103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2309 Introduced , by Rep. Lindsey LaPointe SYNOPSIS AS INTRODUCED: 305 ILCS 65/15 new Amends the Early Mental Health and Addictions Treatment Act. Requires the Department of Human Services to implement a 2-year pilot program to provide FDA-approved 8-milligram naloxone nasal spray kits to licensed community substance use providers and public health departments in Cook County, DuPage County, Winnebago County, Sangamon County, and St. Clair County. Requires the Department to implement a data collection program to determine the number of 8-milligram naloxone nasal spray kits administered by emergency medical service providers and bystanders per overdose incident during the 2-year term of the pilot program. Provides that the data collected must also include the number of overdose reversals and deaths following the administration of the 8-milligram naloxone nasal spray. Requires the Department to prepare a report on the results of the 2-year pilot program and submit the report to the General Assembly by July 1, 2026. Effective January 1, 2024. LRB103 25361 KTG 51706 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2309 Introduced , by Rep. Lindsey LaPointe SYNOPSIS AS INTRODUCED: 305 ILCS 65/15 new 305 ILCS 65/15 new Amends the Early Mental Health and Addictions Treatment Act. Requires the Department of Human Services to implement a 2-year pilot program to provide FDA-approved 8-milligram naloxone nasal spray kits to licensed community substance use providers and public health departments in Cook County, DuPage County, Winnebago County, Sangamon County, and St. Clair County. Requires the Department to implement a data collection program to determine the number of 8-milligram naloxone nasal spray kits administered by emergency medical service providers and bystanders per overdose incident during the 2-year term of the pilot program. Provides that the data collected must also include the number of overdose reversals and deaths following the administration of the 8-milligram naloxone nasal spray. Requires the Department to prepare a report on the results of the 2-year pilot program and submit the report to the General Assembly by July 1, 2026. Effective January 1, 2024. LRB103 25361 KTG 51706 b LRB103 25361 KTG 51706 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2309 Introduced , by Rep. Lindsey LaPointe SYNOPSIS AS INTRODUCED: 305 ILCS 65/15 new 305 ILCS 65/15 new 305 ILCS 65/15 new Amends the Early Mental Health and Addictions Treatment Act. Requires the Department of Human Services to implement a 2-year pilot program to provide FDA-approved 8-milligram naloxone nasal spray kits to licensed community substance use providers and public health departments in Cook County, DuPage County, Winnebago County, Sangamon County, and St. Clair County. Requires the Department to implement a data collection program to determine the number of 8-milligram naloxone nasal spray kits administered by emergency medical service providers and bystanders per overdose incident during the 2-year term of the pilot program. Provides that the data collected must also include the number of overdose reversals and deaths following the administration of the 8-milligram naloxone nasal spray. Requires the Department to prepare a report on the results of the 2-year pilot program and submit the report to the General Assembly by July 1, 2026. Effective January 1, 2024. LRB103 25361 KTG 51706 b LRB103 25361 KTG 51706 b LRB103 25361 KTG 51706 b A BILL FOR HB2309LRB103 25361 KTG 51706 b HB2309 LRB103 25361 KTG 51706 b HB2309 LRB103 25361 KTG 51706 b 1 AN ACT concerning public aid. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Early Mental Health and Addictions 5 Treatment Act is amended by adding Section 15 as follows: 6 (305 ILCS 65/15 new) 7 Sec. 15. Pilot program for 8-milligram naloxone nasal 8 spray kits. 9 (a) Findings. The General Assembly finds the following: 10 (1) In its May 2022 Statewide Semiannual Opioid 11 Report, the Department of Public Health reported that 12 3,013 fatalities occurred in 2021 due to opioid overdoses. 13 (2) These 3,013 opioid overdose deaths in Illinois 14 represent a 2.3% increase from 2020 and a 35.8% spike from 15 2019. 16 (3) In 2021, toxicology testing found that 2,672 or 17 89% of the opioid fatalities involved a synthetic opioid 18 such as fentanyl. 19 (4) A 4-milligram naloxone nasal spray has been the 20 principal tool for bystanders and emergency medical 21 service providers to revive an individual from an overdose 22 episode. 23 (5) A study published in the Harm Reduction Journal in 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2309 Introduced , by Rep. Lindsey LaPointe SYNOPSIS AS INTRODUCED: 305 ILCS 65/15 new 305 ILCS 65/15 new 305 ILCS 65/15 new Amends the Early Mental Health and Addictions Treatment Act. Requires the Department of Human Services to implement a 2-year pilot program to provide FDA-approved 8-milligram naloxone nasal spray kits to licensed community substance use providers and public health departments in Cook County, DuPage County, Winnebago County, Sangamon County, and St. Clair County. Requires the Department to implement a data collection program to determine the number of 8-milligram naloxone nasal spray kits administered by emergency medical service providers and bystanders per overdose incident during the 2-year term of the pilot program. Provides that the data collected must also include the number of overdose reversals and deaths following the administration of the 8-milligram naloxone nasal spray. Requires the Department to prepare a report on the results of the 2-year pilot program and submit the report to the General Assembly by July 1, 2026. Effective January 1, 2024. LRB103 25361 KTG 51706 b LRB103 25361 KTG 51706 b LRB103 25361 KTG 51706 b A BILL FOR 305 ILCS 65/15 new LRB103 25361 KTG 51706 b HB2309 LRB103 25361 KTG 51706 b HB2309- 2 -LRB103 25361 KTG 51706 b HB2309 - 2 - LRB103 25361 KTG 51706 b HB2309 - 2 - LRB103 25361 KTG 51706 b 1 May 2022 surveyed 125 adult residents of the United States 2 who were administered a 4-milligram naloxone nasal spray 3 during an opioid overdose. The study found that 78% of the 4 adults surveyed reported using at least 2 or more doses of 5 the 4-milligram naloxone nasal spray. While 30% of the 6 adults surveyed reported using at least 3 or more doses of 7 the 4-milligram naloxone nasal spray. 8 (6) A 2021 article published in the Harm Reduction 9 Journal reported on a study conducted by the Johns Hopkins 10 Bloomberg School of Public Health which surveyed 171 11 people living in suburban Maryland who use opioids. 12 Sixty-one or 35.7% of the persons surveyed reported having 13 received take-home naloxone during the 6-month period 14 immediately prior to the start of the study. 57% of those 15 persons reported using it to reverse an overdose. Out of 16 that group of persons who had an overdose reversal, 79% 17 reported needing at least 2 or more doses of the take-home 18 naloxone. 19 (7) The National Library of Medicine recently 20 published a study that analyzed emergency medical services 21 (EMS) data collected and stored in the National Emergency 22 Medical Services Information System database. The study 23 examined data collected from over 10,000 EMS agencies 24 across 47 states concerning 946,000 EMS calls that 25 involved the administration of naloxone. The study found 26 that naloxone multi-dosing by emergency medical service HB2309 - 2 - LRB103 25361 KTG 51706 b HB2309- 3 -LRB103 25361 KTG 51706 b HB2309 - 3 - LRB103 25361 KTG 51706 b HB2309 - 3 - LRB103 25361 KTG 51706 b 1 providers increased 54% over 5 years, from 18.4% to 28.4% 2 in 2020. 3 (8) On April 30, 2021, the U.S. Food and Drug 4 Administration approved a higher 8-milligram dose naloxone 5 nasal spray product to treat opioid overdose. 6 (9) Thirty-three states have Naloxone Standing Orders 7 that authorize eligible entities to have open access to 8 the 8-milligram naloxone nasal spray. Those states are: 9 Ohio, Kentucky, Iowa, Pennsylvania, Massachusetts, New 10 Jersey, Virginia, Alabama, Florida, Tennessee, Colorado, 11 Alaska, New Hampshire, Illinois, Arizona, Kansas, 12 California, Texas, Georgia, South Carolina, North 13 Carolina, West Virginia, Michigan, Connecticut, Oklahoma, 14 Minnesota, Maine, Louisiana, Nevada, Idaho, Oregon, 15 Nebraska, and Vermont. 16 (10) Thirteen state government agencies have purchased 17 the 8-milligram naloxone nasal spray: Alabama, Alaska, 18 Colorado, Florida, Idaho, Iowa, Kentucky, New Hampshire, 19 Ohio, Pennsylvania, Tennessee, Wisconsin, and West 20 Virginia. 21 (11) In November 2021, the U.S. Department of Veterans 22 Affairs added the 8-milligram naloxone nasal spray to the 23 VA National Formulary. 24 (12) 70% of Americans with private health insurance 25 can access the 8-milligram naloxone nasal spray. 26 (13) 90% of Americans with Medicaid, including HB2309 - 3 - LRB103 25361 KTG 51706 b HB2309- 4 -LRB103 25361 KTG 51706 b HB2309 - 4 - LRB103 25361 KTG 51706 b HB2309 - 4 - LRB103 25361 KTG 51706 b 1 Medicaid recipients residing in Illinois, can access the 2 8-milligram naloxone nasal spray. 3 (14) The current cost of the 4-milligram naloxone 4 nasal spray is $5.93 per milligram. In contrast, the 5 8-milligram naloxone nasal spray costs 36.7% less at $3.75 6 per milligram. 7 (b) The Department of Human Services shall implement a 8 2-year pilot program to provide FDA-approved 8-milligram 9 naloxone nasal spray kits to licensed community substance use 10 providers and public health departments in Cook County, DuPage 11 County, Winnebago County, Sangamon County, and St. Clair 12 County. 13 The Department of Human Services shall implement a data 14 collection program to determine the number of 8-milligram 15 naloxone nasal spray kits administered by emergency medical 16 service providers and bystanders per overdose incident during 17 the 2-year term of the pilot program. The data collected must 18 also include the number of individuals who survived an opioid 19 overdose after receiving the 8-milligram naloxone nasal spray 20 and the number of individuals who died of an opioid overdose 21 after receiving the 8-milligram naloxone nasal spray. 22 The Department of Human Services shall prepare a report on 23 the results of the 2-year pilot program and submit the report 24 to the General Assembly by July 1, 2026. 25 Section 99. Effective date. This Act takes effect January 26 1, 2024. HB2309 - 4 - LRB103 25361 KTG 51706 b