Delaware 151st General Assembly (2021-2022) Status: Enacted Bipartisan · 14 D · 6 R cosponsors

SB 292 — AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO NALOXONE AND OTHER OPIOID ANTAGONISTS.

Last action — Signed by Governor

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced May 09, 2022. Enacted.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 98% · high confidence
  • Enacted

    Current position in the legislative process.

  • 29 sponsors

    4 primary, 25 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (14 D · 6 R) — cross-party backing.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

An opioid antagonist is a medication approved by the United States Food and Drug Administration (FDA) for emergency reversal of a known or suspected opioid overdose. Currently, naloxone is the only FDA-approved opioid antagonist, however, the FDA is expected to approve at least 1 new, more powerful opioid antagonist in 2022. The current naloxone program allows public safety personnel and trained lay people to receive and administer naloxone to individuals suspected of experiencing an opioid overdose. This Act allows the Department of Health and Social Services to expand the current program to include additional opioid antagonists. This Act also makes technical corrections to reflect that advance practice registered nurses have the authority to prescribe medication and to conform existing law to the standards of the Delaware Legislative Drafting Manual as follows: 1. Reorganizing the current Chapter 30G of Title 16 from a single Code section to a chapter with several Code sections so that similar provisions are grouped together. 2. Using consistent phrases and terminology.

Bill Text

What changed in the latest version

122 added · 14 removed

122 line(s) added, 14 removed.

→
Previous
Latest
Hansen DELAWARE STATE SENATE 151st GENERAL ASSEMBLY SENATE AMENDMENT NO.
Hansen & Sen.
1 TO SENATE BILL NO.
Brown & Sen.
292 AMEND Senate Bill No.
S.
292 by deleting lines 42 and 43 in their entirety and inserting in lieu thereof the following:
McBride & Rep.
“(1) “Health-care practitioner” means an individual licensed under Title 24 as any of the following:
Bentz Sens.
a.
Bonini, Ennis, Gay, Hocker, Lawson, Lockman, Lopez, Mantzavinos, Paradee, Pettyjohn, Pinkney, Poore, Richardson, Sokola, Sturgeon, Townsend, Walsh, Wilson;
A physician.
Reps.
b.
Baumbach, Briggs King, Heffernan, K.
An advance practice registered nurse.
Johnson, Kowalko, Morrison, Michael Smith DELAWARE STATE SENATE 151st GENERAL ASSEMBLY SENATE BILL NO.
c.
292 AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO NALOXONE AND OTHER OPIOID ANTAGONISTS.
A physician assistant.”.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF DELAWARE:
SYNOPSIS This amendments adds physician assistants to the definition of "health-care practitioner" so that they have the same immunity protection as physicians and advance practice registered nurses when prescribing or dispensing an opioid antagonist.
Section 1.
Amend Chapter 30G, Title 16 of the Delaware Code by making deletions as shown by strike through and insertions as shown by underline as follows:
CHAPTER 30G.
Naloxone Opioid Antagonist Access Program.
§ 3001G.
Administration of naloxone by public safety personnel and the Community-Based Naloxone Access Program.
(a) An individual who is public safety personnel is authorized to receive, carry, and administer the drug naloxone if the individual has completed a Department-approved training course.
For purposes of this section, “public safety personnel” means as defined under § 9702 of this title.
(b) Public safety personnel who, acting in good faith and after completing a Department-approved training course, administers the drug naloxone to an individual whom the public safety personnel reasonably believes to be undergoing an opioid-related drug overdose is not liable for damages for injuries or death sustained to the individual in connection with administering the drug, unless it is established that such injuries or death were caused wilfully, wantonly, recklessly, or by gross negligence on the part of the public safety personnel who administered the drug.
(c) Nothing in this chapter mandates that an agency require its public safety personnel to carry or administer naloxone.
(d) Notwithstanding any other provision of law, the purchase, acquisition, possession or use of naloxone pursuant to this section shall not constitute the unlawful practice of a profession or violation of the Uniform Controlled Substances Act [§ 4701 et seq.
of this title].
(e) DHSS shall create written and uniform treatment and care plans for emergency and critical patients statewide that constitute the standing orders for the administration of naloxone by public safety personnel and participants in the LC :
DIG :
CM Page 1 of 4 Released:
05/09/2022 09:31 AM Community-Based Naloxone Access Program.
The treatment protocol for naloxone administration under this chapter must be approved and signed by the State EMS Medical Director, or the Medical Director or the Director of the Division of Public Health, Department of Health and Social Services.
A doctor prescribing naloxone who, acting in good faith, directly or by standing order, prescribes or dispenses the drug naloxone to a person who completes an approved-training program who, in the judgment of the health-care provider, is capable of administering the drug for an emergency opioid overdose, shall not be subject to disciplinary or other adverse action under any professional licensing statute, criminal liability, or liable for damages for injuries or death sustained to the individual in connection with administering the drug, unless it is established that such injuries or death were caused wilfully, wantonly, or by gross negligence on the part of the doctor who signed the standing order and protocol.
(f) DHSS is authorized to oversee the implementation and monitoring of the Public Safety Personnel and Community-Based Naloxone Access Programs.
(g) Pharmacists who dispense naloxone under this section must do so in good faith and with reasonable care.
Unless it is established that the pharmacist caused injuries or death as a result of unreasonable care, wilfully, wantonly, or by gross negligence, a pharmacist is not subject to any of the following as a result of dispensing naloxone:
(1) Disciplinary or other adverse action under the professional licensing laws of this State.
(2) Criminal liability.
(3) Liability for damages for injuries or death.
(h) A lay individual who administers naloxone to an individual under the Community-Based Naloxone Access Program is rendering emergency care under § 6801 of this title.
[Repealed.] § 3002G.
Definitions.
For purposes of this chapter:
(1) “Health-care practitioner” means a physician or advance practice registered nurse (APRN) licensed under Title 24.
Show all 91 changed rows (51 more)
Previous
Latest
(2) “Opioid antagonist” means naloxone or any other opioid antagonist that is approved by the United States Food and Drug Administration for emergency reversal of known or suspected opioid overdose.
(3) “Public safety personnel” means as defined in § 9702 of this title.
§ 3003G.
Department responsibilities.
(a) The Department shall implement and monitor an Opioid Antagonist Access Program that authorizes public safety personnel and members of the public to receive, carry, and administer an opioid antagonist to an individual experiencing a known or suspected opioid overdose.
LC :
DIG :
CM Page 2 of 4 Released:
05/09/2022 09:31 AM (b) The Department shall implement the Opioid Antagonist Access Program by creating written and uniform treatment protocols and care plans for emergency and critical patients statewide that constitute the standing orders for the administration of naloxone under subsection (a) of this section.
(c) In addition to the standing orders for naloxone under subsection (b) of this section, the Department may create written and uniform treatment protocols and care plans for emergency and critical patients statewide that constitute the standing orders for the administration of other opioid antagonists.
(d) Each treatment protocol and standing order for the administration of an opioid antagonist under this section must be approved and signed by 1 of the following:
(1) The State EMS Medical Director.
(2) The Medical Director, Division of Public Health.
(3) Director of the Division of Public Health.
(e) The Department shall approve 1 or more training programs in the administration of each opioid antagonist for which there is a standing order under this section.
§ 3004G.
Opioid Antagonists;
administration.
An individual who has completed an approved training program under § 3003G of this title may receive, carry, and administer an opioid antagonist to an individual who is believed to be experiencing an opioid overdose.
§ 3005G.
Immunity.
(a) Notwithstanding any other provision of law, the purchase, acquisition, possession, or use of an opioid antagonist under this chapter does not constitute the unlawful practice of a profession or violation of the Uniform Controlled Substances Act, Chapter 47 of this title.
(b) A health-care practitioner who prescribes or dispenses an opioid antagonist, directly or by standing order, must do so in good faith and with reasonable care.
Unless it is established that the health-care practitioner caused injuries or death as a result of unreasonable care, wilfully, wantonly, or by gross negligence, a health-care practitioner is not subject to any of the following as a result of prescribing or dispensing an opioid antagonist:
(1) Disciplinary or other adverse action under the professional licensing laws of this State.
(2) Criminal liability.
(3) Liability for damages for injuries or death.
(c) A pharmacist who dispenses an opioid antagonist under this chapter must do so in good faith and with reasonable care.
Unless it is established that the pharmacist caused injuries or death as a result of unreasonable care, LC :
DIG :
CM Page 3 of 4 Released:
05/09/2022 09:31 AM wilfully, wantonly, or by gross negligence, a pharmacist is not subject to any of the following as a result of dispensing an opioid antagonist under this chapter:
(1) Disciplinary or other adverse action under the professional licensing laws of this State.
(2) Criminal liability.
(3) Liability for damages for injuries or death.
(d) Public safety personnel who, acting in good faith, administers an opioid antagonist under this chapter, is not liable for damages for injuries or death sustained to the individual in connection with administering an opioid antagonist, unless it is established that such injuries or death were caused wilfully, wantonly, recklessly, or by gross negligence on the part of the public safety personnel who administered the opioid antagonist.
(e) A lay individual who administers an opioid antagonist to an individual under this chapter is rendering emergency care and is exempt from liability under § 6801 of this title.
§ 3006G.
Limitations.
Nothing in this chapter mandates that an agency require its public safety personnel to carry or administer an opioid antagonist.
SYNOPSIS An opioid antagonist is a medication approved by the United States Food and Drug Administration (FDA) for emergency reversal of a known or suspected opioid overdose.
Currently, naloxone is the only FDA-approved opioid antagonist, however, the FDA is expected to approve at least 1 new, more powerful opioid antagonist in 2022.
The current naloxone program allows public safety personnel and trained lay people to receive and administer naloxone to individuals suspected of experiencing an opioid overdose.
This Act allows the Department of Health and Social Services to expand the current program to include additional opioid antagonists.
This Act also makes technical corrections to reflect that advance practice registered nurses have the authority to prescribe medication and to conform existing law to the standards of the Delaware Legislative Drafting Manual as follows:
1.
Reorganizing the current Chapter 30G of Title 16 from a single Code section to a chapter with several Code sections so that similar provisions are grouped together.
2.
Using consistent phrases and terminology.
CM Page 1 of 1 Released:
CM Page 4 of 4 Released:
05/16/2022 12:06 PM 5971510233
05/09/2022 09:31 AM 5971510202
View plain text versions (2)

Action History

  1. Signed by Governor

  2. Passed By House. Votes: 41 YES

  3. Reported Out of Committee (Health & Human Development) in House with 4 Favorable, 4 On Its Merits

  4. Assigned to Health & Human Development Committee in House

  5. Passed By Senate. Votes: 18 YES 3 ABSENT

  6. Amendment SA 1 to SB 292 - Passed By Senate. Votes: 18 YES 3 ABSENT

  7. Amendment SA 1 to SB 292 - Introduced and Placed With Bill

  8. Reported Out of Committee (Health & Social Services) in Senate with 5 Favorable, 1 On Its Merits

  9. Introduced and Assigned to Health & Social Services Committee in Senate

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

4 sponsors · 25 co-sponsors · 33 not signed on

Sponsors (4)

Not signed on (33)

33 members have not signed on to this bill.

Show all 33 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

SM

Passed 41 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 13000
Democratic 16000
Republican 12000
Total 41000
% of votes cast 100%0%0%0%
How each member voted (41)
Member Party Vote
Andria L. Bennett — Yea
Charles "Bud" M. Freel — Yea
David Bentz — Yea
John A. Kowalko — Yea
John L. Mitchell — Yea
Michael Ramone — Yea
Paul S. Baumbach — Yea
Peter C. Schwartzkopf — Yea
Ruth Briggs King — Yea
Sean Matthews — Yea
Sherry Dorsey Walker — Yea
Stephen Smyk — Yea
Valerie Longhurst — Yea
Debra Heffernan Democratic Yea
Edward S. Osienski Democratic Yea
Eric Morrison Democratic Yea
Franklin D. Cooke Democratic Yea
Kendra Johnson Democratic Yea
Kimberly Williams Democratic Yea
Krista Griffith Democratic Yea
Larry Lambert Democratic Yea
Madinah Wilson-Anton Democratic Yea
Melissa Minor-Brown Democratic Yea
Nnamdi O. Chukwuocha Democratic Yea
Sean M. Lynn Democratic Yea
Sherae'a Moore Democratic Yea
Stephanie T. Bolden Democratic Yea
William Bush Democratic Yea
William J. Carson Democratic Yea
Bryan W. Shupe Republican Yea
Charles S Postles Jr. Republican Yea
Daniel B. Short Republican Yea
Jeffrey N. Spiegelman Republican Yea
Jesse R. Vanderwende Republican Yea
Kevin S Hensley Republican Yea
Lyndon D. Yearick Republican Yea
Michael F. Smith Republican Yea
Richard G. Collins Republican Yea
Ronald E. Gray Republican Yea
Shannon Morris Republican Yea
Timothy D. Dukes Republican Yea

Official roll call →

SM

Passed 18 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 5000
Democratic 9002
Republican 4001
Total 18003
% of votes cast 86%0%0%14%
How each member voted (21)
Member Party Vote
Bruce C. Ennis — Yea
Colin Bonini — Yea
Ernesto B Lopez — Yea
Kyle Evans Gay — Yea
Sarah McBride — Yea
Bryan Townsend Democratic Yea
Darius J. Brown Democratic Yea
David P. Sokola Democratic Yea
John "Jack" Walsh Democratic Yea
Laura V. Sturgeon Democratic Yea
Marie Pinkney Democratic Yea
Nicole Poore Democratic Yea
S. Elizabeth Lockman Democratic Not Voting
Spiros Mantzavinos Democratic Not Voting
Stephanie L. Hansen Democratic Yea
Trey Paradee Democratic Yea
Brian Pettyjohn Republican Yea
Bryant L. Richardson Republican Yea
Dave G. Lawson Republican Not Voting
David L. Wilson Republican Yea
Gerald W. Hocker Republican Yea

Official roll call →

Subjects

Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 292 do?
An opioid antagonist is a medication approved by the United States Food and Drug Administration (FDA) for emergency reversal of a known or suspected opioid overdose. Currently, naloxone is the only FDA-approved opioid antagonist, however, the FDA is expected to approve at least 1 new, more powerful opioid antagonist in 2022. The current naloxone program allows public safety personnel and trained lay people to receive and administer naloxone to individuals suspected of experiencing an opioid overdose. This Act allows the Department of Health and Social Services to expand the current program to include additional opioid antagonists. This Act also makes technical corrections to reflect that advance practice registered nurses have the authority to prescribe medication and to conform existing law to the standards of the Delaware Legislative Drafting Manual as follows: 1. Reorganizing the current Chapter 30G of Title 16 from a single Code section to a chapter with several Code sections so that similar provisions are grouped together. 2. Using consistent phrases and terminology.
Who sponsors SB 292?
SB 292 is sponsored by Kyle Evans Gay, Stephanie L. Hansen (Democratic), Darius J. Brown (Democratic), Gerald W. Hocker (Republican), Dave G. Lawson (Republican), S. Elizabeth Lockman (Democratic), Spiros Mantzavinos (Democratic), Trey Paradee (Democratic), Brian Pettyjohn (Republican), Marie Pinkney (Democratic), Nicole Poore (Democratic), Bryant L. Richardson (Republican), David P. Sokola (Democratic), Laura V. Sturgeon (Democratic), Bryan Townsend (Democratic), John "Jack" Walsh (Democratic), David L. Wilson (Republican), Debra Heffernan (Democratic), Kendra Johnson (Democratic), Eric Morrison (Democratic), Michael F. Smith (Republican), John A. Kowalko, Ruth Briggs King, Paul S. Baumbach, Ernesto B Lopez, Bruce C. Ennis, Colin Bonini, David Bentz, and Sarah McBride.
What is the current status of SB 292?
This bill has been enacted into law. Introduced May 09, 2022. Enacted.
Where can I track SB 292?
Track SB 292 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on SB 292

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Stay ahead of SB 292

Last checked for changes 2 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →