Legal Status of EPT

Legal Status of EPT - Missouri

EPT is potentially allowable.

I. Statutes/regs on health care providers’ authority to prescribe for STDs to a patient’s partner(s) w/out prior evaluation (Explanation)	“Physicians may dispense only to individuals with whom they have established a physician/ patient relationship.” 4 CSR 150-5.020(5)
II. Specific judicial decisions concerning EPT (or like practices) (Explanation)
III. Specific administrative opinions by the Attorney General or medical or pharmacy boards concerning EPT (or like practices) (Explanation)
IV. Legislative bills or prospective regulations concerning EPT (or like practices) (Explanation)	HB 1504 allows physicians to use expedited partner therapy under certain conditions by dispensing and prescribing medications for partners of persons diagnosed with certain sexually transmitted diseases even when there is no existing physician/patient relationship. HB 1504 was pre-filed December 20, 2007.
V. Laws that incorporate via reference guidelines as acceptable practices (including EPT) (Explanation)	Regulations incorporate: (1) APHA CCD Manual, 15th edition, 1990; (2) AAP’s Report of Comm’ee on Infectious Diseases, 22nd edition, 1991; and (3) CDC’s MMWR General Recommendations on Immunization, April 7, 1989. Mo. Code Regs. Ann. tit. 19, § 20-20.040.
VI. Prescription requirements (Explanation)	Prescription label must bear patient’s name. Mo. Ann. Stat. § 338.059; see also 4 CSR 150-5.020(4)(b)
VII. Assessment of EPT’s legal status with brief comments (Explanation)	EPT is potentially allowable. Dispensation of drugs pursuant to a valid physician patient relationship does not alone preclude EPT. Incorporation by reference of APHA’s CCD Manual, the AAP Report on Infectious Diseases, and the CDC Rec’s on Immunization may allow EPT for specific STDS.
Status as of February 20, 2008

Legend:
supports the use of EPT	EPT is permissible
negatively affects the use of EPT	EPT is potentially allowable
	EPT is prohibited

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Exception: EPT is permissible in Baltimore, Maryland.

Page last modified: February 20, 2008
Page last reviewed: February 20, 2008
Content Source: Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention