STOP THE MADNESS! Protect Patient Access to Emergency Medications


Laws and regulations have not kept up with the evolution of modern medicine. In a recent review of the Controlled Substances Act (CSA), the Department of Justice determined that legislation is needed to codify “standing orders.” Absent of Congressional action, patients may lose access to those life-saving medications in emergency situations and established practice will be disrupted due to outdated laws.

To solve this problem, Congressman Hudson (NC-08) has introduced H.R. 4365, the Protecting Patient Access to Emergency Medications Act. This legislation will clarify that the current practice of physician Medical Directors overseeing care provided by paramedics and other emergency medical service practitioners via “standing orders” is statutorily allowed and protected. The use of “standing orders” is necessary so that physician Medical Directors can establish these pre-set protocols which emergency medical service practitioners follow in delivering emergency medical care. In the absence of standing orders, patients would not have access to the time-sensitive and potentially life-saving interventions they so desperately need.

H.R. 4365 ensures patients will continue to receive these vital medications by:

  • Codifying the practice of standing orders by a physician Medical Director for the administration and delivery of controlled substances, maintaining physician oversight of medical decisions, while,
  • Making the EMS Agency liable for the receiving, storing, and tracking of controlled substances, similar to current procedure at hospitals.
This Legislation is Endorsed By:
Air Medical Physician Association, American Academy of Emergency Medicine, American Academy of Pediatrics, The American Ambulance Association, American Association of Orthopedic Surgeons, American College of Emergency Physicians, Association of Air Medical Services, Association of Critical Care Transport, Emergency Nurses Association, Epilepsy Foundation, International Association of Fire Chiefs, International Association of Fire Fighters, National Association of EMS Physicians, National Association of Emergency Medical Technicians, National Association of Police Organizations, National Association of State EMS Officials