<?xml version='1.0' encoding='utf-8'?>
<section article="ghg" article_name="Health - General" number="21-2A-05" title_number="21" title_name="Food, Drugs, and Cosmetics" subtitle_number="2A" subtitle_name="Prescription Drug Monitoring Program">
  <level label="a">
    <text>There is an Advisory Board on Prescription Drug Monitoring in the Department.</text>
  </level>
  <level label="b">
    <text>The Board shall consist of the following members:</text>
    <level label="1">
      <text>The Secretary, or the Secretary’s designee;</text>
    </level>
    <level label="2">
      <text>The President of the State Board of Pharmacy, or the President’s designee;</text>
    </level>
    <level label="3">
      <text>The Chair of the State Board of Physicians, or the Chair’s designee;</text>
    </level>
    <level label="4">
      <text>The President of the State Board of Nursing, or the President’s designee;</text>
    </level>
    <level label="5">
      <text>The President of the State Board of Dental Examiners, or the President’s designee;</text>
    </level>
    <level label="6">
      <text>The President of the State Board of Podiatric Medical Examiners, or the President’s designee;</text>
    </level>
    <level label="7">
      <text>The Chairman of the Maryland Health Care Commission, or the Chairman’s designee;</text>
    </level>
    <level label="8">
      <text>Four physicians and one nurse practitioner with expertise in clinical treatment using controlled dangerous substances, including pain management, substance abuse, and behavioral disorders, appointed by the Secretary after consultation with:</text>
      <level label="i">
        <text>For the physician appointments, MedChi, The Maryland State Medical Society, the Maryland Physical Medicine and Rehabilitation Society, the Maryland Society of Anesthesiologists, the Maryland–D.C. Society of Clinical Oncology, the Hospice and Palliative Care Network of Maryland, and the Maryland Chapter of the American Academy of Pediatrics; and</text>
      </level>
      <level label="ii">
        <text>For the nurse practitioner appointment, the Maryland Nurses Association;</text>
      </level>
    </level>
    <level label="9">
      <text>One pediatrician, appointed by the Secretary after consultation with the Maryland Chapter of the American Academy of Pediatrics;</text>
    </level>
    <level label="10">
      <text>Three pharmacists who represent the perspective of independent and chain pharmacies, appointed by the Secretary after consultation with the Maryland Pharmacists Association, the Maryland Association of Chain Drug Stores, and any other appropriate organization;</text>
    </level>
    <level label="11">
      <text>A local law enforcement official, appointed by the Secretary after consultation with the Maryland Chiefs of Police Association and the Maryland Sheriff’s Association;</text>
    </level>
    <level label="12">
      <text>The Secretary of State Police, or the Secretary’s designee;</text>
    </level>
    <level label="13">
      <text>The President of the Maryland Association of County Health Officers, or the President’s designee;</text>
    </level>
    <level label="14">
      <text>An academic or research professional; and</text>
    </level>
    <level label="15">
      <text>Two Maryland residents who represent the perspective of patients, appointed by the Secretary.</text>
    </level>
  </level>
  <level label="c">
    <text>The Secretary shall designate the chair of the Board.</text>
  </level>
  <level label="d">
    <level label="1">
      <text>The term of a member appointed by the Secretary is 3 years.</text>
    </level>
    <level label="2">
      <text>The terms of members appointed by the Secretary are staggered as required by the terms provided for members of the Board on October 1, 2011.</text>
    </level>
    <level label="3">
      <text>If a vacancy occurs during the term of an appointed member, the Secretary shall appoint a successor who shall serve until the term expires.</text>
    </level>
  </level>
  <level label="e">
    <text>A member of the Board:</text>
    <level label="1">
      <text>May not receive compensation as a member of the Board; but</text>
    </level>
    <level label="2">
      <text>Is entitled to reimbursement for expenses under the Standard State Travel Regulations, as provided in the State budget.</text>
    </level>
  </level>
  <level label="f">
    <text>The Board shall:</text>
    <level label="1">
      <text>Meet not fewer than three times annually;</text>
    </level>
    <level label="2">
      <text>Make recommendations to the Secretary relating to the design and implementation of the Program, including recommendations relating to:</text>
      <level label="i">
        <text>Regulations;</text>
      </level>
      <level label="ii">
        <text>Legislation; and</text>
      </level>
      <level label="iii">
        <text>Sources of funding, including grant funds under the Harold Rogers Prescription Drug Monitoring Program and other sources of federal, private, or State funds;</text>
      </level>
    </level>
    <level label="3">
      <text>Provide annually to the Governor and, in accordance with § 2–1257 of the State Government Article, the General Assembly a report that includes:</text>
      <level label="i">
        <text>The number of prescribers and prescriber delegates registered with and using the Program;</text>
      </level>
      <level label="ii">
        <text>The number of pharmacists and pharmacist delegates registered with and using the Program;</text>
      </level>
      <level label="iii">
        <text>The number of disclosures made to federal law enforcement agencies or State or local law enforcement agencies;</text>
      </level>
      <level label="iv">
        <text>An analysis of the impact of the Program on patient access to pharmaceutical care and on curbing prescription drug diversion in the State;</text>
      </level>
      <level label="v">
        <level label="1">
          <text>The number of providers, by provider type, who received outreach and education from the Program; and</text>
        </level>
        <level label="2">
          <text>The number of cases for which the providers received outreach and education from the Program;</text>
        </level>
      </level>
      <level label="vi">
        <level label="1">
          <text>The number of cases that were identified for technical advisory committee review before referral to the Office; and</text>
        </level>
        <level label="2">
          <text>The number of providers, by provider type, involved in the cases;</text>
        </level>
      </level>
      <level label="vii">
        <level label="1">
          <text>The number of cases that were referred to the Office for further evaluation and the outcomes of the Office evaluations; and</text>
        </level>
        <level label="2">
          <text>The number of providers, by provider type, involved in the cases; and</text>
        </level>
      </level>
      <level label="viii">
        <text>Any recommendations related to modification or continuation of the Program; and</text>
      </level>
    </level>
    <level label="4">
      <text>Provide ongoing advice and consultation on the implementation and operation of the Program, including recommendations relating to:</text>
      <level label="i">
        <text>Changes in the Program to reflect advances in technology and best practices in the field of electronic health records and electronic prescription monitoring;</text>
      </level>
      <level label="ii">
        <text>Changes to statutory requirements; and</text>
      </level>
      <level label="iii">
        <text>The design and implementation of an ongoing evaluation component of the Program.</text>
      </level>
    </level>
  </level>
  <level label="g">
    <text>The Secretary and the Board shall consult with stakeholders and professionals knowledgeable about prescription drug monitoring programs as appropriate to obtain input and guidance about implementation of the Program.</text>
  </level>
</section>
