Honolulu, Hawaii

                , 2015


RE:   H.B. No. 1176

      H.D. 2





Honorable Joseph M. Souki

Speaker, House of Representatives

Twenty-Eighth State Legislature

Regular Session of 2015

State of Hawaii




     Your Committees on Consumer Protection & Commerce and Judiciary, to which was referred H.B. No. 1176, H.D. 1, entitled:




beg leave to report as follows:


     The purpose of this measure is to address the regulation of prescription medication and narcotic drugs by, among other things:


     (1)  Establishing a Narcotics Advisory Committee within the Department of Public Safety to recommend acceptable continuing medical education program topics and curriculum to the Narcotics Enforcement Division,


     (2)  Establishing a mandatory continuing medical education program developed by the Narcotics Enforcement Division of the Department of Public Safety for prescribing practitioners who prescribe narcotic drugs;


     (3)  Requiring that a pain medication agreement be executed between a patient and any prescriber within the State of a narcotic drug for use as a pain medication;


     (4)  Requiring, beginning January 1, 2017, practitioners to request patient information from the central repository of controlled substance prescription information maintained by the Department of Public Safety prior to prescribing or dispensing a controlled substance to a new patient and to request patient information from the central repository three times each year for a patient receiving chronic pain therapy;


     (5)  Establishing the Overdose Prevention and Emergency Response Act, which creates immunity for individuals who prescribe, possess, dispense, or administer an opioid antagonist to respond to an opioid-related drug overdose; and


     (6)  Appropriating funds for drug overdose recognition, prevention, and response, including the distribution and administration of naloxone hydrochloride.


     The Department of Public Safety, Queen's Health Systems; Walgreens; Kaiser Permanente testified in support of the intent of this measure.  The Hawaii Orthopedic Association and a few individuals testified in opposition to this measure.  The Hawaii Medical Association provided comments on this measure.


     Your Committees have amended this measure by deleting its contents and inserting the original provisions of H.B. 1176 as introduced, with the following amendments:


     (1)  Specifying that no person licensed pursuant to Chapters 453 and 463E, Hawaii Revised Statutes, relating to medicine and surgery and podiatrists, respectively, shall:


          (A)  Prescribe more than three thirty-day sequential prescriptions authorizing the patient to receive a total of up to a ninety-day supply of a narcotic drug included in schedule II of title 21 United States Code section 812; and


          (B)  Authorize a prescription refill for a schedule III narcotic drug more than five times; and


     (2)  Changing its effective date to July 1, 2112, to encourage further discussion.


     As affirmed by the records of votes of the members of your Committees on Consumer Protection & Commerce and Judiciary that are attached to this report, your Committees are in accord with the intent and purpose of H.B. No. 1176, H.D. 1, as amended herein, and recommend that it pass Third Reading in the form attached hereto as H.B. No. 1176, H.D. 2.


Respectfully submitted on behalf of the members of the Committees on Consumer Protection & Commerce and Judiciary,