SS/SB 63 - This act establishes the "Joint Oversight Task Force of Prescription Drug Monitoring" within the Office of Administration, with members selected from the Board of Registration for the Healing Arts, the Board of Pharmacy, the Board of Nursing, and the Missouri Dental Board. The Task Force shall enter into a contract with a vendor, through a competitive bid process, to collect and maintain patient controlled substance prescription dispensation information submitted by dispensers throughout the state as specified in the act. Such information shall be retained by the vendor for no more than 3 years before deletion from the program.

The Task Force may apply for and accept any grants or other moneys to develop and maintain the program and shall work cooperatively with the MO HealthNet Division to apply for and accept federal moneys and other grants for the program.

The vendor shall treat patient dispensation information and any other individually identifiable patient information submitted under this act as protected health information under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and any regulations promulgated thereunder. Such information shall only be accessed and utilized in accordance with the privacy and security provisions of HIPAA and the provisions of this act. Such information shall also be considered a closed record under state law.

The patient dispensation information submitted under this act shall only be utilized for the provision of health care services to the patient. Prescribers, dispensers, and other health care providers shall be permitted to access a patient's dispensation information collected by the vendor in the course of providing health care services to the patient. The vendor shall also provide dispensation information to the individual patient, upon his or her request. The MO HealthNet Division shall have access to dispensation information for MO HealthNet recipients.

The vendor shall provide patient dispensation information to any health information exchange operating in the state, upon the request of the health information exchange and at a cost not to exceed the cost of the technology connection or recurring maintenance of the connection. Any health information exchange receiving information under this act shall comply with the provisions of this act regarding privacy and security and permitted uses of dispensation information.

The Task Force may provide data to public and private entities for statistical, research, or educational purposes after removing identifying information.

No patient dispensation information shall be provided to law enforcement or prosecutorial officials or any regulatory body, professional or otherwise, for purposes other than those explicitly set forth in HIPAA and any regulations promulgated thereunder. No dispensation information shall be used to prevent an individual from owning or obtaining a firearm or as the basis for probable cause to obtain an arrest or search warrant as part of a criminal investigation.

Dispensers who knowingly fail to submit the required information or who knowingly submit incorrect dispensation information shall be subject to a penalty of $1,000 per violation. Any persons who are authorized to have patient dispensation information under this act and who purposefully disclose such information or who purposefully use it in a manner and for a purpose in violation of this act shall be guilty of a Class E felony.

These provisions shall supercede any local law, ordinance, order, rule, or regulation in this state for the purpose of monitoring the prescription or dispensation of prescribed controlled substances within the state. Any such program operating prior to August 28, 2021, shall cease operation when the vendor's program is available for utilization by dispensers throughout the state. The Task Force may enter into an agreement with such program to transfer patient dispensation information from the program to the program operated by the vendor under this act.

These provisions are substantially similar to CCS/SS#2/HB 1693 (2020).

This act also modifies the expiration date of the RX Cares for Missouri Program from August 28, 2019, to August 28, 2026.

This provision is identical to SB 519 (2021).


Statutes affected:
Introduced (0510S.01): 195.450
Perfected (0510S.02): 195.450, 338.710
Truly Agreed (0510S.02): 195.450, 338.710

Senate Committee Minutes:
Sponsor: Rehder
Hearing Date: 1/28/2021

COMMITTEE: Governmental Accountability and Fiscal Oversight



Cindy Kadlec
Josh Norberg
Robin Stone
Scott Svagera
Pat Thomas


Randy Scherr - PHRMA
William Anderson - Missouri Hospital Association
Cara Alexander - Hy-Vee, Mitchell International
Vickie Wolgast - South Kansas City Chamber of Commerce
Heidi Sutherland - Missouri State Medical Association
Craig Schmid - Dr. Fredrick Echols, Acting Director of the City of St. Louis Department of Health
Kara Corches - Missouri Chamber of Commerce and Industry
Paul Korte - Missouri Psychological Association
Ray McCarty - Associated Industries of Missouri
Henrio Thelemaque - Missouri Pharmacy Association & Missouri Retailers Association
Cara Alexander - SSM
Chris Roepe - Walgreens
Stephen Nittler - Missouri Association of Osteopathic Physicians and Surgeons
Jim Marshall - Cody's Gift
Jorgen Schlemeier - Mo College of Emergency Physicians; Quest Diagnostics, Washington Un, First Service
Alliance; Health Forward Foundation; Preferred Family Health; Mo Assn of Anesthesiologists
B J Tanksley - MO Farm Bureau
David Winton - Home Dock Cities Assn

Uriah Stark
Ron Calzone - private citizen
Ron Staggs - private citizen
Mary Cremer - private citizen
Mary Byrne, Ed. D. - Conservative Americans Club; MO Coalition Against Common Core
Bv Ehlen - private citizen