Req. No. 7857 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 STATE OF OKLAHOMA 1st Session of the 59th Legislature (2023) COMMITTEE SUBSTITUTE FOR HOUSE BILL NO. 2686 By: West (Rick) COMMITTEE SUBSTITUTE An Act relating to mental health; amending 43a O.S. 2021, Section 3-601, which relates to opioid substitution treatment programs and addicted persons ; mandating drug screens; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLA HOMA: 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 substitution 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 control led dangerous substances, as defined by the Code of Federal Regulations, and documentation of attempting another type of treatment; or Req. No. 7857 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 3. If clinically appro priate, 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 institution, 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 treatment episode. Provided, however, that persons who are participating in the opioid substitution treatment prog ram, pursuant to this subsection, shall be administered a minimum of eight (8) random , witnessed, urine drug screens annually. B. Any conviction for a violation of the provis ions 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 administers 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 services. A private physician who administers buprenorphine wi th a waiver from the Drug Enforcement Administration shall not be considered an o pioid substitution treatment program. An opioid substitution treatment program shall be certified by the Board of Mental Health and Substance Abuse Req. No. 7857 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 Services, or the Commissio ner of Mental Health and Substance Abuse Services upon delegation by the Board, a nd registered with the federal Drug Enforcement Administration for the use of an opioid drug to treat narcotic addiction. D. The Board of Mental Health and Substance Abuse Se rvices shall promulgate rules and standards for the certification of all programs, private facilities, and organization s which provide opioid substitution treatment directed to those physiologically dependent on or addicted to opioids. These facilities an d organizations shall be known as "Opioid Substitution Treatment Programs ". Only certified facilities may receive and assist opioid-dependent and addicted persons by providing Class II controlled substances in opioid substitution treatment and rehabilitat ion. E. The Board of Mental Health and Substance Abuse Services shall promulgate rules and standards regulating the tr eatment and services provided by opioid substitution treatment p rograms. Failure to comply with rules and standards promulgated by the B oard shall be grounds for revocation, suspension or nonrenewal of certification. F. Opioid substitution treatment prog rams shall notify the Department of Mental Health and Substance Abuse Services of plans to close or relocate within a minimum of thirty ( 30) days prior to closure or relocation. Req. No. 7857 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 G. Failure to comply with rules and sta ndards promulgated by the Board of Mental Health and Substance Abuse Services pursuant to this section shall be grounds for reprimand, suspension, revocation or nonrenewal of certification. SECTION 2. This act shall become effective November 1, 2023. 59-1-7857 JL 03/01/23