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| 2 | 2 | | HOUSE DOCKET, NO. 3999 FILED ON: 1/20/2023 |
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| 3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 1983 |
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| 4 | 4 | | The Commonwealth of Massachusetts |
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| 5 | 5 | | _________________ |
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| 6 | 6 | | PRESENTED BY: |
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| 7 | 7 | | Carole A. Fiola |
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| 8 | 8 | | _________________ |
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| 9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
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| 10 | 10 | | Court assembled: |
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| 11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
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| 12 | 12 | | An Act to educate on prescription opioids. |
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| 13 | 13 | | _______________ |
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| 14 | 14 | | PETITION OF: |
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| 15 | 15 | | NAME:DISTRICT/ADDRESS :DATE ADDED:Carole A. Fiola6th Bristol1/20/2023Bud L. Williams11th Hampden1/25/2023Alan Silvia7th Bristol1/30/2023Paul A. Schmid, III8th Bristol2/1/2023Priscila S. Sousa6th Middlesex2/15/2023 1 of 2 |
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| 16 | 16 | | HOUSE DOCKET, NO. 3999 FILED ON: 1/20/2023 |
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| 17 | 17 | | HOUSE . . . . . . . . . . . . . . . No. 1983 |
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| 18 | 18 | | By Representative Fiola of Fall River, a petition (accompanied by bill, House, No. 1983) of |
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| 19 | 19 | | Carole A. Fiola and others for legislation to require certain practitioners to provide education on |
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| 20 | 20 | | the potential adverse risks of prescription opioids. Mental Health, Substance Use and Recovery. |
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| 21 | 21 | | The Commonwealth of Massachusetts |
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| 22 | 22 | | _______________ |
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| 23 | 23 | | In the One Hundred and Ninety-Third General Court |
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| 24 | 24 | | (2023-2024) |
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| 25 | 25 | | _______________ |
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| 26 | 26 | | An Act to educate on prescription opioids. |
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| 27 | 27 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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| 28 | 28 | | of the same, as follows: |
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| 29 | 29 | | 1 SECTION 1. Chapter 94C of the General Laws is hereby amended by inserting after |
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| 30 | 30 | | 2section 18C the following new section:- |
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| 31 | 31 | | 3 Section 18D. In the event that a practitioner issues a prescription for an opioid contained |
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| 32 | 32 | | 4in Schedule II of section 3, the practitioner shall also provide education on the potential adverse |
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| 33 | 33 | | 5risks of the prescription opioid to include, the need to also obtain an opioid overdose reversal |
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| 34 | 34 | | 6agent, such as naloxone, if one of the following conditions is present: (i) the patient is prescribed |
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| 35 | 35 | | 7an opioid which individually or in aggregate with other medications is more than equal to 50 |
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| 36 | 36 | | 8morphine milligram 7 equivalents per day; (ii) the patient is prescribed any dose of an opioid |
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| 37 | 37 | | 9when a benzodiazepine has been prescribed in the past 30 days or will be prescribed at the visit; |
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| 38 | 38 | | 10or (iii) the patient has a prior history of opioid use disorder or overdose or has a history of |
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| 39 | 39 | | 11substance use disorder. If the practitioner does not provide this education on an opioid antagonist 2 of 2 |
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| 40 | 40 | | 12at the time said prescription for an opioid is issued, the practitioner shall document in the |
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| 41 | 41 | | 13patient’s medical record why an opioid antagonist was not appropriate for the patient. |
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