Massachusetts 2023-2024 Regular Session

Massachusetts Senate Bill S1435 Compare Versions

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22 SENATE DOCKET, NO. 1753 FILED ON: 1/19/2023
33 SENATE . . . . . . . . . . . . . . No. 1435
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Susan L. Moran
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 authorizing pharmacists to provide opioid use disorder treatment.
1313 _______________
1414 PETITION OF:
1515 NAME:DISTRICT/ADDRESS :Susan L. MoranPlymouth and BarnstableJoanne M. ComerfordHampshire, Franklin and Worcester2/6/2023 1 of 2
1616 SENATE DOCKET, NO. 1753 FILED ON: 1/19/2023
1717 SENATE . . . . . . . . . . . . . . No. 1435
1818 By Ms. Moran, a petition (accompanied by bill, Senate, No. 1435) of Susan L. Moran and Joanne
1919 M. Comerford for legislation to authorize pharmacists to provide opioid use disorder treatment.
2020 Public Health.
2121 The Commonwealth of Massachusetts
2222 _______________
2323 In the One Hundred and Ninety-Third General Court
2424 (2023-2024)
2525 _______________
2626 An Act authorizing pharmacists to provide opioid use disorder treatment.
2727 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
2828 of the same, as follows:
2929 1 Section 24B ½ of chapter 112 of the General Laws, as appearing in the 2020 Official
3030 2Edition, is hereby amended by striking out subsection (c) and inserting thereof the following:-
3131 3 (c) Collaborative drug therapy management shall only be allowed in the following
3232 4settings: (1) hospitals licensed pursuant to section 51 of chapter 111, subject to approval by the
3333 5medical staff executive committee at a licensed hospital or designee; (2) long-term care facilities
3434 6licensed pursuant to section 71 of chapter 111, subject to approval by the long-term care
3535 7facilities' medical director or designee; (3) inpatient or outpatient hospice settings licensed
3636 8pursuant to section 57D of chapter 111, subject to approval by the hospice's medical director or
3737 9designee; (4) ambulatory care clinics licensed pursuant to section 51 of chapter 111, with on-site
3838 10supervision by the attending physician and a collaborating pharmacist, subject to approval by the
3939 11ambulatory care clinic's medical staff executive committee or designee, or medical director or
4040 12designee; (5) collaborating pharmacists in a retail drug business, as registered in section 38 of 2 of 2
4141 13chapter 112 and limited by this section, with supervision by physicians according to the terms of
4242 14their collaborative practice agreements and limited to the following: patients 18 years of age or
4343 15older; an extension by 30 days of current drug therapy prescribed by the supervising physician;
4444 16and administration of vaccines or initiation of medications pursuant to a diagnosis,
4545 17discontinuation, and/or modification of dosages of medications prescribed by the supervising
4646 18physicians for substance use disorders, asthma, chronic obstructive pulmonary disease, diabetes,
4747 19hypertension, hyperlipidemia, congestive heart failure, HIV or AIDS, osteoporosis and co-
4848 20morbidities identified by the supervising physician for the individual patient along with the
4949 21primary diagnosis. The collaborative practice agreement shall specifically reference each disease
5050 22state being co-managed. A patient shall be referred by supervising physicians to that physicians’
5151 23collaborating pharmacists and shall be given notice of the collaboration and shall consent to the
5252 24collaboration. Pharmacists in the retail setting, who have a collaborative practice agreement with
5353 25supervising physicians which specifically allows initial prescriptions for referred patients of the
5454 26supervising physician, may issue prescriptions for schedule II-VI controlled substances, as
5555 27defined in clause 6 of section 3 of chapter 94C. Collaborative Practice Agreements with
5656 28pharmacists in a retail setting that include controlled substances shall only be used to treat
5757 29substance use disorders as defined by section 35 of chapter 123 or any disorder described in the
5858 30most recent edition of the Diagnostic and Statistical Manual of Mental Disorders. Such
5959 31prescriptions shall be for a patient diagnosis specified in the supervising physician's individual
6060 32referral of that patient. A copy of the prescription shall be sent to the supervising physician
6161 33within 24 hours.