1 of 1 HOUSE DOCKET, NO. 2506 FILED ON: 1/19/2023 HOUSE . . . . . . . . . . . . . . . No. 1998 The Commonwealth of Massachusetts _________________ PRESENTED BY: David Henry Argosky LeBoeuf and Mindy Domb _________________ To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General Court assembled: The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: An Act relative to reducing the risk of unintended fatal opioid overdose. _______________ PETITION OF: NAME:DISTRICT/ADDRESS :DATE ADDED:David Henry Argosky LeBoeuf17th Worcester1/19/2023Mindy Domb3rd Hampshire1/19/2023Vanna Howard17th Middlesex1/31/2023 1 of 2 HOUSE DOCKET, NO. 2506 FILED ON: 1/19/2023 HOUSE . . . . . . . . . . . . . . . No. 1998 By Representatives LeBoeuf of Worcester and Domb of Amherst, a petition (accompanied by bill, House, No. 1998) of David Henry Argosky LeBoeuf, Mindy Domb and Vanna Howard relative to reducing the risks of unintended fatal opioid overdoses. Mental Health, Substance Use and Recovery. [SIMILAR MATTER FILED IN PREVIOUS SESSION SEE HOUSE, NO. 2110 OF 2021-2022.] The Commonwealth of Massachusetts _______________ In the One Hundred and Ninety-Third General Court (2023-2024) _______________ An Act relative to reducing the risk of unintended fatal opioid overdose. Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows: 1 Chapter 111 of the General Laws is hereby amended by adding the following section:- 2Section 238. Prior to issuing a prescription of an opioid which is a controlled substance as set 3forth in section 31 of chapter 94C, a practitioner shall discuss with the patient, or the patient's 4parent or guardian if the patient is under 18 years of age and is not an emancipated minor, the 5risks for unintentional opioid overdose associated with the medication, including but not limited 6to: (i) taking more opioids than prescribed; (ii) the dangers of mixing opioids with alcohol, 7benzodiazepines such as Klonopin, Valium, and Xanax, other central nervous system 8depressants, and other forms of poly-drug use; (iii) alternative treatments that may be available. 9The physician will also discuss the risk of opioid dependence as a result of prescription use. 2 of 2 10 To avoid unintentional fatal overdose, the practitioner shall reconcile all patient 11medications prior to prescribing opioids. The practitioner will require the patient to sign an 12acknowledgement that the patient, or the patient's parent or guardian, as applicable, has (i) 13discussed with the practitioner the risks of developing a physical or psychological dependence on 14opioids, and (ii) understands the ways in which their alcohol use or other prescriptions may 15increase the risk for fatal opioid overdose.