Bill Text: TX HB4799 | 2023-2024 | 88th Legislature | Introduced


Bill Title: Relating to the provision of opioid antagonists to clients on discharge from a chemical dependency treatment facility.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2023-03-22 - Referred to Public Health [HB4799 Detail]

Download: Texas-2023-HB4799-Introduced.html
  88R15230 MPF-D
 
  By: Talarico H.B. No. 4799
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the provision of opioid antagonists to clients on
  discharge from a chemical dependency treatment facility.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter A, Chapter 464, Health and Safety
  Code, is amended by adding Sections 464.021 and 464.0211 to read as
  follows:
         Sec. 464.021.  PROVISION OF OPIOID ANTAGONISTS. (a) In this
  section, "opioid antagonist" and "opioid-related drug overdose"
  have the meanings assigned by Section 483.101, Health and Safety
  Code. 
         (b)  In a state fiscal year during which a treatment facility
  licensed under this chapter receives state money by legislative
  appropriation made for chemical dependency treatment or a similar
  public purpose, or in which state money is otherwise made available
  for the facility's use in providing chemical dependency treatment,
  the facility must provide opioid antagonists to a client the
  facility reasonably believes to be at risk for an opioid-related
  drug overdose before discharging the client from the facility.
         Sec. 464.0211.  PRESCRIPTION OF OPIOID ANTAGONISTS.  (a)  A
  physician or person who has been delegated prescriptive authority
  under Chapter 157, Occupations Code, may prescribe opioid
  antagonists in the name of a treatment facility licensed under this
  chapter.
         (b)  A physician or other person who prescribes opioid
  antagonists under Subsection (a) shall provide the treatment
  facility with a standing order for the administration of an opioid
  antagonist to a person reasonably believed to be experiencing an
  opioid-related drug overdose.
         (c)  The standing order under Subsection (b) is not required
  to be patient-specific, and the opioid antagonist may be
  administered to a person without a previously established
  physician-patient relationship.
         (d)  Notwithstanding any other provisions of law,
  supervision or delegation by a physician is considered adequate if
  the physician:
               (1)  periodically reviews the order; and
               (2)  is available through direct telecommunication as
  needed for consultation, assistance, and direction.
         (e)  An order issued under this section must contain:
               (1)  the name and signature of the prescribing
  physician or other person;
               (2)  the name of the treatment facility to which the
  order is issued;
               (3)  the quantity of opioid antagonists to be obtained
  and maintained under the order; and
               (4)  the date of issue.
         (f)  A pharmacist may dispense an opioid antagonist to a
  treatment facility without requiring the name or any other
  identifying information relating to the user.
         SECTION 2.  Section 464.021, Health and Safety Code, as
  added by this Act, applies only to a client who is discharged from a
  chemical dependency treatment facility on or after the effective
  date of this Act. A client who is discharged from a facility before
  that date is governed by the law in effect immediately before the
  effective date of this Act, and the former law is continued in
  effect for that purpose.
         SECTION 3.  This Act takes effect September 1, 2023.
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