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.