An Act To Report Limited Information to the Controlled Substances Prescription Monitoring Program Conceming Methadone
Maine Legislature, Session 128, LD 1619
Committee Amendment CA_A_H397 (House)

COMMITTEE AMENDMENT «A" to H.P. 1118, L.D. 1619, Bill, "An Act To 
Report Limited Information to the Controlled Substances Prescription Monitoring 
Program Conceming Methadone" 
Amend the bill in section 2 in §7249-A by striking out all of subsections 1 and 2 
(page 1, lines 13 to 26 in L.D.) and inserting the following: 
'1. Consent form; methadone treatment. The department shall develop a consent 
form to be presented to every patient receiving treatment at any facility that provides 
methadone for the treatment of opioid dependency. 
The form records the patient's 
identifying information along with consent to enter the name of the patient's methadone 
treatment facility and dosage information into the program. The form must be available 
to the facility for use in paper or electronic form. The contents of the form may be 
disclosed only in a medical emergency as described in section 7250, subsection 7. The 
patient may decline consent. 
2. Treatment facility to enter information into the program. For a patient who 
has provided consent pursuant to subsection l, a prescriber or the prescriber's designee at 
a facility that provides methadone for the treatment of opioid dependency shall enter the 
patient's identifying information along with the name of the methadone treatment facility 
and the dosage information into the program. Dosage information must be entered at the 
beginning of treatment, after the first 90 days of treatment and every 180 days after that. 
If a patient ceases treatment or moves to a different facility, the patient's methadone 
treatment facility must notify the program within 30 days of that change in status.' 
Amend the bill in section 3 in subsection 7 in the first paragraph in the 2nd to last line 
(page 2, line 1 in L.D.) by inserting after the following: "subject to" the following: '42 
Code of Federal Regulations, Section 2.32 and' 
Amend the bill by striking out all of section 4 and inserting the following: 
'Sec. 4. 
Enhancement of the Controlled Substances Prescription 
Monitoring Program. The Department of Health and Human Services shall submit a 
contract amendment to provide for an enhancement of the Controlled Substances 
COMMITTEE AMENDMENT 
ROFS 
.4 
COMMITTEE AMENDMENT "A" to H.P. 1118, L.D. 1619 
Prescription Monitoring Program under Title 22, chapter 1603. This enhancement must 
allow a facility that provides methadone for the treatment of opioid dependency to enter 
the name of the methadone treatment facility treating a patient and the dosage 
information for a patient who has given consent. The information may not be accessible 
except to health care professionals during an emergency to the extent necessary to meet a 
bona fide emergency in which the patient's prior info1med consent cannot be obtained. 
Any disclosure in an emergency setting must be entered into the program, including the 
date and time of the disclosure, the nature of the patient's emergency, the name of the 
facility or hospital where the disclosure occurred and the names of the health care 
professionals who accessed the records in the program. The department shall convene 
stakeholders to advise the department on the criteria for the enhancement of the program. 
Stakeholders must include representatives from methadone treatment clinics and 
providers of emergency services. 
The enhancement of the program must meet the 
requirements of the Maine Revised Statutes, Title 22, section 7250, subsection 7. The 
department shall, no later than January 30, 2018, provide a report to the Joint Standing 
Committee on Health and Human Services describing progress on implementing the 
enhancement required pursuant to this section.' 
SUMMARY 
This amendment makes the following changes to the bill: 
1. It clarifies that the consent form in the bill is presented to eve1y patient at a 
methadone treatment facility rather than only to new patients. 
2. It requires the Department of Health and Human Services to develop the consent 
form in both paper or electronic form. 
3. 
It changes the frequency of a patient's dosage infmmation entered into the 
Controlled Substances Prescription Monitoring Program from every 90 days to the day 
treatment begins, 90 days later and every 180 days after that. 
4. It allows a prescriber or the prescriber's designee to enter a patient's identifying 
information into the Controlled Substances Prescription Monitoring Program. 
5. It provides that disclosure of a patient's identifying infonnation is subject to 42 
Code of Federal Regulations, Section 2.32. 
6. It requires an enhancement to the Controlled Substances Prescription Monitoring 
Program to be in a contract amendment rather than a request for proposals process. 
7. It requires the department to convene a stakeholder group to advise on the criteria 
for the enhancement to the Controlled Substances Prescription Monitoring Program. The 
stakeholders must include methadone providers and providers of emergency services. 
8. 
It removes the date by which the enhancement to the Controlled Substances 
Prescription Monitoring Program must be completed and requires a progress report on 
implementation of the enhancement to the Joint Standing Committee on Health and 
Human Services by January 30, 2018. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/30/17 feac:.. 
LD 1619 
LR 2337(02) 
An Act To Report Limited Information to the Controlled Substances Prescription Monitoring 
Program Concerning Methadone 
Fiscal Detail and Notes 
Fiscal Note for Bill as Amended by Committee Amendment'~' ( ~ ... 3~ 1) 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Any additional costs to the Department of Health and Human Services to adopt the changes in this bill are expected to 
be minor and can be absorbed within existing budgeted resources. 
LR2337(02) - Fiscal Note - Page, 1 of 1