Fentanyl crackdown bill clears House committee

For Immediate Release

February 16, 2017

Fentanyl crackdown bill clears House committee

FRANKFORT—A bill that would make it a felony to illegally sell or distribute any amount of fentanyl, carfentanil and related drugs tied to an increase in drug overdoses in Kentucky has passed the House Judiciary Committee.

Trafficking in any amount of fentanyl, a pain killer now frequently imported for illegal street sales, and drugs derived from fentanyl as well as carfentanil—a large animal anesthetic said to be 10,000 times more potent than morphine—would carry up to 10 years in prison under House Bill 333, sponsored by Rep. Kim Moser, R-Taylor Mill. Trafficking over certain amounts of the drugs could carry even longer sentences.

The bill would also make fentanyl derivatives—which potentially number 800 or more, state officials say–part of the same class of drugs as heroin and LSD. Those drugs are classified as Schedule I by the federal DEA which describes the drugs as having no “currently accepted medical use.”

“Whatever (fentanyl derivative) is thrown at us in the future will be a Schedule I controlled substance under Kentucky law,” if HB 333 passes, Office of Drug Control Policy Executive Director Van Ingram told the committee.

Fentanyl, carfentanil and fentanyl derivatives are being mixed with heroin and sold on the street as heroin or other drugs. Some cities and counties have experienced dozens of overdoses in the span of a day or two because of the potency of the drugs which, Ingram said, can be disguised as pharmaceuticals like Xanax or Percocet.

“The business model for drug cartels is to mix fentanyl with heroin and make it look like (something else),” said Ingram. “It’s a much better —- for them. It’s a very deadly situation for our population.”

HB 333 would also create a felony offense called trafficking in a misrepresented controlled substance for those who pass off carfentanil, fentanyl or fentanyl derivatives as an actual pharmaceutical, like Xanax. 

Another provision in the bill would limit prescriptions for fentanyl to a three-day supply with few exceptions, said Moser. Rep. Angie Hatton, D-Pikeville, questioned how the legislation would prevent someone from getting another dose from another physician after receiving their three days’ worth. Moser said the KASPER system, which tracks prescriptions written in Kentucky for all scheduled drugs, is still in place to monitor what is prescribed.

“This language does not preclude the fact that physicians have to document with the PDMPs or prescription drug monitoring programs. KASPER is still a way to monitor… that’s still a requirement,” said Moser.

HB 333 now goes to the full House for consideration.

–END–

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How police tracked down a suspected heroin dealer after a rash of overdoses in Nicholasville

By Karla Ward

kward1@herald-leader.com

 

When a narcotics detective with the Nicholasville Police Department heard about a surge in heroin overdoses in Jessamine County this week, he got busy.

The detective, also a task force officer with the U.S. Drug Enforcement Administration, notified Nicholasville Emergency Medical Services Tuesday that if there were more suspected heroin overdoses, he wanted to be notified. Within two hours, he got a call about a crash involving a suspected overdose.

Court records show that the police work that followed resulted in a federal charge Thursday against a suspected drug dealer. Jeffrey James Ruggiero was charged in U.S. District Court in Lexington with possession of heroin with intent to distribute. His first court appearance was scheduled for 1 p.m. Friday.

According to an affidavit, the chain of events began when emergency workers arrived on Southbrook Drive in Nicholasville at 7:02 p.m. Tuesday and found a driver, Nathaniel Brezeale, “in obvious distress with agonal breathing and eyes closed.”

Suspecting an overdose, they administered 3 milligrams of Naloxone, and the man revived.

Brezeale’s girlfriend told investigators “that he had a substance abuse problem” and that before the accident, they had been to a double-wide mobile home in Garrard County, where Brezeale went inside alone and stayed for about 10 minutes.

While driving back to Nicholasville, Brezeale began to act strangely, so she asked him to pull over. When he did, the vehicle’s front wheels went over a curb. Passersby called emergency crews.

Two DEA task force officers went to St. Joseph Jessamine and interviewed Brezeale, who told them that he had called Ruggiero that night and asked about buying heroin. He had bought from Ruggiero before, he said.

When Brezeale got to the mobile home, he told investigators, he paid $25 for a tenth of a gram of heroin, which he said Ruggiero took from a larger plastic bag of heroin. Ruggiero placed the heroin onto a piece of paper, and Brezeale snorted it before he left.

A DEA special agent went to Lancaster, found the mobile home and began surveillance about 9:40 p.m., according to the affidavit.

About five minutes later, a Chevrolet Impala left the mobile home heading toward Nicholasville, and the special agent followed. He called Nicholasville police and asked for help. Officers clocked the Impala going 64 mph in a 55 mph zone.

The Impala was stopped, but the driver wouldn’t cooperate. However, “a Nicholasville K-9 was presented to the vehicle and a positive alert was noted. A subsequent search of the vehicle resulted in a quantity of suspected heroin being seized,” the affidavit states.

After that, a search warrant was obtained for the mobile home on Carlotta Drive.

Just before midnight Tuesday, about five hours after Brezeale’s accident, officers from the DEA in Lexington, the Nicholasville police detective bureau and Kentucky State Police went to the mobile home and detained Ruggiero while they searched the home and outbuildings.

Police seized about 1 gram of suspected heroin, plus prescription medication, several sets of digital scales and packaging material, and Ruggiero admitted that he had sold heroin to Nathaniel Brezeale earlier in the day, according to the affidavit.

Emergency crews responded to nine overdoses in Jessamine County in a 24-hour period Monday and Tuesday.

Karla Ward: 859-231-3314, @HLpublicsafety

Read more here: http://www.kentucky.com/news/local/crime/article126283869.html#emlnl=Morning_Newsletter#storylink=cpy

(WTF? You can’t make this stuff up!) Cocaine Bear Attracts Visitors To Lexington Business

                                                               (PLEASE CLICK THE LINK ABOVE TO SEE THE VIDEO!)

 

LEXINGTON, Ky (LEX 18) Lately we’ve been reporting about black bear sightings around the Commonwealth, but you can see the bear tied to one of Kentucky’s greatest conspiracies on display right here in Lexington.

Cocaine Bear spent years on the road but now he’s mounted on the back of a pick-up truck in Kentucky for Kentucky’s Fun Mall.

Whit Hyler, the co-owner of Kentucky for Kentucky, says that they only had to pay for shipping to get the bear to Kentucky from the Nevada Desert.

People are coming from all over the world to see the famous Cocaine Bear.

The bear’s story dates back to 1985, when Andrew Thornton, a true Kentucky Blue Blood, turned drug smuggler parachuted to his death over Tennessee with cocaine strapped to his body.

A black bear ate 75 pounds worth of cocaine that Thornton dropped in Georgia’s Chattahoochee Forest.

The bear overdosed and died from the estimated $15 million worth of cocaine.

The Cocaine Bear was stuffed and sold to the great Waylon Jennings, who didn’t even know the Cocaine Bear’s story; he was just a collector of such items.

Jennings sent the bear as a gift to his friend in Nevada. When that friend died, “Pablo EskoBear,” as he is now known, was then sold to a pawn shop.

Hyler located the bear and the pawn shop gave it to him.

“They just wanted to get rid of it. They were over it,” said Hyler.

He paid for the shipping, and now the bear that plays an important role in the book, ‘The Bluegrass Conspiracy’ is on Bryan Avenue.

Hyler says that Thorton’s story took play in and around Lexington.

Kentucky for Kentucky is working on giving Pablo EskoBear his own section where there will be Cocaine Bear gear.

You can see the Cocaine Bear at the Kentucky for Kentucky Fun Mall from 10:00 a.m. to 6:00 p.m., Monday-Friday. 

CONTINUE READING (YOU GOT TO SEE THE VIDEO!)

A new report says Kentucky has the highest percentage of children in the nation who have had a parent in jail – a situation so detrimental that a child advocate compares it to abuse

LOUISVILLE – A new report says Kentucky has the highest percentage of children in the nation who have had a parent in jail – a situation so detrimental that a child advocate compares it to abuse.

Citing a report released Monday by the Annie E. Casey Foundation, The Courier-Journal newspaper of Louisville reports that 13 percent of Kentucky children – 135,000 – reported in 2011-12 that they had a parent incarcerated at some point in their lives. That percentage is nearly double the national average of 7 percent.

Nationwide, about 5.1 million children have experienced parental incarceration, according to the report, “A Shared Sentence,” co-released by Kentucky Youth Advocates, a nonprofit children’s advocacy organization. Indiana had 177,000 such children, the report says.

Kentucky Youth Advocates Executive Director Terry Brooks said parental incarceration exacts a devastating toll on families and society at large by creating an “unstable environment” for children, with the effects being long-lasting.

“Having a parent incarcerated is a stressful, traumatic experience of the same magnitude as abuse, domestic violence and divorce,” the report said.

Brooks hopes the report’s findings bring attention to the issue.

“Policy debates about incarceration rarely focus on the impact on children,” Brooks said. “You can’t ignore a 13-percent-of-the-population problem.”

The report uses data from the 2011-12 National Survey of Children’s Health, the latest available.

Since that survey took place, Kentucky has enacted numerous criminal justice reforms in order to curb the growth of a prison population that had been increasing four times faster than the national average. The reforms included an expansion of alternative sentencing for nonviolent crimes.

John Tilley, secretary of the Kentucky Justice Cabinet who helped push those changes as a legislator, said they have helped level off the increase that some predicted could have reached 27,000 by 2015.

Still, the prison population in the state has continued to grow.

State jails and prisons held about 22,700 people in April, compared to 21,500 in April 2012.

CONTINUE READING…

Louisville judge sends defendant to prison because drug court ‘about to be eliminated’

By Jason Riley

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LOUISVILLE, Ky. (WDRB) — A Jefferson Circuit Court judge on Wednesday sent a defendant to prison instead of allowing her to get treatment in a local drug court, at least in part, he said, because drug court will soon no longer “be an option” in Kentucky.

“It’s about to be eliminated,” Chief Jefferson Judge Charlie Cunningham said in a hearing. “We don’t really have the money for it, so I’m not going to put anybody in drug court knowing that in a couple months that it’s going to cease to exist.”

Cunningham’s ruling came on the heels of testimony this week from Kentucky Chief Justice John Minton, who told legislators that proposed cuts to the court system will likely eliminate 600 jobs and shutter drug courts across the state, among other losses.

“The whole future of Kentucky’s court system hangs in the balance, and I have to make that known,” Justice Minton told the Senate budget committee Monday.

The case of Tabatha Newman’s in Jefferson County Wednesday is perhaps the first real-life example of what is in store if the budget bill passes.

Newman was in court on a motion by prosecutors to revoke her probation on drug and theft convictions, because she had been arrested on additional drug charges and failed to meet with her probation officer.

“We acknowledge she has a drug problem,” said Liam Michener, a law student working for the Commonwealth’s Attorney’s office. Michener told Cunningham that Newman has not received treatment and would continue to commit crimes if the judge didn’t take action.

Defense attorney Ryan Dischinger, who represents Newman, told Cunningham that his client had been getting drug treatment in jail since she had been arrested on the new charges in January.

“Clearly she has substance abuse issues,” Dischinger said. “I can’t hide from that.”

But Dischinger recommended that, instead of sending Newman to prison for up to three years, the judge order her to drug court where treatment could “stop the cycle of addiction.”

If sent to prison, Dischinger said, Newman would likely be released on parole soon, without having her problems fully addressed.

In drug courts, defendants remain out of prison but get close supervision and treatment and must meet goals such as finding jobs, getting an education and staying clean. Most courts across the state have drug court.

Kentucky Appeals Court Judge Irv Maze told legislators this week that losing Jefferson County’s drug court would be one of the painful casualties.

“I used to run it as the county attorney,” he said. “It is the right thing to do. It keeps people out of prison and it restores lives.”

Gov. Matt Bevin has proposed 9 percent cuts to the courts in each of the next two fiscal years.

He told WDRB in a statement last month that “Kentucky has serious financial issues to deal with, and the solution will come as a result of budgetary sacrifice on the part of many.”

Minton said closing drug court would affect about 2,500 current participants, possibly resulting in the incarceration of many of these people.

He told legislators that closing drug court programs in Kentucky right now, in the midst of the state’s drug and heroin epidemic, would “send the wrong message about our willingness to address the human aspect of this escalating problem.”

In court Wednesday, Cunningham called the possible elimination of drug courts “stupid, because the alternative is I’m going to spend a whole lot more money putting (Newman) in prison. But that’s what the General Assembly is basically saying to us.”

In an interview Wednesday, Cunningham said he believes drug courts will be among the first cuts made, before employees are laid off.

“I take people at their work when they tell me this is what will happen,” he said.

Still, Cunningham said that there is still some hope drug court will be saved and if a good candidate comes before him, he would consider the treatment option rather than prison.

Both Cunningham and Assistant Commonwealth’s Attorney Elizabeth Jones Brown said Newman was not a good candidate for drug court, given how many times she was arrested or skipped meetings with her probation officer.

“But we’re concerned with the potential loss of drug court because it is appropriate in certain instances,” Jones Brown said.

CONTINUE READING…

Kentucky considering roadside driver drug tests

 Mike Wynn, @MikeWynn_CJ 11:54 p.m. EDT September 16, 2015

DSC_0161

Above:  Schwendau, assistant director of Highway Safety Programs.

Right now, officials are only testing the kits for accuracy and reliability, administering them to volunteers after an arrest is complete. If they prove reliable, lawmakers say they will consider legislation next year to expand their use as a common part of police work.

Schwendau says police might soon use the swab kits in the same way they rely on roadside breath tests to identify drunken drivers, adding one more step to “remove that question of doubt” during a traffic stop.

Defense attorneys are more skeptical, warning that the tests could lead to invasive searches or give officers false pretense for arrests.

“They are chipping away at our rights — I just don’t know how else to put it,” said Larry “The DUI Guy” Forman, an attorney in Louisville who specializes in impaired driving cases.

Damon Preston, deputy public advocate at the Department of Public Advocacy, cautions that the courts still need to determine the reliability of the kits and what circumstances warrant their use in the field.

“The ease or simplicity of a sobriety test should never infringe upon the rights of persons to be free from unwarranted or invasive searches of their bodies,” he said.

The side of safety

The swabs don’t show a person’s level of impairment — only that drugs are present in their system. Supporters say Kentucky law would not allow them as evidence in court, and to build a case, police would still rely on the same process they currently use in investigations.

That typically involves a field sobriety test followed by an evaluation from a drug recognition expert, who is trained to monitor the suspect’s behavior and physical condition to determine their level of intoxication. Police also collect blood samples, which are much more conclusive.

Schwendau said the roadside tests could help police narrow down which drugs to test for in a blood sample. He said the kits already have proved successful in other states, particularity in California where authorities have upped the ante with digital devices precise enough to provide court evidence. That has saved the state money in the long run because more suspects are pleading out cases, he said.

On his website, Forman advises people to refuse field sobriety tests and breathalyzers to improve their chances of a successful defense in court. If swabs become commonplace in Kentucky, Forman says, drivers should refuse them as well.

One problem, he argues, could occur when people use drugs earlier in the day but are pulled over after the effects have worn off. He cited concerns that the swab could still test positive even though a driver is no longer under the influence.

Forman also questions how variations in temperature or allowing kits to sit in a hot police car for long periods might affect the results.

“It just gets really, really hairy, really fast,” he said.

But Schwendau points out that drivers who are not impaired will be vindicated in later tests. He also worries that while most people know it’s wrong to get behind the wheel drunk, many still think it’s OK to take an extra prescription pill before driving.

“We are doing it to save lives and get risks off the road,” he said. For police, “the best decision I think always is to err on the side of safety.”

Deadly risks

According to Kentucky State Police, authorities suspected that drugs were a factor in nearly 1,600 traffic collisions across the state last year, resulting in 939 injuries and 214 deaths.

In some areas struggling with epidemic drug abuse, high drivers are more common than drunken drivers, according to Van Ingram, head of the Office of Drug Control Policy. A lot of areas are having problems with drivers who are intoxicated on both drugs and alcohol, he said.

House Judiciary Chairman John Tilley, D-Hopkinsville, said lawmakers will want to look at the highway safety office’s pilot project before putting forth any legislation. Still, he reasons that the swabs also could help exclude drivers who might otherwise fall suspect because they swerved accidentally.

Officials have distributed 100 kits for the pilot tests, which they hope to wrap up in October.

Schwendau said he will bring the results to a state task force on impaired driving along with the Governor’s Executive Committee on Highway Safety.

Even if the kits are approved and adopted, police face a cost of $7 per unit.

Schwendau said local communities would have to choose whether to use them since the kits are too expensive for the state to provide. But departments could apply for federal grants, he said.

“It’s not our place to force it on them,” Schwendau said. “We just want to offer them a better tool.”

Reporter Mike Wynn can be reached at (502) 875-5136. Follow him on Twitter at @MikeWynn_CJ.

CONTINUE READING…

A summary of two doctors

 

IMG_20150912_102933The KASPER REPORTING SYSTEM IN KENTUCKY

is reeking havoc on many peoples lives including but not limited to the unfortunate souls who may find themselves in need of this medication.

After House Bill 1 was passed in Kentucky most of the Physicians who were prescribing these medications “duck and ran”.  It did not matter if you were on it for a legitimate reason or if you got it filled to “enjoy” or maybe even to “barter” with, you would no longer be “served”.

At first I thought it was only the people who smoked cannabis who were being targeted.  While it is true that “cannabis abusers” were a primary target, in fact it affected all patients who must use a narcotic for pain or anxiety issues.

An unnamed Psychiatrist told me that the law as it is written DOES NOT prevent him from prescribing the medication “xanax”, however, he chooses not to prescribe it to his patients.  It just has to be properly documented he told me.  Then I asked him if he had ever been investigated by the DEA and he said that he had not.  Maybe that is because he chooses not to prescribe narcotic medication?   There is much more money to be made off of prescribing the SSRI’s and they are handed out like orange juice at breakfast every day to millions of people, including children, even though there is documented evidence against it’s use.  But that is okay because “it isn’t a narcotic”…  Even so there is a severe withdrawal from the SSRI’s as well as there is “narcotics”.  Some are worse than others but any kind of psychological medication is going to make you dependent upon it, if it works at all. 

A study in the Journal of the American Medical Association (link is external)says that SSRI’s like Paxil and Prozac are no more effective in treating depression than a placebo pill.

I contacted another Doctor’s office for an appointment with an MD and before I could even tell the office clerk my name she asked me if I had ever been prescribed narcotic medications in the past or was I using them now?  When I asked her why she was asking me this she replied that if I was, the Doctor would not see me because “he already had several patients” in his practice that he prescribed for and he could not see anymore.

Okay!

The whole theory behind any mental (narcotic) medication is to alter your state of mind.  Therefore, it must be a given that when you cut hundreds, even thousands off medication that they have been dependent upon to maintain some clarity in their life, that their mindset can become open to immediate and sometimes dangerous thoughts. 

A lot of these people are not privileged to have “Cannabis” available at all times to use as medication or for replacement.  They cannot afford to buy narcotics on the street and that being said there isn’t much there anymore. 

Heroin seems to be becoming the new mainstream “street drug”.  It is cheap, it gets you high, it will take away the pain or anxiety (for a moment at least) and you don’t have to depend on a Physician to prescribe it, a pharmacy to fill it, or the DEA to accuse you of Doctor shopping for it .  

The problem with that is that Heroin kills.   And it works pretty damn fast. 

Heroin surges as Kentucky cracks down on pain pills

Heroin deaths have climbed exponentially as pain pill addicts look for new high

SPECIAL REPORT BY LAURA UNGAR AND CHRIS KENNING | The Courier-Journal | Story by Laura Ungar

One could theorize that the passage of HB50 which included a provision to “provide funding for the purchase and administration of naltrexone for extended-release injectable suspension”,   for Heroin overdoses was a calculated response to what they knew was going to happen when they discontinued “narcotics” at the Doctor’s office…more Heroin deaths.   Per the Interim Joint Committee on Judiciary on July 27, 2015…

Minutes of the 2nd Meeting of the 2015 Interim

July 27, 2015

The mandatory use of KASPER has resulted in three things: overall decreased prescribing of controlled substances, decreased inappropriate prescribing, and decreased “doctor shopping”. All three of these were goals of the bill, and all three have been successfully achieved. House Bill 217 was passed a year later, which cleaned up some parts of House Bill 1 and married the regulations to the statutory provisions. Representative Tilley asked members to note that those who are prescribing in high quantities are being monitored. Statistics have shown that since the passage of House Bill 1, heroin use increased. There has been an increase in heroin-related deaths.

Link:  http://www.lrc.ky.gov/LRCSiteSessionSearch/dtSearch/dtisapi6.dll?cmd=getdoc&DocId=752229&Index=E%3a\dtsearch_indexes\LRC_WebSite&HitCount=2&hits=11a+123+&SearchForm=

However, HB50 has still not been passed and as of this day, HB50 still sits in the “House” where it has been since January 6th of this year I am assuming that no one has reaped the benefits of an emergency “administration of naltrexone for extended-release injectable suspension”, as a component of substance abuse treatment programs”… and how many have died in the past year from Heroin? That is like putting the Cart before the Horse, isn’t it?  We have more people on Heroin than ever before and at the same time people who require “Scheduled medications” for treatment do not have access to them.  No Physician is going to risk their license being taken away just because you have pain or anxiety problems. 

Furthermore, KRS 218A.172 specifies :

(6)
Any person who violates the provisions of this section shall be guilty of a Class A misdemeanor.
Effective: June 24, 2015 History: Amended  2015  Ky.  Acts  ch.  33,  sec.  1,  effective  June  24,  2015.

In fact, the suppression of legally available narcotic drugs has done nothing more than aggravate an already out of control problem causing death when there was no reason to cause death. “First do no harm” is supposed to be the rule of the day…Well, it seems that idea just went to hell because they are now effectively creating a genocide of sorts. 

Does anyone out there think it may have been planned to happen this way? 

After being without medication for about four months now I am seeing where I was not addicted to it per say, I was dependent upon it because of my illnesses which I have been dealing with for over thirty years.  Since “quitting” my medication I have had continuing problems with acute anxiety on a daily basis, weight gain, loss of ability to physically maneuver as well i.e., walking and sitting causes a lot of pain and I find myself being able to walk shorter and shorter distances, RLS symptoms with inability to sleep normally which can cause too much sleeping or staying awake, constant worrying, more depressed, general disgust for the world at large.  I cannot afford “street drugs” even if I wanted them and I also cannot afford to maintain myself on Cannabis.  So where does that leave those  persons who are like myself?   I have been offered a list of “non scheduled” drugs, all of them I had tried before and had caused a problem and/or came with “Black Box Warnings“,  several of which I had been warned NOT to use by other Doctors.

At this point I am taking one day at a time, waiting on the “Kava” to arrive in the mail.  I do not see myself trusting my needs to any Physician’s RX pad again.  Doctor’s used to have a say in what they prescribed or didn’t prescribe to their patients.  One of those medications included Cannabis RX’s in various forms.  Everything now has to be CONTROLLED!  Especially us. 

And what better way to do it than to “monitor all of our doctor visits, our medications, impose urine testing and take away (for all practical purposes) the Doctor’s right to prescribe medication and our right to receive it, without intimidation at the same time they continue to push other drugs on us which are known for their ability to inflict death, mental disorders and pain and at the same time they are calling us drug addicts for needing medications?

Many good products which were sold OTC have been removed from the shelves of our pharmacy.  One of them was Quinine. 

From 1969 to 1992, the US Food and Drug Administration (FDA) received 157 reports of health problems related to quinine use, including 23 which had resulted in death. LINK.

Note that (only) 23 people died over a period of 30+ years from using Quinine before it was removed from the shelves.  How many people have died from SSRI’s?   What about Lipitor?

We have a new drug to try out that the FDA has approved (for now) for use to treat hypoactive sexual desire disorder (HSDD) – a condition characterized by low sexual desire.  This drug works by affecting the brain. 

By modulating serotonin and dopamine activity in certain parts of the brain, flibanserin may improve the balance between these neurotransmitter systems in the regulation of sexual response. 

I would suggest that you don’t get to where you ‘like’ it because we don’t know how long we will be allowed to use it!  Probably just long enough to create another baby boom – They need to produce some new slaves.  We are all worn out.

Informational Links

The exact cause of substance abuse is not clear, with theories including: a genetic disposition; learned from others – or a habit which if addiction develops, manifests as a chronic debilitating disease.

The Commonwealth’s Response to Kentucky’s Pill Mill Problem

Kentucky All Schedule Prescription Electronic Reporting (KASPER) system

House Bill 1 Evaluation Study Results

Who may request a KASPER report?

Typical “Consent for treatment” with pain medications

[NASPER] builds upon the success of existing PDMPS [prescription drug monitoring programs] by encouraging the creation of and bolstering support for state-based, PDMPs through which schedule II, III or IV drugs could be tracked by state regulatory agencies. Through these secure, HIPAA-standard protected databases, physicians would have access to important information regarding their patient’s prescription drug histories. Of great importance, the bill’s interoperability requirements assure that the databases would, for the first time, make possible tracking across state lines by state entities. The availability to physicians of important patient drug information represents a significant step forward in improving patient care and reducing the abuse and misuse of pain-related controlled substances.”

President Bush’s endorsement of H.R. 1132/S. 518 followed less than a month later.

The U.S. House and Senate passed by voice vote H.R. 1132/S.518, the National All Schedules Prescription Electronic Reporting (NASPER) Act of 2005. This legislation authorizes $60 million in new federal grants to assist states in creating new programs and expanding existing ones. Supposedly, this legislation is aimed at identifying prescription drug addiction, and treating the abuse. The bill originally was a physician-patient centered, public-health bill but now includes the expanded involvement of law enforcement. Sadly, it allows local, state, and federal agents direct use of this nationwide database of information on every prescription written for U.S. citizens and their pets.  If your dog is prescribed anything that is on the controlled substances list, your name, address, and phone will be entered into this monitoring program.

As of 2013, Manchikanti is the Chairman of the Board and Chief Executive Officer of the American Society of Interventional Pain Physicians,  founded in Paducah Kentucky in 1998, as well as the Society of Interventional Pain Management Surgery Centers. He is also a member of the Kentucky Carrier Advisory Committee and the Kentucky All Schedule Prescription Electronic Reporting Task Force, also known as KASPER.[16] He has also led the effort to establish the National All Schedules Prescription Electronic Reporting (NASPER) Act, which is designed to help with the prescription drug abuse problem by having a central reporting system for doctors and pharmacists to keep track of these prescriptions. In 2005, NASPER was enacted into law, with almost all US states creating their own prescription drug monitoring programs.[17]

(The Controlled Substances Act-This law is a consolidation of numerous laws regulating the manufacture and distribution of narcotics, stimulants, depressants, hallucinogens, anabolic steroids, and chemicals used in the illicit production of controlled substances.)

The Commonwealth’s Response to Kentucky’s Pill Mill Problem

201 KAR 9:270. Professional standards for prescribing or dispensing Buprenorphine-Mono-Product or Buprenorphine-Combined-with-Naloxone

Finally, the rule contains very specific guidance by KBML relating to the use of urine drug testing in chronic pain management.

In the ordinary regulation setting the standards for prescribing controlled substances, 201 KAR 9:260, the Board requires that during the course of long-term prescribing or dispensing of controlled substances for the treatment of pain and related symptoms associated with a primary medical complaint, the physician shall utilize urine drug screens in a random manner at appropriate times to determine whether the patient is taking prescribed medications or taking illegal substances or medications not prescribed by the physician.

As usual you can follow the money…

The Kentucky Cabinet for Health and Family Services (CHFS) has selected Health Information Designs, LLC (HID) to develop a database that will collect and store prescribing and dispensing data for controlled substances in Schedules II, III, IV, and V and drugs of concern (tramadol).

In 1999 The Cabinet for Health and Family Services was given the challenge to establish Services was given the challenge to establish a program to fight the rising incidence of the diversion of legal prescription drugs into the diversion of legal prescription drugs into the illegal market.

US  congressman representing Kentucky’s 5th District secured federal funding to establish Operation UNITE—a nonprofit organization working to rid 32 Kentucky counties of illegal drug use through Unlawful Narcotics Investigations, Treatment and Education (UNITE)

I’m sure there is more on the money trail but I’m too damn tired to find it!

sheree