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4 | - | An Act | |
5 | - | ENROLLED SENATE | |
29 | + | HOUSE OF REPRESENTATIVES - FLOOR VERSION | |
30 | + | ||
31 | + | STATE OF OKLAHOMA | |
32 | + | ||
33 | + | 1st Session of the 59th Legislature (2023) | |
34 | + | ||
35 | + | ENGROSSED SENATE | |
6 | 36 | BILL NO. 711 By: Rosino of the Senate | |
7 | 37 | ||
8 | 38 | and | |
9 | 39 | ||
10 | 40 | Boatman of the House | |
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15 | 45 | An Act relating to substance abuse services; defining | |
16 | 46 | term; requiring the Department of Mental Health and | |
17 | 47 | Substance Abuse Services to provide emergency opioid | |
18 | 48 | antagonists to the Department of Corrections and | |
19 | 49 | county jails subject to certain condition ; requiring | |
20 | 50 | the Department of Mental Health and Substance Abuse | |
21 | 51 | Services to prepare and provide opioid overdose | |
22 | 52 | education program; describing program; amending 57 | |
23 | 53 | O.S. 2021, Section 4.1, which relates to prisons and | |
24 | 54 | reformatories; requiring the Department of | |
25 | 55 | Corrections and county jails to provide emergency | |
26 | 56 | opioid antagonists to certain persons upon discharge | |
27 | 57 | subject to certain condition; authorizing stocking | |
28 | 58 | and provision of emergency opioid antagonists; | |
29 | 59 | requiring provision of opioid overdose education | |
30 | 60 | program to certain persons; providing certain | |
31 | 61 | construction; providing for codification; and | |
32 | 62 | providing an effective date. | |
33 | 63 | ||
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36 | 66 | ||
37 | - | SUBJECT: Substance abuse services | |
38 | - | ||
39 | 67 | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: | |
40 | - | ||
41 | 68 | SECTION 1. NEW LAW A new section of law to be codified | |
42 | 69 | in the Oklahoma Statutes as Section 2-401.1 of Title 43A, unless | |
43 | 70 | there is created a duplication i n numbering, reads as follo ws: | |
44 | 71 | ||
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45 | 98 | A. As used in this section, “emergency opioid antagonist” means | |
46 | 99 | a drug including but not limited to naloxone that blocks the effects | |
47 | - | ||
48 | - | ENR. S. B. NO. 711 Page 2 | |
49 | 100 | of opioids and that is approved by the United Sta tes Food and Drug | |
50 | 101 | Administration for the treat ment of an opioid overdose . | |
51 | - | ||
52 | 102 | B. Subject to allocation of federal funding for the purchase of | |
53 | 103 | emergency opioid antagonists, the Department of Mental Health and | |
54 | 104 | Substance Abuse Services shall provide emergency opioid antagonists | |
55 | 105 | to the Department of Corrections and to county jails for the purpose | |
56 | 106 | of implementing Section 2 of this act. | |
57 | - | ||
58 | 107 | C. The Department of Mental Health and Substance Abuse Services | |
59 | 108 | shall prepare and provide an opioid overd ose education program to | |
60 | 109 | the Department of Corrections and to county jails for the purpose of | |
61 | 110 | implementing Section 2 of this act. The education program shall: | |
62 | - | ||
63 | 111 | 1. Conform to guidelines of the Substance Abuse and Mental | |
64 | 112 | Health Services Administration for opioid overdose education ; | |
65 | - | ||
66 | 113 | 2. Explain the causes of an opioid overdose; | |
67 | - | ||
68 | 114 | 3. Instruct when and how to administer in accordance with | |
69 | 115 | medical best practices: | |
70 | - | ||
71 | 116 | a. life-saving rescue techniques , and | |
72 | - | ||
73 | 117 | b. an emergency opioid antagonist; | |
74 | - | ||
75 | 118 | 4. Explain how to contact appropriate emergency medi cal | |
76 | 119 | services; and | |
77 | - | ||
78 | 120 | 5. Provide information on how to access emergency opioid | |
79 | 121 | antagonists. | |
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123 | + | SB711 HFLR Page 3 | |
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81 | 149 | SECTION 2. AMENDATORY 57 O.S. 2021, Section 4.1, is | |
82 | 150 | amended to read as follo ws: | |
83 | - | ||
84 | 151 | Section 4.1. A. In addition to other medical and health car e | |
85 | 152 | services required by a jail facility as may be provided by rule by | |
86 | 153 | the State Department of Health, the person responsible for | |
87 | 154 | administration for a jail shall administer medi cations according to | |
88 | 155 | the following: | |
89 | - | ||
90 | - | ||
91 | - | ENR. S. B. NO. 711 Page 3 | |
92 | 156 | 1. Prescription medications shall be provide d to the prisoner | |
93 | 157 | as directed by a physician o r designated medical authority. The | |
94 | 158 | prisoner shall be observed to ensure the prisoner takes the | |
95 | 159 | medication. The physician or designated medical authority shall be | |
96 | 160 | particularly aware through his or her trainin g of the impact of | |
97 | 161 | opiate or methadone withdra wal symptoms that may occur in regard to | |
98 | 162 | the mental and physical health of the prisoner. The physician or | |
99 | 163 | medical authority shal l prescribe and administer appropriate | |
100 | 164 | medications to the prisoner pursuant to Se ction 5-204 of Title 43A | |
101 | 165 | of the Oklahoma Statu tes as the medical authority deems appropriate | |
102 | 166 | to address those symptoms. Neither prescription nor over -the- | |
103 | 167 | counter medications shall be kept by a prisoner in a cell with the | |
104 | 168 | exception of prescribed nitroglyce rin tablets and prescription | |
105 | 169 | inhalers. Over-the-counter medications shall not be administered | |
106 | 170 | without a physician’s approval unless using prepackaged med ications; | |
107 | 171 | ||
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173 | + | BOLD FACE denotes Committee Amendments. 1 | |
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108 | 198 | 2. Medical reception information shall be recorded on a printed | |
109 | 199 | screening form approved by the physician or designated medical | |
110 | 200 | authority which shall include inquiry into: | |
111 | - | ||
112 | 201 | a. current illnesses and health problems including | |
113 | 202 | medications taken and a ny special health req uirements, | |
114 | - | ||
115 | 203 | b. behavioral observation, including state of | |
116 | 204 | consciousness and mental status, | |
117 | - | ||
118 | 205 | c. body deformities and trauma markin gs such as bruises, | |
119 | 206 | lesions, jaundice, and ease of body movement, | |
120 | - | ||
121 | 207 | d. condition of skin and visible body orif ices, including | |
122 | 208 | infestations, and | |
123 | - | ||
124 | 209 | e. disposition or referral of prisoners to qualified | |
125 | 210 | medical personnel on an emergency basis; and | |
126 | - | ||
127 | 211 | 3. For purposes of this section, “physician or other licensed | |
128 | 212 | medical personnel” means a psychiatrist, medical doctor, oste opathic | |
129 | 213 | physician, physician’s assistant, registered nurse, licensed | |
130 | 214 | practical nurse, emergency medica l technician at the paramedical | |
131 | 215 | level or clinical nurse specialist. | |
132 | - | ||
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134 | - | ENR. S. B. NO. 711 Page 4 | |
135 | 216 | B. 1. Subject to the provision of emergency opioid antagonists | |
136 | 217 | by the Department of Mental Hea lth and Substance Abuse Services | |
137 | 218 | under Section 1 of this act: | |
138 | - | ||
139 | 219 | a. the Department of Corrections, upon the discharge of | |
140 | 220 | an inmate from an institution within the Department | |
141 | 221 | who has been diagnosed with an opioid use disorder, | |
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142 | 249 | regardless of whether tha t inmate has received | |
143 | 250 | treatment for the disorder, shall provide the inmate , | |
144 | 251 | as the inmate leaves the institution, with two doses | |
145 | 252 | of an emergency opioid antagonist, and | |
146 | - | ||
147 | 253 | b. a county jail: | |
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149 | 254 | (1) upon the discharge of any person who is confined | |
150 | 255 | in the jail pursuant to a sentence who has been | |
151 | 256 | diagnosed with an opioid use disorder , regardless | |
152 | 257 | of whether that person has received treatment for | |
153 | 258 | the disorder, or | |
154 | - | ||
155 | 259 | (2) upon the discharge of any person who is confined | |
156 | 260 | in the jail for an offense related to possession | |
157 | 261 | of an opioid drug other than: | |
158 | - | ||
159 | 262 | (a) a person who is confined in the jail | |
160 | 263 | pursuant to a sentence, or | |
161 | - | ||
162 | 264 | (b) a person who is being transferred to th e | |
163 | 265 | custody of the Department of Co rrections, | |
164 | - | ||
165 | 266 | shall provide the person, as the person leaves the | |
166 | 267 | jail, with two doses of an emergency opioid | |
167 | 268 | antagonist. | |
168 | - | ||
169 | 269 | 2. Notwithstanding the provision of emergency opioid | |
170 | 270 | antagonists by the Department of Mental Health and Substance Ab use | |
171 | 271 | Services as provided by Section 1 of this act, the Department of | |
172 | 272 | Corrections and county jails may stock and provide emergency opioid | |
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173 | 300 | antagonists to inmates or persons upon discharge from the | |
174 | 301 | institution or jail as described in paragraph 1 of this subse ction. | |
175 | - | ||
176 | - | ||
177 | - | ENR. S. B. NO. 711 Page 5 | |
178 | 302 | 3. Before the Department of Corrections or a county jail | |
179 | 303 | provides an emergency opioid antagonist to a n inmate or person as | |
180 | 304 | described in paragraph 1 or 2 of this subsection, the Department of | |
181 | 305 | Corrections or the jail shall ensure that the in mate or person is | |
182 | 306 | provided with the opioid overdose education program provided by the | |
183 | 307 | Department of Mental Health and Substance Abuse Services under | |
184 | 308 | Section 1 of this act. | |
185 | - | ||
186 | 309 | 4. Nothing in this subsection is intended to a brogate or | |
187 | 310 | supersede any existing authority of the Department of Corrections or | |
188 | 311 | a county jail to administer an emergency opioid antagonist to a | |
189 | 312 | person experiencing an opioid overdose. | |
190 | - | ||
191 | 313 | SECTION 3. This act shall become effective November 1, 2023. | |
192 | 314 | ||
193 | - | ||
194 | - | ENR. S. B. NO. 711 Page 6 | |
195 | - | Passed the Senate the 8th day of March, 2023. | |
196 | - | ||
197 | - | ||
198 | - | ||
199 | - | Presiding Officer of the Senate | |
200 | - | ||
201 | - | ||
202 | - | Passed the House of Representatives the 19th day of April, 2023. | |
203 | - | ||
204 | - | ||
205 | - | ||
206 | - | Presiding Officer of the House | |
207 | - | of Representatives | |
208 | - | ||
209 | - | OFFICE OF THE GOVERNOR | |
210 | - | Received by the Office of the Governor this _______ _____________ | |
211 | - | day of _________________ __, 20_______, at _______ o'clock _______ M. | |
212 | - | By: _______________________________ __ | |
213 | - | Approved by the Governor of the State of Oklahoma this _____ ____ | |
214 | - | day of _________________ __, 20_______, at _______ o'clock _______ M. | |
215 | - | ||
216 | - | _________________________________ | |
217 | - | Governor of the State of Oklahoma | |
218 | - | ||
219 | - | ||
220 | - | OFFICE OF THE SECRETARY OF STATE | |
221 | - | Received by the Office of the Secretary of State this _______ ___ | |
222 | - | day of __________________, 20 _______, at _______ o'clock _______ M. | |
223 | - | By: _______________________________ __ | |
315 | + | COMMITTEE REPORT BY: COMMITTEE ON PUBLIC HEALTH, dated 04/06/2023 - | |
316 | + | DO PASS. |