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A prescription drug monitoring program, data sharing, and upholding states’ rights under the United States Constitution

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Abstract

Abuse of physician prescribed opioids contributes to health and economic burdens associated with dependency, overdose, and death. Since the 1900s, the United States (U.S.) Congress has legislated use and misuse of controlled substances. Under the U.S. Constitution, states developed prescription drug monitoring programs (PDMPs) that determine how the program is managed, what data to track, and what information to share with other states. Lack of a standard data set that allows providers to see prescribing data for designated controlled substances across state lines, limits benefits of state PDMPs. A federal PDMP with a standard minimal set of variables shared across states could enhance patient care. States would exercise their police powers while sharing standard data to decrease adverse consequences of the opioid epidemic.

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References

  1. Dart RC, Severtson SG, Bucher-Bartelson B. Trends in opioid analgesic abuse and mortality in the United States. N Engl J Med. 2015;372(16):1573–4.

    Google Scholar 

  2. Florence CLF, Rice K. The economic burden of opioid use disorder and fatal opioid overdose in the United States, 2017. Drug Alcohol Dependency. 2021;218:108350.

    Article  Google Scholar 

  3. Shepherd J. Combating the prescription painkiller epidemic: a national prescription drug reporting program. Am J Law Med. 2014;40(1):85–112.

    Article  Google Scholar 

  4. Brat GA, Agniel D, Beam A, Yorkgitis B, Bicket M, Homer M, et al. Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. BMJ. 2018;360:j5790.

    Article  Google Scholar 

  5. Seyler T, Giraudon I, Noor A, Mounteney J, Griffiths P. Is Europe facing an opioid epidemic: what does European monitoring data tell us? Eur J Pain. 2021;25(5):1072–80.

    Article  Google Scholar 

  6. van Amsterdam J, Pierce M, van den Brink W. Is europe facing an emerging opioid crisis comparable to the U.S.? Ther Drug Monit. 2021;43(1):42–51.

    Article  Google Scholar 

  7. Understanding the Opioid Overdose Epidemic: Centers for Disease Control and Prevention; 2021. https://www.cdc.gov/opioids/basics/epidemic.html. Accessed 17 March 2021

  8. Leveraging prescription drug monitoring program (PDMP) data in overdose prevention and response. In: Control NCfIPa, editor. Centers for Disease Control and Preventon; 2021. p. 33.

  9. Levy N, Sturgess J, Mills P. “Pain as the fifth vital sign” and dependence on the “numerical pain scale” is being abandoned in the US: why? Br J Anaesth. 2018;120(3):435–8.

    Article  Google Scholar 

  10. Davis CS. The purdue pharma opioid settlement—accountability, or just the cost of doing business? N Engl J Med. 2021;384(2):97–9.

    Article  Google Scholar 

  11. Lyapustina T, Rutkow L, Chang H-Y, Daubresse M, Ramji AF, Faul M, et al. Effect of a “pill mill” law on opioid prescribing and utilization: the case of Texas. Drug Alcohol Depend. 2015;159:190–7.

    Article  Google Scholar 

  12. Guy G, Zhang, K.. Vital signs: changes in opioid prescribing in the United States, 2006–2015: Centers for Disease Control and Prevention; 2017. http://www.cdc.gov/mmwr.volumes/66/wr/mm6626a4.htm.

  13. Federal Food and and Drugs Act, (1906).

  14. Kenny BJ, Preuss CV, Zito PM. Controlled Substance Schedules. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2022, StatPearls Publishing LLC; 2022.

  15. Barnes MC, Arndt G. The best of both worlds: applying federal commerce and state police powers to reduce prescription drug abuse. J Health Care Law Policy. 2013;16(2):271–307.

    Google Scholar 

  16. State v. Gee. 236 P2d 1029: Arizona Supreme Court; 1951. p. 1029.

  17. Sacco L, Duff, JH, Sarata, AK. Prescription drug monitoring programs. In: Service CR, editor. Washington: Congressioal Research Service; 2018.

  18. Wen K, Johnson P, Jeng PJ, Schackman BR, Bao Y. State policies for prescription drug monitoring programs and adverse opioid-related hospital events. Med Care. 2020;58(7):610–6.

    Article  Google Scholar 

  19. Worley J. Prescription drug monitoring programs, a response to doctor shopping: purpose, effectiveness, and directions for future research. Issues Ment Health Nurs. 2012;33(5):319–28.

    Article  Google Scholar 

  20. Lin H-C, Wang Z, Simoni-Wastila L, Boyd C, Buu A. Interstate data sharing of prescription drug monitoring programs and associated opioid prescriptions among patients with non-cancer chronic pain. Prev Med. 2019;118:59–65.

    Article  Google Scholar 

  21. Martins SS, Ponicki W, Smith N, Rivera-Aguirre A, Davis CS, Fink DS, et al. Prescription drug monitoring programs operational characteristics and fatal heroin poisoning. Int J Drug Policy. 2019;74:174–80.

    Article  Google Scholar 

  22. PDMP Policies and Practices: Prescription Drug Monitoring Program Training and Technical Assistance Center; 2022. https://www.pdmpassist.org/pdf/Mandatory_Query_Conditions.pdf. Accessed 21 Oct 2022.

  23. Interstate PDMP Access and Data Sharing Alignment. Prescription Drug Monitoring Program Training and Technical Assistance Center; 2021 January, 2021.

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Correspondence to Aimee Pehrson.

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Pehrson, A., Solla, C.A., Buehler, J. et al. A prescription drug monitoring program, data sharing, and upholding states’ rights under the United States Constitution. J Public Health Pol 44, 102–109 (2023). https://doi.org/10.1057/s41271-022-00385-3

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