Assigned to HHS AS PASSED BY COW ARIZONA STATE SENATE Fifty-Fifth Legislature, Second Regular Session AMENDED FACT SHEET FOR S.B. 1162 opioid prescriptions; intractable pain; exceptions Purpose Exempts patients with perioperative surgical pain, intractable pain or chronic intractable pain from statutory opioid prescription dosage restrictions. Background Health professionals in Arizona may not issue opioid prescriptions exceeding 90 morphine milligram equivalents (MME) per day to patients outside of a health care institution, except those patients: 1) with an active oncology diagnosis; 2) with a traumatic injury, not including a surgical procedure; 3) receiving hospice care; 4) receiving end-of-life care; 5) receiving palliative care; 6) receiving skilled nursing facility care; 7) receiving treatment for burns; 8) receiving medication-assisted treatment for a substance use disorder; or 9) who are hospitalized (A.R.S. § 32-3248.01). There is no anticipated fiscal impact to the state General Fund associated with this legislation. Provisions 1. Expands the list of exemptions from the 90 MME per day limit on opioid prescriptions to include patients: a) experiencing intractable or chronic intractable pain; or b) receiving opioid treatment for perioperative surgical pain. 2. Defines chronic intractable pain as pain that: a) is excruciating, constant, incurable and of such severity that it dominates virtually every conscious moment; and b) produces mental and physical debilitation. 3. Defines intractable pain as a pain state that: a) persists beyond the usual course of an acute disease, healing of an injury or surgery; or b) results from a chronic disease or condition causing continuous or intermittent pain over a period of months or years. 4. Makes technical and conforming changes. 5. Becomes effective on the general effective date. FACT SHEET- Amended S.B. 1162 Page 2 Amendments Adopted by Committee of the Whole • Removes, from the definition of chronic intractable pain, pain that may produce a desire to commit suicide for the sole purpose of stopping the pain. Senate Action HHS 1/26/22 DP 8-0-0 Prepared by Senate Research February 4, 2022 MM/CC/sr