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Public Act 103-1064 |
HB5373 Enrolled | LRB103 36911 RLC 67024 b |
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AN ACT concerning criminal law. |
Be it enacted by the People of the State of Illinois, |
represented in the General Assembly: |
Section 5. The Illinois Controlled Substances Act is |
amended by changing Section 318 and by adding Section 315.7 as |
follows: |
(720 ILCS 570/315.7 new) |
Sec. 315.7. Chronic pain treatment. |
(a) In this Section: |
"Chronic pain" means a state in which pain persists beyond |
the usual course of an acute disease or healing of an injury, |
or which may or may not be associated with an acute or chronic |
pathologic process that causes continuous or intermittent pain |
over months or years. "Chronic pain" is considered to be pain |
that persists for more than 12 weeks and is adversely |
affecting the function or well-being of the individual. |
"Opioid" means a narcotic drug or substance that is a |
Schedule II controlled substance under paragraph (1), (2), |
(3), or (5) of subsection (b) or under subsection (c) of |
Section 206. |
(b) Decisions regarding the treatment of patients |
experiencing chronic pain shall be made by the prescriber with |
dispensing by the pharmacist in accordance with the |
|
corresponding responsibility as described in 21 CFR 1306.04(a) |
and 77 Ill. Adm. Code 3100.380(a). |
(c) Ordering, prescribing, dispensing, administering, or |
paying for controlled substances, including opioids, shall not |
in any way be predetermined by specific morphine milligram |
equivalent guidelines except as provided under federal law. |
(d) Nothing in this Section shall interfere with the |
review of prescriptions by the Prescription Monitoring |
Program's Peer Review Committee. In reviewing prescriptions |
for chronic pain, the peer review committee members shall |
review the most updated clinical guidelines on treating |
chronic pain for the period the prescriptions were written. |
(720 ILCS 570/318) |
(Text of Section before amendment by P.A. 103-881 ) |
Sec. 318. Confidentiality of information. |
(a) Information received by the central repository under |
Section 316 and former Section 321 is confidential. |
(a-1) To ensure the federal Health Insurance Portability |
and Accountability Act and confidentiality of substance use |
disorder patient records rules that mandate the privacy of an |
individual's prescription data reported to the Prescription |
Monitoring Program received from a retail dispenser under this |
Act, and in order to execute the duties and responsibilities |
under Section 316 of this Act and rules for disclosure under |
this Section, the Clinical Director of the Prescription |
|
Monitoring Program or his or her designee shall maintain |
direct access to all Prescription Monitoring Program data. Any |
request for Prescription Monitoring Program data from any |
other department or agency must be approved in writing by the |
Clinical Director of the Prescription Monitoring Program or |
his or her designee unless otherwise permitted by law. |
Prescription Monitoring Program data shall only be disclosed |
as permitted by law. Confidential information received from |
opioid treatment programs or confidential information |
otherwise protected under federal confidentiality of substance |
use disorder patient records regulations under 42 CFR Part 2 |
shall not be included in the information shared. |
(a-2) As an active step to address the current opioid |
crisis in this State and to prevent and reduce addiction |
resulting from a sports injury or an accident, the |
Prescription Monitoring Program and the Department of Public |
Health shall coordinate a continuous review of the |
Prescription Monitoring Program and the Department of Public |
Health data to determine if a patient may be at risk of opioid |
addiction. Each patient discharged from any medical facility |
with an International Classification of Disease, 10th edition |
code related to a sport or accident injury shall be subject to |
the data review. If the discharged patient is dispensed a |
controlled substance, the Prescription Monitoring Program |
shall alert the patient's prescriber as to the addiction risk |
and urge each to follow the Centers for Disease Control and |
|
Prevention guidelines or his or her respective profession's |
treatment guidelines related to the patient's injury. This |
subsection (a-2), other than this sentence, is inoperative on |
or after January 1, 2024. |
(b) The Department must carry out a program to protect the |
confidentiality of the information described in subsection |
(a). The Department may disclose the information to another |
person only under subsection (c), (d), or (f) and may charge a |
fee not to exceed the actual cost of furnishing the |
information. |
(c) The Department may disclose confidential information |
described in subsection (a) to any person who is engaged in |
receiving, processing, or storing the information. |
(d) The Department may release confidential information |
described in subsection (a) to the following persons: |
(1) A governing body that licenses practitioners and |
is engaged in an investigation, an adjudication, or a |
prosecution of a violation under any State or federal law |
that involves a controlled substance. |
(2) An investigator for the Consumer Protection |
Division of the office of the Attorney General, a |
prosecuting attorney, the Attorney General, a deputy |
Attorney General, or an investigator from the office of |
the Attorney General, who is engaged in any of the |
following activities involving controlled substances: |
(A) an investigation; |
|
(B) an adjudication; or |
(C) a prosecution of a violation under any State |
or federal law that involves a controlled substance. |
(3) A law enforcement officer who is: |
(A) authorized by the Illinois State Police or the |
office of a county sheriff or State's Attorney or |
municipal police department of Illinois to receive |
information of the type requested for the purpose of |
investigations involving controlled substances; or |
(B) approved by the Department to receive |
information of the type requested for the purpose of |
investigations involving controlled substances; and |
(C) engaged in the investigation or prosecution of |
a violation under any State or federal law that |
involves a controlled substance. |
(4) Select representatives of the Department of |
Children and Family Services through the indirect online |
request process. Access shall be established by an |
intergovernmental agreement between the Department of |
Children and Family Services and the Department of Human |
Services. |
(e) Before the Department releases confidential |
information under subsection (d), all of the following must be |
demonstrated the applicant must demonstrate in writing to the |
Department by the applicant that : |
(1) the applicant has reason to believe that a |
|
violation under any State or federal law that involves a |
controlled substance has occurred; and |
(2) the requested information is reasonably related to |
the investigation, adjudication, or prosecution of the |
violation described in subdivision (1) ; and . |
(3) the applicant has a valid court order or subpoena, |
or an administrative subpoena issued by the Department of |
Financial and Professional Regulation, for the |
confidential information requested. |
(f) The Department may receive and release confidential |
prescription record information collected under Sections 316 |
and 321 (now repealed) that identifies vendors or |
practitioners, or both, who are prescribing or dispensing |
large quantities of Schedule II, III, IV, or V controlled |
substances outside the scope of their practice, pharmacy, or |
business, as determined by the Advisory Committee created by |
Section 320, prescription record information under Section 316 |
and former Section 321 to: |
(1) a governing body that licenses practitioners; |
(2) an investigator for the Consumer Protection |
Division of the office of the Attorney General, a |
prosecuting attorney, the Attorney General, a deputy |
Attorney General, or an investigator from the office of |
the Attorney General; |
(3) any Illinois law enforcement officer who is: |
(A) authorized to receive the type of information |
|
released; and |
(B) approved by the Department to receive the type |
of information released; or |
(4) prescription monitoring entities in other states |
per the provisions outlined in subsection (g) and (h) |
below . ; |
confidential prescription record information collected under |
Sections 316 and 321 (now repealed) that identifies vendors or |
practitioners, or both, who are prescribing or dispensing |
large quantities of Schedule II, III, IV, or V controlled |
substances outside the scope of their practice, pharmacy, or |
business, as determined by the Advisory Committee created by |
Section 320. |
(f-5) In accordance with a confidentiality agreement |
entered into with the Department, a medical director, or a |
public health administrator and their delegated analysts, of a |
county or municipal health department or the Department of |
Public Health shall have access to data from the system for any |
of the following purposes: |
(1) developing education programs or public health |
interventions relating to prescribing trends and |
controlled substance use; or |
(2) conducting analyses and publish reports on |
prescribing trends in their respective jurisdictions. |
At a minimum, the confidentiality agreement entered into |
with the Department shall: |
|
(i) prohibit analysis and reports produced under |
subparagraph (2) from including information that |
identifies, by name, license, or address, any |
practitioner, dispenser, ultimate user, or other person |
administering a controlled substance; and |
(ii) specify the appropriate technical and physical |
safeguards that the county or municipal health department |
must implement to ensure the privacy and security of data |
obtained from the system. The data from the system shall |
not be admissible as evidence, nor discoverable in any |
action of any kind in any court or before any tribunal, |
board, agency, or person. The disclosure of any such |
information or data, whether proper or improper, shall not |
waive or have any effect upon its confidentiality, |
non-discoverability, or non-admissibility. |
(g) The information described in subsection (f) may not be |
released until it has been reviewed by an employee of the |
Department who is licensed as a prescriber or a dispenser and |
until that employee has certified that further investigation |
is warranted. Upon review and approval by a licensed |
prescriber or dispenser, or trained designee, the Prescription |
Monitoring Program may release information described in |
subsection (f). However, failure to comply with this |
subsection (g) does not invalidate the use of any evidence |
that is otherwise admissible in a proceeding described in |
subsection (h). |
|
(h) An investigator or a law enforcement officer receiving |
confidential information under subsection (c), (d), or (f) may |
disclose the information to a law enforcement officer or an |
attorney for the office of the Attorney General for use as |
evidence in the following: |
(1) A proceeding under any State or federal law that |
involves a controlled substance. |
(2) A criminal proceeding or a proceeding in juvenile |
court that involves a controlled substance. |
(i) The Department may compile statistical reports from |
the information described in subsection (a). The reports must |
not include information that identifies, by name, license or |
address, any practitioner, dispenser, ultimate user, or other |
person administering a controlled substance. |
(j) Based upon federal, initial and maintenance funding, a |
prescriber and dispenser inquiry system shall be developed to |
assist the health care community in its goal of effective |
clinical practice and to prevent patients from diverting or |
abusing medications. |
(1) An inquirer shall have read-only access to a |
stand-alone database which shall contain records for the |
previous 12 months. |
(2) Dispensers may, upon positive and secure |
identification, make an inquiry on a patient or customer |
solely for a medical purpose as delineated within the |
federal HIPAA law. |
|
(3) The Department shall provide a one-to-one secure |
link and encrypted software necessary to establish the |
link between an inquirer and the Department. Technical |
assistance shall also be provided. |
(4) Written inquiries are acceptable but must include |
the fee and the requester's Drug Enforcement |
Administration license number and submitted upon the |
requester's business stationery. |
(5) As directed by the Prescription Monitoring Program |
Advisory Committee and the Clinical Director for the |
Prescription Monitoring Program, aggregate data that does |
not indicate any prescriber, practitioner, dispenser, or |
patient may be used for clinical studies. |
(6) Tracking analysis shall be established and used |
per administrative rule. |
(7) Nothing in this Act or Illinois law shall be |
construed to require a prescriber or dispenser to make use |
of this inquiry system. |
(8) If there is an adverse outcome because of a |
prescriber or dispenser making an inquiry, which is |
initiated in good faith, the prescriber or dispenser shall |
be held harmless from any civil liability. |
(k) The Department shall establish, by rule, the process |
by which to evaluate possible erroneous association of |
prescriptions to any licensed prescriber or end user of the |
Illinois Prescription Information Library (PIL). |
|
(l) The Prescription Monitoring Program Advisory Committee |
is authorized to evaluate the need for and method of |
establishing a patient specific identifier. |
(m) Patients who identify prescriptions attributed to them |
that were not obtained by them shall be given access to their |
personal prescription history pursuant to the validation |
process as set forth by administrative rule. |
(n) The Prescription Monitoring Program is authorized to |
develop operational push reports to entities with compatible |
electronic medical records. The process shall be covered |
within administrative rule established by the Department. |
(o) Hospital emergency departments and freestanding |
healthcare facilities providing healthcare to walk-in patients |
may obtain, for the purpose of improving patient care, a |
unique identifier for each shift to utilize the PIL system. |
(p) The Prescription Monitoring Program shall |
automatically create a log-in to the inquiry system when a |
prescriber or dispenser obtains or renews his or her |
controlled substance license. The Department of Financial and |
Professional Regulation must provide the Prescription |
Monitoring Program with electronic access to the license |
information of a prescriber or dispenser to facilitate the |
creation of this profile. The Prescription Monitoring Program |
shall send the prescriber or dispenser information regarding |
the inquiry system, including instructions on how to log into |
the system, instructions on how to use the system to promote |
|
effective clinical practice, and opportunities for continuing |
education for the prescribing of controlled substances. The |
Prescription Monitoring Program shall also send to all |
enrolled prescribers, dispensers, and designees information |
regarding the unsolicited reports produced pursuant to Section |
314.5 of this Act. |
(q) A prescriber or dispenser may authorize a designee to |
consult the inquiry system established by the Department under |
this subsection on his or her behalf, provided that all the |
following conditions are met: |
(1) the designee so authorized is employed by the same |
hospital or health care system; is employed by the same |
professional practice; or is under contract with such |
practice, hospital, or health care system; |
(2) the prescriber or dispenser takes reasonable steps |
to ensure that such designee is sufficiently competent in |
the use of the inquiry system; |
(3) the prescriber or dispenser remains responsible |
for ensuring that access to the inquiry system by the |
designee is limited to authorized purposes and occurs in a |
manner that protects the confidentiality of the |
information obtained from the inquiry system, and remains |
responsible for any breach of confidentiality; and |
(4) the ultimate decision as to whether or not to |
prescribe or dispense a controlled substance remains with |
the prescriber or dispenser. |
|
The Prescription Monitoring Program shall send to |
registered designees information regarding the inquiry system, |
including instructions on how to log onto the system. |
(r) The Prescription Monitoring Program shall maintain an |
Internet website in conjunction with its prescriber and |
dispenser inquiry system. This website shall include, at a |
minimum, the following information: |
(1) current clinical guidelines developed by health |
care professional organizations on the prescribing of |
opioids or other controlled substances as determined by |
the Advisory Committee; |
(2) accredited continuing education programs related |
to prescribing of controlled substances; |
(3) programs or information developed by health care |
professionals that may be used to assess patients or help |
ensure compliance with prescriptions; |
(4) updates from the Food and Drug Administration, the |
Centers for Disease Control and Prevention, and other |
public and private organizations which are relevant to |
prescribing; |
(5) relevant medical studies related to prescribing; |
(6) other information regarding the prescription of |
controlled substances; and |
(7) information regarding prescription drug disposal |
events, including take-back programs or other disposal |
options or events. |
|
The content of the Internet website shall be periodically |
reviewed by the Prescription Monitoring Program Advisory |
Committee as set forth in Section 320 and updated in |
accordance with the recommendation of the advisory committee. |
(s) The Prescription Monitoring Program shall regularly |
send electronic updates to the registered users of the |
Program. The Prescription Monitoring Program Advisory |
Committee shall review any communications sent to registered |
users and also make recommendations for communications as set |
forth in Section 320. These updates shall include the |
following information: |
(1) opportunities for accredited continuing education |
programs related to prescribing of controlled substances; |
(2) current clinical guidelines developed by health |
care professional organizations on the prescribing of |
opioids or other drugs as determined by the Advisory |
Committee; |
(3) programs or information developed by health care |
professionals that may be used to assess patients or help |
ensure compliance with prescriptions; |
(4) updates from the Food and Drug Administration, the |
Centers for Disease Control and Prevention, and other |
public and private organizations which are relevant to |
prescribing; |
(5) relevant medical studies related to prescribing; |
(6) other information regarding prescribing of |
|
controlled substances; |
(7) information regarding prescription drug disposal |
events, including take-back programs or other disposal |
options or events; and |
(8) reminders that the Prescription Monitoring Program |
is a useful clinical tool. |
(t) Notwithstanding any other provision of this Act, |
neither the Prescription Monitoring Program nor any other |
person shall disclose any information in violation of the |
restrictions and requirements of paragraph (3.5) of subsection |
(a) of Section 316 as implemented under Public Act 102-527. |
(Source: P.A. 102-751, eff. 1-1-23 .) |
(Text of Section after amendment by P.A. 103-881 ) |
Sec. 318. Confidentiality of information. |
(a) Information received by the central repository under |
Section 316 and former Section 321 is confidential. |
(a-1) To ensure the federal Health Insurance Portability |
and Accountability Act and confidentiality of substance use |
disorder patient records rules that mandate the privacy of an |
individual's prescription data reported to the Prescription |
Monitoring Program received from a retail dispenser under this |
Act, and in order to execute the duties and responsibilities |
under Section 316 of this Act and rules for disclosure under |
this Section, the Clinical Director of the Prescription |
Monitoring Program or his or her designee shall maintain |
|
direct access to all Prescription Monitoring Program data. Any |
request for Prescription Monitoring Program data from any |
other department or agency must be approved in writing by the |
Clinical Director of the Prescription Monitoring Program or |
his or her designee unless otherwise permitted by law. |
Prescription Monitoring Program data shall only be disclosed |
as permitted by law. Confidential information received from |
opioid treatment programs or confidential information |
otherwise protected under federal confidentiality of substance |
use disorder patient records regulations under 42 CFR Part 2 |
shall not be included in the information shared. |
(a-2) As an active step to address the current opioid |
crisis in this State and to prevent and reduce substance use |
disorders resulting from a sports injury or an accident, the |
Prescription Monitoring Program and the Department of Public |
Health shall coordinate a continuous review of the |
Prescription Monitoring Program and the Department of Public |
Health data to determine if a patient may be at risk of opioid |
use disorder. Each patient discharged from any medical |
facility with an International Classification of Disease, 10th |
edition code related to a sport or accident injury shall be |
subject to the data review. If the discharged patient is |
dispensed a controlled substance, the Prescription Monitoring |
Program shall alert the patient's prescriber as to the risk of |
developing a substance use disorder and urge each to follow |
the Centers for Disease Control and Prevention guidelines or |
|
his or her respective profession's treatment guidelines |
related to the patient's injury. This subsection (a-2), other |
than this sentence, is inoperative on or after January 1, |
2024. |
(b) The Department must carry out a program to protect the |
confidentiality of the information described in subsection |
(a). The Department may disclose the information to another |
person only under subsection (c), (d), or (f) and may charge a |
fee not to exceed the actual cost of furnishing the |
information. |
(c) The Department may disclose confidential information |
described in subsection (a) to any person who is engaged in |
receiving, processing, or storing the information. |
(d) The Department may release confidential information |
described in subsection (a) to the following persons: |
(1) A governing body that licenses practitioners and |
is engaged in an investigation, an adjudication, or a |
prosecution of a violation under any State or federal law |
that involves a controlled substance. |
(2) An investigator for the Consumer Protection |
Division of the office of the Attorney General, a |
prosecuting attorney, the Attorney General, a deputy |
Attorney General, or an investigator from the office of |
the Attorney General, who is engaged in any of the |
following activities involving controlled substances: |
(A) an investigation; |
|
(B) an adjudication; or |
(C) a prosecution of a violation under any State |
or federal law that involves a controlled substance. |
(3) A law enforcement officer who is: |
(A) authorized by the Illinois State Police or the |
office of a county sheriff or State's Attorney or |
municipal police department of Illinois to receive |
information of the type requested for the purpose of |
investigations involving controlled substances; or |
(B) approved by the Department to receive |
information of the type requested for the purpose of |
investigations involving controlled substances; and |
(C) engaged in the investigation or prosecution of |
a violation under any State or federal law that |
involves a controlled substance. |
(4) Select representatives of the Department of |
Children and Family Services through the indirect online |
request process. Access shall be established by an |
intergovernmental agreement between the Department of |
Children and Family Services and the Department of Human |
Services. |
(e) Before the Department releases confidential |
information under subsection (d), all of the following must be |
demonstrated the applicant must demonstrate in writing to the |
Department by the applicant that : |
(1) the applicant has reason to believe that a |
|
violation under any State or federal law that involves a |
controlled substance has occurred; and |
(2) the requested information is reasonably related to |
the investigation, adjudication, or prosecution of the |
violation described in subdivision (1) ; and . |
(3) the applicant has a valid court order or subpoena, |
or an administrative subpoena issued by the Department of |
Financial and Professional Regulation, for the |
confidential information requested. |
(f) The Department may receive and release confidential |
prescription record information collected under Sections 316 |
and 321 (now repealed) that identifies vendors or |
practitioners, or both, who are prescribing or dispensing |
large quantities of Schedule II, III, IV, or V controlled |
substances outside the scope of their practice, pharmacy, or |
business, as determined by the Advisory Committee created by |
Section 320, prescription record information under Section 316 |
and former Section 321 to: |
(1) a governing body that licenses practitioners; |
(2) an investigator for the Consumer Protection |
Division of the office of the Attorney General, a |
prosecuting attorney, the Attorney General, a deputy |
Attorney General, or an investigator from the office of |
the Attorney General; |
(3) any Illinois law enforcement officer who is: |
(A) authorized to receive the type of information |
|
released; and |
(B) approved by the Department to receive the type |
of information released; or |
(4) prescription monitoring entities in other states |
per the provisions outlined in subsection (g) and (h) |
below . ; |
confidential prescription record information collected under |
Sections 316 and 321 (now repealed) that identifies vendors or |
practitioners, or both, who are prescribing or dispensing |
large quantities of Schedule II, III, IV, or V controlled |
substances outside the scope of their practice, pharmacy, or |
business, as determined by the Advisory Committee created by |
Section 320. |
(f-5) In accordance with a confidentiality agreement |
entered into with the Department, a medical director, or a |
public health administrator and their delegated analysts, of a |
county or municipal health department or the Department of |
Public Health shall have access to data from the system for any |
of the following purposes: |
(1) developing education programs or public health |
interventions relating to prescribing trends and |
controlled substance use; or |
(2) conducting analyses and publish reports on |
prescribing trends in their respective jurisdictions. |
At a minimum, the confidentiality agreement entered into |
with the Department shall: |
|
(i) prohibit analysis and reports produced under |
subparagraph (2) from including information that |
identifies, by name, license, or address, any |
practitioner, dispenser, ultimate user, or other person |
administering a controlled substance; and |
(ii) specify the appropriate technical and physical |
safeguards that the county or municipal health department |
must implement to ensure the privacy and security of data |
obtained from the system. The data from the system shall |
not be admissible as evidence, nor discoverable in any |
action of any kind in any court or before any tribunal, |
board, agency, or person. The disclosure of any such |
information or data, whether proper or improper, shall not |
waive or have any effect upon its confidentiality, |
non-discoverability, or non-admissibility. |
(g) The information described in subsection (f) may not be |
released until it has been reviewed by an employee of the |
Department who is licensed as a prescriber or a dispenser and |
until that employee has certified that further investigation |
is warranted. Upon review and approval by a licensed |
prescriber or dispenser, or trained designee, the Prescription |
Monitoring Program may release information described in |
subsection (f). However, failure to comply with this |
subsection (g) does not invalidate the use of any evidence |
that is otherwise admissible in a proceeding described in |
subsection (h). |
|
(h) An investigator or a law enforcement officer receiving |
confidential information under subsection (c), (d), or (f) may |
disclose the information to a law enforcement officer or an |
attorney for the office of the Attorney General for use as |
evidence in the following: |
(1) A proceeding under any State or federal law that |
involves a controlled substance. |
(2) A criminal proceeding or a proceeding in juvenile |
court that involves a controlled substance. |
(i) The Department may compile statistical reports from |
the information described in subsection (a). The reports must |
not include information that identifies, by name, license or |
address, any practitioner, dispenser, ultimate user, or other |
person administering a controlled substance. |
(j) Based upon federal, initial and maintenance funding, a |
prescriber and dispenser inquiry system shall be developed to |
assist the health care community in its goal of effective |
clinical practice and to prevent patients from diverting or |
abusing medications. |
(1) An inquirer shall have read-only access to a |
stand-alone database which shall contain records for the |
previous 12 months. |
(2) Dispensers may, upon positive and secure |
identification, make an inquiry on a patient or customer |
solely for a medical purpose as delineated within the |
federal HIPAA law. |
|
(3) The Department shall provide a one-to-one secure |
link and encrypted software necessary to establish the |
link between an inquirer and the Department. Technical |
assistance shall also be provided. |
(4) Written inquiries are acceptable but must include |
the fee and the requester's Drug Enforcement |
Administration license number and submitted upon the |
requester's business stationery. |
(5) As directed by the Prescription Monitoring Program |
Advisory Committee and the Clinical Director for the |
Prescription Monitoring Program, aggregate data that does |
not indicate any prescriber, practitioner, dispenser, or |
patient may be used for clinical studies. |
(6) Tracking analysis shall be established and used |
per administrative rule. |
(7) Nothing in this Act or Illinois law shall be |
construed to require a prescriber or dispenser to make use |
of this inquiry system. |
(8) If there is an adverse outcome because of a |
prescriber or dispenser making an inquiry, which is |
initiated in good faith, the prescriber or dispenser shall |
be held harmless from any civil liability. |
(k) The Department shall establish, by rule, the process |
by which to evaluate possible erroneous association of |
prescriptions to any licensed prescriber or end user of the |
Illinois Prescription Information Library (PIL). |
|
(l) The Prescription Monitoring Program Advisory Committee |
is authorized to evaluate the need for and method of |
establishing a patient specific identifier. |
(m) Patients who identify prescriptions attributed to them |
that were not obtained by them shall be given access to their |
personal prescription history pursuant to the validation |
process as set forth by administrative rule. |
(n) The Prescription Monitoring Program is authorized to |
develop operational push reports to entities with compatible |
electronic medical records. The process shall be covered |
within administrative rule established by the Department. |
(o) Hospital emergency departments and freestanding |
healthcare facilities providing healthcare to walk-in patients |
may obtain, for the purpose of improving patient care, a |
unique identifier for each shift to utilize the PIL system. |
(p) The Prescription Monitoring Program shall |
automatically create a log-in to the inquiry system when a |
prescriber or dispenser obtains or renews his or her |
controlled substance license. The Department of Financial and |
Professional Regulation must provide the Prescription |
Monitoring Program with electronic access to the license |
information of a prescriber or dispenser to facilitate the |
creation of this profile. The Prescription Monitoring Program |
shall send the prescriber or dispenser information regarding |
the inquiry system, including instructions on how to log into |
the system, instructions on how to use the system to promote |
|
effective clinical practice, and opportunities for continuing |
education for the prescribing of controlled substances. The |
Prescription Monitoring Program shall also send to all |
enrolled prescribers, dispensers, and designees information |
regarding the unsolicited reports produced pursuant to Section |
314.5 of this Act. |
(q) A prescriber or dispenser may authorize a designee to |
consult the inquiry system established by the Department under |
this subsection on his or her behalf, provided that all the |
following conditions are met: |
(1) the designee so authorized is employed by the same |
hospital or health care system; is employed by the same |
professional practice; or is under contract with such |
practice, hospital, or health care system; |
(2) the prescriber or dispenser takes reasonable steps |
to ensure that such designee is sufficiently competent in |
the use of the inquiry system; |
(3) the prescriber or dispenser remains responsible |
for ensuring that access to the inquiry system by the |
designee is limited to authorized purposes and occurs in a |
manner that protects the confidentiality of the |
information obtained from the inquiry system, and remains |
responsible for any breach of confidentiality; and |
(4) the ultimate decision as to whether or not to |
prescribe or dispense a controlled substance remains with |
the prescriber or dispenser. |
|
The Prescription Monitoring Program shall send to |
registered designees information regarding the inquiry system, |
including instructions on how to log onto the system. |
(r) The Prescription Monitoring Program shall maintain an |
Internet website in conjunction with its prescriber and |
dispenser inquiry system. This website shall include, at a |
minimum, the following information: |
(1) current clinical guidelines developed by health |
care professional organizations on the prescribing of |
opioids or other controlled substances as determined by |
the Advisory Committee; |
(2) accredited continuing education programs related |
to prescribing of controlled substances; |
(3) programs or information developed by health care |
professionals that may be used to assess patients or help |
ensure compliance with prescriptions; |
(4) updates from the Food and Drug Administration, the |
Centers for Disease Control and Prevention, and other |
public and private organizations which are relevant to |
prescribing; |
(5) relevant medical studies related to prescribing; |
(6) other information regarding the prescription of |
controlled substances; and |
(7) information regarding prescription drug disposal |
events, including take-back programs or other disposal |
options or events. |
|
The content of the Internet website shall be periodically |
reviewed by the Prescription Monitoring Program Advisory |
Committee as set forth in Section 320 and updated in |
accordance with the recommendation of the advisory committee. |
(s) The Prescription Monitoring Program shall regularly |
send electronic updates to the registered users of the |
Program. The Prescription Monitoring Program Advisory |
Committee shall review any communications sent to registered |
users and also make recommendations for communications as set |
forth in Section 320. These updates shall include the |
following information: |
(1) opportunities for accredited continuing education |
programs related to prescribing of controlled substances; |
(2) current clinical guidelines developed by health |
care professional organizations on the prescribing of |
opioids or other drugs as determined by the Advisory |
Committee; |
(3) programs or information developed by health care |
professionals that may be used to assess patients or help |
ensure compliance with prescriptions; |
(4) updates from the Food and Drug Administration, the |
Centers for Disease Control and Prevention, and other |
public and private organizations which are relevant to |
prescribing; |
(5) relevant medical studies related to prescribing; |
(6) other information regarding prescribing of |
|
controlled substances; |
(7) information regarding prescription drug disposal |
events, including take-back programs or other disposal |
options or events; and |
(8) reminders that the Prescription Monitoring Program |
is a useful clinical tool. |
(t) Notwithstanding any other provision of this Act, |
neither the Prescription Monitoring Program nor any other |
person shall disclose any information in violation of the |
restrictions and requirements of paragraph (3.5) of subsection |
(a) of Section 316 as implemented under Public Act 102-527. |
(Source: P.A. 102-751, eff. 1-1-23; 103-881, eff. 1-1-25.) |
Section 95. No acceleration or delay. Where this Act makes |
changes in a statute that is represented in this Act by text |
that is not yet or no longer in effect (for example, a Section |
represented by multiple versions), the use of that text does |
not accelerate or delay the taking effect of (i) the changes |
made by this Act or (ii) provisions derived from any other |
Public Act. |
Section 99. Effective date. This Act takes effect upon |
becoming law. |