A Missouri lawmaker who has championed prescription drug monitoring program (PDMP) legislation is disappointed the bill died Friday afternoon.

State Rep. Holly Rehder speaks on the Missouri House floor about PDMP on March 29, 2017 (photo courtesy of Tim Bommel, Missouri House Communications}

A PDMP is an electronic database that collects data on controlled substance prescriptions within a state.

The Missouri House approved State Rep. Holly Rehder’s (R-Sikeston) PDMP bill in early April in a bipartisan 102-54 vote.

The Missouri Senate then passed PDMP, but included a prescriber mandate provision. Rehder says the Missouri State Medical Association opposed the mandate, adding that support began to erode.

Rehder worked all day Friday to try to come up with a compromise, but she couldn’t get enough votes by the 6 p.m. deadline. That is when the 2017 legislative session ended.

Rehder choked-up Friday afternoon at about 5, when she told Missourinet that her bill was dead. Rehder says she’s disappointed.

“There’s so many families that just really need this, and, I’m sorry … but, I’m not giving up. I’m a fighter, and I know that we will get this done,” Rehder says.

Rehder says she’ll file the bill again next year.

She notes 6,000 children were removed from substance abuse homes in Missouri last year. She also says emergency room visits for opioids by Missouri Medicaid patients increased more than 400 percent last year.

Rehder notes Missouri is the only state in the nation without a PDMP.

“We certainly got so much further than we have gotten in all of the years,” says Rehder. “And so I remain hopeful. I remain hopeful that we’re going to be able to do this for Missouri and Missouri families.”

Rehder says a statewide solution is needed, adding that people shouldn’t lose out on this because of their zip codes.

The Missouri House third read and passed the Rehder bill on April 3.

The next afternoon, State Sen. Rob Schaaf (R-St. Joseph) announced that he was ending his opposition to Rehder’s PDMP bill. He cited a “groundswell” of support for her bill.

Schaaf asked Rehder to include a requirement that the database be used. The Missouri Senate passed its PDMP version in mid-April, and included a prescriber mandate provision.

Rehder says the Missouri State Medical Association opposed the mandate the Senate inserted.

“And so to have the Missouri Medical Association against us, (St. Louis) County Executive (Steve) Stenger came out against us and so you know our support just started eroding,” Rehder says.

Rehder praises State Sen. Dave Schatz (R-Sullivan) for his PDMP work, describing him as a “good man, strong to his word.” Rehder credits Schatz with getting the bill as far as it got.

The Missouri Hospital Association, Missouri Pharmacy Association, the Missouri Chamber of Commerce and Industry and the Missouri State Troopers Association were among those who testified earlier this year for the Rehder bill.


Click here to listen to Missourinet news director Brian Hauswirth’s full six-minute interview with State Rep. Holly Rehder (R-Sikeston). Brian interviewed Rep. Rehder at the Statehouse in Jefferson City at about 5 pm on May 12, 2017, with about an hour to go in the 2017 session: