O F F I C E O F L E G I S L A T I V E R E S E A R C H P U B L I C A C T S U M M A R Y Page 1 PA 24-120—sHB 5291 Public Health Committee AN ACT CONCERNING TH E DEPARTMENT OF PUBL IC HEALTH'S RECOMMENDATIONS REGA RDING IMPROVED OPIOI D MONITORING SUMMARY: This act requires hospitals that treat a patient for a nonfatal opioid drug overdose to administer a toxicology screening if it is medically appropriate and the patient consents to it. The screening must at least test for opiates, opioids, benzodiazepines, cannabinoids, methadone, cocaine, gabapentin, xylazine, and other substances the Department of Public Health (DPH) commissioner deems appropriate. Hospitals must perform the toxicology screenings for a three-and-a- half-year period, from January 1, 2025, to August 31, 2028, and report the screening results to DPH as the commissioner prescribes. The act also requires the DPH commissioner, by January 1, 2026, and then annually until January 1, 2029, to report to the Public Health Committee on the toxicology screening results the department receives. The report must (1) identify and analyze any trends, (2) identity any benefits patients experienced due to the screening results when seeking emergency department care for an overdose, and (3) recommend whether hospitals should continue toxicology screening reporting after August 31, 2028. Under the act, the toxicology screening results hospitals report to DPH generally (1) are confidential and not subject to disclosure, (2) are not admissible as evidence in any court or agency proceeding, and (3) must be used solely for medical or scientific research or disease control or prevention purposes. EFFECTIVE DATE: October 1, 2024 BACKGROUND Reporting Opioid Drug Overdoses By law, any hospital or emergency medical services (EMS) personnel that treats a patient for an opioid overdose must report the overdose to DPH. The department must then give the data to the municipal or district health department with jurisdiction over the overdose location, or, if that location is unknown, the location in which the hospital or EMS personnel treated the patient, as DPH deems necessary to develop preventive initiatives. In addition, the law requires hospitals that treat patients for nonfatal opioid drug overdoses to administer mental health screenings or patient assessments if it is medically appropriate to do so (CGS § 19a-127q).