Massachusetts 2025-2026 Regular Session

Massachusetts Senate Bill S1635 Compare Versions

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22 SENATE DOCKET, NO. 2137 FILED ON: 1/17/2025
33 SENATE . . . . . . . . . . . . . . No. 1635
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 John C. Velis
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 :John C. VelisHampden and Hampshire 1 of 2
1616 SENATE DOCKET, NO. 2137 FILED ON: 1/17/2025
1717 SENATE . . . . . . . . . . . . . . No. 1635
1818 By Mr. Velis, a petition (accompanied by bill, Senate, No. 1635) of John C. Velis for legislation
1919 to authorize pharmacists to provide opioid use disorder treatment. Public Health.
2020 [SIMILAR MATTER FILED IN PREVIOUS SESSION
2121 SEE SENATE, NO. 1435 OF 2023-2024.]
2222 The Commonwealth of Massachusetts
2323 _______________
2424 In the One Hundred and Ninety-Fourth General Court
2525 (2025-2026)
2626 _______________
2727 An Act authorizing pharmacists to provide opioid use disorder treatment.
2828 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
2929 of the same, as follows:
3030 1 Section 24B ½ of chapter 112 of the General Laws, as appearing in the 2020 Official
3131 2Edition, is hereby amended by striking out subsection (c) and inserting thereof the following:-
3232 3 (c) Collaborative drug therapy management shall only be allowed in the following
3333 4settings: (1) hospitals licensed pursuant to section 51 of chapter 111, subject to approval by the
3434 5medical staff executive committee at a licensed hospital or designee; (2) long-term care facilities
3535 6licensed pursuant to section 71 of chapter 111, subject to approval by the long-term care
3636 7facilities' medical director or designee; (3) inpatient or outpatient hospice settings licensed
3737 8pursuant to section 57D of chapter 111, subject to approval by the hospice's medical director or
3838 9designee; (4) ambulatory care clinics licensed pursuant to section 51 of chapter 111, with on-site
3939 10supervision by the attending physician and a collaborating pharmacist, subject to approval by the 2 of 2
4040 11ambulatory care clinic's medical staff executive committee or designee, or medical director or
4141 12designee; (5) collaborating pharmacists in a retail drug business, as registered in section 38 of
4242 13chapter 112 and limited by this section, with supervision by physicians according to the terms of
4343 14their collaborative practice agreements and limited to the following: patients 18 years of age or
4444 15older; an extension by 30 days of current drug therapy prescribed by the supervising physician;
4545 16and administration of vaccines or initiation of medications pursuant to a diagnosis,
4646 17discontinuation, and/or modification of dosages of medications prescribed by the supervising
4747 18physicians for substance use disorders, asthma, chronic obstructive pulmonary disease, diabetes,
4848 19hypertension, hyperlipidemia, congestive heart failure, HIV or AIDS, osteoporosis and co-
4949 20morbidities identified by the supervising physician for the individual patient along with the
5050 21primary diagnosis. The collaborative practice agreement shall specifically reference each disease
5151 22state being co-managed. A patient shall be referred by supervising physicians to that physicians’
5252 23collaborating pharmacists and shall be given notice of the collaboration and shall consent to the
5353 24collaboration. Pharmacists in the retail setting, who have a collaborative practice agreement with
5454 25supervising physicians which specifically allows initial prescriptions for referred patients of the
5555 26supervising physician, may issue prescriptions for schedule II-VI controlled substances, as
5656 27defined in clause 6 of section 3 of chapter 94C. Collaborative Practice Agreements with
5757 28pharmacists in a retail setting that include controlled substances shall only be used to treat
5858 29substance use disorders as defined by section 35 of chapter 123 or any disorder described in the
5959 30most recent edition of the Diagnostic and Statistical Manual of Mental Disorders. Such
6060 31prescriptions shall be for a patient diagnosis specified in the supervising physician's individual
6161 32referral of that patient. A copy of the prescription shall be sent to the supervising physician
6262 33within 24 hours.