HLS 14RS-1245 REENGROSSED Page 1 of 5 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Regular Session, 2014 HOUSE BILL NO. 754 BY REPRESENTATIVES MORENO, BADON, WESLEY BISHOP, BROSSETT, HENRY BURNS, BURRELL, EDWARDS, HARRISON, LEBAS, LEGER, ST. GERMAI N, AND WILLMOTT DRUGS/CONTROLLED: Authorizes first responders to carry naloxone AN ACT1 To enact R.S. 40:978.1, relative to the prescribing and administering of an opioid antagonist2 for overdoses of controlled dangerous substances; to authorize a first responder to3 receive a prescription for naloxone; to authorize the first responder to administer4 naloxone to a third party; to limit liability for the administration of naloxone by a5 first responder; to require training prior to receiving a prescription for naloxone; to6 require promulgation of best practices; and to provide for related matters.7 Be it enacted by the Legislature of Louisiana:8 Section 1. R.S. 40:978.1 is hereby enacted to read as follows: 9 ยง978.1. Naloxone; first responder; prescription; administration to third party;10 limitation of liability11 A. For the purposes of this Section, the following definitions apply:12 (1) "First responder" means any of the following:13 (a) A peace officer as defined in R.S. 40:2402.14 (b) A firefighter regularly employed by a fire department of any15 municipality, parish, or fire protection district of the state of Louisiana, or any16 volunteer fireman of the state of Louisiana.17 (c) An EMS practitioner as defined in R.S. 40:1231.18 HLS 14RS-1245 REENGROSSED HB NO. 754 Page 2 of 5 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (2) "Law enforcement agency" means an agency of a federally recognized1 Indian tribe or band or a state or political subdivision of a state, whose purpose is the2 detection and prevention of crime and enforcement of laws or ordinances.3 (3) "Opioid-related drug overdose" means a condition including extreme4 physical illness, decreased level of consciousness, respiratory depression, coma, or5 the ceasing of respiratory or circulatory function resulting from the consumption or6 use of an opioid, or another substance with which an opioid was combined.7 B. A first responder may receive a prescription for naloxone or another8 opioid antagonist, maintain the naloxone or other opioid antagonist in the first9 responder's possession, and administer the naloxone or other opioid antagonist to any10 individual who is undergoing or who is believed to be undergoing an opioid-related11 drug overdose.12 C.(1) Before receiving a prescription for naloxone or another opioid13 antagonist pursuant to this Section, a first responder shall complete the training14 necessary to safely and properly administer naloxone or another opioid antagonist15 to individuals who are undergoing or who are believed to be undergoing an16 opioid-related drug overdose. The training, at a minimum, shall cover all of the17 following:18 (a) Techniques on how to recognize symptoms of an opioid-related overdose.19 (b) Standards and procedures for the storage and administration of naloxone20 or another opioid antagonist.21 (c) Emergency follow-up procedures.22 (2) A first responder shall keep a record of each instance in which the first23 responder administers naloxone or another opioid antagonist to an individual who24 is undergoing or who is believed to be undergoing an opioid-related drug overdose.25 D. A law enforcement agency or fire department may enter into a written26 agreement to affiliate with an ambulance service provider or a physician for all of27 the following purposes:28 (1) Obtaining a supply of naloxone or another opioid antagonist.29 HLS 14RS-1245 REENGROSSED HB NO. 754 Page 3 of 5 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (2) Allowing law enforcement officers and firefighters to obtain the training1 necessary to safely and properly administer naloxone or another opioid antagonist2 to individuals who are undergoing or who are believed to be undergoing an3 opioid-related drug overdose.4 E. A first responder who, reasonably believing another person to be5 undergoing an opioid-related drug overdose, administers naloxone or another opioid6 antagonist to that person shall be immune from civil liability, criminal prosecution,7 or disciplinary or other adverse action under any professional licensing statute for8 any outcomes resulting from the administration of the naloxone or another opioid9 antagonist to that person, unless personal injury results from the gross negligence or10 willful or wanton misconduct of the first responder administering the drug.11 F. The deputy secretary of public safety services of the Department of Public12 Safety and Corrections shall develop and promulgate, in accordance with the13 Administrative Procedure Act, a set of best practices for use by a fire department or14 law enforcement agency in the administration and enforcement of this Section15 including but not limited to the training necessary to safely and properly administer16 naloxone or another opioid antagonist to individuals who are undergoing or who are17 believed to be undergoing an opioid-related drug overdose, the standards and18 procedures for the storage and administration of naloxone or another opioid19 antagonist, and emergency follow-up procedures.20 DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] Moreno HB No. 754 Abstract: Authorizes first responders to carry naloxone and administer it to a third party who is undergoing an opioid-related drug overdose. Proposed law defines "first responder" as any of the following: (1)Any full-time employee of the state, a municipality, a sheriff, or other public agency, whose permanent duties actually include the making of arrests, the performing of searches and seizures, or the execution of criminal warrants, and is responsible for the prevention or detection of crime or for the enforcement of the penal, traffic, or HLS 14RS-1245 REENGROSSED HB NO. 754 Page 4 of 5 CODING: Words in struck through type are deletions from existing law; words underscored are additions. highway laws of this state, but not including any elected or appointed head of a law enforcement department. (2)A firefighter regularly employed by a fire department of any municipality, parish, or fire protection district of the state of Louisiana, or any volunteer fireman of the state of Louisiana. (3)An EMS practitioner licensed pursuant to the laws of this state. Proposed law defines "opioid-related drug overdose" as a condition including extreme physical illness, decreased level of consciousness, respiratory depression, coma, or the ceasing of respiratory or circulatory function resulting from the consumption or use of an opioid, or another substance with which an opioid was combined. Proposed law authorizes a first responder to receive a prescription for naloxone or another opioid antagonist, maintain the naloxone or other opioid antagonist in the first responder's possession, and administer the naloxone or another opioid antagonist to any individual who is undergoing or who is believed to be undergoing an opioid-related drug overdose. Proposed law requires a first responder, before receiving a prescription for naloxone or another opioid antagonist, to complete the training necessary to safely and properly administer naloxone or another opioid antagonist to individuals who are undergoing or who are believed to be undergoing an opioid-related drug overdose. Proposed law requires the training, at a minimum, to cover all of the following: (1)Techniques on how to recognize symptoms of an opioid-related overdose. (2)Standards and procedures for the storage and administration of naloxone or another opioid antagonist. (3)Emergency follow-up procedures. Proposed law requires the first responder to keep a record of each instance in which the first responder administers naloxone or another opioid antagonist to an individual who is undergoing or who is believed to be undergoing an opioid-related drug overdose. Proposed law authorizes a law enforcement agency or fire department to enter into a written agreement to affiliate with an ambulance service provider or a physician for all of the following purposes: (1)Obtaining a supply of naloxone or another opioid antagonist. (2)Allowing law enforcement officers and firefighters to obtain the training necessary to safely and properly administer naloxone or another opioid antagonist to individuals who are undergoing or who are believed to be undergoing an opioid-related drug overdose. Proposed law provides immunity from civil liability, criminal prosecution, or disciplinary or other adverse action under any professional licensing statute to a first responder who, reasonably believing another person to be undergoing an opioid-related drug overdose, administers naloxone or another opioid antagonist to that person for any outcomes resulting from the administration of the naloxone or another opioid antagonist to that person, unless personal injury results from the gross negligence or willful or wanton misconduct of the first responder administering the drug. Proposed law requires the Dept. of Public Safety and Corrections to develop and promulgate a set of best practices for use by a fire department or law enforcement agency in the administration and enforcement of proposed law including but not limited to the training HLS 14RS-1245 REENGROSSED HB NO. 754 Page 5 of 5 CODING: Words in struck through type are deletions from existing law; words underscored are additions. necessary to safely and properly administer naloxone or another opioid antagonist to individuals who are undergoing or who are believed to be undergoing an opioid-related drug overdose, the standards and procedures for the storage and administration of naloxone or another opioid antagonist, and emergency follow-up procedures. (Adds R.S. 40:978.1) Summary of Amendments Adopted by House House Floor Amendments to the engrossed bill. 1. Made technical changes. 2. Required first responders to receive training prior to receiving a prescription for naloxone. 3. Required the Dept. of Public Safety and Corrections to promulgate a set of best practices.