Florida the epicenter of the physician prescribed opiate epidemic currently does not mandate that prescribers use the PDMP (prescription drug monitoring program).  HB 423- Drug Prescription by Advanced Registered Nurse Practitioners and Physician Assistants expands categories of persons who may prescribe without oversight.  This Legislation is irresponsible: 

Proposal

Reconsideration of Pharmacy Crawl Bill. There is not a shortage of pills so perhaps better distribution is in order.

Top 98% of dispensing doctors were in Florida. Dispensing no longer legal however, those same doctors are still here. They are writing prescriptions. We must screen for non-cancer high prescribing doctors?
Tie to DEA number.
Task force to monitor.
ME to report deaths with toxicology report positive for narcotics.
ER’s to report drug overdoses.
Limit number prescribed for acute pain to a 72 hour supply. (Similar to Gov. Charlie Baker. Mass)

Improve PDMP while strengthening.
Data base located within patients medical record
In order to maintain the patient advisory report in the electronic medical record, 893.0551, F.S., would need to be changed.
Delegate access.
Mandate that prescribers use prior to writing schedule II,III, and IV narcotics.