MO SB146

Establishes a prescription drug monitoring program administered by the Department of Health and Senior Services to track dispensing of Schedule II controlled substances and Schedule III substances containing dihydrocodone purchased through cash transactions.

Requires dispensers to electronically submit dispensation information within seven days (transitioning to real-time by August 28, 2016), including prescription details, patient identification, drug information, and quantity dispensed; department reimburses transmission costs.

Restricts data access to authorized prescribers and dispensers for patient care, law enforcement under subpoena, professional licensing boards, Medicaid officials, and judges; prohibits retention of data beyond 90 days after prescription is written or filled.

Imposes $1,000 administrative penalty per violation for dispensers who knowingly fail to submit or submit incorrect information; makes unauthorized disclosure of confidential information a Class A misdemeanor with liability for liquidated damages of $25,000 plus additional compensatory and punitive damages.

Requires voter approval by referendum on November 4, 2014; establishes sunset provisions with the main program sunsetting six years after enactment and a separate fraud-reporting pilot project sunsetting three years after enactment.