Req. No. 9116 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 59th Legislature (2024) HOUSE BILL 3326 By: Staires AS INTRODUCED An Act relating to narcotic treatment programs; amending 43A O.S. 2021, Section 3 -601, as amended by Section 2, Chapter 250, O.S.L. 2023 (43A O.S. Supp. 2023, Section 3-601), which relates to opioid substitution treatment programs and compliance; modifying mandatory observance of drug abuse testing; 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, as amended by Section 2, Chapter 250, O.S.L. 2023 (43 A O.S. Supp. 2023, 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 sub stitution treatment program for persons with a history of op ioid addiction to or physiologic dependence on controlled dangerous substances, shall only be u sed: 1. In treating persons with a history of addiction; 2. In treating persons with a one-year history of opioid addiction to or physiologic dependence on controlled dangerous Req. No. 9116 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 substances, as defined by the Code of Federal Regulations, and documentation of attempting another type of treatment; or 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 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. 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 opioid substitution treatment program. D. An opioid substitution treatment program shall be certified by the Board of Mental Health and Subst ance Abuse Services, or the Commissioner of Mental Health and Substance Abuse Services upon Req. No. 9116 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 delegation by the Board, and registered with the federal Drug Enforcement Administration for the use of an opioid d rug to treat narcotic addiction. E. The Board of Mental Health and Substance Abuse Se rvices shall promulgate rules and standards for the certification of all programs, private facilities, and organi zations which provide opioid substitution treatment dire cted to those physiologically dependent on or addicted to opioids. These facilities and organizations shall be known as "Opioid Substitution Treatment Programs". Only certified facilities may receiv e and assist opioid-dependent and addicted persons by pr oviding Class II controlled substances in opioid substitution treatment and rehabilitat ion. F. The Board of Mental Health and Substance Abuse Services shall promulgate rules and standards regulati ng the treatment and services provided by opioid substitut ion treatment programs. Failure to comply with rul es and standards promulgated by the B oard shall be grounds for revocation, suspension or nonrenewal of certification. G. An opioid substitution treatment program shall comply with all federal requirements for opioid treatment programs provided by 42 C.F.R., Subpart C including but not limited to t he requirement to provide drug abuse testing services provided by 42 C.F.R., Section 8.12(f)(6). Drug abuse testing shall may be directly observed by an employee or contractor of the opioid substitution treatment program. Req. No. 9116 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. Opioid substitution treatment pro grams shall notify the Department of Mental Health and Substance Abuse Services of plans to close or relocate within a mi nimum of thirty (30) days prior to closure or relocation. I. Failure to comply with rules and standards promulgated by the Board of Mental Health and Substance Abuse Services pursuant to this section or failure to comply with the requirements of 42 C.F.R., Subpart C shall be grounds for reprimand, suspension, revocation or nonrenewal of certification. SECTION 2. This act shall become effective November 1, 2024. 59-2-9116 TJ 01/15/23