[Pharmwaste] Does your state allow hospice workers to transfer controlled substances to drug disposal programs?

Ed Gottlieb EGottlieb at cityofithaca.org
Mon Jul 31 15:53:03 EDT 2017


Hi Barb,



New York State does not have legislation allowing hospice staff to take possession of controlled substances for disposal.  Source: Dept. of Health, Bureau of Narcotic Enforcement.

It is hard to imagine how illegal diversion could be prevented once they are handed over to a hospice worker.



One method that might work is to have two hospice workers sign a transfer of custody form, with an inventoried list of controlled substances, when accepting them from the person responsible for decedent's personal property.  Someone else would then have to check what is turned in against the inventory.  Difficult enough without the issue of mixed loose pills that need to be identified...



Ed Gottlieb
Chair, Coalition for Safe Medication Disposal
Board Member, New York Product Stewardship Council
Industrial Pretreatment Coordinator
Ithaca Area Wastewater Treatment Facility
525 3rd Street
Ithaca, NY  14850
(607) 273-8381
fax: (607) 273-8433
________________________________
From: Pharmwaste [pharmwaste-bounces at lists.dep.state.fl.us] on behalf of Bickford, Barbara J - DNR (Barb) [Barbara.Bickford at wisconsin.gov]
Sent: Monday, July 17, 2017 3:17 PM
To: Pharmwaste, the list
Subject: [Pharmwaste] Does your state allow hospice workers to transfer controlled substances to drug disposal programs?

Dear List-readers,

Wisconsin legislators have proposed a bill, AB444, which would allow hospice staff to transfer controlled substances of deceased persons to drug disposal programs.  Here is a link to the bill:
https://docs.legis.wisconsin.gov/2017/proposals/ab444<https://docs.legis.wisconsin.gov/2017/proposals/ab444>

According to the DEA’s Final Rule for the Disposal of Controlled Substances, DEA would allow this practice if state law allowed it.
https://www.deadiversion.usdoj.gov/fed_regs/rules/2014/2014-20926.pdf<https://www.deadiversion.usdoj.gov/fed_regs/rules/2014/2014-20926.pdf>
See page 53546, in the second to last paragraph, where it states “…a member of the hospice patient's household may dispose of the patient's pharmaceutical controlled substances, but the home hospice or home care provider cannot do so unless otherwise authorized by law (for example, under state law) to dispose of the decedent's personal property” (emphasis added).

I’m curious.  What other states have adopted laws related to disposal of controlled substances by hospice staff?  If your state has adopted such a law, how does the state help prevent diversion of the controlled substances by hospice staff or by persons posing as hospice staff?

--Barb
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Barb Bickford
Medical Waste Coordinator and Hydrogeologist
Waste and Materials Mgt/Environmental Management Division
Wisconsin Department of Natural Resources
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