Amendment #57 to H4725

HWM Tech

Mr. Sánchez of Boston moves to amend the bill in section 4 by striking out lines 92 to 94, inclusive;

And moves to further amend the bill in said section 4 by inserting after the word “grants”, in line 112,  the following:- , including providing funds to the department of public health to provide technical assistance, training and guidance to support applicants in completing grant applications and to grantees to develop and evaluate programs;

And moves to further amend the bill in section 31 by striking out the words “times the pharmacist dispenses an opioid antagonist”, in line 358, and inserting in place thereof the following:- opioid antagonist doses dispensed;

And moves to further amend the bill in section 32 by striking out the word “dispenses”, in line 378, and inserting in place thereof the following:- prescribes;

And moves to further amend the bill in said section 32 by inserting after the words “law.”, in line 386, the following:- When an electronic or written prescription is issued pursuant to this subsection, the practitioner shall indicate on the electronic or written prescription that such prescription is being issued to document an oral prescription.;

And moves to further amend the bill by inserting, after section 32, the following sections:-

SECTION 32A. Section 21 of said chapter 94C, as so appearing, is hereby amended by inserting after the word “written”, in line 1, the following words:-, electronic.

SECTION 32B. Said section 21 of said chapter 94C, as so appearing, is hereby further amended by inserting after the word “oral”, in line 28, the following words:-, electronic.;

And moves to further amend the bill in section 37 by inserting after the word “situations”, in line 415, the following:- defined by the commissioner pursuant to section 17;

And moves to further amend the bill in section 75 by striking out the figure “11”, in line 715, and inserting in place thereof the following:- 13;

And moves to further amend the bill in said section 75 by inserting after the words “Plans;”, in line 720, the following:- 1 representative from the Massachusetts Psychiatric Society; 1 representative from Blue Cross Blue Shield of Massachusetts;;

And moves to further amend the bill in section 77 by inserting after the word “but”, in line 759, the following word:- not;

And moves to further amend the bill by inserting, after section 77A, as inserted by Amendment 18.1, the following section:-

SECTION 77C. ( a) There shall be a commission to review and make recommendations about appropriate prescribing practices related to the most common oral and maxillofacial surgical procedures, which shall include the removal of wisdom teeth. The commission shall engage with drug manufacturers to create a pre-packaged product such as a blister pack or z-pack to be used in connection with common oral and maxillofacial surgical procedures that will provide patients with an appropriate, standard post-procedure dosage and quantity of commonly prescribed drugs.

(b) The commission shall be comprised of: the commissioner of public health or a designee, who shall serve as chair, a representative from the Massachusetts Dental Society, and 5 persons who shall be appointed by the commissioner of public health: 1 of whom shall be an oral surgeon; 1 of whom shall be a nurse with expertise in maxillofacial surgical procedures; 1 of whom shall represent a dental school; and 2 of whom shall have expertise in pain management.

(c) The commission shall file its recommendations, including any recommendations for legislation, with the clerks of the senate and the house of representatives 18 months from the effective date of this act.