Introduced Version HOUSE BILL No. 1227 _____ DIGEST OF INTRODUCED BILL Citations Affected: IC 20-34-4.5. Synopsis: Opioid overdose reversal medication in schools. Sets forth certain requirements concerning naloxone nasal spray. Effective: July 1, 2024. Boy January 9, 2024, read first time and referred to Committee on Education. 2024 IN 1227—LS 6804/DI 152 Introduced Second Regular Session of the 123rd General Assembly (2024) PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana Constitution) is being amended, the text of the existing provision will appear in this style type, additions will appear in this style type, and deletions will appear in this style type. Additions: Whenever a new statutory provision is being enacted (or a new constitutional provision adopted), the text of the new provision will appear in this style type. Also, the word NEW will appear in that style type in the introductory clause of each SECTION that adds a new provision to the Indiana Code or the Indiana Constitution. Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts between statutes enacted by the 2023 Regular Session of the General Assembly. HOUSE BILL No. 1227 A BILL FOR AN ACT to amend the Indiana Code concerning education. Be it enacted by the General Assembly of the State of Indiana: 1 SECTION 1. IC 20-34-4.5-0.2, AS ADDED BY P.L.117-2017, 2 SECTION 3, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 3 JULY 1, 2024]: Sec. 0.2. As used in this chapter, "emergency 4 medication" means any of the following: 5 (1) Albuterol. 6 (2) Epinephrine. 7 (3) Naloxone, including naloxone nasal spray, as an overdose 8 intervention drug that is subject to IC 16-42-27. 9 SECTION 2. IC 20-34-4.5-1, AS AMENDED BY P.L.164-2023, 10 SECTION 55, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 11 JULY 1, 2024]: Sec. 1. (a) Except as provided in subsection (c), a 12 school or a school corporation may: 13 (1) fill a prescription or statewide standing order for an 14 emergency medication; and 15 (2) store the emergency medication: 16 (A) if the prescription or statewide standing order is filled by 17 a school, in the school; or 2024 IN 1227—LS 6804/DI 152 2 1 (B) if the prescription or statewide standing order is filled by 2 a school corporation, in a school in the school corporation; 3 and 4 (3) work in cooperation with an opioid overdose prevention 5 organization to carry out the purposes of this chapter; 6 if a health care provider who is licensed in Indiana and whose scope of 7 practice includes the prescribing of medication writes the prescription 8 or the state health commissioner issues a statewide standing order for 9 the emergency medication for the school or school corporation. 10 (b) The school shall store the emergency medication in a safe 11 location in which only school employees have access. 12 (c) A school or a school corporation shall: 13 (1) fill a statewide standing order for naloxone nasal spray; 14 and 15 (2) store the naloxone nasal spray in a location in the school 16 that is readily accessible for use by a school nurse or by a 17 school employee who has received training described in 18 section 2 of this chapter. 19 SECTION 3. IC 20-34-4.5-3, AS AMENDED BY P.L.164-2023, 20 SECTION 56, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 21 JULY 1, 2024]: Sec. 3. (a) A health care provider who is licensed in 22 Indiana and whose scope of practice includes the prescribing of 23 medication may: 24 (1) write; or 25 (2) transmit in an electronic format for an electronically 26 transmitted prescription; 27 a prescription, drug order, or protocol for an emergency medication for 28 a school or school corporation. 29 (b) Except as provided in subsection (d), the state health 30 commissioner or the state health commissioner's designee who is a 31 licensed prescriber may issue a statewide standing order, prescription, 32 or protocol for emergency stock medication for schools or school 33 corporations. 34 (c) Except as provided in subsection (e), a pharmacist licensed 35 under IC 25-26 may dispense a valid prescription, drug order, standing 36 order, or protocol for an emergency medication issued in the name of 37 a school or school corporation. 38 (d) The state health commissioner or the state health 39 commissioner's designee who is a licensed prescriber shall issue a 40 statewide standing order or prescription for naloxone nasal spray 41 for each: 42 (1) school; or 2024 IN 1227—LS 6804/DI 152 3 1 (2) school corporation on behalf of each school. 2 The standing order or prescription shall provide at least one (1) 3 carton of naloxone nasal spray per five hundred (500) students 4 enrolled at a school. 5 (e) A pharmacist licensed under IC 25-26 shall dispense a valid 6 prescription, standing order, or protocol for naloxone nasal spray 7 issued in the name of a school or school corporation on behalf of 8 each school. 2024 IN 1227—LS 6804/DI 152