AR HB1604

Adds "opioid" definition to Arkansas Code § 20-7-603, including hydrocodone, oxycodone, morphine, codeine, heroin, and fentanyl.

Requires the Prescription Drug Monitoring Program database to alert prescribers if patients are prescribed opioids by more than three physicians within any 30-day period, subject to funding availability.

Mandates prescribers found in violation of prescription drug laws by their licensing board to register with and access the Prescription Drug Monitoring Program before writing opioid prescriptions.

Creates the "Combating Prescription Drug Abuse Act" establishing opioid prescribing guidelines for hospital emergency departments addressing chronic pain, nonmalignant pain, acute pain, prescription limits, and situations where opioids should be discouraged or prohibited.

Requires prescribers to conduct minimum two-hour prescribing education within two years of licensure, check patient prescriptive history every six months, maintain signed pain contracts with patients, perform random urine drug screenings and pill counts, and be evaluated by a physician every six months for chronic nonmalignant pain treatment.