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Senate finally passes PDMP legislation


JEFFERSON CITY, Mo. — Rep. Holly Rehder’s bill enacting a statewide prescription drug monitoring program (PDMP) passed out of the Senate Thursday morning — making Missouri one step closer to no longer being the lone state without such a system. 

HB 1693, carried by GOP Sen. Tony Luetkemeyer in the upper chamber, passed in a 21-10 vote. A majority of the Conservative Caucus as well as a handful of other Republicans voted against the measure. 

Rehder’s bill — what has become a labor of love for the Republican state representative as she’s served in the General Assembly — was tweaked in the Senate into what became somewhat of a compromise. Instead of the Department of Health and Senior Services (DHSS) overseeing a PDMP, it would be up to a “Joint Oversight Task Force” to handle the program. That task force would be made up of physicians, pharmacists, and others.

Creating a statewide PDMP has been a labor of love for Rep. Holly Rehder.  (THE MISSOURI TIMES)

The Senate substitute also included a three-year purge as well as a requirement that the information gathered from a PDMP only be utilized for health care services for a patient. 

“I’m so thankful for all of the work that has been put in this week to get us to a PDMP program that is acceptable to all stakeholders,” Rehder told The Missouri Times. “I’m especially grateful to Sen. Luetkemeyer for his time and commitment to getting this life-saving policy out of the Senate. Praying we can get this out of the House next week and to the governor’s desk!” 

A coalition of the Senate’s more conservative members has staunchly decried a statewide PDMP, mostly citing privacy concerns. Following the introduction of the substitute, Sen. Bob Onder praised the idea of a private-sector group overseeing the PDMP as a “big improvement.” Still, he did not vote for the bill Thursday morning. 

Although Missouri doesn’t have a statewide PDMP, there have been several enacted on the local level, including in St. Louis. 

The bill is now back in the House where it has been referred to Fiscal Review.