Massachusetts 2023-2024 Regular Session

Massachusetts House Bill H1990 Compare Versions

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22 HOUSE DOCKET, NO. 909 FILED ON: 1/17/2023
33 HOUSE . . . . . . . . . . . . . . . No. 1990
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Steven S. Howitt
88 _________________
99 To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
1010 Court assembled:
1111 The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
1212 An Act relative to patient opioid notification.
1313 _______________
1414 PETITION OF:
1515 NAME:DISTRICT/ADDRESS :DATE ADDED:Steven S. Howitt4th Bristol1/17/2023Michael J. Soter8th Worcester1/30/2023 1 of 2
1616 HOUSE DOCKET, NO. 909 FILED ON: 1/17/2023
1717 HOUSE . . . . . . . . . . . . . . . No. 1990
1818 By Representative Howitt of Seekonk, a petition (accompanied by bill, House, No. 1990) of
1919 Steven S. Howitt and Michael J. Soter relative to the issuing of the initial prescription of
2020 Schedule II controlled dangerous substances or other opioid pain relievers. Mental Health,
2121 Substance Use and Recovery.
2222 [SIMILAR MATTER FILED IN PREVIOUS SESSION
2323 SEE HOUSE, NO. 2101 OF 2021-2022.]
2424 The Commonwealth of Massachusetts
2525 _______________
2626 In the One Hundred and Ninety-Third General Court
2727 (2023-2024)
2828 _______________
2929 An Act relative to patient opioid notification.
3030 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
3131 of the same, as follows:
3232 1 SECTION 1. Section 18C of Chapter 94C of the General Laws, as appearing in the 2018
3333 2Official Edition, is hereby amended by striking the section in its entirety and inserting in place
3434 3thereof the following new section:-
3535 4 Prior to issuing the initial prescription of a Schedule II controlled dangerous substance or
3636 5any other opioid pain reliever which is a prescription drug in a course of treatment for acute or
3737 6chronic pain and again prior to issuing the third prescription of the course of treatment, a
3838 7practitioner shall discuss with the patient, or the patient’s parent or guardian if the patient is
3939 8under 18 years of age and is not an emancipated minor, the risks associated with the drugs being
4040 9prescribed, including but not limited to: (1) the risks of addiction and overdose associated with 2 of 2
4141 10opioid drugs and the dangers of taking opioid drugs with alcohol, benzodiazepines, and other
4242 11central nervous system depressants; (2) the reasons why the prescription is necessary; (3)
4343 12alternative treatments that may be available; and (4) risks associated with the use of the drugs
4444 13being prescribed, that there is a risk of developing a physical or psychological dependence on the
4545 14controlled dangerous substance, and that the risks of taking more opioids than prescribed, or
4646 15making sedatives, benzodiazepines or alcohol with opioids, can result in fatal respiratory
4747 16depression. The practitioner shall include a note in the patient’s medical record that the patient or
4848 17the patient’s parent or guardian, as applicable, has discussed with the practitioner the risks of
4949 18developing a physical or psychological dependence on the control dangerous substance and
5050 19alternative treatments that may be available.
5151 20 This section shall not apply to a prescription for a patient who is currently in active
5252 21treatment for cancer, receiving hospice care from a licensed hospice or palliative care, or is a
5353 22resident of a long term care facility, or to any medications that are being prescribed for use in the
5454 23treatment of substance abuse or opioid dependence.