(ASIPP receives Presidential Pen)
Text of the bill
NASPER Committee House Report
NASPER Committee Senate Report
State eligibility for federal funding
(How to get NASPER in your state -- includes sample letter
and model legislation from 3 states)
U.S. Rep. Ed. Whitfield (R-KY) presents ASIPP CEO Laxmaiah Manchikanti, M.D., with signed NASPER bill. (read the full story)
U.S. Rep. Edward Whitfield (R-KY)
Manchikanti and Whitfield
U.S. Rep. Frank Pallone (D-NJ) and Manchikanti
U.S. Rep. Sherrod Brown (R-OH) and ASIPP leaders
U.S. Rep. Edward Whitfield (R-KY) and U.S. Sen. David Vitter (R-LA) at ASIPP meeting
U.S. Sen. Jeff Sessions (R-AL)
U.S. Sen. Jeff Sessions (R-AL) with ASIPP leaders
U.S. Sen. Norm Coleman (R-MN) with ASIPP leaders
May 25, 2005 -- Manchikanti celebrates Senate HELP committee approval with Chairman Enzi.
Senator Tim Hutchinson
NASPER Was Signed Into Law In Minnesota.
St. Paul, Minnesota - The Governor signed the Health and Human Services (HHS) NASPER bill on Saturday, May 26, 2007. He line-item vetoed a few Minnesota Care provisions but left most of the bill intact, including the NASPER language. Initially, MMA and the Board of Medical Practice lobbied against NASPER but we were able to work through their concerns. Our House author, Representative Jim Abeler, is known to be a compromiser and took all concerns into account before drafting the House version. Senator Linda Berglin was a wonderful champion for NASPER and is delighted the legislation passed.
ASIPP'S NASPER BECOMES LAW
U.S. Reps. Frank Pallone (D-NJ), Ed Whitfield (R-KY) and Anne Northup (R-KY) present ASIPP CEO Laxmaiah Manchikanti, M.D., with the pen used by President Bush to sign the NASPER law. (More photos)
Paducah, Kentucky - Through three sessions of Congress, ASIPP made NASPER its legislative priority,
making more than 1200 legislative visits, writing thousands of letters to legislators
and visiting the White House and other governmental agencies nearly a dozen
is intended to improve patient access and prevent "doctor
shopping” and drug diversion — a practice in which patients receive
prescriptions, such as painkillers, from multiple doctors to treat the same
According to Congressional sources, NASPER becomes
the first law originated by a physicians’ organization. “This is really a historic achievement for
a relatively small organization,” said ASIPP founder and CEO Laxmaiah Manchikanti, M.D., who
testified before Congress and promoted the bill through three
Effect on patients, health care provider
While he is pleased
with the organization’s success, Manchikanti said he
is most gratified by the outcome for patients and their health
care providers. “This will not only relieve physicians
from the fear of giving controlled substances to the wrong
patients for the wrong reasons, but also it will improve patient
access with the patient obtaining the proper medication.”
program will allow physicians and pharmacists to access patient
records, showing what controlled substances are already prescribed.
That will help doctors avoid duplication of prescriptions and
the possibility of prescribing one medication that could be
harmful when mixed with another, Manchikanti said.
The bill authorizes
spending $60 million from fiscal year 2006 to 2010 to create
a federal grant program housed at the U.S. Department of Health
and Human Services to help establish or improve state-run prescription
drug monitoring programs. Twenty states, including Kentucky
, have such programs. Creation of a national program will require
states to share information, a critical component of its success
in border areas where patients may live in one state and seek
medical care in another.
All the supporters
celebrated the victory, claiming it will improve patient safety
“ The national
epidemic of prescription drug abuse wreaks devastating social
and economic consequences,” Manchikanti said. “While
controlled substance abuse for non-medical purposes is well-recognized,
its abuse in chronic pain patients may not be so widely known.
However, billions of federal and state dollars are spent to
purchase these drugs for chronic pain patients and to manage
consequences of their prescription drug abuse. NASPER ensures
accessible sources of prescription verification, an important
first step in solving this problem.”
U.S. Rep. Edward Whitfield (R-KY), who introduced the bill in all three sessions
of Congress, said the law will help health care professionals and law enforcement
detect, prevent and treat prescription drug abuse. “Addicts and dealers
no longer will be able to thwart state programs by simply crossing into another
state,” he said.
drug abuse skyrocketing, a national approach is desperately
needed to turn the tide against this devastating addiction.”
NASPER is the third piece of legislation introduced by Whitfifeld to be signed
Tim Hutchinson, ASIPP’s government affairs counsel, spent
more than 2000 hours on the bill, along with Congressional
leaders, specifically the principal sponsors -- Whitfield ,
U.S. Rep. Frank Pallone (D-NJ) and U.S. Sen. Jeff Sessions
(R-AL) -- and their distinguished staff, John Halliwell, Kathy
Kulkarni and Megan Clarke.
The idea originated
with the success of a similar program, KASPER, in Kentucky.
Following preliminary discussions with congressmen Whitfield
and Pallone, the initial bill was written by Arthur Didio and
William Sarraille from the legal firm, Arent Fox Kintner Plotkin & Kahn.
After some changes by the House Energy and Commerce Committee,
Whitfield and Pallone introduced it in the House during the
107th Congress in 2002. Then-Sen. Hutchinson (R-AR) introduced
it in the Senate. Due to opposition from U.S. Rep. Hal Rogers
(R-KY), the bill failed to move.
The bill was
reintroduced in the 108th Congress with refinements. Despite support from approximately
60 co-sponsors in the House, opponents did not like the proposed
national program. Consequently, after hearings in the
Energy and Commerce Committee, Whitfield, with ASIPP’s support, fostered
a combined bill with U.S. Rep. Charles Norwood (R-GA), utilizing a state approach.
Hearings were held March 4, 2004, at which Manchikanti, Rep. Rogers and Dr.
James Holsinger, secretary of Kentucky Cabinet for Health and Family Services,
testified. The bill then passed in the House, with one physician congressman
opposing the bill. Meanwhile, the Senate’s Health Committee held hearings,
at which ASIPP board member Kenneth Varley, M.D, from Alabama , testified.
However, time ran out before the bill could pass the 108th Congress.
When the 109th
session began in January 2005, NASPER was re-introduced in
the Senate with eight co-sponsors and in the House with 35
co-sponsors. It unanimously passed the Senate’s Health,
Education, Labor and Pensions Committee on May 25, 2005, and
the House Energy and Commerce Committee on July 20, 2005. The
full House of Representatives unanimously passed the bill on
July 27, 2005; and the Senate followed with unanimous approval
on July 29, 2005.
The final bill received support
from the American Medical Association, American Society of
and American Association of Physicians of Indian
(How to get NASPER in your state -- includes sample letter)