SENATE FLOOR VERSION - HB2818 SFLR Page 1 (Bold face denotes Commit tee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 SENATE FLOOR VERSION April 12, 2023 ENGROSSED HOUSE BILL NO. 2818 By: Kendrix of the House and Bergstrom of the Senate An Act relating to sunset; amending 63 O.S. 2021, Section 2-1001, which relates to the Opioid Overdose Fatality Review Board; re-creating the Board; and modifying termination date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 63 O.S. 2021, Section 2 -1001, is amended to read as follows: Section 2-1001. A. There is hereby created until Ju ly 1, 2023 2025, in accordance with the Oklahoma Sunset Law, the Opioid Overdose Fatality Review Board within the D epartment of Mental Health and Substance Abuse Services. The Board shall have the powe r and duty to: 1. Coordinate and integrate state and local efforts to address overdose deaths and create a body of information to prevent overdose deaths; SENATE FLOOR VERSION - HB2818 SFLR Page 2 (Bold face denotes Commit tee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2. Conduct case reviews of deaths of persons eigh teen (18) years of age or older due to licit or il licit opioid use in this state; 3. Collect, analyze a nd interpret state and local data on opioid overdose deaths; 4. Develop a state and local database on opioid overd ose deaths; 5. Improve policies, pro cedures and practices within the agencies in order to prevent fatal opioid overdoses and to serve victims of unintentional overdose; and 6. Enter into agreements with other state, local or private entities as necessary to carry out the duties of the Opioi d Overdose Fatality Review Board, including but no t limited to, conducting joint reviews with the Child Death Review Board on unintentional overdose cases involving child death and child near -death incidents. B. In carrying out its duties and responsibili ties, the Board shall: 1. Promulgate rules establ ishing criteria for identifying cases involving an opioid overdose death subject to specific, in-depth review by the Board; 2. Conduct a specific case review of those c ases where the cause of death is or m ay be related to overdose of opioid drugs; SENATE FLOOR VERSION - HB2818 SFLR Page 3 (Bold face denotes Commit tee Amendments) 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. Establish and maintain statistical information related to opioid overdose deaths including, but not limited to, demographic and medical diagnostic information; 4. Establish procedures for obtaining initial in formation regarding opioid overdose deaths from la w enforcement agencies; 5. Review the policies, pract ices and procedures of medical systems and law enforcement systems and other overdose protection and prevention systems, and make specific recommendatio ns to those entities for actions necessary for the improvement of the system; 6. Request and obtain a c opy of all records and reports pertaining to an adult whose case is under review including, but not limited to: a. the report of the medical examiner, b. hospital records, c. school records, d. court records, e. prosecutorial records, f. local, state and federal law enforcement records including, but not limited to, the Oklahoma State Bureau of Investigation (OSBI) and Oklahoma Bureau of Narcotics and Dangerous Drugs Control (OBN), g. fire department records, h. State Department of Health records, including birth certificate records, SENATE FLOOR VERSION - HB2818 SFLR Page 4 (Bold face denotes Commit tee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 i. medical and dental records, j. Department of Mental Health and Substance Abuse Services and other mental health records, k. emergency medical service records, l. files of the Department of Human Services, and m. records in the possession of the Child Death Review Board when conducting a joint review in accordance with paragraph 6 of subse ction A of this section. Confidential information provided to the Board shall be mainta ined by the Board in a confidential manner as otherwis e required by state and federal law. Any person damaged by disclosure of such confidential information by the Boar d or its members which is not authorized by law may maintain an action for damages, cos ts and attorney fees pursuant to The Governmental Tort Claims Act; 7. Maintain all confidential information, documents and records in possession of the Board as confide ntial and not subject to subpoena or discovery in any civil or criminal proceedings; pr ovided however, information, documents and records oth erwise available from other sources shall not be exempt from subpoena or discovery through those sources solely bec ause such information, documents and records were presented to or reviewed by the Board ; 8. Conduct reviews of specific cases of opioid over dose deaths and request the preparation of additional information and reports as determined to be necessary by the Board including, but not limited SENATE FLOOR VERSION - HB2818 SFLR Page 5 (Bold face denotes Commit tee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 to, clinical summaries from treating physicians, chron ologies of contact and second-opinion autopsies; 9. Report, if recommended by a majority vote of the Board, to the Governor, the President Pro Tempore of the Senate and the Speaker of the House of Represen tatives any information and guidance regarding the prevention and protection system to advise on changin g trends in overdose rates, substances, methods or any other factor impacting overdose deaths, including any system ic issue within the medical, law enforcement or other relevant systems discovered by th e Board while performing its duties; and 10. Exercise all incidental powers necessary and proper for the implementation and administration of the Opioid Overdose Fatali ty Review Board. C. The review and d iscussion of individual cases of an opioid overdose death shall be conducted in executive session. All other business shall be conducted in accordance with the provisions of the Oklahoma Open Meeting Act. All discussi ons of individual cases and any writings produced by or created for the Board in the co urse of determining a remedial measure to be recommend ed by the Board, as the result of a review of an individual case of an opioid overdose death, shall be privileged a nd shall not be admissible in evidenc e in any proceeding. The Board shall periodically conduct meetings to discuss organization and business matters and any actions or recommendations aimed at improvement of the medical system or law SENATE FLOOR VERSION - HB2818 SFLR Page 6 (Bold face denotes Commit tee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 enforcement system wh ich shall be subject to the Oklahoma Open Meeting Act. Part of any meeting of the Boar d may be specifically designated as a business meeting of the Board subject to the Oklahoma Open Meeting Act. D. The Board shall submit an annual statistical report on the incidence and causes of opioid ov erdose deaths in this state for which the Board has completed its review during the past calendar year including its recommendations, if any, to the medical and law enforcement system. The Board shall also prepare and make available to the public, on an a nnual basis, a report containing a summary of the activities of the Board relating to the review of opio id overdose deaths, the extent to which the state medical and law enforcement system is coordinated and an evaluati on of whether the state is efficiently discharging its responsibilities to prevent opioid overdose deaths. The report shall be completed no later than February 1 of the subsequent year. COMMITTEE REPORT BY: COMMITTEE ON ADMINISTRATIVE RULES April 12, 2023 - DO PASS