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2 | 2 | | SENATE DOCKET, NO. 2137 FILED ON: 1/17/2025 |
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3 | 3 | | SENATE . . . . . . . . . . . . . . No. 1635 |
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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 | | John C. Velis |
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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 authorizing pharmacists to provide opioid use disorder treatment. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | NAME:DISTRICT/ADDRESS :John C. VelisHampden and Hampshire 1 of 2 |
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16 | 16 | | SENATE DOCKET, NO. 2137 FILED ON: 1/17/2025 |
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17 | 17 | | SENATE . . . . . . . . . . . . . . No. 1635 |
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18 | 18 | | By Mr. Velis, a petition (accompanied by bill, Senate, No. 1635) of John C. Velis for legislation |
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19 | 19 | | to authorize pharmacists to provide opioid use disorder treatment. Public Health. |
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20 | 20 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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21 | 21 | | SEE SENATE, NO. 1435 OF 2023-2024.] |
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22 | 22 | | The Commonwealth of Massachusetts |
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23 | 23 | | _______________ |
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24 | 24 | | In the One Hundred and Ninety-Fourth General Court |
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25 | 25 | | (2025-2026) |
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26 | 26 | | _______________ |
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27 | 27 | | An Act authorizing pharmacists to provide opioid use disorder treatment. |
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28 | 28 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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29 | 29 | | of the same, as follows: |
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30 | 30 | | 1 Section 24B ½ of chapter 112 of the General Laws, as appearing in the 2020 Official |
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31 | 31 | | 2Edition, is hereby amended by striking out subsection (c) and inserting thereof the following:- |
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32 | 32 | | 3 (c) Collaborative drug therapy management shall only be allowed in the following |
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33 | 33 | | 4settings: (1) hospitals licensed pursuant to section 51 of chapter 111, subject to approval by the |
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34 | 34 | | 5medical staff executive committee at a licensed hospital or designee; (2) long-term care facilities |
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35 | 35 | | 6licensed pursuant to section 71 of chapter 111, subject to approval by the long-term care |
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36 | 36 | | 7facilities' medical director or designee; (3) inpatient or outpatient hospice settings licensed |
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37 | 37 | | 8pursuant to section 57D of chapter 111, subject to approval by the hospice's medical director or |
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38 | 38 | | 9designee; (4) ambulatory care clinics licensed pursuant to section 51 of chapter 111, with on-site |
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39 | 39 | | 10supervision by the attending physician and a collaborating pharmacist, subject to approval by the 2 of 2 |
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40 | 40 | | 11ambulatory care clinic's medical staff executive committee or designee, or medical director or |
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41 | 41 | | 12designee; (5) collaborating pharmacists in a retail drug business, as registered in section 38 of |
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42 | 42 | | 13chapter 112 and limited by this section, with supervision by physicians according to the terms of |
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43 | 43 | | 14their collaborative practice agreements and limited to the following: patients 18 years of age or |
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44 | 44 | | 15older; an extension by 30 days of current drug therapy prescribed by the supervising physician; |
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45 | 45 | | 16and administration of vaccines or initiation of medications pursuant to a diagnosis, |
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46 | 46 | | 17discontinuation, and/or modification of dosages of medications prescribed by the supervising |
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47 | 47 | | 18physicians for substance use disorders, asthma, chronic obstructive pulmonary disease, diabetes, |
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48 | 48 | | 19hypertension, hyperlipidemia, congestive heart failure, HIV or AIDS, osteoporosis and co- |
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49 | 49 | | 20morbidities identified by the supervising physician for the individual patient along with the |
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50 | 50 | | 21primary diagnosis. The collaborative practice agreement shall specifically reference each disease |
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51 | 51 | | 22state being co-managed. A patient shall be referred by supervising physicians to that physicians’ |
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52 | 52 | | 23collaborating pharmacists and shall be given notice of the collaboration and shall consent to the |
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53 | 53 | | 24collaboration. Pharmacists in the retail setting, who have a collaborative practice agreement with |
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54 | 54 | | 25supervising physicians which specifically allows initial prescriptions for referred patients of the |
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55 | 55 | | 26supervising physician, may issue prescriptions for schedule II-VI controlled substances, as |
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56 | 56 | | 27defined in clause 6 of section 3 of chapter 94C. Collaborative Practice Agreements with |
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57 | 57 | | 28pharmacists in a retail setting that include controlled substances shall only be used to treat |
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58 | 58 | | 29substance use disorders as defined by section 35 of chapter 123 or any disorder described in the |
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59 | 59 | | 30most recent edition of the Diagnostic and Statistical Manual of Mental Disorders. Such |
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60 | 60 | | 31prescriptions shall be for a patient diagnosis specified in the supervising physician's individual |
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61 | 61 | | 32referral of that patient. A copy of the prescription shall be sent to the supervising physician |
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62 | 62 | | 33within 24 hours. |
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