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Research Letter
December 11, 2019

Association of Florida House Bill 21 With Postoperative Opioid Prescribing for Acute Pain at a Single Institution

Author Affiliations
  • 1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville, Florida
  • 2Division of Health Care Policy and Research, Mayo Clinic, Rochester, Minnesota
  • 3Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota
JAMA Surg. 2020;155(3):263-264. doi:10.1001/jamasurg.2019.4913

In 2017, more than 47 000 Americans died of opioid misuse and overdose.1 In response to this crisis, many states have signed into law new regulations regarding the prescribing of opioids for acute and chronic pain. Florida House Bill 21 (HB21),2 which went into effect on July 1, 2018, mandated the following changes (among others) to opioid prescribing: (1) a limit of a 3-day to 7-day supply of opioids for acute pain, (2) a prohibition of refills ordered with the initial opioid prescription for acute pain, and (3) a requirement that the prescribing physician or his or her delegate check Florida’s prescription drug–monitoring program prior to prescribing opioids. We sought to quantify the association of Florida HB21 with opioid prescribing for acute postoperative pain at our institution.

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