Missouri HB 727: Allows certain medications in multi-dose containers used by a patient during a hospital stay to be sent with the patient at discharge.

Bill Text

FIRST REGULAR SESSION
HOUSE BILL NO. 727
100TH GENERAL ASSEMBLY
INTRODUCED BY REPRESENTATIVE CLEMENS.
1052H.01I DANA RADEMAN MILLER, 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 were administered to or used
2 for a patient during the patient's hospital stay may, if so ordered by an authorized health
3 care provider, be sent with the patient at discharge to the patient's home or to another
4 health care facility.
5 2. Multidose medications shall include, but are not limited to, inhalers, ointments,
6 creams, medications requiring the original container for dispensing, insulin pens and vials,
7 eye drops, ear drops, wearable or on-body medication delivery systems, and infusions that
8 are currently connected to the patient's infusion device.
9 3. Multidose medications shall be labeled with the date, patient's name, prescriber's
10 name, name and address of the hospital, medication name and strength, instructions for
11 use, and other pertinent information. Labeling shall be performed by a pharmacist,
12 prescriber, or registered nurse. Labeled instructions for use may refer to specific written
13 instructions provided by a pharmacist, prescriber, or registered nurse at the time of
14 discharge.
15 4. Controlled substances shall not be sent with the patient, except that wearable or
16 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 727 2
18 (1) The medication is necessary for administration during transport of the patient;
19 (2) The quantity of the controlled substance sent is documented in the patient's
20 medical record by the person sending the medication; and
21 (3) The pharmacy is notified that the medication was sent with the patient.
22 5. Nothing in this section shall require a class B hospital pharmacy to obtain or
23 comply with additional licensure or regulatory requirements.
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