| 11 | | - | SectionA.Sections195.206and196.1050,RSMo,arerepealedandtwonewsections |
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| 12 | | - | 2enactedinlieuthereof,tobeknownassections195.206and196.1050,toreadasfollows: |
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| 13 | | - | 195.206.1.Asusedinthissection,thefollowingtermsshallmean: |
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| 14 | | - | 2 (1)"Addictionmitigationmedication",naltrexonehydrochloridethatis |
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| 15 | | - | 3administeredinamannerapprovedbytheUnitedStatesFoodandDrug |
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| 16 | | - | 4Administrationoranyacceptedmedicalpracticemethodofadministering; |
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| 17 | | - | 5 [(1)](2)"Opioidantagonist",naloxonehydrochloridethatblockstheeffectsofan |
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| 18 | | - | 6opioidoverdosethatisadministeredinamannerapprovedbytheUnitedStatesFoodand |
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| 19 | | - | 7DrugAdministrationoranyacceptedmedicalpracticemethodofadministering; |
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| 20 | | - | 8 [(2)](3)"Opioid-relateddrugoverdose",aconditionincluding,butnotlimitedto, |
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| 21 | | - | 9extremephysicalillness,decreasedlevelofconsciousness,respiratorydepression,coma,or |
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| 22 | | - | 10deathresultingfromtheconsumptionoruseofanopioidorothersubstancewithwhichan |
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| 23 | | - | 11opioidwascombinedoraconditionthatalaypersonwouldreasonablybelievetobean |
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| 24 | | - | 12opioid-relateddrugoverdosethatrequiresmedicalassistance. |
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| 25 | | - | 13 2.Notwithstandinganyotherlaworregulationtothecontrary: |
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| 26 | | - | 14 (1)Thedirectorofthedepartmentofhealthandseniorservices,ifalicensed |
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| 27 | | - | 15physician,mayissueastatewidestandingorderforanopioidantagonistoranaddiction |
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| 28 | | - | 16mitigationmedication; |
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| 29 | | - | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 30 | | - | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17 (2)Inthealternative,thedepartmentmayemployorcontractwithalicensed |
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| 31 | | - | 18physicianwhomayissueastatewidestandingorderforanopioidantagonistoranaddiction |
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| 32 | | - | 19mitigationmedicationwiththeexpresswrittenconsentofthedepartmentdirector. |
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| 33 | | - | 20 3.Notwithstandinganyotherlaworregulationtothecontrary,anylicensed |
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| 34 | | - | 21pharmacistinMissourimaysellanddispenseanopioidantagonistoranaddiction |
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| 35 | | - | 22mitigationmedicationunderphysicianprotocolorunderastatewidestandingorderissued |
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| 36 | | - | 23undersubsection2ofthissection. |
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| 37 | | - | 24 4.Alicensedpharmacistwho,actingingoodfaithandwithreasonablecare,sellsor |
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| 38 | | - | 25dispensesanopioidantagonistoranaddictionmitigationmedicationandanappropriate |
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| 39 | | - | 26devicetoadministerthedrug,andtheprotocolphysician,shallnotbesubjecttoanycriminal |
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| 40 | | - | 27orcivilliabilityoranyprofessionaldisciplinaryactionforprescribingordispensingthe |
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| 41 | | - | 28opioidantagonistoranaddictionmitigationmedicationoranyoutcomeresultingfromthe |
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| 42 | | - | 29administrationoftheopioidantagonistoranaddictionmitigationmedication. Aphysician |
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| 43 | | - | 30issuingastatewidestandingorderundersubsection2ofthissectionshallnotbesubjectto |
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| 44 | | - | 31anycriminalorcivilliabilityoranyprofessionaldisciplinaryactionforissuingthestanding |
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| 45 | | - | 32orderorforanyoutcomerelatedtotheorderortheadministrationoftheopioidantagonistor |
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| 46 | | - | 33anaddictionmitigationmedication. |
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| 47 | | - | 34 5.Notwithstandinganyotherlaworregulationtothecontrary,itshallbepermissible |
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| 48 | | - | 35foranypersontopossessanopioidantagonistoranaddictionmitigationmedication. |
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| 49 | | - | 36 6.Anypersonwhoadministersanopioidantagonisttoanotherpersonshall, |
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| 50 | | - | 37immediatelyafteradministeringthedrug,contactemergencypersonnel.Anypersonwho, |
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| 51 | | - | 38actingingoodfaithandwithreasonablecare,administersanopioidantagonisttoanother |
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| 52 | | - | 39personwhomthepersonbelievestobesufferinganopioid-relatedoverdoseshallbeimmune |
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| 53 | | - | 40fromcriminalprosecution,disciplinaryactionsfromhisorherprofessionallicensingboard, |
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| 54 | | - | 41andcivilliabilityduetotheadministrationoftheopioidantagonist. |
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| 55 | | - | 196.1050.1.Theproceedsofanymonetarysettlementorportionofaglobal |
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| 56 | | - | 2settlementbetweentheattorneygeneralofthestateandanydrugmanufacturers,distributors, |
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| 57 | | - | 3orcombinationthereoftoresolveanopioid-relatedcauseofactionagainstsuchdrug |
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| 58 | | - | 4manufacturers,distributors,orcombinationthereofinastateorfederalcourtshallonlybe |
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| 59 | | - | 5utilizedtopayforopioidaddictiontreatmentandpreventionservicesandhealthcareandlaw |
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| 60 | | - | 6enforcementcostsrelatedtoopioidaddictiontreatmentandprevention.Underno |
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| 61 | | - | 7circumstancesshallsuchsettlementmoneysbeutilizedtofundotherservices,programs, |
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| 62 | | - | 8orexpensesnotreasonablyrelatedtoopioidaddictiontreatmentandprevention. |
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| 63 | | - | 9 2.(1)Thereisherebyestablishedinthestatetreasurythe"OpioidAddiction |
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| 64 | | - | 10TreatmentandRecoveryFund",whichshallconsistoftheproceedsofanysettlement |
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| 65 | | - | 11describedinsubsection1ofthissection,aswellasanyfundsappropriatedbythegeneral |
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| 66 | | - | 12assembly,orgifts,grants,donations,orbequests.Thestatetreasurershallbecustodianofthe |
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| 67 | | - | SSHB2162 2 13fund.Inaccordancewithsections30.170and30.180,thestatetreasurermayapprove |
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| 68 | | - | 14disbursements.Thefundshallbeadedicatedfundandmoneyinthefundshallbeusedbythe |
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| 69 | | - | 15departmentofmentalhealth,thedepartmentofhealthandseniorservices,thedepartmentof |
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| 70 | | - | 16socialservices,[and]thedepartmentofpublicsafety, thedepartmentofcorrections,and |
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| 71 | | - | 17thejudiciaryforthepurposessetforthinsubsection1ofthissection. |
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| 72 | | - | 18 (2)Notwithstandingtheprovisionsofsection33.080tothecontrary,anymoneys |
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| 73 | | - | 19remaininginthefundattheendofthebienniumshallnotreverttothecreditofthegeneral |
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| 74 | | - | 20revenuefund. |
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| 75 | | - | 21 (3)Thestatetreasurershallinvestmoneysinthefundinthesamemannerasother |
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| 76 | | - | 22fundsareinvested.Anyinterestandmoneysearnedonsuchinvestmentsshallbecreditedto |
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| 77 | | - | 23thefund. |
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| 78 | | - | âś” |
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| 79 | | - | SSHB2162 3 |
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| 12 | + | Section A. Sections 195.206 and 196.1050, RSMo, are 1 |
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| 13 | + | repealed and two new sections enacted in lieu thereof, to be 2 |
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| 14 | + | known as sections 195.206 and 196.1050, to read as follows:3 |
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| 15 | + | 195.206. 1. As used in this section, the following 1 |
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| 16 | + | terms shall mean: 2 |
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| 17 | + | (1) "Addiction mitigation medication", naltrexone 3 |
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| 18 | + | hydrochloride that is administered in a manner approved by 4 |
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| 19 | + | the United States Food and Drug Administration or any 5 |
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| 20 | + | accepted medical practice method of administering; 6 |
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| 21 | + | [(1)] (2) "Opioid antagonist", naloxone hydrochloride 7 |
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| 22 | + | that blocks the effects of an opioid overdose that is 8 |
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| 23 | + | administered in a manner approved by the United States Food 9 |
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| 24 | + | and Drug Administration or any accepted medical practice 10 |
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| 25 | + | method of administering; 11 |
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| 26 | + | [(2)] (3) "Opioid-related drug overdose", a condition 12 |
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| 27 | + | including, but not limited to, extreme physical illness, 13 |
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| 28 | + | decreased level of consciousness, respiratory depression, 14 |
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| 29 | + | coma, or death resulting from the consumption or use of an 15 |
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| 30 | + | opioid or other substance with which an opioid was combined 16 |
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| 31 | + | or a condition that a layperson would reasonably believe to 17 |
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| 32 | + | be an opioid-related drug overdose that requires medical 18 |
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| 33 | + | assistance. 19 |
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| 34 | + | 2. Notwithstanding any other law or regulation to the 20 |
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| 35 | + | contrary: 21 |
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| 36 | + | 2 |
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| 37 | + | (1) The director of the departmen t of health and 22 |
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| 38 | + | senior services, if a licensed physician, may issue a 23 |
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| 39 | + | statewide standing order for an opioid antagonist or an 24 |
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| 40 | + | addiction mitigation medication ; 25 |
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| 41 | + | (2) In the alternative, the department may employ or 26 |
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| 42 | + | contract with a licensed physician who may issue a statewide 27 |
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| 43 | + | standing order for an opioid antagonist or an addiction 28 |
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| 44 | + | mitigation medication with the express written consent of 29 |
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| 45 | + | the department director. 30 |
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| 46 | + | 3. Notwithstanding any other law or regulation to the 31 |
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| 47 | + | contrary, any licensed pha rmacist in Missouri may sell and 32 |
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| 48 | + | dispense an opioid antagonist or an addiction mitigation 33 |
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| 49 | + | medication under physician protocol or under a statewide 34 |
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| 50 | + | standing order issued under subsection 2 of this section. 35 |
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| 51 | + | 4. A licensed pharmacist who, acting in go od faith and 36 |
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| 52 | + | with reasonable care, sells or dispenses an opioid 37 |
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| 53 | + | antagonist or an addiction mitigation medication and an 38 |
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| 54 | + | appropriate device to administer the drug, and the protocol 39 |
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| 55 | + | physician, shall not be subject to any criminal or civil 40 |
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| 56 | + | liability or any professional disciplinary action for 41 |
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| 57 | + | prescribing or dispensing the opioid antagonist or an 42 |
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| 58 | + | addiction mitigation medication or any outcome resulting 43 |
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| 59 | + | from the administration of the opioid antagonist or an 44 |
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| 60 | + | addiction mitigation medication . A physician issuing a 45 |
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| 61 | + | statewide standing order under subsection 2 of this section 46 |
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| 62 | + | shall not be subject to any criminal or civil liability or 47 |
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| 63 | + | any professional disciplinary action for issuing the 48 |
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| 64 | + | standing order or for any outcome related to the order or 49 |
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| 65 | + | the administration of the opioid antagonist or an addiction 50 |
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| 66 | + | mitigation medication . 51 |
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| 67 | + | 5. Notwithstanding any other law or regulation to the 52 |
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| 68 | + | contrary, it shall be permissible for any person to possess 53 |
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| 69 | + | an opioid antagonist or an addiction mitigation medication . 54 |
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| 70 | + | 3 |
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| 71 | + | 6. Any person who administers an opioid antagonist to 55 |
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| 72 | + | another person shall, immediately after administering the 56 |
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| 73 | + | drug, contact emergency personnel. Any person who, acting 57 |
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| 74 | + | in good faith and with reasonable care, administers an 58 |
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| 75 | + | opioid antagonist to another person whom the person believes 59 |
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| 76 | + | to be suffering an opioid -related overdose shall be immune 60 |
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| 77 | + | from criminal prosecution, disciplinary actions from his or 61 |
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| 78 | + | her professional licensing board, and civil liability due to 62 |
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| 79 | + | the administration of the opioid antagonist. 63 |
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| 80 | + | 196.1050. 1. The proceeds of any monetary settlement 1 |
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| 81 | + | or portion of a global settlement between the attorney 2 |
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| 82 | + | general of the state and any drug manufacturers, 3 |
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| 83 | + | distributors, or combination thereof to resolve an opioid - 4 |
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| 84 | + | related cause of action against such drug manufacturers, 5 |
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| 85 | + | distributors, or combination thereof in a state or federal 6 |
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| 86 | + | court shall only be utilized to pay for opioid addiction 7 |
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| 87 | + | treatment and prevention services and health care and law 8 |
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| 88 | + | enforcement costs rela ted to opioid addiction treatment and 9 |
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| 89 | + | prevention. Under no circumstances shall such settlement 10 |
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| 90 | + | moneys be utilized to fund other services, programs, or 11 |
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| 91 | + | expenses not reasonably related to opioid addiction 12 |
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| 92 | + | treatment and prevention. 13 |
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| 93 | + | 2. (1) There is hereby established in the state 14 |
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| 94 | + | treasury the "Opioid Addiction Treatment and Recovery Fund", 15 |
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| 95 | + | which shall consist of the proceeds of any settlement 16 |
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| 96 | + | described in subsection 1 of this section, as well as any 17 |
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| 97 | + | funds appropriated by the general assembly, or gifts, 18 |
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| 98 | + | grants, donations, or bequests. The state treasurer shall 19 |
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| 99 | + | be custodian of the fund. In accordance with sections 20 |
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| 100 | + | 30.170 and 30.180, the state treasurer may approve 21 |
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| 101 | + | disbursements. The fund shall be a dedicated fund and money 22 |
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| 102 | + | in the fund shall be used by the department of mental 23 |
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| 103 | + | health, the department of health and senior services, the 24 |
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| 104 | + | 4 |
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| 105 | + | department of social services, [and] the department of 25 |
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| 106 | + | public safety, the department of corrections, and the 26 |
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| 107 | + | judiciary for the purposes set forth in subsecti on 1 of this 27 |
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| 108 | + | section. 28 |
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| 109 | + | (2) Notwithstanding the provisions of section 33.080 29 |
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| 110 | + | to the contrary, any moneys remaining in the fund at the end 30 |
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| 111 | + | of the biennium shall not revert to the credit of the 31 |
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| 112 | + | general revenue fund. 32 |
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| 113 | + | (3) The state treasurer shal l invest moneys in the 33 |
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| 114 | + | fund in the same manner as other funds are invested. Any 34 |
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| 115 | + | interest and moneys earned on such investments shall be 35 |
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| 116 | + | credited to the fund. 36 |
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