SECOND REGULAR SESSION

HOUSE BILL NO. 2283 103RD GENERAL ASSEMBLY

INTRODUCED BY REPRESENTATIVE CLEMENS.

5840H.01I JOSEPH ENGLER, Chief Clerk

AN ACT To amend chapter 197, RSMo, by adding thereto one new section relating to multidose medications given to patients at discharge.

Be it enacted by the General Assembly of the state of Missouri, as follows:

Section A. Chapter 197, RSMo, is amended by adding thereto one new section, to be 2 known as section 197.180, to read as follows: 197.180. 1. Medications in multidose containers that are administered to or used 2 for a patient during the patient's hospital stay may, if so ordered by an authorized 3 health care provider, be sent with the patient at discharge to the patient's home or to 4 another health care facility. 5 2. Multidose medications shall include, but are not limited to, inhalers, 6 ointments, creams, medications requiring the original container for dispensing, insulin 7 pens and vials, eye drops, ear drops, wearable or on-body medication delivery systems, 8 and infusions that are currently connected to the patient's infusion device. 9 3. Multidose medications shall be labeled with the date, patient's name, 10 prescriber's name, name and address of the hospital, medication name and strength, 11 instructions for use, and other pertinent information. Labeling shall be performed by a 12 pharmacist, prescriber, or registered nurse. Labeled instructions for use may refer to 13 specific written instructions provided by a pharmacist, prescriber, or registered nurse at 14 the time of discharge. 15 4. Controlled substances shall not be sent with the patient, except that wearable 16 or on-body medication delivery systems of controlled substances or controlled substance 17 infusions currently connected to the patient's infusion device may be sent if:

EXPLANATION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is intended to be omitted from the law. Matter in bold-face type in the above bill is proposed language. HB 2283 2

18 (1) The medication is necessary for administration during transport of the 19 patient; 20 (2) The quantity of the controlled substance sent is documented in the patient's 21 medical record by the person sending the medication; and 22 (3) The pharmacy is notified that the medication is being sent with the patient. 23 5. This section shall not require a class B hospital pharmacy to obtain or comply 24 with additional licensure or regulatory requirements. ✔

Statutes affected:
Introduced (5840H.01): 197.180