By Brandon Moseley
Alabama Political Reporter
The fastest growing drug problem in Alabama is the illicit use of prescription drugs. On Tuesday, Alabama State Representatives Jim McClendon (R) from Springville and April Weaver (R) from Brierfield sponsored a package of three bills to address this growing epidemic.
Rep. Jim McClendon said, “There’s no doubt that Alabama is suffering from a drug abuse epidemic as evidenced by statistics from just a few years ago showing just under 200,000 adults abused prescription drugs in our state. In addition to the human toll, the National Institute of Health estimates the societal cost of prescription drug abuse is as high as $50 billion a year in the United States, so dramatic steps are obviously needed.”
Rep. April Weaver said, “Prescription drug abuse is on the rise, and healthcare providers across the state can confirm that the cases are becoming more frequent. With passage of these commonsense bills, we can help prevent prescription drug abuse by addressing it at the point of prescribing, which will stop the problem before it occurs while also protecting patient confidentiality and preserving the rights of healthcare providers.”
House Health Committee Chairman McClendon sponsored House Bill 150. Chairman McClendon said that the state has had a database tracking controlled substances in place since 2006. HB 150 makes additions and adjustments to the database. It also adds two members to the advisory committee and allows the committee to use teleconferencing. HB 150 would allow physicians and up to two of their designated employees to access that Prescription Drug Monitoring Program database maintained by the Alabama Department of Public Health. The State Medicaid Agency would be given access, as well. Anyone prescribing controlled substances in Alabama are required to report the dispensing of those drugs to the database and access to the system would allow doctors to track past prescriptions given to their patients.
McClendon said that the database is designed to look for abusers. One example would be that patient who gets a 90 day supply filled and then 30 days later is filling a new 90 day supply. The data base also helps doctors identify when one of their prescription pads have been stolen and then the thief forges 50 prescriptions that that doctor did not write.
American have more prescriptions than any other people in the world and Alabamians have more prescriptions for opioids, painkillers and other commonly abused drugs than any other state per capita. A lot of those drugs wind up being trafficked on Alabama’s streets. The database is designed to prevent instances of “doctor shopping” and provide the State Medicaid Agency with tools to combat drug abuse among its clients.
Rep. Weaver sponsored HB 151. House Bill 151 allows the state to regulate pain management services in Alabama. The legislation provides the Board of Medical Examiners the authority to regulate pain management practices and requires that pain management services be owned by physicians or registered with the Secretary of State. HB 151 gives the Board of Medical Examiners authority to suspend licenses suspension and conduct disciplinary actions.
Rep. Weaver said that the Alabama Medical Association is very concerned with so called “pill mills” and the diversion of prescribed medicines to the illegal trafficking market on Alabama street corners and they have reviewed and support this package of bills.
Rep. Weaver said that Alabama Governor Robert Bentley formed a task force a year ago to study what the state of Alabama can do to fight prescription drug abuse. Rep. Weaver is currently employed in healthcare administration at Shelby Baptist Medical Center in Alabaster and has spent 20 years in the healthcare industry. Rep. Weaver has been working with the task force for the last year. In addition to Rep. Weaver, Bentley appointed representatives from the Alabama Medical Association, Alabama Medicaid, the insurance exchange, the Board of Medical Examiners, and Senator Billy Beasely (D) from Clayton, and other experts to the task force.
Rep. Weaver said, “This is a huge issue in my district and across the state.” “We like being number one in football but we don’t like being number one in prescription drug abuse.”
Rep. Patricia Todd (D) from Birmingham said that way too much prescription drugs especially pain medicine like lortabs are winding up on the streets of Alabama. Todd said that we need to get a handle especially on doctors who write a prescription without any concern about their patients getting addicted to the drugs.
Rep. Mary Moore (D) from Birmingham said that the state needs to make sure that appropriate pain management practices deliver what their patients need but the state needs to regulate those pill mills that are out there.
Rep. Richard Baughn (R) from Lynn said that the state needed to get a handle on regulating “pill mills.”
Rep. Weaver also sponsored House Bill 152, which allows law enforcement to effectively prosecute instances of “doctor shopping.” Penalties under HB152 would result in a Class A misdemeanor with a fourth conviction in a five-year period rising to a Class C felony.
Weaver said that the task force asked what can we do to make Alabama better. These three bills are some weaknesses that the task force identified early on. Rep. Weaver said, “This is a first step toward getting where we want to be. These are first steps because they are easy to implement.”
The package of bills are designed to help combat the illegal acquisition and abuse of prescription drugs in Alabama. All three bills passed with overwhelming support from the legislature. All three bills now go to the Alabama Senate.
COVID-19 hospitalizations, new cases continue to rise
The number of rising hospitalized COVID-19 patients in Alabama is a concerning sign of a possible coming surge of the disease, state health experts said Friday. Alabama hospitals were caring for 888 coronavirus patients Friday, the highest number since Sept 9.
UAB Hospital was caring for around 80 COVID-19 inpatients Friday afternoon, said Dr. Rachael Lee, an infectious disease specialist at UAB, speaking to reporters Friday. UAB Hospital hasn’t had that many coronavirus inpatients since Aug. 18, when the disease was surging statewide.
“We have been dealing with this since March, and I think it’s easy for us to drop our guard,” Lee said.
Alabama added 3,852 new coronavirus cases on Friday, but 1,287 of them were older positive antigen tests, conducted in June through October and submitted to ADPH by a facility in Mobile, according to the department. Still, Alabama’s daily case count has been increasing, concerning health officials already worried that as the weather turns colder and the flu season ramps up, Alabama could see a surge like the state had in July.
Alabama’s 14-day average of new daily cases was 1,247 on Friday, the highest it’s been since Sept 4. Over the last 14 days, Alabama has added 17,451 new COVID-19 cases.
Friday’s inclusion of those older positive test results throws off the day’s percent positivity, by Thursday the state’s percent of tests that were positive was nearly 16 percent. Public health officials say it should be at or below five percent or cases are going undetected.
The state added 16 COVID-19 deaths on Friday, bringing to total confirmed deaths statewide to 2,859. Over the last two weeks, 206 deaths were reported in the state. Alabama’s 14-day average of new daily deaths on Friday was 15.
Alabama state health officer Dr. Scott Harris told APR by phone Friday called the rising new cases and hospitalizations “worrisome.”
Harris noted the data dump of older confirmed cases in Friday’s data, but said “but nevertheless, I think it’s clear our numbers are going up.”
Harris said it’s not yet clear what’s causing the continued spread, but said it may be due at least in part to larger private gatherings. ADPH staff has mentioned a few outbreaks association with such gatherings, but Harris said it’s hard to know for certain if that’s the major driver in the state’s rising numbers.
“It’s football season and the holidays are coming up and school is back in session,” Harris said. “I think people are just not being as safe as they were.”
Harris noted that on ADPH’s color-coded, risk indicator dashboard, red counties, which denotes counties with rising cases and percent positivity, the 17 red counties on Friday were distributed across the state.
“So there’s not one event, or even a handful of events. It seems like there’s just a lot of things happening in a lot of places,” Harris said.
Alabama’s rising numbers are mirrored in many states. The U.S. reported more than 71,600 new COVID-19 cases on Thursday, nearing the country’s record highs, set in July.
Birmingham approves $1.3 million contract for real-time crime center technology
Woodfin repeated that facial recognition capabilities will not be used in accordance with the contract.
The Birmingham City Council approved a five-year, $1.3 million contract with Motorola this week to provide new technology for the police department’s real-time crime center amid unease and public concern over the potential use of facial recognition software within the new systems.
Mayor Randall Woodfin insisted in his remarks made before the council that the new technology is meant to integrate existing hardware and technology inside the real-time crime center. “You’re not buying any additional new equipment,” he said, “You’re buying something to integrate all those systems.”
The software suite includes Motorola Solutions’s CommandCentral Aware, a system that aggregates video, image and other data information into one interface, and BriefCam, a “video synopsis” system that will further integrate and analyze information from Birmingham’s ShotSpotter systems, public cameras and police body cameras.
Briefcam offers facial recognition capabilities, which was the main concern of community members speaking before the council, and the risk that use of the technology could disproportionately affect Black people. Facial recognition technology has a record of racial bias and misidentifies Black people at rates five to 10 times higher than white people.
“Despite assurances that there will not be facial recognition implemented at this phase that does not prevent it from being implemented in the future,” said Joseph Baker, Founder of I Believe in Birmingham and one of the Birmingham residents voicing concern on the proposal. “I believe that this software, if fully implemented, can easily lead to violations of unreasonable searches.”
Another resident who spoke against the resolution was Byron Lagrone, director of engineering at medical software solutions company Abel Healthcare Enterprises. Lagrone pointed to IBM and Amazon as examples of companies that have halted or abandoned facial recognition and object tracking software altogether over racial bias concerns.
“The prevailing attitude, among technical people is this technology is not effective, and it causes high amounts of harm for next to no gain,” Lagrone said.
“It’s explicit in this contract that facial recognition will not be used,” Woodfin said, “[If] facial recognition wants to be used in the future of this city. It would have to be approved by this body. … The mayor’s office or the police department doesn’t have unilateral power to use facial recognition. That is not part of what our contractual relationship is with Motorola.”
Woodfin also clarified that the total $1.3 million price of the contract will not be paid as a lump sum but spread out over the five-year commitment.
The city council voted 8 to 1 to approve the contract, with District 8 Councilman Steven Hoyt speaking in favor of the use of facial recognition capabilities.
“You can’t say, ‘I’m going to build a house but I’m not going to use the restroom,’” Hoyt said. “If it’s in the house, you’re going to use the restroom. … If it has the capability of facial recognition, guess what’s going to happen? You’re going to use it. I’m going to vote for it because I know we’ve got to have every tool we can garner to fight crime, because it’s out of hand.”
Hoyt also suggested a review of the information collected by the new system apparatus.
“I do think, for the public’s sake, we need to have some way we review that and see how it’s being used,” Hoyt said. “We need that to go along with this.”
District 3 Councilwoman Valerie A. Abbott — who said she was the victim of a burglary the day before the vote — echoed the mayor’s insistence that the facial recognition capabilities would not be deployed unless authorized by the city council, reading a letter from Motorola stating “in order to enable facial recognition, Motorola will require an addendum or change order to the contract,” which would have to come before a public meeting of the city council.
“I too would not want facial recognition,” Abbot said, “I’m voting in favor of this because the majority of my constituents are telling me they want more and better policing, capture of criminals, prevention of crime.”
District 5 Councilman Darrell O’Quinn was the lone no vote among the near-unanimous city council, stating that he had “some reservations about how we’re doing this and will vote my conscience.” Later, O’Quinn was quoted in BirminghamWatch, saying his vote reflected his concerns about “taking on a new debt obligation in the midst of a projected $63 million shortfall in revenue.”
Opinion | Doug Jones’s pathway to victory: Substance over lies
Jones said his work in the Senate should prove to the people of the state that party matters less than productivity.
Alabama Sen. Doug Jones believes voters will ultimately see through Tommy Tuberville’s lazy campaign and lies, and that enough of them will be moved by his work over the last two years to send him back to D.C.
Jones’ comments came during a lengthy interview on the Alabama Politics This Week podcast. He also discussed his plans to address some of Alabama’s most pressing issues and also praised Sen. Richard Shelby, an Alabama Republican.
But it was Jones’ comments about Alabama voters — and whether too many of them are incapable of moving away from the Republican Party — that were most interesting. Jones still believes there are open-minded voters in the state, and that there isn’t enough attention being paid to polls showing a growing dissatisfaction in Alabama with President Donald Trump.
“There are a number of things that Donald Trump has done that people (in Alabama) don’t agree with,” Jones said. “There are a number of things that he’s done that’s hurt Alabama and that they’re not OK with. That’s where I come in.”
Jones said his work in the Senate, where he’s sponsored the most bipartisan legislation over the last two years, should prove to the people of the state that party matters less than productivity.
“I tell everyone, you owe it to yourself to look at every candidate and every issue,” Jones said. “I do that. I’ve been a Democrat all my life but I don’t think that I have ever pulled a straight lever. Because I look at every issue. I will tell you that there have been times that I didn’t vote for people who are Democrats for whatever reason — I just couldn’t do it. I think we owe it to ourselves to do that.”
Jones had the perfect example to drive the point home.
“Y’all all know our state auditor, Jim Zeigler? Jim wasn’t always a Republican. Jim’s first runs for office were as a Democrat.
“I rest my case.”
You can listen to the full interview at the Alabama Politics This Week website, or you can subscribe to the podcast on Apple Podcasts, Google Play, Spotify or wherever you get your podcasts.
New unemployment claims decreased last week
Fewer people joined the unemployment rolls last week compared to the week before.
There were 7,964 new unemployment claims filed in Alabama last week, down from 8,581 filed the previous week, according to the Alabama Department of Labor.
Of the claims filed between Oct. 11 and Oct. 17, there were 4,032 related to the COVID-19 pandemic. That’s 51 percent, compared to 36 percent the previous week.