AB474 – The Prescription Drug Abuse Prevention Act
The Prescription Drug Abuse Prevention Act (AB474), which was introduced by Governor Sandoval during his 2017 State of the State address, was passed unanimously by the legislature, and was signed into law on June 16, 2017. The law, which goes into effect on January 1, 2018, expands and updates state laws related to the reporting of drug overdoses, provides protocols for healthcare providers that are prescribing controlled substances, and enacts the Prescribe 365 initiative. This impacts all prescriptions for controlled substances; however, most provisions apply specifically to only those controlled substances prescribed to treat pain.
This legislation establishes a standard of care that is intended to ensure that prescribers have critical information about their patient that demonstrates that the benefits of prescribing a controlled substance outweigh the risks, and ultimately improving patient safety and reducing the risk of addiction to prescription drugs.
In order to assist our member hospitals with the requirements of the new law, NRHP has compiled a list of resources, tools, and templates for opioid abuse prevention.
State of Nevada Resources
A two-day summit was convened by Governor Brian Sandoval in August of 2016 to address prescription opioid abuse in Nevada. This summary discusses the resulting recommendations, including those involving prescribing guidelines.
AB 474 was passed unanimously by both houses of the legislature during the 2017 session.
Prescribe 365 Website – Nevada Division of Public and Behavioral Health (DPBH) Prescription Drug Abuse Prevention Act (Assembly Bill 474)
DPBH’s website includes the following important resources:
- AB474 Frequently Asked Questions (FAQ) (note: questions may be sent to firstname.lastname@example.org)
- Prescriber Information: http://dpbh.nv.gov/Resources/opioids/Prescriber_Information/
- Prescriber Education: http://dpbh.nv.gov/Resources/opioids/Prescriber_Education/
Press Release – The Nevada Division of Public and Behavioral Health released a statement on December 22, 2017 regarding the Nevada Prescription Drug Abuse Prevention Act, which is effective January 1, 2018.
Emergency regulations relating to the reporting of overdose or suspected overdose cases took effect on January 20, 2018. The following are the most recent resources regarding the emergency regulations available:
- Overdose Reporting Emergency Regulations
- News Release
- Technical Bulletin 1/19/18
- Overdose Reporting Form
- Overdose Reporting FAQs
Draft regulations regarding overdose reporting, which will eventually replace the emergency regulations, were originally released on December 18, 2017. The most recent draft available is as of January 18, 2018:
Nevada State Board of Medical Examiners
The Board of Medical Examiners has proposed regulations which will address penalties for violations of AB474. The Board has put together a subcommittee for the purpose of developing these regulations. The subcommittee will be meeting on Thursday, February 15th at 2:00pm.
Nevada State Board of Medical Examiners Resources
Nevada State Medical Association AB474 Toolkit
NSME has summarized the prescribing requirements of AB474, including a flow chart for initial prescriptions of controlled substances.
Nevada Rural Hospital Partners Resources
Nevada Rural Hospital Partners and the Nevada Office of Rural Health sponsored the 2017 Opioid Abuse Prevention Summit on November 16, 2017. The materials from the presentation can be found here: http://nrhp.org/2017-opioid-abuse-prevention-summit/
Additional resources for NRHP member hospitals can be found here: http://members.nrhp.org/opioid-abuse-prevention
*Note: you must be an NRHP member hospital to access this webpage.