AZ SB1111

Amends Arizona workers' compensation law to require physicians prescribing schedule II controlled substances to comply with title 32, chapter 32, article 4 provisions relating to patients with traumatic injuries.

Requires physicians to report information about narcotic and opioid use in workers' compensation cases, including use of controlled substances at or exceeding 120 milligram morphine equivalent dose per day and long-acting opioids for acute pain.

Mandates physicians query the controlled substances prescription monitoring program before prescribing opioid analgesics or benzodiazepines and at least quarterly thereafter, with results reported to the carrier or commission within 30 days.

Establishes required treatment plan elements including medication agreements, face-to-face follow-up visits, random drug testing, documentation of clinically meaningful improvement in function, and criteria for tapering or discontinuing opioids.

Allows carriers or commissions to request physician changes and continue providing opioids during medical necessity disputes; provides drug rehabilitation and detoxification treatment for employees who become dependent on prescribed opioids.