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| 2 | 2 | | HOUSE DOCKET, NO. 2506 FILED ON: 1/19/2023 |
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| 3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 1998 |
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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 | | David Henry Argosky LeBoeuf and Mindy Domb |
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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 relative to reducing the risk of unintended fatal opioid overdose. |
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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:David Henry Argosky LeBoeuf17th Worcester1/19/2023Mindy Domb3rd Hampshire1/19/2023Vanna Howard17th Middlesex1/31/2023 1 of 2 |
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| 16 | 16 | | HOUSE DOCKET, NO. 2506 FILED ON: 1/19/2023 |
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| 17 | 17 | | HOUSE . . . . . . . . . . . . . . . No. 1998 |
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| 18 | 18 | | By Representatives LeBoeuf of Worcester and Domb of Amherst, a petition (accompanied by |
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| 19 | 19 | | bill, House, No. 1998) of David Henry Argosky LeBoeuf, Mindy Domb and Vanna Howard |
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| 20 | 20 | | relative to reducing the risks of unintended fatal opioid overdoses. Mental Health, Substance |
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| 21 | 21 | | Use and Recovery. |
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| 22 | 22 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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| 23 | 23 | | SEE HOUSE, NO. 2110 OF 2021-2022.] |
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| 24 | 24 | | The Commonwealth of Massachusetts |
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| 25 | 25 | | _______________ |
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| 26 | 26 | | In the One Hundred and Ninety-Third General Court |
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| 27 | 27 | | (2023-2024) |
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| 28 | 28 | | _______________ |
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| 29 | 29 | | An Act relative to reducing the risk of unintended fatal opioid overdose. |
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| 30 | 30 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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| 31 | 31 | | of the same, as follows: |
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| 32 | 32 | | 1 Chapter 111 of the General Laws is hereby amended by adding the following section:- |
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| 33 | 33 | | 2Section 238. Prior to issuing a prescription of an opioid which is a controlled substance as set |
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| 34 | 34 | | 3forth in section 31 of chapter 94C, a practitioner shall discuss with the patient, or the patient's |
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| 35 | 35 | | 4parent or guardian if the patient is under 18 years of age and is not an emancipated minor, the |
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| 36 | 36 | | 5risks for unintentional opioid overdose associated with the medication, including but not limited |
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| 37 | 37 | | 6to: (i) taking more opioids than prescribed; (ii) the dangers of mixing opioids with alcohol, |
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| 38 | 38 | | 7benzodiazepines such as Klonopin, Valium, and Xanax, other central nervous system |
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| 39 | 39 | | 8depressants, and other forms of poly-drug use; (iii) alternative treatments that may be available. |
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| 40 | 40 | | 9The physician will also discuss the risk of opioid dependence as a result of prescription use. 2 of 2 |
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| 41 | 41 | | 10 To avoid unintentional fatal overdose, the practitioner shall reconcile all patient |
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| 42 | 42 | | 11medications prior to prescribing opioids. The practitioner will require the patient to sign an |
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| 43 | 43 | | 12acknowledgement that the patient, or the patient's parent or guardian, as applicable, has (i) |
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| 44 | 44 | | 13discussed with the practitioner the risks of developing a physical or psychological dependence on |
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| 45 | 45 | | 14opioids, and (ii) understands the ways in which their alcohol use or other prescriptions may |
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| 46 | 46 | | 15increase the risk for fatal opioid overdose. |
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