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3F324F85002008DC872584320069862C Hearing Summary




PUBLIC
BILL SUMMARY For PROVIDER EDUCATION AND PRESCRIBING PRACTICES

INTERIM COMMITTEE  OPIOID AND OTHER SUBSTANCE USE DISORDERS
Date Jul 9, 2019      
Location Old State Library



Provider Education and Prescribing Practices - Committee Discussion Only


01:12:38 PM  
Senator Pettersen reconvened the meeting.
01:14:45 PM  

Dr. Valuck discussed best practices for providing pain management and treatment and made recommendations about the development of competency standards for health care providers offering pain management treatment.

01:18:38 PM  

Dr. Debra Parsons, Colorado Medical Society, spoke about physician prescribing rates for opioids, the recent decline in opioid prescriptions, and the increased number of PDMP queries.  She discussed the new continuing education requirement for medical provider licensure renewal. She discussed the Colorado CURE Initiative, which focuses on developing guidelines targeted towards limiting opioid use; using alternatives to opioids for the treatment of pain; implementing harm reduction strategies; and improving the treatment and referral of patients with Opioid Use Disorder.  Dr. Parsons responded to questions. Committee discussion followed about the role of pharmaceutical companies in the high rate of prescribing opioids.

01:29:57 PM  

Dr. Jonathan Clapp, Colorado Pain Society, discussed the number of deaths related to opioid use and distributed a handout to the committee (Attachment G).  He explained that access to opioids and insurance coverage for opioids make it easier for physicians to prescribe opioids for pain than other types of more costly treatments.  He told the committee that insurance companies often require doctors to use opioids to treat pain before trying safer alternatives to opioids.  Dr. Clapp discussed the practice of requiring preauthorization for alternative pain treatments and responded to questions.