CHAPTER 83


97-S 0836 am
Approved Jul. 2, 1997


AN ACT RELATING TO INTRACTABLE PAIN TREATMENT

It is enacted by the General Assembly as follows

SECTION 1. Title 5 of the General Laws is hereby amended by adding the following chapter thereto:

{ADDCHAPTER 5-37.4
INTRACTABLE PAIN TREATMENT
ADD}

{ADD5-37.4-1. Title. --ADD} {ADDThis act shall be known and may be cited as the "INTRACTABLE PAIN TREATMENT ACT".ADD}

{ADD 5-37.42. Definitions. --ADD} {ADDFor purposes of this act, the following terms mean:ADD}

{ADD (A) "Board," the Rhode Island board of medical licensure and discipline;ADD}

{ADD (B) "Intractable pain," a pain state in which the cause of pain cannot be removed or otherwise treated and which in the generally accepted course of medical practice no relief or cure of the cause of the pain is possible or none has been found after reasonable efforts that have been documented in the physician's medical records;ADD}

{ADD (C) "Physician," physicians and surgeons licensed pursuant to this act by the board;ADD}

{ADD (D) "Therapeutic purpose," the use of controlled substances in acceptable doses with appropriate indication for the treatment of pain. Any other use is nontherapeutic.ADD}

{ADD5-37.4-3. Controlled substances. -- ADD} {ADD (1) A physician may prescribe, administer or dispense controlled substances not otherwise prohibited by law for a therapeutic purpose to a person diagnosed and treated by a physician for a condition resulting in intractable pain, if such diagnosis and treatment has been documented in the physician's medical records. No physician shall be subject to disciplinary action by the board solely for prescribing, administering or dispensing controlled substances when prescribed, administered or dispensed for a therapeutic purpose for a person diagnosed and treated by a physician for a condition resulting in intractable pain, if such diagnosis and treatment has been documented in the physician's medical records.ADD}

{ADD (2) The provisions of subsection (1) of this section shall not apply to those persons being treated by a physician for chemical dependency because of their use of controlled substances not related to the therapeutic purposes of treatment of intractable pain. ADD}

{ADD (3) The provisions of subsection (1) of this section provide no authority to a physician to prescribe, administer or dispense controlled substances to a person the physician knows or should know to be using controlled substances which use is not related to the therapeutic purpose. ADD}

{ADD(4) Drug dependency or the possibility of drug dependency in and of itself is not a reason to withhold or prohibit the prescribing, administering or dispensing of controlled substances for the therapeutic purpose of treatment of a person for intractable pain, nor shall dependency relating solely to such prescribing, administering or dispensing subject a physician to disciplinary action by the board. ADD}

{ADD (5) Nothing in this section shall deny the right of the board to deny, revoke or suspend the license of any physician or otherwise discipline any physician who: ADD}

{ADD (1) Prescribes, administers or dispenses a controlled substance that is nontherapeutic in nature or nontherapeutic in the manner in which it is prescribed, administered or dispensed, or fails to keep complete and accurate on-going records of the diagnosis and treatment plan; ADD}

{ADD (2) Fails to keep complete and accurate records of controlled substances received, prescribed, dispensed and administered, and disposal of drugs as required by law or of controlled substances scheduled in the Federal Comprehensive Drug Abuse Prevention and Control Act of 1970, 21 USC 801, et. seq. A physician shall keep records of controlled substances received, prescribed, dispensed and administered, and disposal of these drugs shall include the date of receipt of the drugs, the sale or disposal of the drugs by the physician, the name and address of the person receiving the drugs, and the reason for the disposal or the dispensing of the drugs to the person; ADD}

{ADD (3) Writes false or fictitious prescriptions for controlled substances as prohibited by law, or for controlled substances scheduled in the Federal Comprehensive Drug Abuse Prevention and Control Act of 1970, 21 USC 801, et. seq.; orADD}

{ADD (4) Prescribes or administers, or dispenses in a manner which is inconsistent with provisions of the law, or the Federal Comprehensive Drug Abuse Prevention and Control Act of 1970, 21 USC 801, et. seq.ADD}

SECTION 2. This act shall take effect on July 1, 1997.



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