ENROLLED CS/CS/HB 783, Engrossed 2 2023 Legislature CODING: Words stricken are deletions; words underlined are additions. hb0783-05-er Page 1 of 10 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 1 An act relating to opioid abatement; amending s. 2 381.887, F.S.; revising definitions; revising the 3 types of delivery systems a pharmacist may order or 4 use to dispense an emergency opioid antagonist; 5 creating s. 397.335, F.S.; establishing the Statewide 6 Council on Opioid Abatement within the Department of 7 Children and Families; providing the purpose of the 8 council; providing for membership, organization a nd 9 support, and duties of the council; creating s. 10 1004.0971, F.S.; providing definitions; requiring each 11 Florida College System institution and state 12 university to have a supply of emergency opioid 13 antagonists in certain residence halls or dormitory 14 residences; providing requirements for the placement 15 and accessibility of emergency opioid antagonists; 16 encouraging public and private partnerships to cover 17 the costs of such emergency opioid antagonists; 18 providing specified campus law enforcement and Florida 19 College System institutions and state universities 20 immunity from liability for the administration or 21 attempted administration of emergency opioid 22 antagonists under certain circumstances; requiring the 23 State Board of Education and the Board of Governors to 24 adopt rules and regulations, respectively, in 25 ENROLLED CS/CS/HB 783, Engrossed 2 2023 Legislature CODING: Words stricken are deletions; words underlined are additions. hb0783-05-er Page 2 of 10 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S cooperation with the Department of Health; providing 26 an effective date. 27 28 Be It Enacted by the Legislature of the State of Florida: 29 30 Section 1. Paragraphs (b) and (c) of subsection (1) and 31 paragraphs (a) and (b) of subsection (3) of section 381.887, 32 Florida Statutes, are amended to read: 33 381.887 Emergency treatment for suspected opioid 34 overdose.— 35 (1) As used in this section, the term: 36 (b) "Authorized health care practitioner" means a licensed 37 practitioner authorized by the laws of this state to prescribe 38 or dispense drugs. 39 (c) "Caregiver" means a family member, friend, or person 40 in a position to have recurring contact with a person at risk of 41 experiencing an opioid overdose. 42 (3)(a) An authorized h ealth care practitioner may 43 prescribe and dispense an emergency opioid antagonist to, and a 44 pharmacist may order an emergency opioid antagonist with an 45 autoinjection delivery system , a prefilled injection device 46 delivery system, or an intranasal applicatio n delivery system 47 for, a patient or caregiver for use in accordance with this 48 section. 49 (b) A pharmacist may dispense an emergency opioid 50 ENROLLED CS/CS/HB 783, Engrossed 2 2023 Legislature CODING: Words stricken are deletions; words underlined are additions. hb0783-05-er Page 3 of 10 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S antagonist pursuant to a prescription by an authorized health 51 care practitioner. A pharmacist may dispense an emergen cy opioid 52 antagonist with an autoinjection delivery system , a prefilled 53 injection device delivery system, or an intranasal application 54 delivery system, which must be appropriately labeled with 55 instructions for use, pursuant to a pharmacist's order or 56 pursuant to a nonpatient-specific standing order. 57 Section 2. Section 397.335, Florida Statutes, is created 58 to read: 59 397.335 Statewide Council on Opioid Abatement. — 60 (1) ESTABLISHMENT.—The Statewide Council on Opioid 61 Abatement, an advisory council as defi ned in s. 20.03(7), is 62 created within the department for the purpose of enhancing the 63 development and coordination of state and local efforts to abate 64 the opioid epidemic and to support the victims and families of 65 the crisis. 66 (2) MEMBERSHIP.— 67 (a) Notwithstanding s. 20.052, the council shall be 68 composed of the following members: 69 1. The Attorney General, or his or her designee, who shall 70 serve as chair. 71 2. The secretary of the department, or his or her 72 designee, who shall serve as vice chair. 73 3. One member appointed by the Governor. 74 4. One member appointed by the President of the Senate. 75 ENROLLED CS/CS/HB 783, Engrossed 2 2023 Legislature CODING: Words stricken are deletions; words underlined are additions. hb0783-05-er Page 4 of 10 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 5. One member appointed by the Speaker of the House of 76 Representatives. 77 6. Two members appointed by the Florida League of Cities 78 who are commissioners or mayor s of municipalities. One member 79 shall be from a municipality with a population of fewer than 80 50,000 people. 81 7. Two members appointed by or through the Florida 82 Association of Counties who are county commissioners or mayors. 83 One member shall be appointed f rom a county with a population of 84 fewer than 200,000, and one member shall be appointed from a 85 county with a population of more than 200,000. 86 8. One member who is either a county commissioner or 87 county mayor appointed by the Florida Association of Counti es or 88 who is a commissioner or mayor of a municipality appointed by 89 the Florida League of Cities. The Florida Association of 90 Counties shall appoint such member for the initial term, and 91 future appointments must alternate between a member appointed by 92 the Florida League of Cities and a member appointed by the 93 Florida Association of Counties. 94 (b) Each member shall serve a 2 -year term. Any vacancy 95 shall be filled in the same manner as the original appointment 96 for the remainder of the unexpired term. 97 (c) A member may not receive a commission, fee, or 98 financial benefit in connection with serving on the council. 99 Council members may be reimbursed for per diem and travel 100 ENROLLED CS/CS/HB 783, Engrossed 2 2023 Legislature CODING: Words stricken are deletions; words underlined are additions. hb0783-05-er Page 5 of 10 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S expenses in accordance with s. 112.061 by the state agency that 101 the member represents. If th e member is not affiliated with a 102 state agency, the member shall be reimbursed by the department. 103 (3) ORGANIZATION AND SUPPORT. — 104 (a) The first meeting of the council must be held by 105 August 31, 2023. 106 (b) The council shall meet quarterly and upon the c all of 107 the chair or two other members. Meetings of the council may take 108 place in person or through electronic transmission using 109 communications media technology as described in s. 110 120.54(5)(b)2. 111 (c) A majority of the members of the council shall 112 constitute a quorum. 113 (d) The department and the Department of Legal Affairs 114 shall provide the council with staff necessary to assist the 115 council in the performance of its duties. 116 (e) The council may apply for and accept funds, grants, 117 gifts, and services from the state, the Federal Government or 118 any of its agencies, or any other public or private source for 119 the purposes of defraying costs or performing its duties. 120 (f) All members shall adhere to all applicable general 121 law, rules, and regulations, including, b ut not limited to, s. 122 112.311, concerning the disclosure of conflicts of interest and 123 recusal from discussions or votes on conflicted matters. 124 (4) DUTIES.— 125 ENROLLED CS/CS/HB 783, Engrossed 2 2023 Legislature CODING: Words stricken are deletions; words underlined are additions. hb0783-05-er Page 6 of 10 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S (a) The council shall advise the state and local 126 governments on resolving or abating the opioid epidemic and 127 review how settlement moneys recovered from the opioid 128 litigation brought by the state and its subdivisions have been 129 spent and the results that have been achieved from those 130 expenditures. 131 (b) The council shall work with, provide information to, 132 and receive information from the Statewide Drug Policy Advisory 133 Council and ensure that its recommendations and actions are 134 consistent with that council's recommendations to the extent 135 possible. 136 (c) The council shall review data from local, state, a nd 137 national agencies, both on a regional and a statewide basis, to 138 advise state and local governments on the status, severity, and 139 stage of the opioid epidemic. 140 (d) The council shall review data from local governments, 141 other states, and national agencies regarding how moneys are 142 being spent to abate the opioid epidemic, the success of such 143 programs, and the appropriate metrics needed to assess the 144 epidemic and progress in abating it. 145 (e) By June 30 of each year, each county, municipality, 146 managing entity, or state agency that receives settlement funds 147 from an opioid settlement shall provide information to the 148 council related to how it intends to use settlement funds and 149 how it intends to collect data regarding its use of funds. 150 ENROLLED CS/CS/HB 783, Engrossed 2 2023 Legislature CODING: Words stricken are deletions; words underlined are additions. hb0783-05-er Page 7 of 10 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S (f) By August 31 of each year, each county, municipality, 151 managing entity, or state agency that receives settlement funds 152 from an opioid settlement must provide information to the 153 council related to its expenditure of settlement funds and the 154 results obtained from t hose expenditures. 155 (g) The council shall develop and recommend metrics, 156 measures, or datasets to assess the progress and success of 157 programs funded by expenditures of opioid settlement funds. The 158 council must attempt to keep such metrics, measures, or da tasets 159 consistent with those used by the state with managing entities, 160 as well as any metrics, measures, or datasets required by the 161 Substance Abuse and Mental Health Services Administration of the 162 United States Department of Health and Human Services in 163 connection with any grants received by the state. Upon request 164 of the council, a county, municipality, managing entity, or 165 state agency must provide the council data or information 166 required to develop such metrics, measures, or datasets. 167 (h) The council, with assistance and support of the 168 department, shall provide a system of documentation and 169 reporting in accordance with the requirements of federal 170 agencies and any other agencies providing funding to the state, 171 including auditing expenditures consistent w ith any requirements 172 imposed by the Legislature. 173 (i) By December 1, 2023, and annually thereafter, the 174 council shall provide and publish an annual report. The report 175 ENROLLED CS/CS/HB 783, Engrossed 2 2023 Legislature CODING: Words stricken are deletions; words underlined are additions. hb0783-05-er Page 8 of 10 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S shall contain information on how settlement moneys were spent 176 the previous fiscal year b y the state, each of the managing 177 entities, and each of the counties and municipalities. The 178 report shall also contain recommendations to the Governor, the 179 Legislature, and local governments for how moneys should be 180 prioritized and spent the coming fiscal year to respond to the 181 opioid epidemic. 182 (j) The report shall be posted on the websites of the 183 department and the Department of Legal Affairs. 184 Section 3. Section 1004.0971, Florida Statutes, is created 185 to read: 186 1004.0971 Emergency opioid antagonists in Florida College 187 System institution and state university housing. — 188 (1) As used in this section, the term: 189 (a) "Administer" or "administration" means to introduce an 190 emergency opioid antagonist into the body of a person. 191 (b) "Emergency opioid antagonist" means naloxone 192 hydrochloride or any similarly acting drug that blocks the 193 effects of opioids administered from outside the body and that 194 is approved by the United States Food and Drug Administration 195 for the treatment of an opioid overdose. 196 (c) "Institution" means a Florida College System 197 institution or state university. 198 (2) Each institution must have a supply of emergency 199 opioid antagonists with an autoinjection or intranasal 200 ENROLLED CS/CS/HB 783, Engrossed 2 2023 Legislature CODING: Words stricken are deletions; words underlined are additions. hb0783-05-er Page 9 of 10 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S application delivery system in e ach residence hall or dormitory 201 residence owned or operated by the institution for the 202 administration of emergency opioid antagonists to a person 203 believed to be experiencing an opioid overdose. 204 (3) Each institution must place the emergency opioid 205 antagonists in a clearly marked location within each residence 206 hall or dormitory residence. The emergency opioid antagonist 207 must be easily accessible to campus law enforcement officers who 208 are trained in the administration of emergency opioid 209 antagonists. 210 (4) Public and private partnerships are encouraged to 211 cover the cost associated with the purchase and placement of 212 such emergency opioid antagonists. 213 (5) Notwithstanding any other provision of law to the 214 contrary, any campus law enforcement officer trained in the 215 administration of emergency opioid antagonists who administers 216 or attempts to administer an emergency opioid antagonist in 217 compliance with ss. 381.887 and 768.13, and the institution that 218 employs such officer, are immune from civil or criminal 219 liability as a result of such administration or attempted 220 administration of an emergency opioid antagonist. 221 (6) The State Board of Education and the Board of 222 Governors shall adopt rules and regulations, respectively, to 223 administer this section in cooperation wi th the Department of 224 Health. 225 ENROLLED CS/CS/HB 783, Engrossed 2 2023 Legislature CODING: Words stricken are deletions; words underlined are additions. hb0783-05-er Page 10 of 10 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S Section 4. This act shall take effect July 1, 2023. 226