AB 340 — Makes various changes concerning the acquisition and use of opioid antagonists by schools. (BDR 40-849)

(Reprinted with amendments adopted on May 20, 2019) FIRST REPRINT A.B.

providing immunity to certainhealth personscare professionals and pharmacists for acts or omissions relating to the acquisition, possession or administration of opioid antagonists in certain circumstances;

Existing law authorizes certain physicians, physician assistants and advanced practice registered nurses to prescribe and dispense an opioid antagonist to a person at risk of experiencing an opioid-related drug overdose, or to a family member,personmember, friend or other person who is in a position to assist a person experiencing an opioid- relatedauthorizes drugcertain overdose.health care professionals to issue an order for auto-injectable epinephrine to a public or private school to be maintained at the school for the treatment of anaphylaxis that may be experienced by any pupil at the school.

(Chapter(NRS 453C630.374, of632.239, NRS,633.707) NRSSection 453C.100)1 Existingof lawthis alsobill authorizes certain health care professionals to issue such an order for auto-injectableopioid epinephrineantagonists to a public or private school to be maintained at the school for the treatment of anaphylaxis that may be experienced by any pupilperson at the school.

(NRS professionals to issue such an order for opioid antagonists to a public or private school for the treatment of an opioid-related drug overdose that may be experienced by any person at the school.

Existing law requires each public school, including each charter school, to obtain an order from certain health care professionals for auto-injectable similarlyepinephrine authorizes a private school to obtain and maintain auto-injectablethe -drug *AB340* – 2 – epinephrine at the school.

(NRS 386.870) Existing law - *AB340_R1* – 2 – similarly authorizes a private school to obtain and maintain auto-injectable epinephrine at the school.

If a public or private school obtains such an order, sections 2, 4 and 7 of this bill authorize a school nurse or other designated employee of the public or private school, as applicable,antagonists whoto hasadminister receivedan trainingopioid inantagonist theto storageany andperson administrationon the premises of opioidthe school who is reasonably believed to be experiencing an opioid-related drugsdrug of the overdose.

and (2) requires each school district and charter school to report to the Division of Public and Behavioral Health of the Department of Health and Human Services the number of doses of opioid antagonists administered at each public school during each school year.governing body of each charter or private school that obtains an order for an opioid antagonist to establish a policy to ensure:

Sections(1) 4that andsomeone 7seeks requireemergency theassistance boardeach oftime trusteesa ofperson eachexperiences schoolan districtopioid-related anddrug theoverdose antagoniston tothe establishpremises aof policythe toschool; ensure:

(1) that someone seeks emergencyn opioid assistance each time a person experiences an opioid-related drug overdose on the premises of the school;

Sections 4-7 of this bill require training in the storage and administration of opioid antagonists to be provided to designated employees of a public or private school that obtains an order forSection 8 of this bill requires a registered pharmacist to transfer an order for an opioid antagonist.antagonist to another registered pharmacist at the request of a public or private school for which the order was issued.

SectionsSection 48 andalso 7exempts exempt a school,pharmacist schoolwho district,dispenses an opioid antagonist pursuant to such an order from liability for certain damages relating to the acquisition, possession, provision or administration of an opioid antagonist or auto-injectable epinephrine not amounting to gross negligence or reckless, willful or wanton conduct.

Section 8 of this bill requires a registered pharmacist to transfer an order for an opioid antagonist to another registered pharmacist at the request of a public or private school for which the order was issued.

Section 8 also exempts a pharmacist certain damages relating to the acquisition, possession, provision or administration of an opioid antagonist not amounting to gross negligence or reckless, willful or wanton conduct.

- *AB340* – 3 – (b) The classification of the license of the health care professional;

- *AB340_R1* – 3 – (c) The name of the public or private school to which the order is issued;

Not later than 30 days after the last day of each school year, each school district and charter school shall submit a report to the Division of Public and Behavioral Health of the Department of - *AB340* – 4 – Health and Human Services identifying the number of doses of auto-injectable epinephrine and opioid antagonists that were - *AB340_R1* – 4 – administered at each public school within the school district or charter school, as applicable, during the school year.

[4.] (b) An opioid antagonist maintained at the school to any person on the premises of the public school whom the school - *AB340* – 5 – nurse or other designated employee reasonably believes is experiencing an opioid-related drug overdose.

- *AB340_R1* – 5 – 5.

A public school, school district, member of the board of trustees of a school district or governing body of a charter school or employee of a school district or charter school is not liable for any error or omission concerning the acquisition, possession, provision or administration of auto-injectable epinephrine or an opioid antagonist maintained at a public school pursuant to this section not resulting from gross negligence or reckless, willful or wanton conduct of the school, school district, member or employee, as applicable.

8.

Each charter school shall ensure that each person [so] designated to administer medication pursuant to subsection 1 or 2 - *AB340* – 6 – receives training in the proper storage and administration of auto- injectable epinephrine [.] or opioid antagonists, as applicable.

or - *AB340_R1* – 6 – (b) Is employed by a state, county, city or district health department and provides nursing services to the school district in the course of that employment.

If a dose of an opioid antagonist maintained by the private school is used or expires, the - *AB340* – 7 – private school may obtain an additional dose of the opioid antagonist to replace the used or expired opioid antagonist.

- *AB340_R1* – 7 – (a) Auto-injectable epinephrine maintained at the school to any pupil on the premises of the private school during regular school hours whom the school nurse or other trained employee reasonably believes is experiencing anaphylaxis.

A private school or member of the governing body or employee thereof is not liable for any error or omission concerning the acquisition, possession, provision or administration of auto-injectable epinephrine or an opioid antagonist maintained at the private school pursuant to this section not resulting from gross negligence or reckless, willful or wanton conduct of the school, member or employee, as applicable.

8.

- *AB340* – 8 – Sec.

A pharmacist is not liable for any error or omission concerning the acquisition, possession, provision or administration of auto-injectable epinephrine or an opioid antagonist that the pharmacist- has*AB340_R1* dispensed– to8 a– public or private school or authorized entity pursuant to an order issued pursuant to NRS 630.374, 632.239632.239d , [or] 633.707 or section 1 of this act not resulting from gross negligence or reckless, willful or wanton conduct of the pharmacist.

H - *AB340**AB340_R1*