Governor Eric Holcomb signed Senate Enrolled Act 221 (“SEA 221”) into law on March 22, 2018, which updated INSPECT requirements for practitioners with a controlled substance registration (“CSR”) in Indiana. Notably, several of the bill’s requirements are effective January 1, 2019.
Under SEA 221, all practitioners who are permitted to distribute, dispense, prescribe, conduct research with respect to, or administer ephedrine, pseudoephedrine, or a controlled substance in the course of the practitioner's professional practice must be registered with INSPECT by January 1, 2019. Practitioners with a CSR who are not registered with INSPECT should begin the registration process now.
SEA 221 also requires practitioners to check INSPECT before prescribing an opioid or a benzodiazepine to a patient based on the following timeline:
Beginning July 1, 2018, a practitioner who has information from INSPECT integrated into the patient's electronic health records.
Beginning January 1, 2019, a practitioner who provides services to the patient in the emergency department of a hospital or a pain management clinic.
Beginning January 1, 2020, a practitioner who provides services to the patient in a hospital.
Beginning January 1, 2021, all practitioners must check INSPECT prior to prescribing an opioid or benzodiazepine
Accordingly, practitioners providing services within the emergency department of a hospital or a pain management clinic will also be subject to a January 1, 2019 deadline and be required to check INSPECT before prescribing an opioid or benzodiazepine to a patient in those settings.
An exception to SEA 221’s general rule exists for patients with pain management contracts. A practitioner is not required to obtain information about a patient who is subject to a pain management contract from the INSPECT database before prescribing an opioid or benzodiazepine to that patient more than once every 90 days.
Failure to check INSPECT prior to prescribing anopioid or benzodiazepine to a patient based on the above timeline qualifies as a Class A misdemeanor.
Finally, it is important to note that practitioners are not required to check INSPECT for hospital orders. An order to dispense a drug to a patient for immediate administration in a hospital is not considered a prescription under 856 IAC 2-1-1.