Text of VT H 581 (2026)
An act relating to limiting the reporting of certain medications to the Vermont Prescription Monitoring System
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As introduced
3,763 characters
BILL AS INTRODUCED
H.581
2026
Page 1 of 3
VT LEG #386242 v.1
H.581
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Introduced by Representative Burrows of West Windsor
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Referred to Committee on
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Date:
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Subject: Health; prescription drugs; Vermont Prescription Monitoring System;
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reproductive health care services; gender-affirming health care
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services
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Statement of purpose of bill as introduced: This bill proposes not to require
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the reporting of controlled substances prescribed for reproductive or gender-
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affirming care to the Vermont Prescription Monitoring System unless the
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Commissioner of Health determines that reporting is necessary to protect the
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public health. The bill would also require that any information about those
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medications that is in the Vermont Prescription Monitoring System be
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excluded from sharing with other states’ prescription monitoring systems.
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An act relating to limiting the reporting of certain medications to the
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Vermont Prescription Monitoring System
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It is hereby enacted by the General Assembly of the State of Vermont:
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Sec. 1. 18 V.S.A. § 4283 is amended to read:
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§ 4283. CREATION; IMPLEMENTATION
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BILL AS INTRODUCED
H.581
2026
Page 2 of 3
VT LEG #386242 v.1
(a) The Department shall maintain an electronic database and reporting
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system for monitoring Schedules II, III, and IV controlled substances, as
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defined in 21 C.F.R. Part 1308, as amended and as may be amended, that are
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dispensed within the State of Vermont by a health care provider or dispenser or
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dispensed to an address within the State by a pharmacy licensed by the
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Vermont Board of Pharmacy.
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(b) As required by the Department, every dispenser who is licensed by the
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Vermont Board of Pharmacy shall report to the Department in a timely manner
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data for each controlled substance in Schedules II, III, and IV, as amended and
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as may be amended, dispensed to a patient within Vermont. Reporting shall
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not be required for:
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(1) a drug administered directly to a patient; or
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(2) a drug dispensed by a health care provider at a facility licensed by
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the Department, provided that the quantity dispensed is limited to an amount
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adequate to treat the patient for a maximum of 48 hours; or
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(3) a medication prescribed for purposes of reproductive health care
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services or gender-affirming health care services, as those terms are defined in
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1 V.S.A. § 150, unless the Commissioner determines that the reporting of those
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medications is necessary to protect the public health.
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* * *
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BILL AS INTRODUCED
H.581
2026
Page 3 of 3
VT LEG #386242 v.1
Sec. 2. 18 V.S.A. § 4288 is amended to read:
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§ 4288. RECIPROCAL AGREEMENTS
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The Department of Health may enter into reciprocal agreements with other
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states that have prescription monitoring programs so long as provided access
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under each such agreement is consistent with the privacy, security, and
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disclosure protections in this chapter, and further provided that if the Vermont
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Prescription Monitoring System contains any information regarding
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medications prescribed for purposes of reproductive health care services or
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gender-affirming health care services, as those terms are defined in 1 V.S.A.
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§ 150, the reciprocal agreements shall exclude those medications and any
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information about their prescribers, dispensers, and recipients from the
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information to be disclosed to another state’s prescription monitoring program.
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Sec. 3. EFFECTIVE DATE
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This act shall take effect on July 1, 2026.
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