Missouri HB 1193 – Prescription Drug Monitoring Program Act

I watched with interest today as the St. Louis Conservative E-Mail Group exploded, and I mean EXPLODED, my in-box with the discussion of the Missouri HB 1193, the Prescription Drug Monitoring Program Act.  And, I have to say that my knee-jerk reaction is negative on this bill.  But, I will keep my comments reserved as I have not studied it yet.

I will say this:  There isn’t anything in my life more private to me than the discussions I have with my doctor and the prescriptions that are given as a result.  Turning that information over to any level of government wreaks of Big Brother mentality and overreach.  Add the fact that the database may be paid for from a Federal Government Grant (with usual strings attached), and as I said, my knee-jerk reaction is h-e-double-hockey-sticks NO!

h/t MODOT.mo.gov

Here are some of the comments I’m seeing from my well-informed St. Louis friends:

  • (AP David Lieb Story) House members passed the legislation 143-6 Thursday, sending it to the Senate. But a similar bill ran into a threatened filibuster earlier this week in the Senate and was set aside without a vote. The leading opponent is state Sen. Rob Schaaf, R-St. Joseph, a family practice physician who describes the proposed database as “a terrible infringement upon liberty.”  “You want to have Big Brother have a big gigantic database of every citizen’s controlled substances in the land,” Schaaf told sponsoring Sen. Kevin Engler during a Senate floor debate. “I don’t want my controlled substances put on a database.”
  • (By CM) The Missouri House passed legislation Thursday that could allow the government to track everyone’s prescription drug purchases through an electronic database — a move embraced in most other states as a public safety tool but considered an infringement on individual liberties by others.
  • (By LJ) 575 a year died in MO due to drug interactions.  How many people die per year in car accidents?  What are we going to do about that?  This is just a continuation of the “nanny state”.
  • (By LJ) And, this Prescription Drug Monitoring database is going to be partially funded by FEDERAL grants.  More FED money flowing to MO.  Wonder what strings are going to be attached?  Also, what about the doctors, insurance companies and pharmacists who are all tracking this info?  What about MY personal responsibility to KNOW what I am putting in to my body?  I absolutely hate this kind of legislation.  What is more personal and private than one’s own health? I am glad to see Paul Curtman voted against this.  He gets it!!
  • (By BE) We have given up a lot of liberty in the name of drugs – illegal drugs and legal drugs.
  • (By RC) The “no” votes on the House bill were:  Brattin, Curtman, Ellington, Lasater, Marshall, Schieber
  • (By CM) More disconnect by many we have supported and those we trusted to do what is right in protecting the liberty of this states citizens.  Instead, they are participating in the Nanny State mentality that it is the role of government to regulate and track everything in our lives in order to keep us safe and in line.  WOW, Invasion of privacy, overreach of government responsibility, more red tape and regulation to bog down business and cause medical prices to go even higher!  The unintended consequences of this garbage are going to be many and lead to a lot of violation of privacy but then the government loves tracking it’s citizens through databases, both state and federal and that is just one of many reasons liberty and freedom are dying.  Good job progressive Republicans!
  • (By RC) Now is the time to kill this concept.  Even if the Senate version passes over Schaaf’s objections, the House version has to start all over in the Senate, beginning with a public hearing.   Of course, it would be best if the Senate bill was stopped cold, since that would effectively nix the House bill.  There’s time for public outcry.
  • (By FK) Here is my 5 cents worth.
    I could be wrong, but I assume electronic tracking is based on the notion that pharmacies are able to track prescription medicine by individuals from various pharmacies. And it was done to make sure that people, especially the elderly are made aware of of using incompatible drugs. And I think most people would think this is a good thing. The thing that I find offensive is that the government thinks it needs to get into the picture and start mandating this service. And it is possible that the objections to this bill come from people that do not have the money to install or get hooked up to this database.  But, I think the free market should be allowed to work here. Pharmacies that want to and have the money are part of the network and pharmacies that don’t stay out of it. And let the consumer decide which pharmacies to use – period.
  • (By JS)*Engler, R-Farmington, said about 2,300 people died from pharmaceutical abuse in Missouri over a four-year period. He said many doctors don’t currently have the ability to know if a patient is lying about having received a similar prescription from another physician.*
    • The savings-lives argument is either excessively-simple thought or simply demagogic rhetoric.  Maybe the article left something out.
    • If you get a thirty-day supply of psychotropic drugs, you’ll probably have enough medication to get high or maybe even kill yourself.  The final bill is going to need to include a clause requiring pharmacists to dispense one pill at a time.  That’s gonna be great!
    • Looking at the bill, the program ONLY applies to schedule II, III and IV controlled substances.  It seems the ONLY persons to be punished for violations are doctors and pharmacists.  They’ll pay a $1000 administrative fine.  Drug-scammers will be ENCOURAGED to seek treatment.  Good luck with that.
    • Finally, gifts, grants (from the federal government) and donations will pay for the program implementation.  No strings attached…I’m sure.
    • 195.453. 1. The department of health and senior services shall establish and maintain a program for the monitoring of prescribing and dispensing of all schedule II, III, and IV controlled substances by all professionals licensed to prescribe or dispense such substances in this state. The department may apply for any available grants and shall accept any gifts, grants, or donations to develop and maintain the program. All funding for prescription drug monitoring program shall be provided exclusively by gifts, grants, and donations
  • (By GL) Just add it to the data the government is compiling on school age children and families.  Longitudinal Data System.  I don’t hear many politicians speaking about that data tracking either.
  • (By LK)In case there is any doubt, and I doubt there is any among this group, the  2010 Institute of Pharmacy at the University of Kentucky Report spells out what the Prescription drug monitoring programs are for.  Unfortunately, this has the unintended consquence of less drugs for those who do need them, which they also cite in their study.
    • “…all PDMPs are designed to assist in detecting and preventing abuse, misuse, and diversion of controlled substances. Specifically, programs are targeted toward reducing the incidence of ‘doctor shopping’ which occurs when patients see multiple providers and pharmacies with the intent of obtaining controlled substances for misuse and/or diversion. “
    • “Survey data also revealed that approximately one-third (36%) of physicians reported that over the past three years they had prescribed fewer Schedule II prescription drugs.”
    • Those of you who know me, know my family has been in the front line of this decades.  This is what happened in the 70’s last time heroine was the drug of choice. Doctors stopped wanting to prescribe Schedule II drugs across the board.  They were being afraid of  being the next doctor hung in effigy.  This happened to several close friends.   Good doctors and good patients get caught in the middle.
  • (By CM)You are right GL and as I said, the government local, state and federal seems to be in love with mandating tracking systems on it’s citizens, all for our own good of course, rrriiiight.   It would seem that Republicans and Democrats alike suffer from the same disease that causes a need to control, mandate and redistribute the wealth!
    • FK, I would like to echo your thoughts that we need to let the citizens and free market decide if there is a need for a data base to prevent abuse and death.  The governments job is not to protect us from all of life’s dangers and uncertainties.  I am currently waiting for the toilet paper police!  I am certain they are coming soon to a bathroom near us!   It is so ridiculous, but then we the people encourage this when we accept sexual molestation and exploitation when we choose to travel by air and our government can pretend it is keeping us safe while subjecting us to unconstitutional searches and seizure’s.
    • Apparently we need to get louder, more insistent and more determined to replace those who violate our liberty and ability to pursue life and happiness.  It is past time for a zero tolerance policy on the part of freedom loving Americans toward politicians who abuse their offices and the trust of the people who support and elect them.
  • (By JE) It may come as no surprise to folks in this group, but after reviewing the proposed HB1193, Bill Randles unequivocally said that he would veto this legislation if it ever reached his desk as governor.
  • (By BB) Some Missourians are abusing the system and scamming to get drugs.  Let’s assume that it’s 0.5% of Missourians, about 30,000.  By the logic of HB 1193, we need to track the prescriptions of the other 5,900,000 Missourians in a Sate Controlled, Federally Funded database?!?!  Okay…
    • I’ve noticed some of our MO Representatives are over-weight.Therefore, I propose an amendment to this bill:
      • Whereas some Missouri Representatives are overweight; and
      • Whereas databases are awesome; and
      • Whereas we can get some more money from the Federal Government; and
      • Whereas we think we can get involved in every aspect of our Missouri Representatives’ lives
      • Be it therefore enacted and enshrined into Missouri law that:
        • All Missouri Representatives (not just those that are overweight) shall daily track and daily enter into a State Controlled, Federally Funded database everything they eat; and
        • All Missouri Representatives (not just those that are overweight) shall daily track and daily enter into a State Controlled, Federally Funded database everything they drink; and
        • All Missouri Representatives (not just those that are overweight) shall daily weigh themselves in the morning and enter their weight into a State Controlled, Federally Funded database; and
        • All Missouri Representatives (not just those that are overweight) shall daily weigh themselves in the evening and enter their weight into a State Controlled, Federally Funded database; and
        • All Missouri Representatives (not just those that are overweight) shall daily track and daily enter the amount and type of physical exercise completed into a State Controlled, Federally Funded database; and
        • All Missouri Representatives (not just those that are overweight) shall daily track and daily enter a statement of ‘how they feeeel’ into a State Controlled, Federally Funded database.
      • So be it.

As you can see, this bill has raised the hackles of some good Conservatives.  I hope that pause is given and full consideration of the unintended consequences of this bill.

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About bbollmann
A Missouri Conservative who like to rock... ...especially to the great music of Rush!

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