Req. No. 2393 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 2nd Session of the 58th Legislature (2022) SENATE BILL 1438 By: Allen AS INTRODUCED An Act relating to substance abuse services; amending 43A O.S. 2021, Section 3 -601, which relates to opioid substitution treatment progra ms; prohibiting sale or dispensing of methadone for unsupervised use; and providing an effective date . BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 43A O.S. 2021, Section 3-601, is amended to read as follows: Section 3-601. A. Any Class II controlled dangerous substance, when used in this state by an opioid substitu tion treatment program for persons with a history of opioid addiction to or physiologic dependence on controlled dangerous substances, shall only be used: 1. In treating pers ons with a history of addiction ; 2. In treating persons with a one -year history of opioid addiction to or physiologic dependence on controlled dangerous substances, as defined by the Code of Federal Regu lations, and documentation of attempting another type of treatment; or Req. No. 2393 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 3. If clinically appropriate, the program physician may waive the requirement of a one -year history of opioid addiction for consumers within six (6) months of release from a penal inst itution, for consumers with a pregnancy verified by the program physician, or for consumers having previously received treatment for opioid addiction and within two (2) years of discharge from that treatmen t episode. B. Any conviction for a violation of t he provisions of this section or any rules promulgated pursuant to the provisions of this section shall be a felony. C. For the purposes of this section, "opioid substitution treatment program" means a person, private physician, or organization that admin isters or dispenses an opioid drug to a narcotic addict for the purposes of detoxification or maintenance treatment or provides, when necessary and appropriate, comprehensive medical and rehabilitation serv ices. A private physician who administers buprenorphine with a waiver from the Drug Enforcement Administration shall not be considered an opioid substitution treatment program. An o pioid substitution treatment program shall be certified by the Board of M ental Health and Substance Abuse Services, or the Commissioner of Mental Health and Substance Abuse Services upon delegation by the Board, and registered with the federal Drug Enforce ment Administration for the use of an opioid drug to treat narcotic addic tion. Req. No. 2393 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 D. The Board of Mental Health and Substance Abuse Services shall promulgate rules and standards for the certification of all programs, private facilities, and organizations whi ch provide opioid substitution treatment directed to those physiologicall y dependent on or addicted to opioids. These faci lities and organizations shall be known as "Opioid Substitution Treatment Programs " "opioid substitution treatment program s". Only certified facilities may receive and assist opioid-dependent and addicted persons by providing Class II controlled substanc es in opioid substitution treatment and rehabilitation. E. The Board of Mental Health and Substance Abuse Services shall promulgate rules and standards regulating the treatme nt and services provided by opio id substitution treatment programs. Failure to comply with rules and standards promulgated by the Board shall be grounds for revocation, suspension or nonrenewal of certification. F. Opioid substitution treatment programs shall notify the Department of Mental Health and Substance Abuse Services of plan s to close or relocate within a minimum of thirty (30) days prior to closure or relocation. G. Failure to comply with rules and standards promulgated by the Board of Mental H ealth and Substance Abuse Servic es pursuant to this section shall be grounds for reprimand, suspension, revocation or nonrenewal of certification. Req. No. 2393 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 H. An opioid substitution treatment program or any other healthcare provider or healthcare facility shall not sell or dispense methadone to any consumer for unsupervised us e. The opioid substitution treatment pro gram or other provider or facility may only administer or dispense meth adone to a consumer for onsite consumption. SECTION 2. This act shall become effective November 1, 2022. 58-2-2393 DC 1/19/2022 4:18:52 PM