Corey S Davis1, Matthew Pierce, Nabarun Dasgupta. 1. Corey S. Davis is with the Network for Public Health Law, Southeastern Region, Carrboro, North Carolina. Matthew Pierce is with the Health Law and Justice Program, American University Washington College of Law, Washington, DC. Nabarun Dasgupta is with the Injury Prevention Research Center, University of North Carolina at Chapel Hill.
Abstract
OBJECTIVES: We sought to collect and characterize all laws governing the operation of prescription monitoring programs (PMPs), state-level databases that collect patient-specific prescription information, which have been suggested as a tool for reducing prescription drug overdose fatalities. METHODS: We utilized a structured legal research protocol to systematically identify, review, and code all PMP statutes and regulations effective from 1998 through 2011. These laws were then abstracted along eleven domains, including reporting provisions, data sharing, and data access. RESULTS: PMP characteristics vary greatly among states and across time. We observed an increase in the types and frequency of data required to be reported, the types of individuals permitted to access PMP data, and the percentage of PMPs authorized to proactively identify outlier prescribers and patients. As of 2011, 10 states required PMPs to report suspicious activity to law enforcement, while only 3 required reporting to the patient's physician. None required linkage to drug treatment or required all prescribers to review PMP data before prescribing. Few explicitly address data retention. CONCLUSIONS: State PMP laws are heterogeneous and evolving. Future studies of PMP effectiveness should take these variations into account.
OBJECTIVES: We sought to collect and characterize all laws governing the operation of prescription monitoring programs (PMPs), state-level databases that collect patient-specific prescription information, which have been suggested as a tool for reducing prescription drug overdose fatalities. METHODS: We utilized a structured legal research protocol to systematically identify, review, and code all PMP statutes and regulations effective from 1998 through 2011. These laws were then abstracted along eleven domains, including reporting provisions, data sharing, and data access. RESULTS: PMP characteristics vary greatly among states and across time. We observed an increase in the types and frequency of data required to be reported, the types of individuals permitted to access PMP data, and the percentage of PMPs authorized to proactively identify outlier prescribers and patients. As of 2011, 10 states required PMPs to report suspicious activity to law enforcement, while only 3 required reporting to the patient's physician. None required linkage to drug treatment or required all prescribers to review PMP data before prescribing. Few explicitly address data retention. CONCLUSIONS: State PMP laws are heterogeneous and evolving. Future studies of PMP effectiveness should take these variations into account.
Authors: David E Joranson; Grant M Carrow; Karen M Ryan; Linda Schaefer; Aaron M Gilson; Patricia Good; John Eadie; Susan Peine; June L Dahl Journal: J Pain Symptom Manage Date: 2002-03 Impact factor: 3.612
Authors: Thomas Kerr; Nadia Fairbairn; Mark Tyndall; David Marsh; Kathy Li; Julio Montaner; Evan Wood Journal: Drug Alcohol Depend Date: 2006-09-07 Impact factor: 4.492
Authors: Robin A Pollini; Lisa McCall; Shruti H Mehta; David Vlahov; Steffanie A Strathdee Journal: Drug Alcohol Depend Date: 2005-11-23 Impact factor: 4.492
Authors: Hilary L Surratt; Steven P Kurtz; Mance Buttram; Maria A Levi-Minzi; Maria E Pagano; Theodore J Cicero Journal: Drug Alcohol Depend Date: 2017-07-26 Impact factor: 4.492
Authors: Alene Kennedy-Hendricks; Matthew Richey; Emma E McGinty; Elizabeth A Stuart; Colleen L Barry; Daniel W Webster Journal: Am J Public Health Date: 2016-06 Impact factor: 9.308
Authors: Victor Puac-Polanco; Stanford Chihuri; David S Fink; Magdalena Cerdá; Katherine M Keyes; Guohua Li Journal: Epidemiol Rev Date: 2020-01-31 Impact factor: 6.222
Authors: Magdalena Cerdá; Julián Santaella; Brandon D L Marshall; June H Kim; Silvia S Martins Journal: J Pediatr Date: 2015-06-06 Impact factor: 4.406
Authors: David S Fink; Ranran Hu; Magdalena Cerdá; Katherine M Keyes; Brandon D L Marshall; Sandro Galea; Silvia S Martins Journal: Drug Alcohol Depend Date: 2015-05-19 Impact factor: 4.492