Bill Text: OR SB1506 | 2012 | Regular Session | Engrossed

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Relating to mental health drugs; and declaring an emergency.

Sponsorship: Unknown

Status: (Passed) 2012-03-20 - Effective date, March 16, 2012. [SB1506 Detail]

Download: Oregon-2012-SB1506-Engrossed.html

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     76th OREGON LEGISLATIVE ASSEMBLY--2012 Regular Session

NOTE:  Matter within  { +  braces and plus signs + } in an
amended section is new. Matter within  { -  braces and minus
signs - } is existing law to be omitted. New sections are within
 { +  braces and plus signs + } .

LC 181

                           A-Engrossed

                        Senate Bill 1506
                Ordered by the Senate February 14
          Including Senate Amendments dated February 14

Printed pursuant to Senate Interim Rule 213.28 by order of the
  President of the Senate in conformance with presession filing
  rules, indicating neither advocacy nor opposition on the part
  of the President (at the request of Senate Interim Committee on
  Health Care, Human Services and Rural Health Policy)

                             SUMMARY

The following summary is not prepared by the sponsors of the
measure and is not a part of the body thereof subject to
consideration by the Legislative Assembly. It is an editor's
brief statement of the essential features of the measure.

    { - Creates Central Oregon Psychiatric Prescribing Program as
pilot program to allow reimbursement of mental health drug costs
using capitation payment methodology. Establishes requirements
for program. Requires appointment of Mental Health Clinical
Advisory Group to establish voluntary evidence-based treatment
algorithms for major mental health disorders. - }
    { - Ends pilot program on June 30, 2014. - }
   { +  Directs Central Oregon Health Council to appoint Mental
Health Clinical Advisory Group to establish voluntary
evidence-based treatment algorithms for treatment of major mental
health disorders. Requires group to annually report to
appropriate committees of Legislative Assembly. + }
  Declares emergency, effective on passage.

                        A BILL FOR AN ACT
Relating to mental health drugs; and declaring an emergency.
Be It Enacted by the People of the State of Oregon:
  SECTION 1.  { + (1) The Central Oregon Health Council shall
appoint a Mental Health Clinical Advisory Group to establish
voluntary evidence-based treatment algorithms for the treatment
of major mental health disorders. The advisory group shall
consider all of the following:
  (a) The extent to which sufficient clinical evidence exists to
support a treatment algorithm.
  (b) Peer-reviewed medical literature.
  (c) Observational studies.
  (d) Studies of health economics.
  (e) Input from patients and physicians.
  (f) Other information deemed by the advisory group to be
appropriate.
  (2) The Mental Health Clinical Advisory Group must include, at
a minimum, all of the following:
  (a) Two community psychiatrists.
  (b) One child and adolescent psychiatrist.
  (c) Two licensed clinical psychologists.
  (d) One licensed clinical social worker.
  (e) One psychiatric nurse practitioner.
  (f) Two primary care providers.
  (g) Two pharmacists, including one pharmacist who supplies
long-term care facilities and special needs clients.
  (h) Two representatives of statewide mental health advocacy
organizations for children and adults who live with mental
illness, with preference given to individuals with personal
experience with mental illness.
  (3) The Mental Health Clinical Advisory Group must:
  (a) Be independent from any agency of state government;
  (b) Be provided with a meeting space, staffing,
telecommunications and necessary materials and supplies by the
Central Oregon Health Council; and
  (c) Post agendas, minutes and a recording of advisory group
meetings no later than five days after each meeting.
  (4) The affirmative votes of a majority of the Mental Health
Clinical Advisory Group's members are required before the
advisory group takes action on any measure, treatment algorithm
or recommendation.
  (5) The Mental Health Clinical Advisory Group shall investigate
and make recommendations for implementation of the following:
  (a) An academic detailing program in which retrospective claims
data are used to educate prescribers on the cost and quality
implications of their prescribing patterns;
  (b) A program providing low-cost, prepackaged medication
samples to prescribers for distribution to patients free of
charge;
  (c) A medication therapy management services program carried
out by pharmacists licensed in this state that is targeted to
individuals with mental health conditions, and that is designed
to increase shared decision-making between patients and
prescribers, improve consumer understanding of medications,
promote person-directed care, improve medication adherence and
prevent complications, drug interactions, inappropriate
discontinuation or other adverse outcomes;
  (d) A program using voluntary psychiatric clinical treatment
algorithms developed by the advisory group; and
  (e) Clinical prescribing programs that include:
  (A) Clinical, economic and quality of life targets.
  (B) Intervention with medical providers, behavioral health
providers and the patient or patient's caregiver to promote
person-directed care, improve health and quality of life outcomes
and improve prescribing practices.
  (C) Using all antidepressants and antipsychotic medications,
and any psychiatric medication that is approved by the United
States Food and Drug Administration, as preferred medications on
any formulary.
  (6) Incentives or education may be provided to promote any of
the programs identified in subsection (5)(a) to (d) of this
section so long as the incentives or education are not designed
to encourage prescribers to change medications or substitute
medications for patients who are stabilized on or are currently
responding to and tolerating a medication.
  (7) The Mental Health Clinical Advisory Group shall report
annually to the appropriate committees of the Legislative
Assembly related to health care on its review and recommendations
for prescribing practices, the implementation of clinical
programs and any associated clinical, economic and quality of
life outcomes of the program.
  (8) No later than July 1, 2012, the Oregon Health Authority
shall provide to the managed care organization supporting the
Central Oregon Health Council pharmacy claims data to support the
work of the Mental Health Clinical Advisory Group. The authority

shall supply the data in a format agreed to by the authority and
the council. + }
  SECTION 2.  { + Section 1 of this 2012 Act is repealed January
2, 2015. + }
  SECTION 3.  { + This 2012 Act being necessary for the immediate
preservation of the public peace, health and safety, an emergency
is declared to exist, and this 2012 Act takes effect on its
passage. + }
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