underscored material = new [bracketed material] = delete 25 24 23 22 21 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 Chapter 126,Section2,asamended)isamendedtoread: BE ITENACTEDBYTHELEGISLATUREOFSTATENEWMEXICO: OFFER NALOXONEPRESCRIPTIONS. OF OVERDOSEANDOPIOIDREVERSALMEDICATIONTO UNDER CERTAINCIRCUMSTANCES,TOCOUNSELPATIENTSONTHERISKS RELATING TOOPIOIDOVERDOSE;REQUIRINGHEALTHCAREPROVIDERS, .211704.1 that hasbeenaccepted bytheNewMexicomedicalboard; pain managementguidelinebasedonevidence andexpertopinion geriatrics societyortheAmericanpain societyoraclinical clinical painmanagementguidelinedeveloped bytheAmerican 54 TH LEGISLATURE "24-2D-2. DEFINITIONS.--Asusedin the PainReliefAct: SECTION 1. B. "acutepain"means thenormal,predicted A. "acceptedguideline"meansthemost current Section24-2D-2NMSA1978(beingLaws1999, -

STATE

William P.Soules OF SENATE BILL221 INTRODUCED BY

NEW AN ACT

MEXICO

- FIRSTSESSION ,

2019 underscored material = new [bracketed material] = delete 25 24 23 22 21 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 .211704.1 profession andwho hasprescriptiveauthoritywithin the limits in theordinarycourse ofbusinessorpracticethe person's licensed orotherwiseauthorizedby law toprovidehealthcare conduct thatviolatestheboard'spractice act; of probablecausethatthehealthcare providerhasengagedin taken byaboardagainsthealthcare provider,uponafinding practices andguidelines; pain managementhasknowledgeregardingcurrentstandards, of specializededucationorsubstantialrelevantexperiencein a terminalcondition; course ofprogression,mayreasonablybeexpectedtoresultin condition orwithaprogressivediseasethat,inthenormal "Chronic pain"doesnotincludepainassociatedwithaterminal episodically, forlongerthanthreeconsecutivemonths. or itscauseandthatcontinues,eithercontinuously reasonable medicaleffortshavebeenmadetorelievethepain care provider; procedures, traumaordiseaseandgenerallytime-limited; mechanical stimulus,typicallyassociatedwithinvasive physiological responsetoanoxiouschemicalorthermal G. "healthcareprovider"meansaperson whois F. "disciplinaryaction"meansanyformalaction E. "clinicalexpert"meansapersonwhobyreason D. "chronicpain"meanspainthatpersistsafter C. "board"meansthelicensingboardofahealth - 2 underscored material = new [bracketed material] = delete 25 24 23 22 21 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 .211704.1 and informthepatient oftheavailabilityanopioid to apatientshall counselthepatientonrisksof overdose distributes ordispensesanopioidanalgesic forthefirsttime PRESCRIBE, DISTRIBUTEORDISPENSEOPIOID ANALGESICS.-- meperidine, methadone,morphine,nalbuphine,oxycodone, butorphanol, codeine,hydrocodone,hydromorphine,levorphanol, for thereversalofopioidanalgesicoverdoses; and suchothermedicationsapprovedbytheboardofpharmacy effects ofanopioidanalgesicinthebody,includingnaloxone negates orneutralizesinwholepartthepharmacological federal foodanddrugadministrationthatwhenadministered brand names,isomersandcombinations; oxymorphone, pentazocineandpropoxypheneaswelltheir of theperson'slicense; enacted toread: management." conforms substantiallytoacceptedguidelinesforpain pharmaceutical andnon-pharmaceuticalmedicaltreatmentthat "[NEW MATERIAL SECTION 2. [I. [H. I. "opioidantagonist"meansadrugapprovedbythe A. Ahealthcareproviderwhoprescribes, H. "opioidanalgesic"meansbuprenorphine, ] K. ] J. AnewsectionofthePainReliefActis "therapeuticpurpose"meanstheuseof "pain"meansacuteandchronicpain; ] REQUIREMENTSFORHEALTHCAREPROVIDERS WHO - 3 underscored material = new [bracketed material] = delete 25 24 23 22 21 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 .211704.1 administering naloxone." person administeringnaloxoneshouldcall911immediatelyafter techniques foradministrationofnaloxoneandawarningthat information regardingthetemporaryeffectsofnaloxone, prescription fornaloxoneshallbeaccompaniedbywritten professional judgmentofthehealthcareprovider.A authorized practice,unlessotherwiseindicatedinthe for naloxone,withinthescopeofhealthcareprovider's analgesic forapatientshalloffertheprescription year. distributes ordispensesanopioidanalgesiceachcalendar first occasionthatthehealthcareproviderprescribes, the patientofavailabilityanopioidantagoniston shall counselthepatientonrisksofoverdoseandinform dispensed bythehealthcareprovider,provider analgesic haspreviouslybeenprescribed,distributedor antagonist. Withrespecttoapatientwhomanopioid B. Ahealthcareproviderwhoprescribesanopioid - 4