Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H2217 Compare Versions

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22 HOUSE DOCKET, NO. 1365 FILED ON: 1/14/2025
33 HOUSE . . . . . . . . . . . . . . . No. 2217
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Sally P. Kerans
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 opioid reversal drugs.
1313 _______________
1414 PETITION OF:
1515 NAME:DISTRICT/ADDRESS :DATE ADDED:Sally P. Kerans13th Essex1/14/2025 1 of 3
1616 HOUSE DOCKET, NO. 1365 FILED ON: 1/14/2025
1717 HOUSE . . . . . . . . . . . . . . . No. 2217
1818 By Representative Kerans of Danvers, a petition (accompanied by bill, House, No. 2217) of
1919 Sally P. Kerans relative to opioid reversal drugs. Mental Health, Substance Use and Recovery.
2020 The Commonwealth of Massachusetts
2121 _______________
2222 In the One Hundred and Ninety-Fourth General Court
2323 (2025-2026)
2424 _______________
2525 An Act relative to opioid reversal drugs.
2626 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
2727 of the same, as follows:
2828 1 Chapter 94C is hereby amended in Section 19B by striking Section 19B and inserting in
2929 2place thereof the following new section:-
3030 3 Section 19B. (a) As used in this section and unless the context clearly requires otherwise,
3131 4“opioid antagonist” shall mean any drug approved by the federal Food and Drug Administration
3232 5as a competitive narcotic antagonist used in the reversal of overdoses caused by opioids.
3333 6 (b) The department shall ensure that a statewide standing order is issued to authorize the
3434 7dispensing of all opioid antagonist in the commonwealth by any licensed pharmacist. The
3535 8statewide standing order shall include, but not be limited to, written, standardized procedures or
3636 9protocols for the dispensing of all opioid antagonist by a licensed pharmacist. Notwithstanding
3737 10any general or special law to the contrary, the commissioner, or a physician who is designated by
3838 11the commissioner and is registered to distribute or dispense a controlled substance in the course 2 of 3
3939 12of professional practice under section 7, shall issue a statewide standing order to be used for a
4040 13licensed pharmacist to dispense an opioid antagonist under this section.
4141 14 (c) Notwithstanding any general or special law to the contrary, a licensed pharmacist may
4242 15dispense an opioid antagonist in accordance with the statewide standing order issued under
4343 16subsection (b). Except for an act of gross negligence or willful misconduct, a pharmacist who,
4444 17acting in good faith, dispenses an opioid antagonist shall not be subject to any criminal or civil
4545 18liability or any professional disciplinary action by the board of registration in pharmacy related
4646 19to the use or administration of an opioid antagonist.
4747 20 (d) A pharmacist who dispenses an opioid antagonist shall annually report to the
4848 21department the number of opioid antagonist doses dispensed. Reports shall not identify an
4949 22individual patient, shall be confidential and shall not constitute a public record as defined in
5050 23clause Twenty-sixth of section 7 of chapter 4. The department shall publish an annual report that
5151 24includes aggregate information about the dispensing of opioid antagonists in the commonwealth.
5252 25 (e) A pharmacist or designee who dispenses an opioid antagonist pursuant to this section
5353 26shall, for the purposes of health insurance billing and cost-sharing, treat the transaction as the
5454 27dispensing of a prescription to the person purchasing the opioid antagonist regardless of the
5555 28ultimate user of the opioid antagonist. Unless the person purchasing the opioid antagonist
5656 29requests to pay for the prescription out-of-pocket, the pharmacist or designee shall make a
5757 30reasonable effort to identify the purchaser’s insurance coverage and to submit a claim for the
5858 31opioid antagonist to the insurance carrier prior to dispensing the opioid antagonist.
5959 32 (f) Except for an act of gross negligence or willful misconduct, the commissioner or a
6060 33physician who issues the statewide standing order under subsection (b) and any practitioner who, 3 of 3
6161 34acting in good faith, directly or through the standing order, prescribes or dispenses an opioid
6262 35antagonist shall not be subject to any criminal or civil liability or any professional disciplinary
6363 36action.
6464 37 (g) A person acting in good faith may receive a prescription for an opioid antagonist,
6565 38possess an opioid antagonist and administer an opioid antagonist to an individual appearing to
6666 39experience an opioid-related overdose. A person who, acting in good faith, administers an opioid
6767 40antagonist to an individual appearing to experience an opioid-related overdose shall not, as a
6868 41result of the person's acts or omissions, be subject to any criminal or civil liability or any
6969 42professional disciplinary action. The immunity established under section 34A shall also apply to
7070 43a person administering an opioid antagonist pursuant to this section.
7171 44 (h) The department, the board of registration in medicine and the board of registration in
7272 45pharmacy shall adopt regulations to implement this section.