The Prescription Drug Monitoring Program (PDMP) was once again  proposed in the Missouri House of Representatives and the Missouri Senate. Fortunately it failed. The main bill that went the farthest was HB90. The proponents claim that this program is needed to stop doctor shopping. What they don’t tell you is that in 2016, doctor shopping was responsible for only 1.7% of all misused prescriptions for pain medicine. 85% of the people who misused prescriptions for pain medicine got the prescription from one doctor or got it from a friend or relative who got it from one doctor. It also violates Article I, Section 15 of the Missouri Constitution because it is a mandatory, involuntary database. The ultimate goal is a national prescription database. These bills should never become law. Sen. Claire McCaskill sponsored an amendment in the Comprehensive Addiction and Recovery Act which allows local PDMPs to apply for federal grants. It has been adopted in St. Louis County, Jackson County (Kansas City), the city of Columbia and other cities and counties in Missouri. 

This first attachment is my White Paper about Prescription Drug Monitoring Programs and why Missouri should not pass this legislation.   PDMP White Paper

The second attachment is my slide presentation with notes.  PDMP Presentation

This is an article in the July/August issue of Missouri Medicine Missouri Medicine – PRO CON PDMP