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Overview
Prescription drug diversion is the #1 public
safety threat confronting Floridians today.
Florida has become the epicenter for the
availability and abuse of controlled
prescription drugs.
Prescription drugs are now responsible for
killing 7 Floridians per day, and has been on an
upward trend for the past six years.
Ground Zero
Broward County
In 2007, there were 4 pain
clinics operating in Broward
County.
In 2010, Broward Sheriffs
Office listed 144 pain clinics
operating in the county.
Today, there are 105 registered
pain clinics in Broward County.
There are more pain clinics in
Broward than McDonalds in
Broward.
40,000,000
35,000,000
30,000,000
25,000,000
20,000,000
15,000,000
10,000,000
5,000,000
1,021,933
794,124
489,942
302,873
255,442
240,768
231,877
188,102
174,208
OH
GA
MD
CA
TN
KY
PA
NV
NC
1,102,120
FL
Remaining
States
35,000,000
Units Purchased
30,000,000
25,000,000
20,000,000
15,000,000
10,000,000
4,801,389
5,000,000
Florida
Remaining States
Attorney Generals
Statewide Strategy
1. Criminal
2. Civil
3. Administrative
4. Legislative
5. Prevention
Detox Centers
Massage
Local Moratoria
Temporary moratoria have helped communities limit
the growth of pill mills that fuel continued
prescription drug abuse.
As of December 2010, there are more than 30 cities
and counties that have passed local ordinances
prohibiting new pain clinics.
These successes belong to those in the community
local officials, concerned citizens, anti-drug
coalitions, law enforcement agencies and others who
are taking a pro-active approach.
Martin County
Davie
Orlando
Broward
Conclusion
The proliferation of pain clinics that dispense
and prescribe legal opiates such as
Oxycodone, has helped fuel the problem of
prescription drug diversion and has made
Florida the pill mill for the entire country.
Prescription drug diversion costs lives,
increases crime, and accelerates costs
connected to treatment, medical expenses
and Medicaid fraud.
Dave Aronberg
Special Prosecutor, Prescription Drug Trafficking
dave.aronberg@myfloridalegal.com
(561) 837-5000
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Problem
From August 2008 November 2009 Proliferation of Clinics & Drug Cases
Pain clinics opened every 3 days in South Florida
Broward County went from 47 clinics to 115
Late 2009 50% of 1600 active drug cases being heard were for prescription
drugs.
25
25
Problem (contd.)
26
6,584,200
Dose Units
6 month period in 2008
28
29
31
Prohibited
NB
B1
B2
B3
*7
*7
*7
*7
*7
Pain Management Clinic (see Chapter 7, Section 7151 of the Code of Ordinances for definition and
additional regulations)
Pharmacy (see NB zoning district regulations for
additional restrictions)
I1
32
33
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Separation Requirements
mile separation between each clinic regardless of municipal
boundaries.
mile separation FROM community or special pharmacies regardless of
municipal boundaries.
Discourages doctor shopping and mitigates the negative impacts from the
clustering of clinics.
35
36
37
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Enforcement of Laws
Criminal, Civil, Regulatory & Administrative
Specialized Area requires Clarification of Violations
Identify Appropriate Agency of Enforcement
Department of Health
DEA
Local Law Enforcement
Code Enforcement
Strategic Tactics
Require Preplanning
Education for ALL Stakeholders on Laws,
Regulations & Viable Responses
Establish a Network with Local Stakeholders