Amended IN Assembly March 23, 2023 Amended IN Assembly March 16, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1233Introduced by Assembly Member WaldronFebruary 16, 2023 An act to add and repeal Part 6.25 (commencing with Section 1179.805) to of Division 1 of the Health and Safety Code, relating to substance abuse.LEGISLATIVE COUNSEL'S DIGESTAB 1233, as amended, Waldron. Provision of Opioid Antagonists to Tribal Governments. Substance abuse: Naloxone Distribution Project: tribal governments.Existing law establishes the State Department of Health Care Services within the California Health and Human Services Agency. The Naloxone Distribution Project (NDP) is administratively created by the department to reduce opioid-related overdose deaths by providing free naloxone hydrochloride to eligible entities.This bill would require the department to conduct outreach to each of the tribal governments in California for the purpose of advising them of the availability of naloxone hydrochloride or another opioid antagonist through the NDP. The bill would require the department to provide technical assistance to the tribal entities applying for naloxone kits through the NDP if requested to do so by the tribal government. The bill would require the department to report to the Legislature and to the Assembly and Senate Health Committees, the results of the outreach program, as specified, annually on or before March 31 of each year, beginning on March 31, 2025. The bill would repeal these provisions on March 31, 2027.Existing law establishes the California Health and Human Services Agency (agency). Existing law requires a department within the agency, subject to an appropriation, to award funding to local health departments, local government agencies, or on a competitive basis to community-based organizations, regional opioid prevention coalitions, or both, to support or establish programs that provide Naloxone to first responders and to at-risk opioid users.This bill would require the agency to provide at least two doses of naloxone hydrochloride or another opioid antagonist to each tribal government in the state if the tribal government agrees to store it at a specified location and there is a person present at that location trained in how to use it.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Part 6.25 (commencing with Section 1179.805) is added to Division 1 of the Health and Safety Code, to read:PART 6.25. Provision of Opioid Antagonists to Tribal Governments1179.805. (a) The State Department of Health Care Services shall conduct outreach to each of the tribal governments in California for the purpose of advising them of the availability of naloxone hydrochloride or another opioid antagonist through the departments Naloxone Distribution Project (NDP). The department shall provide technical assistance on the application process to the tribal entities applying for naloxone kits through the NDP if requested to do so by the tribal government.(b) The department shall report to the Legislature and to the Assembly and Senate Health Committees, the results of the outreach program annually on or before March 31 of each year, beginning on March 31, 2025.(1) The report shall include all of the following:(A) The tribes that participated in the NDP as a result of the departments outreach.(B) The number of applicants that participated in the NDP as a result of the departments outreach.(C) The effectiveness of the outreach and the NDP in lowering both opioid overdoses and deaths within the Native American community.(2) A report to be submitted pursuant to this subdivision shall be submitted in compliance with Section 9795 of the Government Code.(c) This section shall remain in effect only until March 31, 2027, and as of that date is repealed.1179.805.The California Health and Human Services Agency shall provide at least two doses of naloxone hydrochloride or another opioid antagonist to each tribal government in the state if the tribal government agrees to both of the following conditions:(a)As deemed most appropriate or reasonable by the tribal government, the doses shall be stored at one of the following locations on the reservation:(1)A charter school.(2)An educational center.(3)A health center.(b)There shall be a person trained on how to use the opioid antagonist at the location chosen pursuant to subdivision (a). Amended IN Assembly March 23, 2023 Amended IN Assembly March 16, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1233Introduced by Assembly Member WaldronFebruary 16, 2023 An act to add and repeal Part 6.25 (commencing with Section 1179.805) to of Division 1 of the Health and Safety Code, relating to substance abuse.LEGISLATIVE COUNSEL'S DIGESTAB 1233, as amended, Waldron. Provision of Opioid Antagonists to Tribal Governments. Substance abuse: Naloxone Distribution Project: tribal governments.Existing law establishes the State Department of Health Care Services within the California Health and Human Services Agency. The Naloxone Distribution Project (NDP) is administratively created by the department to reduce opioid-related overdose deaths by providing free naloxone hydrochloride to eligible entities.This bill would require the department to conduct outreach to each of the tribal governments in California for the purpose of advising them of the availability of naloxone hydrochloride or another opioid antagonist through the NDP. The bill would require the department to provide technical assistance to the tribal entities applying for naloxone kits through the NDP if requested to do so by the tribal government. The bill would require the department to report to the Legislature and to the Assembly and Senate Health Committees, the results of the outreach program, as specified, annually on or before March 31 of each year, beginning on March 31, 2025. The bill would repeal these provisions on March 31, 2027.Existing law establishes the California Health and Human Services Agency (agency). Existing law requires a department within the agency, subject to an appropriation, to award funding to local health departments, local government agencies, or on a competitive basis to community-based organizations, regional opioid prevention coalitions, or both, to support or establish programs that provide Naloxone to first responders and to at-risk opioid users.This bill would require the agency to provide at least two doses of naloxone hydrochloride or another opioid antagonist to each tribal government in the state if the tribal government agrees to store it at a specified location and there is a person present at that location trained in how to use it.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Amended IN Assembly March 23, 2023 Amended IN Assembly March 16, 2023 Amended IN Assembly March 23, 2023 Amended IN Assembly March 16, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1233 Introduced by Assembly Member WaldronFebruary 16, 2023 Introduced by Assembly Member Waldron February 16, 2023 An act to add and repeal Part 6.25 (commencing with Section 1179.805) to of Division 1 of the Health and Safety Code, relating to substance abuse. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 1233, as amended, Waldron. Provision of Opioid Antagonists to Tribal Governments. Substance abuse: Naloxone Distribution Project: tribal governments. Existing law establishes the State Department of Health Care Services within the California Health and Human Services Agency. The Naloxone Distribution Project (NDP) is administratively created by the department to reduce opioid-related overdose deaths by providing free naloxone hydrochloride to eligible entities.This bill would require the department to conduct outreach to each of the tribal governments in California for the purpose of advising them of the availability of naloxone hydrochloride or another opioid antagonist through the NDP. The bill would require the department to provide technical assistance to the tribal entities applying for naloxone kits through the NDP if requested to do so by the tribal government. The bill would require the department to report to the Legislature and to the Assembly and Senate Health Committees, the results of the outreach program, as specified, annually on or before March 31 of each year, beginning on March 31, 2025. The bill would repeal these provisions on March 31, 2027.Existing law establishes the California Health and Human Services Agency (agency). Existing law requires a department within the agency, subject to an appropriation, to award funding to local health departments, local government agencies, or on a competitive basis to community-based organizations, regional opioid prevention coalitions, or both, to support or establish programs that provide Naloxone to first responders and to at-risk opioid users.This bill would require the agency to provide at least two doses of naloxone hydrochloride or another opioid antagonist to each tribal government in the state if the tribal government agrees to store it at a specified location and there is a person present at that location trained in how to use it. Existing law establishes the State Department of Health Care Services within the California Health and Human Services Agency. The Naloxone Distribution Project (NDP) is administratively created by the department to reduce opioid-related overdose deaths by providing free naloxone hydrochloride to eligible entities. This bill would require the department to conduct outreach to each of the tribal governments in California for the purpose of advising them of the availability of naloxone hydrochloride or another opioid antagonist through the NDP. The bill would require the department to provide technical assistance to the tribal entities applying for naloxone kits through the NDP if requested to do so by the tribal government. The bill would require the department to report to the Legislature and to the Assembly and Senate Health Committees, the results of the outreach program, as specified, annually on or before March 31 of each year, beginning on March 31, 2025. The bill would repeal these provisions on March 31, 2027. Existing law establishes the California Health and Human Services Agency (agency). Existing law requires a department within the agency, subject to an appropriation, to award funding to local health departments, local government agencies, or on a competitive basis to community-based organizations, regional opioid prevention coalitions, or both, to support or establish programs that provide Naloxone to first responders and to at-risk opioid users. This bill would require the agency to provide at least two doses of naloxone hydrochloride or another opioid antagonist to each tribal government in the state if the tribal government agrees to store it at a specified location and there is a person present at that location trained in how to use it. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. Part 6.25 (commencing with Section 1179.805) is added to Division 1 of the Health and Safety Code, to read:PART 6.25. Provision of Opioid Antagonists to Tribal Governments1179.805. (a) The State Department of Health Care Services shall conduct outreach to each of the tribal governments in California for the purpose of advising them of the availability of naloxone hydrochloride or another opioid antagonist through the departments Naloxone Distribution Project (NDP). The department shall provide technical assistance on the application process to the tribal entities applying for naloxone kits through the NDP if requested to do so by the tribal government.(b) The department shall report to the Legislature and to the Assembly and Senate Health Committees, the results of the outreach program annually on or before March 31 of each year, beginning on March 31, 2025.(1) The report shall include all of the following:(A) The tribes that participated in the NDP as a result of the departments outreach.(B) The number of applicants that participated in the NDP as a result of the departments outreach.(C) The effectiveness of the outreach and the NDP in lowering both opioid overdoses and deaths within the Native American community.(2) A report to be submitted pursuant to this subdivision shall be submitted in compliance with Section 9795 of the Government Code.(c) This section shall remain in effect only until March 31, 2027, and as of that date is repealed.1179.805.The California Health and Human Services Agency shall provide at least two doses of naloxone hydrochloride or another opioid antagonist to each tribal government in the state if the tribal government agrees to both of the following conditions:(a)As deemed most appropriate or reasonable by the tribal government, the doses shall be stored at one of the following locations on the reservation:(1)A charter school.(2)An educational center.(3)A health center.(b)There shall be a person trained on how to use the opioid antagonist at the location chosen pursuant to subdivision (a). The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. Part 6.25 (commencing with Section 1179.805) is added to Division 1 of the Health and Safety Code, to read:PART 6.25. Provision of Opioid Antagonists to Tribal Governments1179.805. (a) The State Department of Health Care Services shall conduct outreach to each of the tribal governments in California for the purpose of advising them of the availability of naloxone hydrochloride or another opioid antagonist through the departments Naloxone Distribution Project (NDP). The department shall provide technical assistance on the application process to the tribal entities applying for naloxone kits through the NDP if requested to do so by the tribal government.(b) The department shall report to the Legislature and to the Assembly and Senate Health Committees, the results of the outreach program annually on or before March 31 of each year, beginning on March 31, 2025.(1) The report shall include all of the following:(A) The tribes that participated in the NDP as a result of the departments outreach.(B) The number of applicants that participated in the NDP as a result of the departments outreach.(C) The effectiveness of the outreach and the NDP in lowering both opioid overdoses and deaths within the Native American community.(2) A report to be submitted pursuant to this subdivision shall be submitted in compliance with Section 9795 of the Government Code.(c) This section shall remain in effect only until March 31, 2027, and as of that date is repealed.1179.805.The California Health and Human Services Agency shall provide at least two doses of naloxone hydrochloride or another opioid antagonist to each tribal government in the state if the tribal government agrees to both of the following conditions:(a)As deemed most appropriate or reasonable by the tribal government, the doses shall be stored at one of the following locations on the reservation:(1)A charter school.(2)An educational center.(3)A health center.(b)There shall be a person trained on how to use the opioid antagonist at the location chosen pursuant to subdivision (a). SECTION 1. Part 6.25 (commencing with Section 1179.805) is added to Division 1 of the Health and Safety Code, to read: ### SECTION 1. PART 6.25. Provision of Opioid Antagonists to Tribal Governments1179.805. (a) The State Department of Health Care Services shall conduct outreach to each of the tribal governments in California for the purpose of advising them of the availability of naloxone hydrochloride or another opioid antagonist through the departments Naloxone Distribution Project (NDP). The department shall provide technical assistance on the application process to the tribal entities applying for naloxone kits through the NDP if requested to do so by the tribal government.(b) The department shall report to the Legislature and to the Assembly and Senate Health Committees, the results of the outreach program annually on or before March 31 of each year, beginning on March 31, 2025.(1) The report shall include all of the following:(A) The tribes that participated in the NDP as a result of the departments outreach.(B) The number of applicants that participated in the NDP as a result of the departments outreach.(C) The effectiveness of the outreach and the NDP in lowering both opioid overdoses and deaths within the Native American community.(2) A report to be submitted pursuant to this subdivision shall be submitted in compliance with Section 9795 of the Government Code.(c) This section shall remain in effect only until March 31, 2027, and as of that date is repealed.1179.805.The California Health and Human Services Agency shall provide at least two doses of naloxone hydrochloride or another opioid antagonist to each tribal government in the state if the tribal government agrees to both of the following conditions:(a)As deemed most appropriate or reasonable by the tribal government, the doses shall be stored at one of the following locations on the reservation:(1)A charter school.(2)An educational center.(3)A health center.(b)There shall be a person trained on how to use the opioid antagonist at the location chosen pursuant to subdivision (a). PART 6.25. Provision of Opioid Antagonists to Tribal Governments1179.805. (a) The State Department of Health Care Services shall conduct outreach to each of the tribal governments in California for the purpose of advising them of the availability of naloxone hydrochloride or another opioid antagonist through the departments Naloxone Distribution Project (NDP). The department shall provide technical assistance on the application process to the tribal entities applying for naloxone kits through the NDP if requested to do so by the tribal government.(b) The department shall report to the Legislature and to the Assembly and Senate Health Committees, the results of the outreach program annually on or before March 31 of each year, beginning on March 31, 2025.(1) The report shall include all of the following:(A) The tribes that participated in the NDP as a result of the departments outreach.(B) The number of applicants that participated in the NDP as a result of the departments outreach.(C) The effectiveness of the outreach and the NDP in lowering both opioid overdoses and deaths within the Native American community.(2) A report to be submitted pursuant to this subdivision shall be submitted in compliance with Section 9795 of the Government Code.(c) This section shall remain in effect only until March 31, 2027, and as of that date is repealed.1179.805.The California Health and Human Services Agency shall provide at least two doses of naloxone hydrochloride or another opioid antagonist to each tribal government in the state if the tribal government agrees to both of the following conditions:(a)As deemed most appropriate or reasonable by the tribal government, the doses shall be stored at one of the following locations on the reservation:(1)A charter school.(2)An educational center.(3)A health center.(b)There shall be a person trained on how to use the opioid antagonist at the location chosen pursuant to subdivision (a). PART 6.25. Provision of Opioid Antagonists to Tribal Governments PART 6.25. Provision of Opioid Antagonists to Tribal Governments 1179.805. (a) The State Department of Health Care Services shall conduct outreach to each of the tribal governments in California for the purpose of advising them of the availability of naloxone hydrochloride or another opioid antagonist through the departments Naloxone Distribution Project (NDP). The department shall provide technical assistance on the application process to the tribal entities applying for naloxone kits through the NDP if requested to do so by the tribal government.(b) The department shall report to the Legislature and to the Assembly and Senate Health Committees, the results of the outreach program annually on or before March 31 of each year, beginning on March 31, 2025.(1) The report shall include all of the following:(A) The tribes that participated in the NDP as a result of the departments outreach.(B) The number of applicants that participated in the NDP as a result of the departments outreach.(C) The effectiveness of the outreach and the NDP in lowering both opioid overdoses and deaths within the Native American community.(2) A report to be submitted pursuant to this subdivision shall be submitted in compliance with Section 9795 of the Government Code.(c) This section shall remain in effect only until March 31, 2027, and as of that date is repealed. 1179.805. (a) The State Department of Health Care Services shall conduct outreach to each of the tribal governments in California for the purpose of advising them of the availability of naloxone hydrochloride or another opioid antagonist through the departments Naloxone Distribution Project (NDP). The department shall provide technical assistance on the application process to the tribal entities applying for naloxone kits through the NDP if requested to do so by the tribal government. (b) The department shall report to the Legislature and to the Assembly and Senate Health Committees, the results of the outreach program annually on or before March 31 of each year, beginning on March 31, 2025. (1) The report shall include all of the following: (A) The tribes that participated in the NDP as a result of the departments outreach. (B) The number of applicants that participated in the NDP as a result of the departments outreach. (C) The effectiveness of the outreach and the NDP in lowering both opioid overdoses and deaths within the Native American community. (2) A report to be submitted pursuant to this subdivision shall be submitted in compliance with Section 9795 of the Government Code. (c) This section shall remain in effect only until March 31, 2027, and as of that date is repealed. The California Health and Human Services Agency shall provide at least two doses of naloxone hydrochloride or another opioid antagonist to each tribal government in the state if the tribal government agrees to both of the following conditions: (a)As deemed most appropriate or reasonable by the tribal government, the doses shall be stored at one of the following locations on the reservation: (1)A charter school. (2)An educational center. (3)A health center. (b)There shall be a person trained on how to use the opioid antagonist at the location chosen pursuant to subdivision (a).