|
|
|
|
AN ACT
|
|
relating to the prescription, administration, and possession of |
|
certain opioid antagonists for the treatment of a suspected |
|
overdose and a defense to prosecution for certain offenses |
|
involving controlled substances and other prohibited drugs, |
|
substances, or paraphernalia for defendants seeking assistance for |
|
a suspected overdose. |
|
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
SECTION 1. Section 481.115, Health and Safety Code, is |
|
amended by adding Subsections (g), (h), and (i) to read as follows: |
|
(g) It is a defense to prosecution for an offense punishable |
|
under Subsection (b) that the actor: |
|
(1) was the first person to request emergency medical |
|
assistance in response to the possible overdose of another person |
|
and: |
|
(A) made the request for medical assistance |
|
during an ongoing medical emergency; |
|
(B) remained on the scene until the medical |
|
assistance arrived; and |
|
(C) cooperated with medical assistance and law |
|
enforcement personnel; or |
|
(2) was the victim of a possible overdose for which |
|
emergency medical assistance was requested, by the actor or by |
|
another person, during an ongoing medical emergency. |
|
(h) The defense to prosecution provided by Subsection (g) is |
|
not available if, at the time the request for emergency medical |
|
assistance was made, a peace officer was in the process of arresting |
|
the actor or executing a search warrant describing the actor or the |
|
place from which the request for medical assistance was made. |
|
(i) The defense to prosecution provided by Subsection (g) |
|
does not preclude the admission of evidence obtained by law |
|
enforcement resulting from the request for emergency medical |
|
assistance if that evidence pertains to an offense for which the |
|
defense described by Subsection (g) is not available. |
|
SECTION 2. Section 481.1151, Health and Safety Code, is |
|
amended by adding Subsections (c), (d), and (e) to read as follows: |
|
(c) It is a defense to prosecution for an offense punishable |
|
under Subsection (b)(1) that the actor: |
|
(1) was the first person to request emergency medical |
|
assistance in response to the possible overdose of another person |
|
and: |
|
(A) made the request for medical assistance |
|
during an ongoing medical emergency; |
|
(B) remained on the scene until the medical |
|
assistance arrived; and |
|
(C) cooperated with medical assistance and law |
|
enforcement personnel; or |
|
(2) was the victim of a possible overdose for which |
|
emergency medical assistance was requested, by the actor or by |
|
another person, during an ongoing medical emergency. |
|
(d) The defense to prosecution provided by Subsection (c) is |
|
not available if, at the time the request for emergency medical |
|
assistance was made, a peace officer was in the process of arresting |
|
the actor or executing a search warrant describing the actor or the |
|
place from which the request for medical assistance was made. |
|
(e) The defense to prosecution provided by Subsection (c) |
|
does not preclude the admission of evidence obtained by law |
|
enforcement resulting from the request for emergency medical |
|
assistance if that evidence pertains to an offense for which the |
|
defense described by Subsection (c) is not available. |
|
SECTION 3. Section 481.116, Health and Safety Code, is |
|
amended by adding Subsections (f), (g), and (h) to read as follows: |
|
(f) It is a defense to prosecution for an offense punishable |
|
under Subsection (b) that the actor: |
|
(1) was the first person to request emergency medical |
|
assistance in response to the possible overdose of another person |
|
and: |
|
(A) made the request for medical assistance |
|
during an ongoing medical emergency; |
|
(B) remained on the scene until the medical |
|
assistance arrived; and |
|
(C) cooperated with medical assistance and law |
|
enforcement personnel; or |
|
(2) was the victim of a possible overdose for which |
|
emergency medical assistance was requested, by the actor or by |
|
another person, during an ongoing medical emergency. |
|
(g) The defense to prosecution provided by Subsection (f) is |
|
not available if, at the time the request for emergency medical |
|
assistance was made, a peace officer was in the process of arresting |
|
the actor or executing a search warrant describing the actor or the |
|
place from which the request for medical assistance was made. |
|
(h) The defense to prosecution provided by Subsection (f) |
|
does not preclude the admission of evidence obtained by law |
|
enforcement resulting from the request for emergency medical |
|
assistance if that evidence pertains to an offense for which the |
|
defense described by Subsection (f) is not available. |
|
SECTION 4. Section 481.1161, Health and Safety Code, is |
|
amended by adding Subsections (c), (d), and (e) to read as follows: |
|
(c) It is a defense to prosecution for an offense punishable |
|
under Subsection (b)(1) or (2) that the actor: |
|
(1) was the first person to request emergency medical |
|
assistance in response to the possible overdose of another person |
|
and: |
|
(A) made the request for medical assistance |
|
during an ongoing medical emergency; |
|
(B) remained on the scene until the medical |
|
assistance arrived; and |
|
(C) cooperated with medical assistance and law |
|
enforcement personnel; or |
|
(2) was the victim of a possible overdose for which |
|
emergency medical assistance was requested, by the actor or by |
|
another person, during an ongoing medical emergency. |
|
(d) The defense to prosecution provided by Subsection (c) is |
|
not available if, at the time the request for emergency medical |
|
assistance was made, a peace officer was in the process of arresting |
|
the actor or executing a search warrant describing the actor or the |
|
place from which the request for medical assistance was made. |
|
(e) The defense to prosecution provided by Subsection (c) |
|
does not preclude the admission of evidence obtained by law |
|
enforcement resulting from the request for emergency medical |
|
assistance if that evidence pertains to an offense for which the |
|
defense described by Subsection (c) is not available. |
|
SECTION 5. Section 481.117, Health and Safety Code, is |
|
amended by adding Subsections (f), (g), and (h) to read as follows: |
|
(f) It is a defense to prosecution for an offense punishable |
|
under Subsection (b) that the actor: |
|
(1) was the first person to request emergency medical |
|
assistance in response to the possible overdose of another person |
|
and: |
|
(A) made the request for medical assistance |
|
during an ongoing medical emergency; |
|
(B) remained on the scene until the medical |
|
assistance arrived; and |
|
(C) cooperated with medical assistance and law |
|
enforcement personnel; or |
|
(2) was the victim of a possible overdose for which |
|
emergency medical assistance was requested, by the actor or by |
|
another person, during an ongoing medical emergency. |
|
(g) The defense to prosecution provided by Subsection (f) is |
|
not available if, at the time the request for emergency medical |
|
assistance was made, a peace officer was in the process of arresting |
|
the actor or executing a search warrant describing the actor or the |
|
place from which the request for medical assistance was made. |
|
(h) The defense to prosecution provided by Subsection (f) |
|
does not preclude the admission of evidence obtained by law |
|
enforcement resulting from the request for emergency medical |
|
assistance if that evidence pertains to an offense for which the |
|
defense described by Subsection (f) is not available. |
|
SECTION 6. Section 481.118, Health and Safety Code, is |
|
amended by adding Subsections (f), (g), and (h) to read as follows: |
|
(f) It is a defense to prosecution for an offense punishable |
|
under Subsection (b) that the actor: |
|
(1) was the first person to request emergency medical |
|
assistance in response to the possible overdose of another person |
|
and: |
|
(A) made the request for medical assistance |
|
during an ongoing medical emergency; |
|
(B) remained on the scene until the medical |
|
assistance arrived; and |
|
(C) cooperated with medical assistance and law |
|
enforcement personnel; or |
|
(2) was the victim of a possible overdose for which |
|
emergency medical assistance was requested, by the actor or by |
|
another person, during an ongoing medical emergency. |
|
(g) The defense to prosecution provided by Subsection (f) is |
|
not available if, at the time the request for emergency medical |
|
assistance was made, a peace officer was in the process of arresting |
|
the actor or executing a search warrant describing the actor or the |
|
place from which the request for medical assistance was made. |
|
(h) The defense to prosecution provided by Subsection (f) |
|
does not preclude the admission of evidence obtained by law |
|
enforcement resulting from the request for emergency medical |
|
assistance if that evidence pertains to an offense for which the |
|
defense described by Subsection (f) is not available. |
|
SECTION 7. Section 481.119, Health and Safety Code, is |
|
amended by adding Subsections (c), (d), and (e) to read as follows: |
|
(c) It is a defense to prosecution for an offense under |
|
Subsection (b) that the actor: |
|
(1) was the first person to request emergency medical |
|
assistance in response to the possible overdose of another person |
|
and: |
|
(A) made the request for medical assistance |
|
during an ongoing medical emergency; |
|
(B) remained on the scene until the medical |
|
assistance arrived; and |
|
(C) cooperated with medical assistance and law |
|
enforcement personnel; or |
|
(2) was the victim of a possible overdose for which |
|
emergency medical assistance was requested, by the actor or by |
|
another person, during an ongoing medical emergency. |
|
(d) The defense to prosecution provided by Subsection (c) is |
|
not available if, at the time the request for emergency medical |
|
assistance was made, a peace officer was in the process of arresting |
|
the actor or executing a search warrant describing the actor or the |
|
place from which the request for medical assistance was made. |
|
(e) The defense to prosecution provided by Subsection (c) |
|
does not preclude the admission of evidence obtained by law |
|
enforcement resulting from the request for emergency medical |
|
assistance if that evidence pertains to an offense for which the |
|
defense described by Subsection (c) is not available. |
|
SECTION 8. Section 481.121, Health and Safety Code, is |
|
amended by adding Subsections (c), (d), and (e) to read as follows: |
|
(c) It is a defense to prosecution for an offense punishable |
|
under Subsection (b)(1) or (2) that the actor: |
|
(1) was the first person to request emergency medical |
|
assistance in response to the possible overdose of another person |
|
and: |
|
(A) made the request for medical assistance |
|
during an ongoing medical emergency; |
|
(B) remained on the scene until the medical |
|
assistance arrived; and |
|
(C) cooperated with medical assistance and law |
|
enforcement personnel; or |
|
(2) was the victim of a possible overdose for which |
|
emergency medical assistance was requested, by the actor or by |
|
another person, during an ongoing medical emergency. |
|
(d) The defense to prosecution provided by Subsection (c) is |
|
not available if, at the time the request for emergency medical |
|
assistance was made, a peace officer was in the process of arresting |
|
the actor or executing a search warrant describing the actor or the |
|
place from which the request for medical assistance was made. |
|
(e) The defense to prosecution provided by Subsection (c) |
|
does not preclude the admission of evidence obtained by law |
|
enforcement resulting from the request for emergency medical |
|
assistance if that evidence pertains to an offense for which the |
|
defense described by Subsection (c) is not available. |
|
SECTION 9. Section 481.125, Health and Safety Code, is |
|
amended by adding Subsections (g), (h), and (i) to read as follows: |
|
(g) It is a defense to prosecution for an offense under |
|
Subsection (a) that the actor: |
|
(1) was the first person to request emergency medical |
|
assistance in response to the possible overdose of another person |
|
and: |
|
(A) made the request for medical assistance |
|
during an ongoing medical emergency; |
|
(B) remained on the scene until the medical |
|
assistance arrived; and |
|
(C) cooperated with medical assistance and law |
|
enforcement personnel; or |
|
(2) was the victim of a possible overdose for which |
|
emergency medical assistance was requested, by the actor or by |
|
another person, during an ongoing medical emergency. |
|
(h) The defense to prosecution provided by Subsection (g) is |
|
not available if, at the time the request for emergency medical |
|
assistance was made, a peace officer was in the process of arresting |
|
the actor or executing a search warrant describing the actor or the |
|
place from which the request for medical assistance was made. |
|
(i) The defense to prosecution provided by Subsection (g) |
|
does not preclude the admission of evidence obtained by law |
|
enforcement resulting from the request for emergency medical |
|
assistance if that evidence pertains to an offense for which the |
|
defense described by Subsection (g) is not available. |
|
SECTION 10. Section 483.041, Health and Safety Code, is |
|
amended by adding Subsections (e), (f), and (g) to read as follows: |
|
(e) It is a defense to prosecution for an offense under |
|
Subsection (a) that the actor: |
|
(1) was the first person to request emergency medical |
|
assistance in response to the possible overdose of another person |
|
and: |
|
(A) made the request for medical assistance |
|
during an ongoing medical emergency; |
|
(B) remained on the scene until the medical |
|
assistance arrived; and |
|
(C) cooperated with medical assistance and law |
|
enforcement personnel; or |
|
(2) was the victim of a possible overdose for which |
|
emergency medical assistance was requested, by the actor or by |
|
another person, during an ongoing medical emergency. |
|
(f) The defense to prosecution provided by Subsection (e) is |
|
not available if, at the time the request for emergency medical |
|
assistance was made, a peace officer was in the process of arresting |
|
the actor or executing a search warrant describing the actor or the |
|
place from which the request for medical assistance was made. |
|
(g) The defense to prosecution provided by Subsection (e) |
|
does not preclude the admission of evidence obtained by law |
|
enforcement resulting from the request for emergency medical |
|
assistance if that evidence pertains to an offense for which the |
|
defense described by Subsection (e) is not available. |
|
SECTION 11. Section 485.031, Health and Safety Code, is |
|
amended by adding Subsections (c), (d), and (e) to read as follows: |
|
(c) It is a defense to prosecution for an offense under |
|
Subsection (a) that the actor: |
|
(1) was the first person to request emergency medical |
|
assistance in response to the possible overdose of another person |
|
and: |
|
(A) made the request for medical assistance |
|
during an ongoing medical emergency; |
|
(B) remained on the scene until the medical |
|
assistance arrived; and |
|
(C) cooperated with medical assistance and law |
|
enforcement personnel; or |
|
(2) was the victim of a possible overdose for which |
|
emergency medical assistance was requested, by the actor or by |
|
another person, during an ongoing medical emergency. |
|
(d) The defense to prosecution provided by Subsection (c) is |
|
not available if, at the time the request for emergency medical |
|
assistance was made, a peace officer was in the process of arresting |
|
the actor or executing a search warrant describing the actor or the |
|
place from which the request for medical assistance was made. |
|
(e) The defense to prosecution provided by Subsection (c) |
|
does not preclude the admission of evidence obtained by law |
|
enforcement resulting from the request for emergency medical |
|
assistance if that evidence pertains to an offense for which the |
|
defense described by Subsection (c) is not available. |
|
SECTION 12. Chapter 483, Health and Safety Code, is amended |
|
by adding Subchapter E to read as follows: |
|
SUBCHAPTER E. OPIOID ANTAGONISTS |
|
Sec. 483.101. DEFINITIONS. In this subchapter: |
|
(1) "Emergency services personnel" includes |
|
firefighters, emergency medical services personnel as defined by |
|
Section 773.003, emergency room personnel, and other individuals |
|
who, in the course and scope of employment or as a volunteer, |
|
provide services for the benefit of the general public during |
|
emergency situations. |
|
(2) "Opioid antagonist" means any drug that binds to |
|
opioid receptors and blocks or otherwise inhibits the effects of |
|
opioids acting on those receptors. |
|
(3) "Opioid-related drug overdose" means a condition, |
|
evidenced by symptoms such as extreme physical illness, decreased |
|
level of consciousness, constriction of the pupils, respiratory |
|
depression, or coma, that a layperson would reasonably believe to |
|
be the result of the consumption or use of an opioid. |
|
(4) "Prescriber" means a person authorized by law to |
|
prescribe an opioid antagonist. |
|
Sec. 483.102. PRESCRIPTION OF OPIOID ANTAGONIST; STANDING |
|
ORDER. (a) A prescriber may, directly or by standing order, |
|
prescribe an opioid antagonist to: |
|
(1) a person at risk of experiencing an opioid-related |
|
drug overdose; or |
|
(2) a family member, friend, or other person in a |
|
position to assist a person described by Subdivision (1). |
|
(b) A prescription issued under this section is considered |
|
as issued for a legitimate medical purpose in the usual course of |
|
professional practice. |
|
(c) A prescriber who, acting in good faith with reasonable |
|
care, prescribes or does not prescribe an opioid antagonist is not |
|
subject to any criminal or civil liability or any professional |
|
disciplinary action for: |
|
(1) prescribing or failing to prescribe the opioid |
|
antagonist; or |
|
(2) if the prescriber chooses to prescribe an opioid |
|
antagonist, any outcome resulting from the eventual administration |
|
of the opioid antagonist. |
|
Sec. 483.103. DISPENSING OF OPIOID ANTAGONIST. (a) A |
|
pharmacist may dispense an opioid antagonist under a valid |
|
prescription to: |
|
(1) a person at risk of experiencing an opioid-related |
|
drug overdose; or |
|
(2) a family member, friend, or other person in a |
|
position to assist a person described by Subdivision (1). |
|
(b) A prescription filled under this section is considered |
|
as filled for a legitimate medical purpose in the usual course of |
|
professional practice. |
|
(c) A pharmacist who, acting in good faith and with |
|
reasonable care, dispenses or does not dispense an opioid |
|
antagonist under a valid prescription is not subject to any |
|
criminal or civil liability or any professional disciplinary action |
|
for: |
|
|
(1) dispensing or failing to dispense the opioid |
|
antagonist; or |
|
(2) if the pharmacist chooses to dispense an opioid |
|
antagonist, any outcome resulting from the eventual administration |
|
of the opioid antagonist. |
|
Sec. 483.104. DISTRIBUTION OF OPIOID ANTAGONIST; STANDING |
|
ORDER. A person or organization acting under a standing order |
|
issued by a prescriber may store an opioid antagonist and may |
|
distribute an opioid antagonist, provided the person or |
|
organization does not request or receive compensation for storage |
|
or distribution. |
|
Sec. 483.105. POSSESSION OF OPIOID ANTAGONIST. Any person |
|
may possess an opioid antagonist, regardless of whether the person |
|
holds a prescription for the opioid antagonist. |
|
Sec. 483.106. ADMINISTRATION OF OPIOID ANTAGONIST. (a) A |
|
person who, acting in good faith and with reasonable care, |
|
administers or does not administer an opioid antagonist to another |
|
person whom the person believes is suffering an opioid-related drug |
|
overdose is not subject to criminal prosecution, sanction under any |
|
professional licensing statute, or civil liability, for an act or |
|
omission resulting from the administration of or failure to |
|
administer the opioid antagonist. |
|
(b) Emergency services personnel are authorized to |
|
administer an opioid antagonist to a person who appears to be |
|
suffering an opioid-related drug overdose, as clinically |
|
indicated. |
|
Sec. 483.107. GRANTS. The Health and Human Services |
|
Commission may issue grants for: |
|
(1) drug overdose prevention; |
|
(2) recognition and response education for |
|
individuals, family members, and emergency services personnel; and |
|
(3) opioid antagonist prescription or distribution |
|
projects. |
|
Sec. 483.108. CONFLICT OF LAW. To the extent of a conflict |
|
between this subchapter and another law, this subchapter controls. |
|
SECTION 13. (a) The change in law made by this Act relating |
|
to conduct that is grounds for imposition of a disciplinary |
|
sanction applies only to conduct that occurs on or after September |
|
1, 2015. |
|
(b) Conduct that occurs before September 1, 2015, is |
|
governed by the law in effect on the date the conduct occurred, and |
|
the former law is continued in effect for that purpose. |
|
SECTION 14. (a) The change in law made by this Act relating |
|
to conduct that is the basis for civil liability applies only to |
|
conduct that occurs on or after September 1, 2015. |
|
(b) Conduct that occurs before September 1, 2015, is |
|
governed by the law in effect on the date the conduct occurred, and |
|
the former law is continued in effect for that purpose. |
|
SECTION 15. (a) The change in law made by this Act relating |
|
to conduct that constitutes a criminal offense applies only to an |
|
offense committed on or after September 1, 2015. |
|
(b) For purposes of this section, an offense is committed |
|
before September 1, 2015, if any element of the offense occurs |
|
before that date. |
|
(c) An offense committed before September 1, 2015, is |
|
governed by the law in effect on the date the offense was committed, |
|
and the former law is continued in effect for that purpose. |
|
SECTION 16. This Act takes effect September 1, 2015. |
|
|
|
______________________________ |
______________________________ |
|
President of the Senate |
Speaker of the House |
|
|
|
I certify that H.B. No. 225 was passed by the House on April |
|
14, 2015, by the following vote: Yeas 140, Nays 4, 1 present, not |
|
voting; and that the House concurred in Senate amendments to H.B. |
|
No. 225 on May 18, 2015, by the following vote: Yeas 130, Nays 1, 1 |
|
present, not voting. |
|
|
|
______________________________ |
|
Chief Clerk of the House |
|
|
I certify that H.B. No. 225 was passed by the Senate, with |
|
amendments, on May 13, 2015, by the following vote: Yeas 30, Nays |
|
1. |
|
|
|
______________________________ |
|
Secretary of the Senate |
|
APPROVED: __________________ |
|
Date |
|
|
|
__________________ |
|
Governor |