Amendment vs bill Amendment 746 vs Reprint 1

Struck = removed from the bill · added = the amendment's new text.

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(Reprinted with amendments adopted on May 20, 2019) FIRST REPRINT A.B.
Session (80th) A AB340 746 Amendment No.
340 A SSEMBLY BILL NO .
746 Senate Amendment to Assembly Bill No.
340–ASSEMBLYMEN HAMBRICK , W HEELER , TITUS;
340 (BDR 40-849) Proposed by:
ELLISON AND K RAMER M ARCH 18, 2019 ____________ Referred to Committee on Health and Human Services SUMMARY—Makes various changes concerning the acquisition and use of opioid antagonists by schools.
Senate Committee on Health and Human Services Amends:
Summary:
No Title:
Yes Preamble:
No Joint Sponsorship:
No Digest:
Yes ASSEMBLY ACTION Initial and Dat| SENATE ACTION Initial and Date Adopted Lost | Adopted Lost Concurred In Not | Concurred In Not Receded Not | Receded Not EXPLANATION:
Matter in (1) blue bold italics is new language in the original bill;
(2) variations of green bold underlining is language proposed to be added in this amendment;
(3) red strikethrough is deleted language in the original bill;
(4) purple double strikethrough is language proposed to be deleted in this amendment;
(5) orange double underlining is deleted language in the original bill proposed to be retained in this amendment.
EWR/RBL - Date:
5/17/2019 A.B.
No.
340—Makes various changes concerning the acquisition and use of opioid antagonists by schools.
(BDR 40-849) Page 1 of 8 *A_AB340_746* Senate Amendment No.
746 to Assembly Bill No.
340 Page 3 A SSEMBLY B ILLNO .
340–ASSEMBLYMEN H AMBRICK , W HEELER, TITUS;
LLISON AND K RAMER M ARCH 18,2019 _______________ Referred to Committee on Health and Human Services SUMMARY—Makes various changes concerning the acquisition and use of opioid antagonists by schools.
providing immunity to health care professionals and pharmacists for acts or omissions relating to the acquisition, possession or administration of opioid antagonists in certain circumstances;
providing immunity to [certain persons] health care 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, friend or other person who is in a position to assist a person experiencing an opioid- authorizes certain 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.
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 who is in a position to assist a person experiencing an opioid-related drug overdose.
(NRS 630.374, 632.239, 633.707) Section 1 of this bill authorizes certain health care professionals to issue such an order for opioid antagonists to a public or private by any person at the school.
(Chapter 453C of NRS, NRS 453C.100) Existing law also authorizes certain 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.
(NRS 630.374, 632.239, 633.707) Section 1 of this bill authorizes certain health care 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.
(NRS 386.870) Existing law - *AB340_R1* – 2 – similarly authorizes a private school to obtain and maintain auto-injectable epinephrine at the school.
(NRS 386.870) Existing law 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 antagonists to administer an opioid antagonist to any person on the premises of the school who is reasonably believed to be experiencing an opioid-related drug overdose.
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, who has opioid antagonist to any person on the premises of the school who is reasonably believed to be experiencing an opioid-related drug 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 governing body of each charter or private school that obtains an order for an opioid antagonist to establish a policy to ensure:
and (2) requires each school district and charter school to report to the Senate Amendment No.
746 to Assembly Bill No.
340 Page 4 Division of Public and Behavioral Health of the Department of Health and Human Services school year.
Sections 4 and 7 require the board of trustees of each school district and the governing body of each charter or private school that obtains an order for an opioid antagonist to establish a policy to ensure:
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 to another registered pharmacist at the request of a public or private school for which the order was issued.
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 for an opioid antagonist.
[Sections 4 and 7 exempt a school, school district, employee of a school and certain other persons affiliated with a school from liability for certain damages relating to the acquisition, possession, provision or administration of an reckless, willful or wanton conduct.]epinephrine not amounting to gross negligence or 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.
- *AB340_R1* – 3 – (c) The name of the public or private school to which the order is issued;
(c) The name of the public or private school to which the order is issued;
Sec.
Senate Amendment No.
746 to Assembly Bill No.
340 Page 5 Sec.
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Each public school shall ensure that auto- injectable epinephrine and any opioid antagonist maintained at the school is stored in a designated, secure location that is unlocked and easily accessible.
Each public school shall ensure that auto-injectable epinephrine and any opioid antagonist maintained at the school is stored in a designated, secure location that is unlocked and easily accessible.
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 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.
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 Health and Human Services identifying the number of doses of auto-injectable epinephrine and opioid antagonists that were administered at each public school within the school district or charter school, as applicable, during the school year.
If a dose of auto- injectable epinephrine maintained by the public school is used or expires, the public school shall ensure that at least two doses of the medication are available at the school and obtain additional doses to replace the used or expired doses if necessary.
If a dose of auto-injectable epinephrine maintained by the public school is used or expires, the public school shall ensure that at least two doses of the medication are available at the school and obtain additional doses to replace the used or expired doses if necessary.
[4.] (b) An opioid antagonist maintained at the school to any person on the premises of the public school whom the school nurse or other designated employee reasonably believes is experiencing an opioid-related drug overdose.
Senate Amendment No.
- *AB340_R1* – 5 – 5.
746 to Assembly Bill No.
340 Page 6 [4.] (b) An opioid antagonist maintained at the school to any person on the premises of the public school whom the school nurse or other designated employee reasonably believes is experiencing an opioid-related drug overdose.
5.
As used in this section:
[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.] As used in this section:
Each charter school shall designate one or more employees of the school who is authorized to administer auto- injectable epinephrine.
Each charter school shall designate one or more employees of the school who is authorized to administer auto-injectable epinephrine.
Each charter school shall ensure that each person [so] designated to administer medication pursuant to subsection 1 or 2 receives training in the proper storage and administration of auto- injectable epinephrine [.] or opioid antagonists, as applicable.
Each charter school shall ensure that each person [so] designated to administer medication pursuant to subsection 1 or 2 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.
or (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.
(a) Coordinates with the principal of each school to designate [employees] :
Senate Amendment No.
(1) Employees of the school who are authorized to administer auto-injectable epinephrine;
746 to Assembly Bill No.
340 Page 7 (a) Coordinates with the principal of each school to designate [employees] :
(1) Employees of the school who are authorized to administer auto- injectable epinephrine;
- *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) 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.
As used in this section:
[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.
(a) “Health care professional” has the meaning ascribed to it in NRS 453C.030.
8.] As used in this section:
Senate Amendment No.
746 to Assembly Bill No.
340 Page 8 (a) “Health care professional” has the meaning ascribed to it in NRS 453C.030.
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 - *AB340_R1* – 8 – entity pursuant to an order issued pursuant to NRS 630.374, 632.239d , [or] 633.707 or section 1 of this act not resulting from gross negligence or reckless, willful or wanton conduct of the pharmacist.
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 dispensed to a public or private school or authorized entity pursuant to an order issued pursuant to NRS 630.374, 632.239 , [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_R1*