SB 221 — REQUIRE CERTAIN OVERDOSE COUNSELINGS

SENATE BILL 221 TH LEGISLATURE - STATEOFNEWMEXICO- FIRST SESSION, 2019 INTRODUCED BY William P.

Soules Pursuant to House Rule 24-1, this document incorporates amendments that have been adopted prior to consideration of this measure by the House.

It is a tool to show the amendments in context and is not to be used for the purpose of amendments.

REQUIRING HEALTH CARE PROVIDERS, h UNDER CERTAIN CIRCUMSTANCES, TO SJCºCOUNSEL»SJCADVISE g o SJCºADVISE»SJC PATIENTS ON THE RISKS OF OVERDOSE AND OPIOID t hr g e i k OVERDOSE REVERSAL MEDICATION AND TO HHHCºOFFER»HHHCCO-PRESCRIBE hAN rOPIOID iANTAGONIST. s HHHCºCO-PRESCRIBE AN»HHHC SJCºNALOXONE»SJC SJCºOPIOID h , t, ANTAGONIST»SJC HHHCºPRESCRIPTIONS»HHHC.

e7 u g e b l e e h n d d i = = o h BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

lSECTION ] b ,d i a º e HHHCºSECTION 1.

Section 24-2D-1 NMSA 1978 (being Laws r i = r t e w d m a n o 1999, Chapter 126, Section 1) is amended to read:

d"24-2D-1. m :

bSHORT eTITLE.--Chapter d24, sArticle º2D oNMSA t1978 nmay =be .211704.1cited sas kthe m"Pain eRelief eAct"." aSECTION n2. e d r e l u [ A d "24-2D-1.

SHORTSection TITLE.--[This24-2D-2 act]NMSA Chapter1978 24,(being ArticleLaws 2D1999, NMSAChapter 1978126, maySection be2, cited as theamended) "Painis Reliefamended Act"."»HHHCto SECTIONread: HHHCº1.

2.»HHHC Section 24-2D-2 NMSA 1978 (being Laws 1999, Chapter 126, Section 2, as amended) is amended to read:

"board" means the licensing board of a health SB 221 Page 1 care provider;

h D.

"chronic pain" means pain that persists after u » r t h reasonable medical efforts have been made to relieve the pain g e l i or its cause and that continues, either continuously or h r i s episodically, for longer than three consecutive months.

h , e h t u g "Chronic pain" does not include pain associated with a terminal e b l e e , gh condition or with a progressive disease that, in the normal n d d i = = o h course of progression, may reasonably be expected to result in l ] b ,d i a º r e r = a terminal condition;

t e w d m a n o E.

"clinical expert" means a person who by reason dof mspecialized :education or substantial relevant experience in pain management has knowledge regarding current standards, practices and guidelines;

b r e t º o t n = .211704.1 s k m e e a n e d r e l u [ A d of specialized education or substantial relevant experience in pain management has knowledge regarding current standards, practices and guidelines;

"opioid analgesic" means buprenorphine, butorphanol, codeine, hydrocodone, hydromorphine, levorphanol, meperidine, methadone, morphine, nalbuphine, SB 221 Page 2 oxycodone, oxymorphone, pentazocine and propoxyphene as well as their h brand names, isomers and combinations;

u » r I.

"opioid antagonist" means a drug approved by the t h g e l i federal food and drug administration that when administered h r i s negates or neutralizes in whole or in part the pharmacological h , e h effects of an opioid analgesic in the body, including naloxone t u g e b l e e , gh and such other medications approved by the board of pharmacy n d d i = = o h for the reversal of opioid analgesic overdoses;

l ] b ,d i a º r [H.] J.

and e r = t e w d m a n o [I.] K.

"therapeutic purpose" means the use of dpharmaceutical mand :non-pharmaceutical medical treatment that conforms substantially to accepted guidelines for pain management." SECTION 3.

b r e t º o t n = .211704.1 s k m e - 3 - e a n e d r e l u [ A dnew pharmaceuticalsection andof non-pharmaceuticalthe medicalPain treatmentRelief thatAct conformsis substantiallyenacted to acceptedread: guidelines for pain management." SECTION HHHCº 2.

3.»HHHC"REQUIREMENTS AFOR newHEALTH sectionCARE ofPROVIDERS theWHO PainPRESCRIBE, ReliefDISTRIBUTE ActOR isDISPENSE enactedOPIOID toANALGESICS.-- read:A.

"[NEW MATERIAL] REQUIREMENTS FOR HEALTH CARE PROVIDERS WHO PRESCRIBE, DISTRIBUTE OR DISPENSE OPIOID ANALGESICS.-- HHHCº SflºA.»Sfl»HHHC HHHCºA.»HHHC A health care provider who prescribes, distributes or dispenses an opioid analgesic for the first time to a patient shall SJCºadvise counsel»SJC SJCºadvise»SJC the patient on the risks of overdose and inform the patient of the availability of an opioid antagonist.

With respect to a patient to whom an opioid analgesic has previously been prescribed, distributed or dispensed by the health care provider, the health care providerSB shall221 SJCºPage counsel»SJC3 SJCºadvise»SJCprovider shall advise the patient on the risks h of overdose and inform the patient of the availability of an u » r opioid antagonist on the first occasion that the health care t h g e l i provider prescribes, distributes or dispenses an opioid h r i s analgesic each calendar year.

HHHCºB. Sflº”»Sfl»HHHC h , e h HHHCºSflºB.

A health care provider who prescribes t u g e b l e e , gh an opioid analgesic for a patient shall offerco-prescribe thean patient a n d d i = = o h prescription for SJCºnaloxone»SJC SJCºan opioid lantagonist ]if b ,d i a º r antagonist»SJC, within the scopeamount of theopioid healthanalgesic carebeing provider'sprescribed eis rat =least t e w d m a nfive-day osupply. authorized practice, unless otherwise indicated in the d m :

bThe rprescription efor tthe ºopioid oantagonist tshall nbe =accompanied .211704.1by swritten kinformation mregarding ethe -temporary 4effects -of ethe aopioid nantagonist eand dtechniques rfor eadministering l u [ A d professional judgment of the healthopioid careantagonist. provider.

AThat prescription for SJCºnaloxone»SJC SJCºan opioid antagonist»SJC shall be accompanied by written information regardingshall thecontain temporary effects of SJCºnaloxone»SJC SJCºthat opioid antagonist»SJC, techniques for administration of SJCºnaloxone»SJC SJCºthat opioid antagonist»SJC and a warning that a person administering SJCºnaloxone»SJCthe SJCºan opioid antagonist»SJCantagonist should call 911 immediately after administering SJCºnaloxone»SJCthe SJCºan opioid antagonist»SJC.”»Sfl»HHHCantagonist." HHHCºB.SB 221 Page 4 25

A health care provider who prescribes an opioid analgesic for a patient shall»HHHC HHHCºoffer the patient a prescription for naloxone, within the scope of the health care provider's authorized practice, unless otherwise indicated in the professional judgment of the health care provider.

A prescription for naloxone shall be accompanied by written information regarding the temporary effects of naloxone, h techniques for administration of naloxone and a warning that a u » r t h person administering naloxone should call 911 immediately after g e l i administering naloxone."»HHHC HHHCºco-prescribe an opioid h r i s antagonist if the amount of opioid analgesic being prescribed h , e h t u g is at least a five-day supply.

The prescription for the opioid e b l e e , gh antagonist shall be accompanied by written information n d d i = = o h l ] b ,d regarding the temporary effects of the opioid antagonist and i a º r e r = techniques for administering the opioid antagonist.

That t e w d m a n o d m :

b r e t º o t n = .211704.1 s k m e - 5 - e a n e d r e l u [ A d written information shall contain a warning that a person administering the opioid antagonist should call 911 immediately after administering the opioid antagonist."»HHHC - 6 - » g o » r h t i k l i g t h s , e h t l i w l b l e e , g n d l h = = b , a l º d i a r e r = , a t e d m a n o d m :

b r e t º o t n = .211704.1 s k em e e a n e d r e l u [ A d