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SB 18-022

signed

Clinical Practice For Opioid Prescribing

Plain-English Summary

AI-generated

Senate Bill 18-022, also known as the Clinical Practice for Opioid Prescribing bill, limits how many opioid painkillers doctors and other healthcare providers can initially prescribe to a patient to no more than a seven-day supply. However, practitioners have discretion to provide an additional seven days of medication if they believe it's necessary based on specific conditions like chronic pain or cancer-related pain. The law also requires healthcare providers to check a prescription drug monitoring program before prescribing the second week of opioids unless certain exceptions apply. This bill is now signed into law and will be in effect until September 1, 2021, when the restrictions are set to end.

Official Summary

Opioid and Other Substance Use Disorders Interim Study Committee. The bill restricts the number of opioid pills that a health care practitioner, including physicians, physician assistants, advanced practice nurses, dentists, optometrists, podiatrists, and veterinarians, may prescribe for an initial prescription to a seven-day supply and allows each health care practitioner to exercise discretion to include a second fill for a seven-day supply, unless, in the judgment of the practitioner, the patient: Has chronic pain that typically lasts longer than 90 days or past the time of normal healing, as determined by the podiatrist, or following transfer of care from another podiatrist who prescribed an opioid to the patient; Has been diagnosed with cancer and is experiencing cancer-related pain; or Is experiencing post-surgical pain that, because of the nature of the procedure, is expected to last more than 14 days. Additionally, an advanced practice nurse may prescribe a refill if the patient is undergoing palliative or hospice care. The restrictions repeal on September 1, 2021. Current law allows health care practitioners and other individuals to query the prescription drug monitoring program (program). The bill requires health care practitioners to indicate his or her specialty or practice area upon the initial query and to query the program prior to prescribing the second fill for an opioid unless the person receiving the prescription meets certain requirements. The bill requires the department of public health and environment to report to the general assembly its findings from studies regarding the prescription drug monitoring program conducted pursuant to a federal grant program. (Note: This summary applies to the reengrossed version of this bill as introduced in the second house.) , Read More

Details

Chamber
Senate
First action
2018-05-21
Latest action
2018-01-10
Last action desc.
Introduced In Senate - Assigned to Health & Human Services
OpenStates
View source ↗

Related Legislation

This bill affects (24)

amends
HB 18-1279(2018A)· signed
Electronic Prescribing Controlled Substances
relates
HB 18-1225(2018A)· signed
Protect Human Life At Conception
relates
HB 17-1121(2017A)· failed
Patient Safety Act
relates
HB 18-1114(2018A)· signed
Require License Practice Genetic Counseling
relates
HB 18-1082(2018A)· signed
A Woman's Right To Accurate Health Care Information
relates
SB 17-030(2017A)· signed
Exempt Injectable Anabolic Steroids For Cattle
relates
HB 18-1025(2018A)· signed
Relocate Title 12 Liquor Laws To Title 44
relates
HB 17-1108(2017A)· failed
Protect Human Life At Conception
relates
SB 17-148(2017A)· signed
Sunset Continue Office Of Boxing
relates
HB 17-1086(2017A)· failed
Abortion Pill Reversal Information Act
relates
HB 18-1245(2018A)· signed
Prohibit Conversion Therapy Mental Health Provider
relates
HB 18-1120(2018A)· signed
The Prohibition Of Dismemberment Abortions
relates
SB 17-184(2017A)· signed
Private Marijuana Clubs Open And Public Use
relates
SB 17-242(2017A)· signed
Modernize Behavioral Health Terminology in Colorado Revised Statutes
relates
HB 18-1023(2018A)· signed
Relocate Title 12 Marijuana To New Title 44
relates
HB 17-1156(2017A)· failed
Prohibits Conversion Therapy Mental Health Provider
relates
SB 17-284(2017A)· signed
A Woman's Right To Accurate Health Care Information
relates
SB 18-040(2018A)· signed
Substance Use Disorder Harm Reduction
relates
SB 17-074(2017A)· signed
Create Medication-assisted Treatment Pilot Program
relates
SB 17-193(2017A)· signed
Research Center Prevention Substance Abuse Addiction
relates
HB 18-1003(2018A)· signed
Opioid Misuse Prevention
relates
HB 18-1279(2018A)· signed
Electronic Prescribing Controlled Substances
relates
SB 18-091(2018A)· signed
Modernize Behavioral Health Terminology
relates
HB 18-1045(2018A)· signed
Dental Hygienist Apply Silver Diamine Fluoride

Affected by (45)

amends
HB 26-1020(2026A)· signed
Colorimetric Field Drug Tests in Drug Possessions
amends
HB 18-1187(2018A)· signed
Food And Drug Administration Cannabidiol Drug Use
relates
SB 22-219(2022A)· signed
Regulate Dental Therapists
relates
HB 22-1235(2022A)· signed
Sunset Continue Regulation Of Veterinary Practice
relates
SB 25-194(2025A)· signed
Sunset Dental Practice Act
relates
HB 23-1293(2023A)· signed
Felony Sentencing Commission Recommendations
relates
SB 24-231(2024A)· signed
Alcohol Beverage Liquor Advisory Group Recommendations
relates
SB 23-271(2023A)· signed
Intoxicating Cannabinoid Hemp And Marijuana
relates
HB 24-1106(2024A)· signed
Require Information about Abortion Pill Reversal
relates
SB 25-289(2025A)· signed
Creation of a Drug Donation Program
relates
HB 22-1033(2022A)· signed
Constitutional Carry Of A Handgun
relates
HB 23-1071(2023A)· signed
Licensed Psychologist Prescriptive Authority
relates
SB 23-290(2023A)· signed
Natural Medicine Regulation And Legalization
relates
SB 24-061(2024A)· signed
Creating a Drug Donation Program
relates
HB 26-1214(2026A)· signed
Sunset Substance Abuse Treatment Program Licensing
relates
SB 23-083(2023A)· signed
Physician Assistant Collaboration Requirements
relates
HB 18-1077(2018A)· signed
Penalty For Burglary Of Firearms
relates
HB 26-1425(2026A)· signed
Applied Behavior Analysis Services
relates
HB 26-1426(2026A)· signed
Department of Law Legislative Report
relates
SB 24-158(2024A)· signed
Social Media Protect Juveniles Disclosures Reports
relates
HB 18-1375(2018A)· signed
Revisor's Bill
relates
HB 26-1123(2026A)· signed
Preventing Sexual Abuse in Jails
relates
HB 22-1295(2022A)· signed
Department Early Childhood And Universal Preschool Program
relates
HB 22-1301(2022A)· signed
Controlled Environmental Agricultural Facility As Agricultural Property
relates
HB 24-1344(2024A)· signed
Sunset Plumbing Board
relates
HB 24-1037(2024A)· signed
Substance Use Disorders Harm Reduction
relates
HB 25-1164(2025A)· signed
Constitutional Carry of Handgun
relates
SB 25-159(2025A)· signed
Use of Veterinary Telehealth
relates
HB 24-1353(2024A)· signed
Firearms Dealer Requirements & Permit
relates
SB 22-143(2022A)· signed
Update Common Provision Term Regulator Title 12
relates
HB 22-1075(2022A)· signed
Induced Termination Of Pregnancy State Registrar
relates
HB 22-1095(2022A)· signed
Physician Assistant Collaboration Requirements
relates
HB 22-1263(2022A)· signed
Sunset Continue Licensure Of Acupuncturists
relates
HB 25-1262(2025A)· signed
Regulate Private Security Officers & Agencies
relates
SB 25-086(2025A)· signed
Protections for Users of Social Media
relates
HB 25-1176(2025A)· signed
Behavioral Health Treatment Stigma for Providers
relates
HB 25-1112(2025A)· signed
Local Authorities Enforce Vehicle Registration
relates
SB 26-138(2026A)· signed
Reducing Administrative Burdens on Health Care
relates
HB 26-1296(2026A)· signed
Revision to Nurse & Nurse Aide Practice Act
relates
SB 26-164(2026A)· failed
Regulation of Lawful Tetrahydrocannabinol Beverages
relates
HB 26-1212(2026A)· failed
Constitutional Carry of Handgun
relates
HB 26-1148(2026A)· failed
Protections for Youth on Social Media
relates
HB 18-1003(2018A)· signed
Opioid Misuse Prevention
relates
SB 24-047(2024A)· signed
Prevention of Substance Use Disorders
repeals
HB 22-1278(2022A)· signed
Behavioral Health Administration

Votes

REPASS
2018-05-07 · House · passYes: 29 · No: 6 · Other:
BILL
2018-05-07 · House · passYes: 40 · No: 25 · Other:
BILL
2018-05-07 · House · passYes: 29 · No: 6 · Other:
CONCUR
2018-05-07 · House · passYes: 34 · No: 1 · Other: