NY State Senate Bill S591

Archive: Last Bill Status - Passed Senate

Introduced
In Committee
On Floor Calendar
- Passed Senate
- Passed Assembly
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Actions

view actions (7)

	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Mar 08, 2021	referred to higher education delivered to assembly passed senate
Feb 01, 2021	advanced to third reading
Jan 26, 2021	2nd report cal.
Jan 25, 2021	1st report cal.146
Jan 06, 2021	referred to health

Votes

Co-Sponsors

S591 (ACTIVE) - Details

See Assembly Version of this Bill:: A3658
Current Committee:: Assembly Higher Education
Law Section:: Public Health Law
Laws Affected:: Amd §3309-a, Pub Health L
Versions Introduced in Other Legislative Sessions:: 2019-2020: S7102, A9829
2023-2024: S5066, A872

S591 (ACTIVE) - Summary

Relates to the training requirements for prescribers of certain pain medications.

S591 (ACTIVE) - Sponsor Memo

 
BILL NUMBER: S591

SPONSOR: BENJAMIN
 
TITLE OF BILL:

An act to amend the public health law, in relation to training for pres-
cribers of certain pain medications

 
PURPOSE:

Updates training for prescribers of controlled substances to include
best practices for patient centered care, social determents of health,
and co-occurring disorders

 
SUMMARY OF PROVISIONS:

Section 1 of the bill amends paragraph c of subdivision 3 of Section
3309-a of the Public Health Law to require Commissioner of Health, in
consultation with the State Education Department, and the Office of
Addiction Services and Supports to update the course work or training in
pain management, palliative care, and addiction for medical profes-

sionals that prescribe controlled substances to include best practices
for providing patient centered care in consideration of social determi-
nants of health and co-occurring disorders.

Section 2 of the bill amends paragraph f of subdivision 3 of Section
3309-a of the Public Health law to expand the required course work or
training for licensed medical professionals that prescribe controlled
substances to include techniques that will reduce the likelihood of
overdose and the spread of blood-borne diseases by those who use drugs,
medications used for the treatment of addiction, including information
about becoming a buprenorphine prescriber.

Section 3 of the bill includes the effective date.

 
JUSTIFICATION:

Under current law, every licensed medical professional that holds a
federal controlled substance registration from the Drug Enforcement
Agency, the Justice Department, or any medical resident who is prescrib-
ing for a facility, must take a three hours of course work during each
three year registration period on pain management, palliative care, and
addiction.

This training has contributed significantly to reductions in the over-
prescribing of opioids in New York. However, as the overdose epidemic
has progressed and as prescribing practices have evolved, new issues
have emerged, as have new strategies for addressing these issues. For
example, even as overprescribing decreased, overdoses and deaths contin-
ued to rise as a result of addictions to non-prescribed opioids and
other controlled substances. Medical professionals can play an essential
role in identifying addiction early and intervening before it worsens.

Separately, because of concerns about the consequences of doctors being
overly-aggressive in weaning patients from prescribed opioids, in April
2019, the Federal Centers for Disease Control and Prevention released an
advisory against misapplication of their 2016 Guideline for Prescribing
Opioids for Chronic Pain.

Additionally, medication assisted treatment is considered the gold stan-
dard for treating patients with opioid use disorder. However, a lack of
prescribers has limited access to these medications. This training
provides an important opportunity to educate prescribers about the use
of medications, including buprenorphine, in addressing opioid use disor-
ders, and about the training and waiver requirements that practitioners
must complete in order to prescribe buprenorphine to patients with an
opioid use disorder. Providing information on how to become a prescriber
of buprenorphine may encourage more medical professionals to obtain the
needed waiver, thereby increasing patient access to this lifesaving
intervention.

Ensuring that practitioners are aware of current concerns and are
educated about the most up-to-date best practices in pain management,
palliative care and addiction will maximize the impact of this important
training, thereby improving patient health and reducing unnecessary
addiction, pain and mortality.

 
LEGISLATIVE HISTORY:

2019-20: S7102 /A9829

 
FISCAL IMPLICATIONS:

None to the state.

 
EFFECTIVE DATE:
120th day

S591 (ACTIVE) - Bill Text download pdf

 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                    591
 
                        2021-2022 Regular Sessions
 
                             I N  S E N A T E
 
                                (PREFILED)
 
                              January 6, 2021
                                ___________
 
 Introduced  by Sens. BENJAMIN, BROOKS -- read twice and ordered printed,
   and when printed to be committed to the Committee on Health
 
 AN ACT to amend the public health law, in relation to training for pres-
   cribers of certain pain medications

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Paragraph  (c)  of subdivision 3 of section 3309-a of the
 public health law, as added by section 1 of part A of chapter 71 of  the
 laws of 2016, is amended to read as follows:
   (c) The commissioner, in consultation with the department of education
 and  the  office  of [alcoholism and substance abuse] ADDICTION services
 AND SUPPORTS, shall establish standards and review  and  approve  course
 work  or training in pain management, palliative care, and addiction AND
 UPDATE SUCH STANDARDS AND APPROVALS AS NECESSARY ACCORDING TO BEST PRAC-
 TICES FOR PROVIDING PATIENT CENTERED  CARE  WITH  THE  CONSIDERATION  OF
 SOCIAL  DETERMINANTS  OF  HEALTH  AND  CO-OCCURING  DISORDERS  and shall
 publish information related to such standards, course work  or  training
 on the department's website.
   §  2.  Paragraph  (f) of subdivision 3 of section 3309-a of the public
 health law, as added by section 1 of part A of chapter 71 of the laws of
 2016, is amended to read as follows:
   (f) Course work or training shall include,  but  not  be  limited  to:
 state  and  federal  requirements for prescribing controlled substances;
 pain management; appropriate prescribing; managing acute  pain;  pallia-
 tive  medicine; prevention, screening and signs of [addiction] SUBSTANCE
 USE DISORDER; responses to abuse and addiction; and end  of  life  care.
 FOR EACH LICENSED PERSON DUE TO RE-REGISTER PURSUANT TO THIS SUBDIVISION
 AFTER  JULY FIRST, TWO THOUSAND TWENTY-TWO, SUCH COURSE WORK OR TRAINING
 SHALL ALSO INCLUDE TECHNIQUES THAT WILL REDUCE THE LIKELIHOOD  OF  OVER-
 DOSE  AND  OTHER  HARMS  RELATED TO THE USE OF CONTROLLED SUBSTANCES AND
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

                       [ ] is old law to be omitted.
                                                            LBD00976-01-1

 S. 591                              2
 
 MEDICATIONS USED FOR THE TREATMENT OF ADDICTION,  INCLUDING  INFORMATION
 ABOUT BECOMING A BUPRENORPHINE PRESCRIBER.
   § 3. This act shall take effect on the one hundred twentieth day after
 it  shall have become a law. Effective immediately, the addition, amend-
 ment and/or repeal of any rule or regulation necessary for the implemen-
 tation of this act on its effective date are authorized to be  made  and
 completed  by  the  department  of health in consultation with the state
 education department and the office of addiction services  and  supports
 on or before such effective date.

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The New York State Senate

senate Bill S591

Sponsored By

Archive: Last Bill Status - Passed Senate

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Votes

Mar 8, 2021 - floor Vote

Floor Vote: Mar 8, 2021

Jan 25, 2021 - Health committee Vote

Health Committee Vote: Jan 25, 2021

Co-Sponsors

S591 (ACTIVE) - Details

S591 (ACTIVE) - Summary

S591 (ACTIVE) - Sponsor Memo

S591 (ACTIVE) - Bill Text download pdf

Comments

senate Bill S591

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Sponsored By

Brian A. Benjamin

Archive: Last Bill Status - Passed Senate

Your Voice

Actions

Votes

Mar 8, 2021 - floor Vote

Floor Vote: Mar 8, 2021

Jan 25, 2021 - Health committee Vote

Health Committee Vote: Jan 25, 2021

Co-Sponsors

John E. Brooks

Pete Harckham

S591 (ACTIVE) - Details

S591 (ACTIVE) - Summary

S591 (ACTIVE) - Sponsor Memo

S591 (ACTIVE) - Bill Text download pdf

Comments