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These Bills Must Be Stopped in Springfield: A Mandate for Naloxone Prescribing; Severely Restricted Maternity Care
Posted on: 3/28/2019
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Your ISMS legislative team is working hard in Springfield on numerous initiatives. Several bad bills have surfaced that must be stopped:

  • House Bill 2638 would mandate that a prescriber offer a prescription for naloxone hydrochloride or another FDA-approved opioid overdose reversal drug when at least one of the following conditions are present:

    1. The prescription dosage for the patient is 90 or more morphine milligram equivalents of an opioid medication per day;
    2. An opioid medication is prescribed concurrently with a prescription for a benzodiazepine; or
    3. The patient presents with an increased risk for overdose, including a history of overdose, a history of substance use disorder, or risk for returning to a high dose of opioid medication to which the patient is no longer tolerant.

    The bill would also require that the prescriber educate patients receiving a naloxone prescription about overdose prevention and, additionally, educate one or more persons designated by the patient.

    ISMS is opposed to this legislation because physicians are already well trained to identify patients who need a co-prescription for naloxone. House Bill 2638 is designed as a "one size fits all" solution and falsely assumes every patient with a certain prescription has the same medical conditions and risky behavior.

    Further, physicians are professionally responsible for being aware of the risks surrounding opioid prescribing, and for prescribing in a manner consistent with Federation of State Medical Boards (FSMB) guidelines.

    Additionally, House Bill 2638 is redundant to current law that allows pharmacists, under a standing order, to offer naloxone to any patient being dispensed an opioid.

    Read ISMS' position paper on House Bill 2638.

  • House Bill 2 amends the Medical Patient Rights Act and specifies several rights of women with regard to pregnancy and childbirth. While not opposed to clarifying patients’ rights, particularly as they relate to maternal care, ISMS is opposed to this bill because it would create and legislate new standards of medical care that could do more harm than good. Patients’ rights have to be balanced with the specific needs of the individual patient, especially as those needs arise in emergency situations. Patients’ interests are best served when medical professionals are not restricted by legislation that ties their hands from providing necessary care.


    Read ISMS’ position paper on House Bill 2.

    Good News! ISMS’ Priority Legislation Clears the Senate 

  • Senate votes unanimously to pass bill requiring DCFS to refer alleged child abuse to appropriate agency

ISMS-backed Senate Bill 1239 cleared the Illinois Senate 50-0 earlier this week. This bill would require that the Department of Children and Family Services (DCFS) refer any report received regarding the alleged abuse or neglect of a child by certain individuals to the appropriate local law enforcement agency and State’s Attorney for consideration of criminal investigation or other action. These individuals include anyone who is not:

  • The child’s parent
  • A member of the child’s immediate family
  • A person responsible for the child’s welfare
  • An individual residing in the same home as the child
  • A paramour of the child’s parent

If you have any questions, please contact ISMS Vice President of Legislative Affairs Erin O'Brien at 312-580-6488.

Watch for legislative updates in Physician Advocate and on the Legislative Action Hub



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