1 | 1 | | 84R8436 GCB-D |
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2 | 2 | | By: Alvarado H.B. No. 2149 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to the prescription, administration, and possession of |
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8 | 8 | | certain opioid antagonists for the treatment of suspected opioid |
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9 | 9 | | overdoses, training about opioid antagonists and drug overdoses, |
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10 | 10 | | and grants for related programs. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. Chapter 483, Health and Safety Code, is amended |
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13 | 13 | | by adding Subchapter E to read as follows: |
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14 | 14 | | SUBCHAPTER E. OPIOID ANTAGONISTS |
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15 | 15 | | Sec. 483.101. DEFINITIONS. In this subchapter: |
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16 | 16 | | (1) "Emergency services personnel" includes |
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17 | 17 | | firefighters, police officers and other peace officers, emergency |
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18 | 18 | | medical services personnel as defined by Section 773.003, emergency |
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19 | 19 | | room personnel, and other individuals who, in the course and scope |
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20 | 20 | | of employment or as a volunteer, provide services for the benefit of |
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21 | 21 | | the general public during emergency situations. |
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22 | 22 | | (2) "Health care professional" means a person |
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23 | 23 | | authorized by law to prescribe an opioid antagonist. |
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24 | 24 | | (3) "Opioid antagonist" means any drug that binds to |
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25 | 25 | | opioid receptors and blocks or disinhibits the effects of opioids |
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26 | 26 | | acting on those receptors. |
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27 | 27 | | (4) "Opioid-related drug overdose" means a condition, |
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28 | 28 | | evidenced by symptoms such as extreme physical illness, decreased |
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29 | 29 | | level of consciousness, respiratory depression, or coma, that a |
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30 | 30 | | layperson would reasonably believe to be the result of the |
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31 | 31 | | consumption or use of an opioid. |
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32 | 32 | | Sec. 483.102. PRESCRIPTION OF OPIOID ANTAGONIST; STANDING |
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33 | 33 | | ORDER. (a) A health care professional may, directly or by standing |
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34 | 34 | | order, prescribe, dispense, or distribute an opioid antagonist to: |
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35 | 35 | | (1) a person at risk of experiencing an opioid-related |
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36 | 36 | | drug overdose; or |
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37 | 37 | | (2) a family member, friend, or other person in a |
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38 | 38 | | position to assist a person described by Subdivision (1). |
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39 | 39 | | (b) A prescription issued under this section is considered |
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40 | 40 | | as issued for a legitimate medical purpose in the usual course of |
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41 | 41 | | professional practice. |
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42 | 42 | | (c) A health care professional who, acting in good faith and |
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43 | 43 | | with reasonable care, prescribes or dispenses an opioid antagonist |
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44 | 44 | | is not subject to any criminal or civil liability or any |
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45 | 45 | | professional disciplinary action for: |
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46 | 46 | | (1) prescribing or dispensing the opioid antagonist; |
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47 | 47 | | or |
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48 | 48 | | (2) any outcome resulting from the eventual |
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49 | 49 | | administration of the opioid antagonist. |
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50 | 50 | | Sec. 483.103. DISTRIBUTION OF OPIOID ANTAGONIST; STANDING |
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51 | 51 | | ORDER. A person or organization acting under a standing order |
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52 | 52 | | issued by a health care professional may store an opioid antagonist |
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53 | 53 | | and may dispense an opioid antagonist, provided the person or |
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54 | 54 | | organization does not request or receive compensation for storage |
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55 | 55 | | or dispensation. |
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56 | 56 | | Sec. 483.104. POSSESSION OF OPIOID ANTAGONIST. Any person |
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57 | 57 | | may possess an opioid antagonist, regardless of whether the person |
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58 | 58 | | holds a prescription for the opioid antagonist. |
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59 | 59 | | Sec. 483.105. DUTY OF PHARMACISTS. A pharmacist that |
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60 | 60 | | provides an opioid antagonist to a person shall offer counseling to |
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61 | 61 | | the person about: |
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62 | 62 | | (1) overdose recognition and prevention; and |
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63 | 63 | | (2) the administration of opioid antagonists, patient |
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64 | 64 | | responses, and potential side effects. |
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65 | 65 | | Sec. 483.106. ADMINISTRATION OF OPIOID ANTAGONIST. (a) A |
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66 | 66 | | person who, acting in good faith and with reasonable care, |
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67 | 67 | | administers an opioid antagonist to another person whom the person |
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68 | 68 | | believes is suffering an opioid-related drug overdose is not |
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69 | 69 | | subject to criminal prosecution, sanction under any professional |
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70 | 70 | | licensing statute, or civil liability, for an act or omission |
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71 | 71 | | resulting from the administration of the opioid antagonist. |
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72 | 72 | | (b) Emergency services personnel are authorized to |
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73 | 73 | | administer an opioid antagonist to a person who appears to be |
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74 | 74 | | suffering an opioid-related drug overdose, as clinically |
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75 | 75 | | indicated. |
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76 | 76 | | Sec. 483.107. OPIOID ANTAGONIST TRAINING. A person, state |
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77 | 77 | | agency, or political subdivision of the state that provides opioid |
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78 | 78 | | antagonists to emergency services personnel for use in the regular |
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79 | 79 | | course of providing emergency services shall provide those |
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80 | 80 | | personnel with a course of instruction about: |
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81 | 81 | | (1) overdose recognition and prevention; and |
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82 | 82 | | (2) the administration of opioid antagonists, patient |
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83 | 83 | | responses, and potential side effects. |
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84 | 84 | | Sec. 483.108. GRANTS. The Health and Human Services |
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85 | 85 | | Commission and the criminal justice division of the governor's |
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86 | 86 | | office may issue grants for: |
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87 | 87 | | (1) drug overdose prevention; |
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88 | 88 | | (2) recognition and response education for |
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89 | 89 | | individuals, family members, and emergency services personnel; and |
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90 | 90 | | (3) opioid antagonist prescription or distribution |
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91 | 91 | | projects. |
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92 | 92 | | Sec. 483.109. CONFLICT OF LAW. To the extent of a conflict |
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93 | 93 | | between this subchapter and another law, this subchapter controls. |
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94 | 94 | | SECTION 2. (a) The change in law made by this Act relating |
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95 | 95 | | to conduct that is grounds for imposition of a disciplinary |
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96 | 96 | | sanction applies to: |
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97 | 97 | | (1) conduct that occurs before September 1, 2015, for |
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98 | 98 | | which a sanction is imposed on or after that date; or |
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99 | 99 | | (2) conduct that occurs on or after September 1, 2015. |
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100 | 100 | | (b) Conduct that occurs before September 1, 2015, to which |
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101 | 101 | | Subsection (a)(1) of this section does not apply is governed by the |
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102 | 102 | | law in effect on the date the conduct occurred, and the former law |
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103 | 103 | | is continued in effect for that purpose. |
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104 | 104 | | SECTION 3. (a) The change in law made by this Act relating |
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105 | 105 | | to conduct that is the basis for civil liability applies to: |
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106 | 106 | | (1) conduct that occurs before September 1, 2015, for |
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107 | 107 | | which judgment is entered on or after that date; or |
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108 | 108 | | (2) conduct that occurs on or after September 1, 2015. |
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109 | 109 | | (b) Conduct that occurs before September 1, 2015, to which |
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110 | 110 | | Subsection (a)(1) of this section does not apply is governed by the |
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111 | 111 | | law in effect on the date the conduct occurred, and the former law |
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112 | 112 | | is continued in effect for that purpose. |
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113 | 113 | | SECTION 4. (a) The change in law made by this Act relating |
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114 | 114 | | to conduct that constitutes a criminal offense applies to: |
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115 | 115 | | (1) an offense committed before September 1, 2015, for |
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116 | 116 | | which judgment is entered on or after that date; or |
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117 | 117 | | (2) an offense committed on or after September 1, |
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118 | 118 | | 2015. |
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119 | 119 | | (b) For purposes of this section, an offense is committed |
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120 | 120 | | before September 1, 2015, if any element of the offense occurs |
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121 | 121 | | before that date. |
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122 | 122 | | (c) An offense committed before September 1, 2015, to which |
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123 | 123 | | Subsection (a)(1) of this section does not apply is governed by the |
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124 | 124 | | law in effect on the date the offense was committed, and the former |
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125 | 125 | | law is continued in effect for that purpose. |
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126 | 126 | | SECTION 5. This Act takes effect September 1, 2015. |
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