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senate Bill S. 1392

Do Prescribers Need Additional Training to Reduce Reliance on Prescription Painkillers?

Argument in favor

Healthcare workers who would prescribe controlled substances need ongoing training to safely do their job. Requiring the completion of training when prescribers receive or renew their registration makes sense.

Cheyenne's Opinion
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03/18/2016
Painkillers kill more and more people a year.. If you are going to prescribe it you should be very up to date on all the problems it can cause down the road, & it should be your last resort.
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Anthony's Opinion
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02/09/2016
this is only the first step the next step is to rid us of them their has to be a better way to treat chronic pain these pills are the worst and just think they cure nothing
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J's Opinion
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01/26/2016
Yes, because they may not have had personal, familial, or social experience with the ramifications of the harm these substances can cause.
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Argument opposed

Prescribers shouldn’t be required to undergo training in alternatives to dispensing controlled substances in order to write prescriptions for painkillers. Hospitals and clinics should be able to require this training of their own accord.

operaman's Opinion
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09/10/2015
Opiates has been around for centuries. Doctors are taught in medical school about the addictive ability of opiates- painkillers. Doctors are also required to have bi-yearly/yearly continuing education classes. Doctors may need armed security or pack a weapon for safety against demanding patients seeking painkillers.
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Relmaster's Opinion
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05/13/2016
Prescribers shouldn’t be required to undergo training in alternatives to dispensing controlled substances in order to write prescriptions for painkillers. Hospitals and clinics should be able to require this training of their own accord.
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Debra's Opinion
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06/19/2016
No. Its the abuser's actions that create the problem.
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What is Senate Bill S. 1392?

This bill would require that healthcare providers applying for or renewing a Drug Enforcement Administration (DEA) license to prescribe controlled substances complete mandatory training to reduce the potential for abuse. Among the controlled substances that practitioners would be medication like prescription painkillers and other medications subject to the Controlled Substances Act.


Prescriber training would be required to include:

  • Best practices for pain management, including alternatives to prescribing controlled substances;

  • Responsible prescribing of pain medications;

  • Methods of diagnosing, treating, and managing a substance use disorder, including evidence-based nonpharmacological therapies;

  • Ways to link patients to evidence-based treatment for substance use disorders;

  • Tools to manage adherence and diversion for controlled substances.

The Substance Abuse and Mental Health Services Administration would be required to establish or help set up a free, online training module that covers the above subjects practitioners need to complete.

Additionally, the Dept. of Health and Human Services (HHS) would be required to:

  • Establish, maintain, and periodically update a publicly available database with information on the training modules;

  • Evaluate and publicly publish a report describing how increased training has changed patterns of prescribing controlled substances within five year of this bill’s enactment.

Impact

Medical practitioners applying to prescribe controlled substances or renewing their registration, the Substance Abuse and Mental Health Services Administration, and HHS.

Cost of Senate Bill S. 1392

A CBO cost estimate is unavailable.

More Information

In-Depth: Sponsoring Sen. Ed Markey (D-MA) lamented the increased dependence on prescription painkillers in the U.S., and its correlation with addiction:
“Sadly, with only five percent of the world’s population consuming nearly 99 percent of the global supply of hydrocodone, we have become the United States of Vicodin. We need to stop the over-prescription of opioid pain medication and ensure prescribers are educated in responsible prescribing practices and can identify possible substance use disorders in patients.”

The American Public Health Association, the American Association of Poison Control Centers, and the American Society of Addiction Medicine have all expressed support for this legislation.


Media:

Summary by Eric Revell
(Photo Credit: Flickr user sfxeric)

AKA

Safer Prescribing of Controlled Substances Act

Official Title

A bill to require certain practitioners authorized to prescribe controlled substances to complete continuing education.

bill Progress


  • Not enacted
    The President has not signed this bill
  • The house has not voted
  • The senate has not voted
      senate Committees
      Committee on Health, Education, Labor, and Pensions
    IntroducedMay 20th, 2015
    Opiates has been around for centuries. Doctors are taught in medical school about the addictive ability of opiates- painkillers. Doctors are also required to have bi-yearly/yearly continuing education classes. Doctors may need armed security or pack a weapon for safety against demanding patients seeking painkillers.
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    Prescribers shouldn’t be required to undergo training in alternatives to dispensing controlled substances in order to write prescriptions for painkillers. Hospitals and clinics should be able to require this training of their own accord.
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    No. Its the abuser's actions that create the problem.
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    How about if 'big pharma' were constrained from pushing their dope through bribes and incentives and let the doctors decide who needs what.
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    Those of us who need opiates for chronic pain are having a more difficult time because doctors are frightened. Let physicians do what they can to help.
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    No and legalize marijuana
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    It is not the prescribers responsibility. The person taking the drug is the sole person responsible
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    this is only the first step the next step is to rid us of them their has to be a better way to treat chronic pain these pills are the worst and just think they cure nothing
    Like (1)
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    Share
    Painkillers kill more and more people a year.. If you are going to prescribe it you should be very up to date on all the problems it can cause down the road, & it should be your last resort.
    Like (1)
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    Every healthcare organization has insurance, and an associated risk management group. The risk people would require training or review of alternatives to addictive pain medications if patients or providers were finding themselves in trouble. Government must stop sticking its nose in every opening it finds.
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    Why does Congress feel it has to get involved in something that is best handled by those who are in the best position to train healthcare workers?
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    Prescription painkillers are a public health crisis at this point. We need to reassess how and when they are prescribed.
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    Painkiller addiction is an ever growing problem for millions of Americans. Not addressing this issue in our hospitals, and pharmacies, will only continue to let this problem fester.
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    Legalize cannabis
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    As someone with chronic pain, having my doctor take another class about painkillers is kind of dumb. I'm sorry that Alene, Tylenol, aspirin and the other NSAs don't touch my arthritis pain, but they don't. If I can't take an effective painkiller, I can't even get out of bed in the mornings. I resent people thinking they have all the answers when they have never experienced the relentless pain that I have for years. And guess what, my pain levels only increase, they don't decrease.
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    At som point we need to take responsibility for our own actions.
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    Yes they need to be reminded of the potential of pain killer addition
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    Yes, but they need to learn more about what they are prescribing in general. Not just painkillers. I believe this should be stressed more during medical training. Im not confident that all medical professionals with the authority to prescribe know or care about what they are giving people.
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    United States Labor force is seriously over worked. It's not so much injury but worn out body parts that is the cause of pain killer usage. Were I work heavy lifting & repetition w/not enough staff is management goal. Do more work w/less & less staff. Back/Knees shoulders wrist all start to crash.Ppl have to work bc pay is so behind actual cost of living eating & caring for family. This problem is only going to get worse as next group of abused labor force begins to fail. I already go thru all types of requirements to get my pain Med needs. More hoops at my cost will not change 1 damn thing, other than another Dr visit & cost which I can not afford. The Corp I work for is a Billion💵 business. Yet this year they found a loop hole in mim wage law to lower my pay by $1ph. That $35 a week less, mim wage for Billionaire to pay
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