1 | 1 | | 1 of 1 |
---|
2 | 2 | | HOUSE DOCKET, NO. 1365 FILED ON: 1/14/2025 |
---|
3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 2217 |
---|
4 | 4 | | The Commonwealth of Massachusetts |
---|
5 | 5 | | _________________ |
---|
6 | 6 | | PRESENTED BY: |
---|
7 | 7 | | Sally P. Kerans |
---|
8 | 8 | | _________________ |
---|
9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
---|
10 | 10 | | Court assembled: |
---|
11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
---|
12 | 12 | | An Act relative to opioid reversal drugs. |
---|
13 | 13 | | _______________ |
---|
14 | 14 | | PETITION OF: |
---|
15 | 15 | | NAME:DISTRICT/ADDRESS :DATE ADDED:Sally P. Kerans13th Essex1/14/2025 1 of 3 |
---|
16 | 16 | | HOUSE DOCKET, NO. 1365 FILED ON: 1/14/2025 |
---|
17 | 17 | | HOUSE . . . . . . . . . . . . . . . No. 2217 |
---|
18 | 18 | | By Representative Kerans of Danvers, a petition (accompanied by bill, House, No. 2217) of |
---|
19 | 19 | | Sally P. Kerans relative to opioid reversal drugs. Mental Health, Substance Use and Recovery. |
---|
20 | 20 | | The Commonwealth of Massachusetts |
---|
21 | 21 | | _______________ |
---|
22 | 22 | | In the One Hundred and Ninety-Fourth General Court |
---|
23 | 23 | | (2025-2026) |
---|
24 | 24 | | _______________ |
---|
25 | 25 | | An Act relative to opioid reversal drugs. |
---|
26 | 26 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
---|
27 | 27 | | of the same, as follows: |
---|
28 | 28 | | 1 Chapter 94C is hereby amended in Section 19B by striking Section 19B and inserting in |
---|
29 | 29 | | 2place thereof the following new section:- |
---|
30 | 30 | | 3 Section 19B. (a) As used in this section and unless the context clearly requires otherwise, |
---|
31 | 31 | | 4“opioid antagonist” shall mean any drug approved by the federal Food and Drug Administration |
---|
32 | 32 | | 5as a competitive narcotic antagonist used in the reversal of overdoses caused by opioids. |
---|
33 | 33 | | 6 (b) The department shall ensure that a statewide standing order is issued to authorize the |
---|
34 | 34 | | 7dispensing of all opioid antagonist in the commonwealth by any licensed pharmacist. The |
---|
35 | 35 | | 8statewide standing order shall include, but not be limited to, written, standardized procedures or |
---|
36 | 36 | | 9protocols for the dispensing of all opioid antagonist by a licensed pharmacist. Notwithstanding |
---|
37 | 37 | | 10any general or special law to the contrary, the commissioner, or a physician who is designated by |
---|
38 | 38 | | 11the commissioner and is registered to distribute or dispense a controlled substance in the course 2 of 3 |
---|
39 | 39 | | 12of professional practice under section 7, shall issue a statewide standing order to be used for a |
---|
40 | 40 | | 13licensed pharmacist to dispense an opioid antagonist under this section. |
---|
41 | 41 | | 14 (c) Notwithstanding any general or special law to the contrary, a licensed pharmacist may |
---|
42 | 42 | | 15dispense an opioid antagonist in accordance with the statewide standing order issued under |
---|
43 | 43 | | 16subsection (b). Except for an act of gross negligence or willful misconduct, a pharmacist who, |
---|
44 | 44 | | 17acting in good faith, dispenses an opioid antagonist shall not be subject to any criminal or civil |
---|
45 | 45 | | 18liability or any professional disciplinary action by the board of registration in pharmacy related |
---|
46 | 46 | | 19to the use or administration of an opioid antagonist. |
---|
47 | 47 | | 20 (d) A pharmacist who dispenses an opioid antagonist shall annually report to the |
---|
48 | 48 | | 21department the number of opioid antagonist doses dispensed. Reports shall not identify an |
---|
49 | 49 | | 22individual patient, shall be confidential and shall not constitute a public record as defined in |
---|
50 | 50 | | 23clause Twenty-sixth of section 7 of chapter 4. The department shall publish an annual report that |
---|
51 | 51 | | 24includes aggregate information about the dispensing of opioid antagonists in the commonwealth. |
---|
52 | 52 | | 25 (e) A pharmacist or designee who dispenses an opioid antagonist pursuant to this section |
---|
53 | 53 | | 26shall, for the purposes of health insurance billing and cost-sharing, treat the transaction as the |
---|
54 | 54 | | 27dispensing of a prescription to the person purchasing the opioid antagonist regardless of the |
---|
55 | 55 | | 28ultimate user of the opioid antagonist. Unless the person purchasing the opioid antagonist |
---|
56 | 56 | | 29requests to pay for the prescription out-of-pocket, the pharmacist or designee shall make a |
---|
57 | 57 | | 30reasonable effort to identify the purchaser’s insurance coverage and to submit a claim for the |
---|
58 | 58 | | 31opioid antagonist to the insurance carrier prior to dispensing the opioid antagonist. |
---|
59 | 59 | | 32 (f) Except for an act of gross negligence or willful misconduct, the commissioner or a |
---|
60 | 60 | | 33physician who issues the statewide standing order under subsection (b) and any practitioner who, 3 of 3 |
---|
61 | 61 | | 34acting in good faith, directly or through the standing order, prescribes or dispenses an opioid |
---|
62 | 62 | | 35antagonist shall not be subject to any criminal or civil liability or any professional disciplinary |
---|
63 | 63 | | 36action. |
---|
64 | 64 | | 37 (g) A person acting in good faith may receive a prescription for an opioid antagonist, |
---|
65 | 65 | | 38possess an opioid antagonist and administer an opioid antagonist to an individual appearing to |
---|
66 | 66 | | 39experience an opioid-related overdose. A person who, acting in good faith, administers an opioid |
---|
67 | 67 | | 40antagonist to an individual appearing to experience an opioid-related overdose shall not, as a |
---|
68 | 68 | | 41result of the person's acts or omissions, be subject to any criminal or civil liability or any |
---|
69 | 69 | | 42professional disciplinary action. The immunity established under section 34A shall also apply to |
---|
70 | 70 | | 43a person administering an opioid antagonist pursuant to this section. |
---|
71 | 71 | | 44 (h) The department, the board of registration in medicine and the board of registration in |
---|
72 | 72 | | 45pharmacy shall adopt regulations to implement this section. |
---|