Update on Michigan’s New Requirements for Prescribing Controlled Substances
The Legislature has delayed the effective date of a key provision in the new controlled substance prescribing laws until March 31, 2019, or until the Michigan Department of Licensing and Regulatory Affairs (LARA) promulgates rules on the subject.
The recently enacted prescribing legislative package required a physician or other prescriber to establish a “bona fide prescriber-patient relationship” before prescribing any controlled substances. To have a bona-fide relationship, the prescriber is required to review the patient’s medical or clinical records and complete a full assessment of the patient’s medical history and clinical condition, including a medical evaluation in person or by telehealth visit.
The current definition restricted the ability to treat established patients in common circumstances, including:
• In emergency situations
• When another prescriber is providing care when the primary prescriber is unavailable
• When another licensed member of the health care team has been delegated to provide care
• During transitions of care such as from a hospital to a nursing home or hospice.
Delaying the effective date allows time to consider ways to address these concerns resulting from the definition of “bona fide prescriber-patient relationship.”
Other provisions of the new prescribing laws officially went into effect on June 1, 2018. These requirements include:
• A prescriber must have registered with MAPS by June 1, 2018, to be able to prescribe controlled substances.
• A MAPS report must be obtained and reviewed before prescribing more than a three-day supply of a controlled substance.
• A prescriber must act in regular course of professional treatment to an individual under treatment for a pathology or condition other than physical or psychological dependence upon or addiction to a controlled substance.
• A prescriber must ask about other controlled substances the patient may be using and record the patient's response in the medical or clinical record.
• A prescriber must provide follow-up care to monitor the efficacy of using controlled substances as a treatment, and if unable to provide follow-up care, must refer the patient to his or her primary care provider or another licensed prescriber for follow-up care.
• A prescriber must inform patients (and a minor’s parent or guardian) about specific information before issuing a new prescription for an opioid, and place a signed consent form in the patient record.
• No more than a seven-day supply of opioids may be prescribed for acute pain within a seven-day period.
To learn more about how these updates may affect you or your medical practice, please contact Richard Kraus at 517.371.8104 or at email@example.com.
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Congratulations to the attorneys of the Health Care practice group at Foster Swift Collins & Smith, PC for their inclusion in the Best Lawyers in America 2021 edition. Firm-wide, 44 lawyers were listed. Best Lawyers lists are compiled based on an exhaustive peer-review evaluation and as lawyers are not required or allowed to pay a fee to be listed; inclusion in Best Lawyers is considered a singular honor. Health Care practice group members listed in Best Lawyers are as follows:
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