DRUG POLICY ADVISORY COUNCIL MEETING
Date: April 28, 2015 Location: Pape State Office Building, Des Moines, Iowa
Called to Order: April 28, at 1:00 pm
Adjourned: April 28, 2015 at 3:30 pm
Voting Members Present: Barb Anderson; Vern Armstrong; Kevin Gabbert (for Kathy Stone); Steve Michael; Paul Feddersen; George Griffith (for Dave Lorenzen); Jane Larkin; Jennifer Miller; Jason Sandholdt and Dale Woolery (for Steve Lukan). Non-voting members: Steven Arndt; and Larry Doss.
Voting Members Absent:
Thomas Bower (excused); Matthew Harkin (excused); Warren Hunsberger (excused); Katrina McKibbin; & Chris Wilson (excused).
Guests: David Bleich, Senator Grassley’s Office (via telephone); Chris Boden, Senator Grassley’s Office (Via Telephone); Andrew Funk, Iowa Board of Pharmacy; Mark McCulloch, West Des Moines Emergency Medical Services; Terry Witkowski, Iowa Board of Pharmacy
Staff: Dennis Wiggins.
Welcome and Introductions
Associate Director Woolery called the meeting to order and attendees provided introductions.
Approval of the October 22, 2015 minutes
Motion to approve minutes. Minutes approved.
Comprehensive Addiction & Recovery Act
David Bleich and Chris Boden from Senator Grassley’s Office briefed the Council on the Comprehensive Addiction and Recovery Act (CARA). The CARA bill was characterized as a multi-disciplined response to substance abuse including:
- Establishment of a national drug awareness campaign focused on prescription drugs;
- Coalition enhancement grants;
- Enhancements for treatment alternatives to incarceration - including medication assisted substance abuse treatment, drug courts, and training;
- Programming for first responder training for naloxone;
- Prescription drug take back programming;
- Heroin and meth task forces to enhance state-wide collaboration;
- Evidence base treatment for prescription and other opioid drugs;
- Grants for youth recovery;
- Authorization and expansion of recovery services centers;
- Grants to train inmates to reduce recidivism;
- Grants for addiction for women families and/or children; &
- State demonstration grants to provide comprehensive planning on opioids to include PMP, treatment enhancements, screening, early referral, and other innovations.
David and Chris explained that the current version of the bill provides $62 million in funding, with some of the programs being new initiatives and some a continuation of existing programs.
Iowa Pharmacy Board Opioid Update
Andrew Funk briefed the Council on recent PMP legislation which will allow connection to electronic health records. The legislation also will allow data from the PMP to be utilized in research projects.
Andrew reported that the Legislature passed a bill which will allow naloxone to be prescribed to an entity not just an individual. This change allows family members, first responders, and other caregivers to obtain the drug with a prescription.
Andrew also reported on the Pharmacy Board’s medication take away program which will expand in 10 pharmacies to accept controlled substances. Andrew said the Board will also provide a mail back option for patients to dispose of controlled substances.
Iowa Emergency Medical Services Association
Mark McCulloch, briefed the Council on Naloxone from the perspective of the Emergency Medical Service community. Mark reported that Iowa EMS have reported a significant increase in naloxone administration in the past few years. Mark described the basic pharmacological properties of Naloxone along with the side effects and proper indications for its use. Mark qualified naloxone as a potential lifesaving drug but emphasized the need to involve EMS/medical care for patients receiving Naloxone.
Mark explained how the new legislation may expand the availability of Naloxone to first responders and other caregivers. Mark stated that as is common with new legislation there are components of the bill which the field needs to clarify and that the state will work through the rule making process in the coming months.
Dale Woolery: The legislature directed the Governor’s Office of Drug Control Policy to organize a Drug Endangered Children workgroup to examine issues and develop policy recommendations relating to the protection and safety of drug endangered children.
Barb Anderson: The Department of Education is participating in a Project Aware grant which will help identify and refer youth with substance abuse issues.
Steve Michael: CJJP received a federal Second Chance grant of $750,000 to address youth reentry. The objective of the grant is to improve outcomes for youth returning to the community from out of home placements.
CJJP will be providing public access to certain data elements in the criminal justice data warehouse.
Vern Armstrong: DHS is in the process of transitioning Medicaid to managed care. DHS will participate in the Drug Endangered Children workgroup.
Steve Arndt: The University of Iowa College of Nursing received funding to train nurses and physician assistants to implement a Screening Brief Intervention and Referral to Treatment (SBIRT) approach. The Consortium helped establish SBIRT principles and will conduct the process and outcome evaluation.
Larry Doss: The Midwest Counterdrug Training Center is operational and preparing for a full set of courses. National Guard Counterdrug Task Force is working on the state plan.
Jane Larkin: April is Alcohol Awareness Month. Community prevention agencies will coordinate a variety of local awareness activities. National Substance Abuse and Mental Health Prevention Week will be in mid-May this year.
The Medication Assisted Treatment Update and the Medication Take Back agenda items were tabled for a future meeting.
Next meeting will be announced at a later time. There being no other business, the meeting was adjourned.