The Committee on Medical, Military, Public and Municipal Affairs proposes the following Amendment No. 1 to H. 4711 (COUNCIL\VR\4711C001.CC.VR20):

Reference is to the bill as introduced.

Amend the bill, as and if amended, by striking all after the enacting words and inserting:

/ SECTION1. Article 3, Chapter 53, Title 44 of the 1976 Code is amended by adding:

"Section 44 -53-361.( A)A prescriber shall do the following when writing a prescription for an opioid medication:

(1) offer a prescription for a drug approved by the United States Food and Drug Administration for the complete or partial reversal of opioid depression to a patient and document the offer in the patient's medical record when one or more of the following conditions are present:

(a) the prescription dosage for the patient is ninety or more morphine milligram equivalents of an opioid medication per day;

(b) an opioid medication is prescribed concurrently with a prescription for benzodiazepine; or

(c) the patient presents with an increased risk for overdose, including a patient with a history of overdose, a patient with a history of substance use disorder, or a patient at risk for returning to a high dose of opioid medication to which the patient is no longer tolerant;

(2) consistent with the existing standard of care, provide education to patients receiving a prescription pursuant to item (1) on overdose prevention and the use of a drug approved by the United States Food and Drug Administration for the complete or partial reversal of opioid depression; and

(3) consistent with the existing standard of care, provide education on overdose prevention and the use of a drug approved by the United States Food and Drug Administration for the complete or partial reversal of opioid depression to one or more persons designated by the patient, or, for a patient who is a minor, to the minor's parent or guardian.

(B) A prescriber who fails to offer a prescription, as required by subsection (A)(1), or fails to provide the education and use information required by subsections (A)(2) and (3) may be referred to the appropriate licensing board solely for the imposition of administrative sanctions deemed appropriate by that board. This section does not create a private right of action against a prescriber, and does not limit a prescriber's liability for the negligent failure to diagnose or treat a patient."

SECTION2. This act takes effect upon approval by the Governor. /