From the Office of State Rep. Randy Hunt:
BOSTON – In an attempt to address the growing state opioid crisis, State Representative Randy Hunt, RSandwich, is supporting legislation to expand Massachusetts’ comprehensive 2016 opioid law by increasing treatment options for individuals suffering from drug addiction.
House Bill 4725, An Act for prevention and access to appropriate care and treatment of addiction, was engrossed by the House of Representatives on a unanimous vote of 147-0 on July 11. The bill places new mandates on practitioners and pharmacies prescribing opioids and other controlled substances, while taking steps to ensure qualified treatment facilities are available to serve those in need by enhancing the regulatory and licensing authority of the Department of Mental Health (DMH) and the Department of Public Health (DPH).
"I've been heavily involved in this issue for my entire term in office. We have made big strides in our efforts to provide additional treatment options, from expanding the number of beds in treatment facilities to becoming more innovative with medication assisted modalities that offer recovery options on an outpatient basis," commented Representative Hunt. "This bill moves us forward on several fronts relative to prevention, treatment and long-term recovery that I anticipate will continue to lower opiate overdoses by diverting people from ever using these addictive substances and expanding options to gain sobriety and maintain it for the long run."
In addition to requiring the use of electronic prescriptions for controlled substances in non-emergency situations by 2020, House Bill 4725 provides for the expanded utilization of the Prescription Monitoring Program (PMP) and access to its data to help deter prescription drug abuse. It also directs DPH to issue a statewide standing order allowing pharmacies to dispense the overdose-reversing drug naloxone without a prescription.
According to DPH, there were 379 confirmed opioid-related overdose deaths in Massachusetts in 2000, but the number of confirmed and suspected opioid-related deaths jumped to 2,016 last year. For the first three months of 2018, DPH has confirmed 201 opioid-related overdose deaths, but estimates there will be an additional 240 to 305 deaths once all cases are finalized by the Office of the Chief Medical Examiner.
Under the 2016 law, patients who receive naloxone or are treated for an overdose at an acute care hospital or emergency room must undergo a substance use disorder evaluation by a licensed mental health professional within 24 hours. House Bill 4725 would require hospitals and emergency facilities to refer patients who receive an evaluation to an appropriate and available treatment provider, or to provide treatment within the facility if adequate services are available on site. However, patients have the right to refuse further treatment.
During floor debate on the bill, Representative Hunt stood with his Republican colleagues to try to amend the bill by allowing licensed physicians and other medical professionals to place overdose patients into treatment for 72 hours if they present a risk of serious harm due to addiction and will not agree to voluntary treatment. This effort was blocked by a further amendment that instead establishes a commission to study the efficacy of involuntary inpatient treatment for individuals diagnosed with a substance use disorder. House Bill 4725 also:
The bill now heads to the Senate for further action