It took 9 years to get the PDMP, Prescription Drug Monitoring Program passed in Missouri. PDMP is a program where your confidential prescription medication information is shared through a network of medical providers and others. “To help keep you safe” Think of it as Flock Cameras for your prescriptions. There was widespread opposition every year the bill came to Jefferson City, but all 49 other states caved and passed PDMP, so in 2021 the Missouri legislators gave in to the lobbyist and PDMP became law in Missouri.

“To help keep you safe.”

At the hearings we were told repeatedly that there would be guardrails to protect your data from those who should not have access.

Then in May 2026, a rule was proposed to expand who had access to your data: The Proposed Rule, Title 1, CSR 60-1.010 PDMP Access Expansion, wanted to add five additional professions to have access to the PDMP database.

The proposed rule would have to be adopted by the JCAR committee. JCAR is the Missouri Joint Committee on Administrative Rules. It is a bipartisan legislative oversight committee that reviews administrative rules and regulations proposed by state agencies to ensure they comply with state statutes and legislative intent.

This Proposed Rule did not meet the criteria for Rule making, (536.014) based on the original statute RSMo 195.600.

Mary Cremer, a concerned citizen who followed this issue for several years, organized a citizen letter writing campaign to the committee during the 30-day comment period, asking the change not be approved.

On June 12, Mary testified in front of the committee presenting her findings as to why the rule change violated both the intent and letter of the law. Mary argued that the Proposed Rule was arbitrary and capricious.

In a 7 to 1 vote, the Proposed Rule was disapproved by the committee.

Chairman Senator Nick Schroer voted no and issued this statement: “Thank you to all the members of the Joint Committee on Administrative Rules that recognized the flaws in making massive changes to this program cannot be done in this way. In dealing with issues regarding who can access the medical records of our constituents, we must use utmost caution and bring all stakeholders to the table through the deliberative, legislative process rather than modifying a few rules to expand the program.

Vice Chair Rep Ben Keathley voted no and issued this statement: “By a 7-1 vote, the Joint Cmte on Admin. Rules has disproved and halted a rule application to expand MO’s prescription drug monitoring program (PDMP) beyond certain medical providers. The expansion would have allowed Marriage Counselors, Social Workers, Interns, and other types of therapists to begin accessing your prescription drug information without your consent.”

Mary Cremer said: “This is a win for limited government. This is a win for not allowing agencies to expand government. I am hoping this will encourage others to get involved in government, whether it’s legislation or Rules/Administrative Regulations created by government agencies.”

“Eternal vigilance is the price of liberty; power is ever stealing from the many to the few.” — Wendell Phillips, 1852

One person can make a difference.

Thank you Mary Cremer.