HOUSE BILL No. 4601

 

 

May 11, 2017, Introduced by Reps. Singh, Graves, LaGrand, Marino, Lucido, Howell, Faris and Canfield and referred to the Committee on Health Policy.

 

     A bill to amend 1978 PA 368, entitled

 

"Public health code,"

 

(MCL 333.1101 to 333.25211) by adding section 7333b.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 7333b. (1) Except as otherwise provided in subsection

 

(2), a prescriber shall not prescribe a patient any of the

 

following:

 

     (a) Except as otherwise provided in subdivision (b), a

 

combination of opioids in an amount that exceeds 100 morphine

 

milligram equivalents per day in the aggregate.

 

     (b) Until June 30, 2018, if the patient has on the effective

 

date of the amendatory act that added this section a prescription

 

for an opioid in an amount that exceeds 100 morphine milligram

 

equivalents per day, an opioid in an amount that would cause the

 


amount of opioids prescribed to the patient by the prescriber to

 

exceed 300 morphine milligram equivalents per day in the aggregate.

 

Beginning July 1, 2018, the amount of opioids prescribed by a

 

prescriber must not exceed 100 morphine milligram equivalents per

 

day in the aggregate.

 

     (c) Beginning July 1, 2018, if the patient is being treated

 

for chronic pain, more than a 30-day supply of an opioid within a

 

30-day period.

 

     (d) Beginning July 1, 2018, if the patient is being treated

 

for acute pain, more than a 10-day supply of an opioid within a 10-

 

day period.

 

     (2) Subsection (1) does not apply under any of the following

 

circumstances:

 

     (a) If the prescriber is prescribing an opioid to a patient

 

under any of the following circumstances:

 

     (i) For pain associated with cancer treatment.

 

     (ii) For palliative care treatment or if the patient is under

 

a hospice plan of care.

 

     (iii) To treat a substance use disorder.

 

     (b) If the prescriber is ordering or administering an opioid

 

for inpatient use in a health facility or agency that is licensed

 

under article 17.

 

     (3) As used in this section:

 

     (a) "Acute pain" means pain that is the normal, predicted

 

physiological response to a noxious chemical or a thermal or

 

mechanical stimulus and is typically associated with invasive

 

procedures, trauma, and disease and usually lasts for a limited


amount of time.

 

     (b) "Chronic pain" means pain that persists beyond the usual

 

course of an acute disease or the healing of an injury and that may

 

be associated with an acute or chronic pathologic process that

 

causes continuous or intermittent pain over months or years.

 

     Enacting section 1. This amendatory act takes effect 90 days

 

after the date it is enacted into law.