BILL ANALYSIS                                                                                                                                                                                                    Ó







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        |Hearing Date:January 13, 2014      |Bill No:SB                         |
        |                                   |500                                |
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                      SENATE COMMITTEE ON BUSINESS, PROFESSIONS 
                               AND ECONOMIC DEVELOPMENT
                              Senator Ted W. Lieu, Chair
                                           

                           Bill No:        SB 500Author:Lieu
                   As Amended:January 9, 2014         Fiscal:  Yes 

        
        SUBJECT:  Medical practice:  pain management. 
        
        SUMMARY:  Requires the Medical Board of California to update  
        prescriber standards for controlled substances once every five years.   
        Adds the American Cancer Society, specialists in pharmacology and  
        specialists in addiction medicine to the entities MBC may consult with  
        in developing the standards. 

        Existing law:
        
        1) Licenses and regulates physicians and surgeons under the Medical  
           Practice Act (Act) by the Medical Board of California (MBC) within  
           the Department of Consumer Affairs (DCA) and states that the  
           protection of the public is the highest priority of the MBC in  
           exercising its functions.  (Business and Professions Code (BPC) §  
           2000 et. seq.)

        2) Authorizes a physician and surgeon to prescribe, dispense, or  
           administer prescription drugs, including prescription controlled  
           substances, to an addict under his or her treatment for a purpose  
           other than maintenance on, or detoxification from, prescription  
           drugs or controlled substances.  Authorizes a physician and surgeon  
           to prescribe, dispense, or administer prescription drugs or  
           prescription controlled substances to an addict for purposes of  
           maintenance on, or detoxification from, prescription drugs under  
           certain circumstances.  Provides that a physician and surgeon may  
           not prescribe, dispense, or administer dangerous drugs or  
           controlled substances to a person he or she knows or reasonably  
           believes is using or will use the drugs or substances for a  
           nonmedical purpose.  (BPC § 2241)





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        3) Authorizes a physician and surgeon to prescribe for, or dispense or  
           administer to, a person under his or her treatment for a medical  
           condition dangerous drugs or prescription controlled substances for  
           the treatment of pain or a condition causing pain, including, but  
           not limited to, intractable pain.  Provides that a physician and  
           surgeon shall not be subject to disciplinary action for  
           prescribing, dispensing, or administering dangerous drugs or  
           prescription controlled substances according to certain  
           requirements.  Authorizes MBC to take any action against a  
           physician and surgeon who violates laws related to inappropriate  
           prescribing.  Provides that a physician and surgeon shall exercise  
           reasonable care in determining whether a particular patient or  
           condition, or the complexity of a patient's treatment, including,  
           but not limited to, a current or recent pattern of drug abuse,  
           requires consultation with, or referral to, a more qualified  
           specialist.  (BPC § 2241.5)

        4) Requires the Division of Medical Quality (DMQ), within MBC, to  
           develop standards before June 1, 2002 to ensure competent review in  
           cases concerning the management, including, but not limited to, the  
           undertreatment, undermedication, and overmedication of a patient's  
           pain.  (BPC § 2241.6)

        5) Authorizes DMQ to consult with entities such as the American Pain  
           Society, the American Academy of Pain Medicine, the California  
           Society of Anesthesiologists, the California Chapter of the  
           American College of Emergency Physicians, and any other medical  
           entity specializing in pain control therapies to develop the  
           standards utilizing, to the extent they are applicable, current  
           authoritative clinical practice guidelines. (Id)

        This bill:

        1) Requires MBC to update standards to ensure competent review in  
           cases concerning the management, including, but not limited to, the  
           undertreatment, undermedication, and overmedication of a patient's  
           pain.

        2) Requires MBC to update the standards on or before July 1, 2015 and  
           on or before July 1 every five years.

        3) Requires MBC to convene a task force to develop and recommend the  
           updated standards.  Authorizes the task force to consult with the  
           American Cancer Society, a workers compensation physician,  
           specialists in pharmacology and specialists in addiction medicine,  





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           in addition to the entities MBC may consult with in developing the  
           standards.

        FISCAL EFFECT:  Unknown.  This bill is keyed "fiscal" by Legislative  
        Counsel.

        COMMENTS:
        
        1. Purpose.  The  Author  is the Sponsor of this bill.  According to the  
           Author, this bill simply ensures that important standards guiding  
           physicians in their prescribing of controlled substances are  
           updated regularly, and in consultation with key stakeholders who  
           can best inform the Medical Board and highlight current practice.   
           The Author states that "particularly when we are talking about  
           prescription medications that are incredibly potent and may result  
           in significant impacts to a patient, it is important that the right  
           people are informing the Board regularly to ensure that guidelines  
           are crafted appropriately."  According to the Author, "it is  
           important for the Medical Board's prescriber guidelines to strike  
           the right balance so that patients in pain are treated  
           appropriately, timely and in a consistent and safe manner by their  
           doctor.  Similarly, it is critical for the Board to have  
           appropriate, current guidelines that take into account the  
           realities faced by patients, physicians and regulators in the  
           Board's efforts managing the important issue of prescribing  
           controlled substances." 
           
           Guidelines from different national professional organization, as  
           well as recommendations from government agencies may change, taking  
           into account new information, practices or different medication.   
           For example, the FDA issued recommendations to DEA federal  
           Department of Health and Human Services to limit a patient to 90  
           days of pain medicine treatment, down from 180 days.  Under these  
           recommendations, after 90 days, patients must revisit a physician  
           who will decide whether or not the patient needs further treatment  
           in the form of pain medication.  The Medical Board last revised its  
           guidelines for prescribing controlled substances in 2007.  This  
           bill will reflect the changing nature of guidelines, standards and  
           guidance for a critical issue in our health care system.   

        2. Background:  Controlled Substances.  Through the Controlled  
           Substances Act, Title II of the Comprehensive Drug Abuse Prevention  
           and Control Act of 1970, the federal government regulates the  
           manufacture, distribution and dispensing of controlled substances.   
             The Act ranks into five schedules those drugs known to have  
           potential for physical or psychological harm, based on three  





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           considerations: (a) their potential for abuse; (b) their accepted  
           medical use; and, (c) their accepted safety under medical  
           supervision.  The Schedules are as follows:  
           
            Schedule I  controlled substances have a high potential for abuse  
           and no generally accepted medical use such as heroin, ecstasy, and  
           LSD. 

            Schedule II  controlled substances have a currently accepted medical  
           use in treatment, or a currently accepted medical use with severe  
           restrictions, and have a high potential for abuse and psychological  
           or physical dependence.  Schedule II drugs can be narcotics or  
           non-narcotic.  Examples of Schedule II controlled substances  
           include morphine, methadone, Ritalin, Demerol, Dilaudid, Percocet,  
           Percodan, and Oxycontin. 

            Schedule III and IV  controlled substances have a currently accepted  
           medical use in treatment, less potential for abuse but are known to  
           be mixed in specific ways to achieve a narcotic-like end product.   
           Examples include drugs include Vicodin, Zanex, Ambien and other  
           anti-anxiety drugs.

            Schedule V  drugs have a low potential for abuse, a currently  
           accepted medical use and are available over the counter.

           Among other requirements, the Act mandates that all prescriptions  
           for drugs that fall under Schedules I-V must cite the physician's  
           federal Drug Enforcement Agency (DEA) registration number.  The DEA  
           provides oversight and enforces regulations concerning all  
           controlled substances.  The DEA created a practitioner's handbook,  
           originally written in 1990 and most recently updated in 2006, to  
           explicitly outline valid prescribing, administering, and dispensing  
           requirements.  When physicians register as a prescriber with the  
           DEA, it is presumed they have read the handbook and guidance on the  
           DEA website. 

           The three classes of prescription drugs that are most commonly  
           abused are: opioids, which are most often prescribed to treat pain;  
           central nervous system (CNS) depressants, which are used to treat  
           anxiety and sleep disorders and; stimulants, which are prescribed  
           to treat the sleep disorder narcolepsy and attention-deficit  
           hyperactivity disorder (ADHD).  Each class can induce euphoria, and  
           when administered by routes other than recommended, such as  
           snorting or dissolving into liquid to drink or inject, can  
           intensify that sensation.  Opioids, in particular, act on the same  
           receptors as heroin and, therefore, can be highly addictive.   





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           Common opioids are:  hydrocodone (Vicodin), oxycodone (OxyContin),  
           propoxyphene (Darvon), hydromorphone (Dilaudid), meperidine  
           (Demerol), and diphenoxylate (Lomotil).

        3. Guidelines for Prescribing Controlled Substances.  In 1994, MBC  
           unanimously adopted a policy statement entitled "Prescribing  
           Controlled Substances for Pain."  Stemming from studies and  
           discussions about controlled substances, this policy statement was  
           designed to provide guidance to improve prescriber standards for  
           pain management, while simultaneously undermining opportunities for  
           drug diversion and abuse.  The guidelines outlined appropriate  
           steps related to a patient's examination, treatment plan, informed  
           consent, periodic review, consultation, records, and compliance  
           with controlled substances laws.  Guidelines are used by physicians  
           as well as MBC in its regulation of licensees. 

           Subsequent to MBC's 1994 action, legislation that took effect in  
           2002 (  AB 487  , Aroner, Chapter 518, Statutes of 2001) created a task  
           force to revisit the 1994 guidelines to develop standards assuring  
           competent review in cases concerning the under-treatment and  
           under-medication of a patient's pain and also required continuing  
           education courses for physicians in the subjects of pain management  
           and the treatment of terminally ill and dying patients.  The intent  
           of the bill was to broaden and update the knowledge base of all  
           physicians related to the appropriate care and treatment of  
           patients suffering from pain, and terminally ill and dying  
           patients.  As a result, the task force amended the guidelines from  
           referencing only intractable pain to all kinds of pain.  

           The passage of  AB 2198  in 2006 (Houston, Chapter 350, Statutes of  
           2006) updated California law governing the use of drugs to treat  
           pain by clarifying that health care professionals with a medical  
           basis, including the treatment of pain, for prescribing,  
           furnishing, dispensing, or administering dangerous drugs or  
           prescription controlled substances, may do so without being subject  
           to disciplinary action or prosecution.  AB 2198 stemmed from MBC's  
           efforts to better reflect the current state of treating pain, as  
           well as the current manner of investigating and disciplining  
           physicians who treat patients with pain, who often require large  
           quantities of medication.  The bill recognized that existing  
           standards of care require physicians in some instances to prescribe  
           pain medications to addicts, outside of treatment for  
           detoxification and maintenance, creating circumstances under which  
           a practitioner could prescribe, dispense, or administer  
           prescription drugs, including controlled substances, to an addict.   






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           MBC currently encourages all licensees to consult the policy  
           statement and Guidelines for Prescribing Controlled Substances for  
           Pain.  According to the MBC website, "The board strongly urges  
           physicians and surgeons to view effective pain management as a high  
           priority in all patients, including children, the elderly, and  
           patients who are terminally ill.  Pain should be assessed and  
           treated promptly, effectively and for as long as pain persists.   
           The medical management of pain should be based on up-to-date  
           knowledge about pain, pain assessment and pain treatment.  Pain  
           treatment may involve the use of several medications and  
           non-pharmacological treatment modalities, often in combination.   
           For some types of pain, the use of medications is emphasized and  
           should be pursued vigorously; for other types, the use of  
           medications is better de-emphasized in favor of other therapeutic  
           modalities.  Physicians and surgeons should have sufficient  
           knowledge or utilize consultations to make such judgments for their  
           patients.  Medications, in particular opioid analgesics, are  
           considered the cornerstone of treatment for pain associated with  
           trauma, surgery, medical procedures, or cancer."

           MBC also highlights that while it is lawful under both federal and  
           California law to prescribe controlled substances for the treatment  
           of pain, including intractable pain, there are limitations on the  
           prescribing of controlled substances to or for patients for the  
           treatment of chemical dependency.  MBC expects that a licensee  
           follow the same standard of care when prescribing and/or  
           administering a narcotic controlled substance to a "known addict"  
           patient as he or she would for any other patient.  The physician  
           and surgeon must: (1) perform an appropriate prior medical  
           examination; (2) identify a medical indication; (3) keep accurate  
           and complete medical records, including treatments, medications,  
           periodic reviews of treatment plans, etc; and, (4) provide ongoing  
           and follow-up medical care as appropriate and necessary.

           According to the MBC website, MBC "emphasizes the above issues,  
           both to ensure physicians and surgeons know that a patient in pain  
           who is also chemically dependent should not be deprived of  
           appropriate pain relief, and to recognize the special issues and  
           difficulties associated with patients who suffer both from drug  
           addiction and pain. The MBC expects that the acute pain from trauma  
           or surgery will be addressed regardless of the patient's current or  
           prior history of substance abuse."

        
        SUPPORT AND OPPOSITION:





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         Support:  

        None received as of January 8, 2013.

         Opposition:  

        None received as of January 8, 2013.



        Consultant:Sarah Mason and Mark Mendoza