HB 21 & HB 549: Changes to Prescribing, Reporting, and Dosing of Opioids

Effective July 1, 2018, if you write a prescription for a Schedule II, III, IV and V controlled substance for a patient 16 years old or older, you (or your designee) must first check the Prescription Drug Monitoring Program (PDMP) Database known as E-FORCSE, (Electronic-Florida Online Reporting of Controlled Substance Evaluation Program), which is administered through the Department of Health.

Also originally effective July 1, 2018 and now updated as of July 1, 2019, all dentists are required to take a two-hour continuing education (CE) course on the safe and effective prescribing of controlled substances during licensure renewal. The license renewal deadline is Feb. 28, 2020.

About HB 21 & HB 549

What is HB 21?

HB 21 provides new rules for prescribing opioids and went into effect July 1, 2018. The FDA has a summary  here, as well as an article on the limits of prescribing controlled substances  here. You also can find the Florida Medical Association's (FMA) summary  here. In addition, the Florida Department of Health has compiled FAQs here.

What is HB 549?

HB 549 was signed into law by the governor and became effective on July 1, 2019. This legislation requires all dentists, regardless of Drug Enforcement Administration (DEA) licensing, to take a two-hour continuing education (CE) course on the safe and effective prescribing of controlled substances during licensure renewal. Last year, legislation passed that required all health care practitioners who have a DEA license to take CE for the prescribing of controlled substances from a statewide association of physicians, unless the health care practitioners’ practice act included the CE requirement, which wasn’t the case for dentists. With the passage of HB 549, which was supported by the Florida Dental Association (FDA), dentists will now be able to receive CE for controlled substances from dentists and dental-affiliated groups certified to offer such course, which includes the FDA and its districts/affiliates. Dentists who have already taken the two-hour CE course based on having a DEA license will not be required to take another CE course on the prescribing of controlled substances.

Where can I take the mandatory two-hour CE course?

The FDA recommends you reach out to your local component to see if they are offering this mandatory two-hour course. You may also find a list of Florida Board of Dentistry approved courses at CEBroker

What if I'm not registered with the DEA?

New legislation under HB 549 requires all dentists, regardless of Drug Enforcement Administration (DEA) licensing, to take a two-hour continuing education (CE) course on the safe and effective prescribing of controlled substances during licensure renewal.

What if I already took the mandatory CE because of HB 21?

Dentists who already took the mandatory two-hour continuing education (CE) course based on their Drug Enforcement Administration (DEA) license and HB 21 will not be required to take the course again.

E-FORCSE

How do I register for E-FORCSE?

Click here to register for E-FORCSE.

A how-to guide can be found  here, and a more in-depth tutorial can be found here. Watch how easy it was for FDA President Dr. Jolene Paramore to register here.

How can I add or manage delegates?

Click  here for information on managing delegates in E-FORCSE.

How can a designee run a patient report?

Click  here for a tutorial on how a designee can run a patient report.

How do I run a bulk patient search?

Click  here for a tutorial on running a bulk patient search.

Who do I call for technical assistance or other questions?

Please call 877.719.3120 for technical assistance. If you have questions specific to state policy, you may contact E-FORCSE 850.245.4797 or e-forcse@flhealth.gov.

If you need additional assistance, you also may contact the Florida Dental Association Chief Legal Officer Casey Stoutamire, Esq. at 850.350.7202 or cstoutamire@floridadental.org, or Chief Legislative Officer Joe Anne Hart at 850.350.7205 or jahart@floridadental.org.

Informed Consent Form for Patients

For a sample informed consent form for patients, click here.

​Thank you to OMS National Insurance Company for sharing this form.