVERA -- read twice and ordered printed, and when printed to be committed to the Committee on Health

AN ACT to amend the public health law and the education law, in relation to the dispensing of partially filled prescriptions

The People of the State of New York, represented in Senate and Assembly, do enact as follows:

Section 1. Section 3333 of the public health law is amended by adding a new subdivision 6 to read as follows:

6. At the request of the prescriber or the patient, a prescription for a schedule II, schedule III, schedule IV or schedule V controlled substance may be partially filled provided that the partial filling is recorded in the same manner as a refill. The remaining quantity of the prescription may be dispensed separately only once in conformity with directions for use.

§ 2. Paragraph a of subdivision 1 of section 6816 of the education law, as amended by chapter 710 of the laws of 1988, is amended to read as follows:

a. Any person, who, in putting up any drug, medicine, or food or preparation used in medical practice, or making up any prescription, or filling any order for drugs, medicines, food or preparation puts any untrue label, stamp or other designation of contents upon any box, bottle or other package containing a drug, medicine, food or preparation used in medical practice, or substitutes or dispenses a different article for or in lieu of any article prescribed, ordered, or demanded, except where required pursuant to section sixty-eight hundred sixteen-a of this article, or puts up a greater or lesser quantity of any ingredient specified in any such prescription, order or demand than that prescribed, ordered or demanded, except where required pursuant to paragraph (g) of subdivision two of section three hundred sixty-five-a of the social services law or allowed pursuant to section thirty-three hundred thirty-three of the public health law, or otherwise deviates from the terms of the prescription, order or demand by substituting one drug for another, except where required pursuant to section sixty-eight

EXPLANATION--Matter in italics (underscored) is new; matter in brackets

[ ] is old law to be omitted.

LBD14641-02-0

S. 7115 2

hundred sixteen-a of this article, is guilty of a misdemeanor; provided, however, that except in the case of physicians' prescriptions, nothing herein contained shall be deemed or construed to prevent or impair or in any manner affect the right of an apothecary, druggist, pharmacist or other person to recommend the purchase of an article other than that ordered, required or demanded, but of a similar nature, or to sell such other article in place or in lieu of an article ordered, required or demanded, with the knowledge and consent of the purchaser. Upon a second conviction for a violation of this section the offender must be sentenced to the payment of a fine not to exceed one thousand dollars and may be sentenced to imprisonment for a term not to exceed one year. The third conviction of a violation of any of the provisions of this section, in addition to rendering the offender liable to the penalty prescribed by law for a second conviction, shall forfeit any right which he may possess under the law of this state at the time of such conviction, to engage as proprietor, agent, employee or otherwise, in the business of an apothecary, pharmacist, or druggist, or to compound, prepare or dispense prescriptions or orders for drugs, medicines or foods or preparations used in medical practice; and the offender shall be by reason of such conviction disqualified from engaging in any such business as proprietor, agent, employee or otherwise or compounding, preparing or dispensing medical prescriptions or orders for drugs, medicines, or foods or preparations used in medical practice.

§ 3. This act shall take effect on the first of January next succeeding the date upon which it shall have become a law. Effective immediately the addition, amendment and/or repeal of any rule or regulation necessary for the implementation of this act on its effective date are authorized to be made on or before such date.

Reflowed for reading: line numbers and page breaks removed. Cite the official text.

Sponsor's memo

Title of bill

An act to amend the public health law and the education law, in relation to the dispensing of partially filled prescriptions

Purpose

To allow for the dispensing of a partial fill of a controlled substance prescription.

Summary of provisions

Section one of the bill amends section 3333 of the Public Health Law by adding a new subdivision six that allows a prescription for a schedule II, III, IV or V controlled substance to be partially filled at the request of the prescriber or patient.

Read the full memo (686 words)

Section two of the bill amends paragraph a of subdivision one of section 6816 of the Education Law by adding a reference to section 3333 of the Public Health Law.

Section three of the bill establishes the effective date.

Justification

In this day and age of the opioid crisis, we are trying to limit the supply of addictive medications made available to patients; however, an existing policy achieves the opposite.

When a patient fills a prescription for a controlled substance, they cannot request a partial fill unless they are willing to forfeit the remainder (except under limited circumstances). Most patients will accept the full amount since they are paying the cost of their copay; yet, there are some patients who would prefer a partial fill due to concern of the volume of drugs in their household and based on a greater awareness of the current opioid crisis. The intent is to allow pharma- cists, at the request of patients, to reduce the amount dispensed to help address the supply in the community.

In the absence of a Department of Health regulatory change related to supplies of partially filled prescriptions for controlled substances, this bill seeks to limit the supply of the highly addictive drugs to a practicable extent. The language in this bill will ensure that New York State Law is consistent with the federal law in 21 U.S. Code 829, which permits a controlled substance to be partially filled at the request of the patient or prescriber.

The statistics surrounding the opioid epidemic are staggering. Despite our best efforts to stem the flow of controlled substance prescriptions, recent data from the Centers for Disease Control and Prevention shows that the amount of opioids prescribed per person was three times higher in 2015 than in 1999. In 2015, six times more opioids per resident were dispensed in the highest-prescribing counties than in the lowest-pres- cribing counties. Deaths-from opioids have been rising dramatically for years, and there are now nearly 100 deaths a day from opioid overdoses.

The Internet System for Tracking Over-Prescribing - Prescription Moni- toring Program (ISTOP/PMP) has been a meaningful tool in this fight, but we must look at addressing this problem with a multi-faceted approach. Though New York has been a leader in enacting progressive policies aimed at addressing this problem, we are still one of the nation's leaders in opioid-related deaths.

New York regulation 10 NYCRR 80.73(j) does not permit supply of the remainder of a partially filled prescription for a schedule II controlled substance, benzodiazepine, or other medications listed under 80.67 (a) except when unable to supply, the patient is terminally ill, or the patient is a resident of a residential health care facility.

The Pharmacists Society of the State of New York (PSSNY) adopted a resolution in January of 2017 advocating for this change to the regu- lation regarding partially filled prescriptions. This resolution is a clear message from pharmacists offering a solution to the problem, and the intent is to allow pharmacists, at a patient's request, to reduce the amount dispensed in an effort to address the supply in the communi- ty.

Legislative history

Similar to S.1813/A.3918 of 2019, but with amendments to address the veto message.

Fiscal implications

None.

Effective date

This act shall take effect on the first of January next succeeding the date upon which it shall have become a law. Effective immediately the addition, amendment and/or repeal of any rule or regulation necessary for the implementation of this act on its effective date are authorized to he made on or before such date.

Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.