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1 HOUSE RESOLUTION
2 WHEREAS, The Illinois Department of Public Health's May
3 2022 report recorded 3,013 fatalities that occurred in 2021
4 due to opioid overdoses; and
5 WHEREAS, The 3,013 Illinois opioid overdose deaths
6 represent a 2.3% increase from 2020 and a 35.8% spike from
7 2019; and
8 WHEREAS, In 2021, toxicology testing found that 2,672
9 (89%) of the opioid fatalities involved a synthetic opioid,
10 such as fentanyl; and
11 WHEREAS, A 4 milligram naloxone hydrochloride nasal spray
12 has been the principal tool used by bystanders and emergency
13 medical services (EMS) to revive an individual from an
14 overdose episode; and
15 WHEREAS, A study, published in the Harm Reduction Journal
16 in May 2022, surveyed 125 adult U.S. residents who had been
17 administered a 4 milligram naloxone nasal spray during an
18 opioid overdose and found that 78% used 2 or more doses and 30%
19 used 3 or more doses of naloxone; and
20 WHEREAS, A 2021 Johns Hopkins Bloomberg School of Public
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1 Health study published in the Harm Reduction Journal reported
2 on a survey of 171 people who use opioids in suburban Maryland;
3 sixty-one (35.7%) of these people who use opioids had received
4 take-home naloxone over a six month period; 57% of naloxone
5 recipients used it to reverse an overdose; 79% of overdose
6 reversals reported needing more than 2 doses; and
7 WHEREAS, Published by the National Library of Medicine, a
8 study of the National Emergency Medical Services Information
9 System Database of more than 10,000 EMS agencies across 47
10 states with 946,000 calls giving naloxone shows that use of
11 naloxone multi-dosing by EMS increased 54% over five-years,
12 from 18.4% to 28.4% in 2020; and
13 WHEREAS, On April 30, 2021, the U.S. Food and Drug
14 Administration approved a higher 8 milligram dose of naloxone
15 hydrochloride nasal spray product to treat opioid overdose;
16 and
17 WHEREAS, On October 19, 2021, the U.S. Food and Drug
18 Administration also approved a single-dose, pre-filled syringe
19 that delivers 5 milligrams of naloxone hydrochloride solution
20 through intramuscular (in the muscle) or subcutaneous (under
21 the skin) injection; and
22 WHEREAS, Thirty-four U.S. states have open access to the 8
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1 milligram naloxone nasal spray on their Naloxone Standing
2 Orders, including Ohio, Kentucky, Iowa, Pennsylvania,
3 Massachusetts, New Jersey, Virginia, Alabama, Florida,
4 Tennessee, Colorado, Alaska, New Hampshire, Illinois, Arizona,
5 Kansas, California, Texas, Georgia, South Carolina, North
6 Carolina, West Virginia, Michigan, Connecticut, Oklahoma,
7 Minnesota, Maine, Louisiana, Nevada, Idaho, Oregon, Nebraska,
8 and Vermont; and
9 WHEREAS, Thirteen state government agencies have purchased
10 the 8 milligram naloxone nasal spray, including Alabama,
11 Alaska, Colorado, Florida, Idaho, Iowa, Kentucky, New
12 Hampshire, Ohio, Pennsylvania, Tennessee, Wisconsin, and West
13 Virginia; and
14 WHEREAS, The U.S. Veterans Administration added the 8
15 milligram naloxone nasal spray to the National Formulary in
16 November 2021; and
17 WHEREAS, Seventy percent of the number of lives covered by
18 commercial insurance in the U.S. can access the 8 milligram
19 naloxone nasal spray; and
20 WHEREAS, Ninety percent of the number of lives covered by
21 Medicaid insurance in the U.S. (40 states) can access the 8
22 milligram naloxone nasal spray, including Illinois; and
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1 WHEREAS, The current cost of the 4 milligram naloxone
2 nasal spray is $5.93 per milligram and the 8 milligram version
3 is $3.75 per milligram, or 36.7 percent less; and
4 WHEREAS, Being good stewards of taxpayer money is a
5 priority for the Illinois General Assembly; therefore, be it
6 RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE ONE
7 HUNDRED THIRD GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that
8 we strongly urge the Illinois Department of Human Services to
9 review the value of expanding its naloxone tool kit to include
10 all U.S. Food and Drug Administration-approved versions of
11 naloxone or other FDA-approved products to fight the Illinois
12 opioid epidemic; and be it further
13 RESOLVED, That suitable copies of this resolution be
14 delivered to the Governor of Illinois, the Governor's Chief
15 Behavioral Health Officer, the Secretary of the Department of
16 Human Services, and the Director of the Division of Substance
17 Use, Prevention and Recovery.
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