State of  GENERAL COURT ______CONCORD

MEMORANDUM DATE: December 15, 2015

TO: Honorable Margaret Wood Hassan, Governor Honorable Chuck W. Morse, President of the Senate Honorable Shawn N. Jasper, Speaker of the House Honorable Paul C. Smith, House Clerk Tammy L. Wright, Senate Clerk Michael York, State Librarian

FROM: Senator Jeb Bradley, Chair Representative Richard W. Hinch, Vice Chair

SUBJECT: Joint Task Force for the Response to the Heroin and Opioid Epidemic in New Hampshire Interim Report

Enclosed please find the Joint Task Force for the Response to the Heroin and Opioid Epidemic in New Hampshire Interim Report.

We would like to thank those members of the Task Force who were instrumental in this study. We would also like to acknowledge all those who testified before the Task Force and assisted the Task Force in our deliberations.

Enclosures cc: Members of the Task Force 1

INTERIM REPORT

Joint Task Force for the Response to the Heroin and Opioid Epidemic in New Hampshire

Special Session House Concurrent Resolution 1

December 15, 2015 ______

SS HCR 1 was adopted by the House and Senate on November 18, 2015 during a Special Session. It established a joint task force for the response to the heroin and opioid epidemic in New Hampshire.

DUTIES:

The duties of the task force shall be to review the following issues in consultation with the necessary relevant experts and to issue recommendations relating to:

 Amending the laws and penalties relating to the distribution of fentanyl to ensure they are on par with the laws and penalties relating to the distribution of heroin.

 Requiring insurance companies to use the same evaluation criteria for substance abuse treatment and removing prior authorization requirements.

 Mandating greater use of the state’s prescription drug monitoring program and upgrading its technology

 Continuing medical education relating to prescribing schedule II, III, and IV drugs.

 Providing for a statewide drug court grant program.

 Reviewing the successful law enforcement partnership program taking place between the city of Manchester police department and New Hampshire state police.

PROCESS AND PROCEDURES:

As first named member to the task force, Representative Richard Hinch called the first meeting for November 24th where he nominated Senator Jeb Bradley as Chair. Rep. Hinch was named vice chair and Rep. Packard was named clerk. As authorized by SS HCR 1, the task force separated into three divisions:

 Division I - Criminal Penalties, Judicial Matters, Insurance Regulations/Criteria

Representative John Tholl, Division Chair Senator Nancy Stiles, Division Vice-Chair

Representative Andrew O’Hearne Senator Jeff Woodburn Representative Robert Rowe/Representative Claire Rouillard Senator Bette Lasky 2

Representative Steve Shurtleff Senator Jeb Bradley Representative Peter Hansen Representative Richard Hinch

 Division II - Medical/Pharmaceutical Services, Regulation, Education and Oversight

Senator Sharon Carson, Division Chair Representative Frank Kotowski, Division Vice-Chair

Senator John Reagan Representative Joe Hannon Senator Molly Kelly Representative Jeff Goley Senator Jeb Bradley Representative Tom Sherman Representative Richard Hinch

 Division III - Finance/Appropriations.

Representative , Division Chair Sen. Jeanie Forrester, Division Vice-Chair

Representative Senator Lou D’Allesandro Representative Cindy Rosenwald Senator Andy Sanborn Representative Linda Kenison Senator Donna Soucy Representative Richard Hinch Senator David Boutin Senator Jeb Bradley

 Alternates

Representative Valerie Fraser Representative Joseph M. Hagan Representative Rick M. Ladd Representative David J. Danielson Representative Catherine A. Cheney Representative John B. Hunt Representative Janet G. Wall Representative Laura C. Pantelakos Representative James R. MacKay Representative Raymond G. Gagnon Senator Gerald Little Senator Regina Birdsell Senator Andrew J. Hosmer Senator Dan Feltes Senator Martha Fuller-Clark 3

Individual legislators were asked to submit their Legislative Services Requests (LSRs) to the task force for consideration. Each division met on two occasions to hear from numerous stakeholders, review these relevant LSRs and make recommendations. The following is a summary of the presenters.

Governor Maggie Hassan spoke about the heroin crisis and advocated that her proposals be considered and approved by the Task Force.

Attorney General Joseph Foster discussed the current state of the heroin crisis, provided data from the Medical Examiner, and detailed how New Hampshire compares to the rest of the country.

“Alex’s Story” was presented by Teghan Kelly, which is an account of Alex Berry’s personal recovery.

Doctor Seddon Savage, Medical Director, Chronic Pain and Recovery Center, Silver Hill Hospital, New Caanan, CT, told the Task Force the history of opioids, and how they have repeatedly been considered either a miracle drug or a scourge on society.

Doctor Travis Harker, Family Health Center, Concord, related how pain is treated and how it relates to the current crisis.

Chief Nick Willard, Chief of Police, Manchester and Colonel Robert Quinn, New Hampshire State Police, discussed the crisis from law enforcement’s point of view and discussed Operation Granite Hammer.

Tym Rourke, Chair, Bureau of Drug and Alcohol Services Governor’s Commission on Alcohol and Drug Abuse Prevention, Treatment and Recovery, discussed what the state has done in the past to combat addiction and emphasized that this is not a new problem.

Melissa Crews, Board Chair, Cheryl Coletti, Board Chair Elect, and Holly Cekala, Director of Recovery Support Services, all of Hope for New Hampshire Recovery, discussed what their organization does, how it is funded, and how their model can be replicated in other communities.

Amy Cradic, Deputy Chief of Staff for Policy for Governor Chris Christie, and Ryan Goodwin, Senior Policy Advisor for Governor Chris Christie, spoke about the measures that New Jersey has taken to address the heroin crisis in their state and discussed best practices.

Linda Pauquette, Executive Director, New Futures, talked about the need for prevention, treatment, and recovery capacity.

Michelle Merritt, Policy Director, New Futures, discussed the issues and stumbling blocks for individuals trying to access treatment.

Sandi Coyle, Director of Recovery Services, Fedcap, spoke about the role and need for peer recovery services.

Assistant Fire Chief Dan Goonan, Manchester Fire Department, Chris Stawasz, Regional Director of American Medical Responses, Christopher Hickey, EMS Officer, Manchester Fire Department, gave the Task Force an overview of what is happening on the ground in Manchester and Nashua, noting that the two cities are on track to see 1,000 overdoses between them by the end of the year. 4

Louise Lavertu, Executive Director, Office of Professional Licensure and Certification, spoke to the challenges of mandating an online exam for doctors to demonstrate knowledge of safe prescribing practices.

Michelle Ricco Jonas, Prescription Drug Monitoring Program (PDMP) Manager, and Mike Dupuis described how the PDMP currently works, what upgrades are needed and what upgrades are possible.

Sarah Blodgett, Board of Medicine, spoke to the circumstances where the Board of Medicine would sanction a doctor for not using the PDMP.

Theresa Pare-Curtis, Department of Information Technology, spoke to the technical details of the PDMP.

Chief Robert Cormier, Chief of Police, Tilton, and President of New Hampshire Chiefs of Police, spoke to the benefits of offering a program like “Operation Granite Hammer” to other communities in the state.

Tym Rourke, Chair, and Joseph Harding, Director, Bureau of Drug and Alcohol Services Governor’s Commission on Alcohol and Drug Abuse Prevention, Treatment and Recovery, discussed what the Governor’s Commission does, its funding sources, and what it could accomplish with additional funding.

Bill Cass, Assistant Department of Transportation (DOT) Commissioner and Kathleen Mulcahey- Hampson, DOT Hearings Examiner, spoke to the difficulty in finding uncommitted Highway Fund and Turnpike Fund dollars for additional cruisers.

James Vara, Attorney General’s Office, Senior Assistant Attorney General, spoke to the legal details of the proposed increased penalties for Fentanyl.

Timothy Pifer, Director, State Forensic Lab, presented data detailing the cases submitted to the lab, particularly in regards to heroin and fentanyl.

Chief John Bryfonski, Chief of Police, Bedford, offered to answer any questions the committee had and spoke to the impact the crisis is having on the town of Bedford.

Chief Tara Laurent, Chief of Police, Greenland, spoke to the use, increased availability, and impact of Narcan.

Nick Mercuri, Bureau Chief, Department of Safety, discussed the remaining road blocks for individuals to access Narcan.

Lindy Keller, Residential and Development Unit, Department of Health and Human Services, spoke to the current status of peer recovery services and the work that is being done to provide access across the state.

Cheryle Pacapelli, New Futures, discussed peer recovery and the training that is given to peer recovery coaches.

Abby Shockley, New Hampshire Providers Association, told the Division that they are seeing issues with individuals seeking immediate care due to current insurance statutes.

Alex Feldvebel, Deputy Commissioner of the Insurance Department expressed some concerns over insurance issues, and mentioned the Department would like to work with carriers and advocacy groups to find a solution that works for everyone. 5

Heidi Kroll, America’s Health Insurance Plans, spoke to potential challenges for insurance carriers and detailed points that the committee should consider.

Paula Rogers, Government Relations Director for Anthem, told the division that Anthem already uses American Society of Addiction Medicine (ASAM) criteria for covering substance abuse disorders.

Matt Beno, Government Affairs Officer for Harvard-Pilgrim Health Care, told the division that Harvard- Pilgrim draws heavily from the ASAM requirements, but not exclusively, and would not recommend that ASAM be used alone.

Leon Evans, President and CEO, Center for Healthcare Services, Bexar County, Texas, discussed the programs used by Bexar County to reduce the number of people with drug problems being incarcerated, increase treatment options and save tax payer money.

Janet Monihan, New Hampshire Medical Society, spoke to the continuing education process for prescribers and detailed the potential difficulties with the proposed requirements.

Jodi Grimblas and Michael Aurbach, New Hampshire Dental Society, detailed the Dental Society’s progress in developing new prescription guidelines and use of the PDMP.

Michael McAlister, Director, Division of Field Services, Department of Corrections, talked about his division’s work and requested funding for six additional parole officers to serve offenders going through drug courts.

Representative , proposed repurposing a portion of the underused Sununu Center in Manchester to help treat individuals suffering from addiction.

Chief Justice Tina Nadeau, New Hampshire Superior Court, detailed the proposal for Drug Courts, how they would work, the funding mechanism, and the success these programs have had in other parts of the country.

Chief David Goldstein, Chief of Police, Franklin, told the Division that drug courts would be another tool for law enforcement’s tool box.

George Maglaras, Strafford County Commissioner, Michael Cryans, Grafton County Commissioner, and Tom Velardi, Strafford County Attorney, discussed their respective counties’ existing Drug Court programs.

Mary Steady, Administrator, New Hampshire Department of Education, talked about what programs are currently being offered by schools to educate children about the dangers of addiction.

Dean Michener, New Hampshire School Boards Association, answered questions from the Division and suggested changes to Senator Stiles’ proposed education bill.

Jayson Pratt, Phoenix House, stressed the importance of providing students both resources and education.

Linda Paquette, New Futures brought the following five individuals to discuss the issue: 6

Martin Golden, Governor’s Commission on Alcohol and Drug Abuse, Prevention, Treatment and Recovery, talked of the need for public and private entities to come together to combat drug abuse issues in the state.

Dean Lemire, Stratford County Substance Misuse Coordinator, discussed ongoing efforts to combat addiction in Stratford County.

Nelson Hayden, Keene Serenity Center, described the services that that Center provides in Cheshire County.

Michelle Betts, Tilton Family Resource Center, talked about the services provided by the Center and said that wait lists for treatment are a deterrent for people looking for help.

Susan McKeown, Family Support Coordinator, talked about the importance of providing services to the family members of drug users as well.

Scott Eaton, Administrative Rules Director, Joint Legislative Committee on Administrative Rules (JLCAR), discussed the regular rule making and emergency rule making process for boards.

Doctor Travis Harker, Family Doctor, provided a list of 5 recommendations for the Task Force to consider.

Doctor Seddon Savage, Anesthesiologist and Addiction Specialist, talked about the need to provide exemptions to the rules if a clinician needs to make a decision based on the best interest of the patient.

Doctor Molly Rossignol, Family Doctor and Addiction Specialist, discussed unintended consequences of the new rules, specifically, doctors potentially deciding not to prescribe opioids out of fear.

Doctor Andrew Kowal, Director of Pain Clinic, Lehey Clinic, talked about the proposed rules and thought they were not stringent enough.

Kate Frey, New Futures, talked about the need for a coordinated response to this crisis.

Doctor William Goodman, Chief Medical Officer at Catholic Medical Center, discussed the work Catholic Medical Center has been doing to address the crisis.

Peter Kelleher, CEO Partnership for Successfully Living, and Doctor Sylvia Sironich-Kalkan, Medical Director Harbor Homes, discussed Federally Qualified Health Centers (FQHCs), how they treat low income individuals and their role in helping combat the heroin epidemic.

David Croft, Director, Merrimack County Diversion Center, Ginnie Arenella, Program Coordinator, Merrimack County Diversion Center, talked about how the diversion program works, what services they provide, and how they treat low level offenders.

Chief James Burkush, Fire Chief, Manchester, Chief Steve Achilles, Fire Chief, Portsmouth, and Association of Fire Chiefs, and David Lang, President of the Professional Firefighters of New Hampshire, presented their proposal for combating the heroin crisis by training and using first responders to help individuals get treatment.

Susan Mead, Education Outreach Coordinator, Greater Nashua Mental Health Center, and Cynthia Whittaker, Licensed Alcohol and Drug Councilor (LADC), talked about how mental health and 7 addiction are intertwined and that the mental health component of drug addiction should be considered as well.

Jack Wozmack, Senior Director of Substance Misuse and Behavioral Health, “Drug Czar”, gave an overview of the heroin crisis in New Hampshire.

Susan Messinger, told the Task Force of the experience of her son, Carlton Fredrick Messinger II, who died of an overdose, on October 23, 2014, several days before his 25th birthday.

Recommendations

Task Force members determined that the issues discussed should be addressed using one of three timeframes for action in the 2016 legislative session. Accordingly, each issue was given the designation ‘expedited’, ‘early’ or ‘regular order’.

Issues to be addressed in an ‘expedited’ manner had broad support and will be drafted into legislation and addressed in a joint public hearing held in early January. Expedited legislation is expected to be voted on by the full House and Senate no later than January 21.

Issues addressed ‘early’ in the legislative process will be the subject of both House and Senate hearings. Sponsors will work with the Chairs of the House and Senate standing committees to ensure that these bills are heard and voted on early in the session.

Issues addressed using the ‘regular order’ will be scheduled and voted on using the standard House and Senate deadlines and process.

In addition, Task Force members identified subjects to be addressed in new LSRs. Some of these issues were included in the LSRs reviewed and others were ideas generated in the course of the work sessions held in December.

Expedited

1. making the penalty for the manufacture, sale, possession with intent to sell or transportation of various amounts of fentanyl the same as the penalty for the manufacture, sale, possession with intent to sell or transportation of the same amounts of heroin or crack cocaine

2. requiring health insurance carriers to use criteria established by the American Society of Addiction Medicine (ASAM) when determining medical necessity for care and developing utilization review standards for substance use disorder services; providing that prior authorization is not required for the first two outpatient visits for covered substance disorder services

3. establishing a commission to study a wide range of issues relating to Narcan and to produce a long-term plan on the use and distribution of Narcan in New Hampshire

4. requiring all public schools in the state to provide age appropriate drug and alcohol education in grades kindergarten through 12 8

5. expanding access to the Prescription Drug Monitoring Program (PDMP) to the designees of prescribers and dispensers and to prescribers and dispensers in federal facilities such as VA hospitals in New Hampshire and its neighboring states; permitting access to the PDMP by the NH Chief Medical Examiner for purposes of investigating a death only

6. requiring all prescribers to query the PDMP for an initial prescription of schedule II opioids for the management or treatment of pain and then periodically and at least twice a year with limited exceptions

7. permitting state funding for the Prescription Drug Monitoring Program

8. adding two physicians to the Medical Review Subcommittee of the Board of Medicine and requiring one of the physician members of the subcommittee to practice in pain medicine and anesthesiology

9. requiring three hours of continuing education or an on-line examination on pain management and addiction disorder for all prescribers in the state with a Drug Enforcement Administration (DEA) license as a condition of licensure or license renewal

10. requiring the Commissioner of DHHS and the Commissioner of Safety to determine whether a 24-hour drug crisis hotline should be established and, if so, how a hotline would be staffed, funded and implemented

Early

1. establishing a statewide drug court grant program in superior courts administered by the Office of Drug Court Coordinator with grants paid by the Administrative Office of the Courts to counties meeting the requirements; establishing an advisory commission to monitor the drug courts and the grant program; making appropriations for the administration and funding of the drug court grants; making appropriations for additional probation and parole officers

2. requiring the Board of Medicine, the Board of Dental Examiners, the Board of Nursing, the Board of Registration in Optometry, the Board of Podiatry, the Naturopathic Board of Examiners, and the Board of Veterinary Medicine to adopt rules for prescribing controlled drugs using mandatory standards for such rules and requiring using the controlled drug prescription health and safety program database

3. requiring the New Hampshire Pharmacy Board to adopt protocols governing the dispensing of naloxone hydrochloride

4. authorizing coverage for medically necessary substance abuse treatment without prior authorization for up to 72 hours

5. requiring hospitals in Hillsborough County to offer patients who have received Narcan for a drug overdose an opportunity to speak with a recovery coach or receive contact information for a recovery coach

6. requiring the Commissioner of Safety to establish a state grant program within the Department of Safety, Division of State Police to assist state and local law enforcement agencies in addressing the opioid crisis; establishing a special fund and making an appropriation for purposes of this program 9

New LSRs to be drafted for early consideration

1. appropriating $130,000 for technical upgrades to the PDMP

2. requiring the universal use of the PDMP; requiring prescribers to submit all prescription requests for controlled substances in electronic format; requiring PDMP information to be updated daily and allowing the PDMP to access information from any other national data service; adding naturopaths and prescribers with a federal controlled substance license to the list of practitioners included in the PDMP law; requiring a practitioner and his or her patient to enter into an opioid treatment agreement if the patient is using opioids for more than 90 days within any 6-month period and specifying information to be included in the agreement; requiring all controlled drugs sold in New Hampshire to be tamper proof; requiring the Board of Pharmacy to submit a monthly report from the PDMP comparing prescriptions written and prescriptions delivered to the DHHS Commissioner

3. requiring health insurers to include an abuse-deterrent opioid for each opioid product on the formulary, if one is available, and to provide coverage for abuse-deterrent opioid drugs

4. making an appropriation for the acquisition and equipping of new state police cruisers

Regular Order

1. establishing a Commission to Study Long-term Peer-to-peer Recovery Services in New Hampshire

2. adding ten grams of more of fentanyl to the list of controlled drugs and controlled drug analogs penalized under the Controlled Drug Act

3. requiring the Commissioner of DHHS to evaluate the cost effectiveness of alcohol and drug abuse prevention, recovery, and treatment programs which receive state or federal funds and requires programs and organizations receiving such funds to spend the moneys received on the most cost effective program, then on the second most cost effective program and successively on less cost effective programs

4. allowing the possession and use of controlled drugs without penalty, establishing a substance abuse treatment fund, permitting a person to petition for annulment of a criminal record without a waiting period for an offense which was subsequently decriminalized, requiring a sentencing court to suspend the sentence for felony conviction for conduct that was decriminalized or legalized in this state after the date of arrest, indictment, or conviction, allowing any person to voluntarily submit himself or herself for treatment for drug abuse dependency or any problem related to the use of drugs at certain facilities

5. clarifying who may have access to information in the PDMP

6. authorizing pharmacists to fill a prescription for certain controlled drugs for a 34-day supply or 100 dosage units, whichever is less

7. clarifying when it is appropriate for practitioners to adjust or prescribe controlled drugs to patients by telemedicine 10

8. revising the requirements for the qualifications, standards, and supervision of collaborative pharmacy practice agreements between pharmacists and health care practitioners

7. exempting trace amounts of controlled substances in hypodermic syringes and needles from the provisions of the Controlled Drug Act; authorizing persons other than pharmacists to dispense hypodermic syringes and needles and allowing them to be sold in retail establishments other than pharmacies

New LSRs to be drafted for consideration in the Regular Order

1. appropriating funding for the New Hampshire Department of Justice for an attorney position dedicated to prosecution of drug cases

2. appropriating funding for a LADC in the Bureau of Emergency Medical Services to develop a training program for fire and EMS personnel and to create a target pilot program with LADCs working in fire departments in three communities in the state

3. appropriating $5 million for the Governor’s Commission on Alcohol and Drug Abuse Prevention, Treatment and Recovery

4. Rep. Hannon; authorizing the use of treatment bonds

5. Rep. Hannon; resolution to ask the Governor, Attorney General and New Hampshire’s congressional delegation to investigate patient satisfaction surveys and their link to reimbursement rates

6. Rep. Hannon; appropriate full funding for the alcohol fund

7. Rep. Hannon; allowing specialists working in licensed clinics to see walk-in patients without a referral from a primary care physician

8. Sen. Forrester; funding a grant program for the prevention program entitled ‘Alex’s Story’ so that the program can be presented to all New Hampshire high schools

APPENDICES LISTING

Appendix A: Division Grid

Appendix B: LSR listing Appendix A

Joint Task Force on Heroin and Opioid Epidemic Updated 12/14/2015

Division Recommendations

Expedited – expedited process; joint public hearing Early – individual Senate and House hearings, early consideration Regular Order – regular legislative process

Division I – Criminal Penalties, Judicial Matters, Insurance

Topic -Division I Sponsor(s) LSR #; section(s) Recommendation

Penalty for fentanyl Sen. Bradley 2758; §1-4 with am Expedited possession and use 3003s Rep. Estevez 2347 Regular Order Insurance coverage for Sen. Bradley 2758, §11 with am 3014s Expedited substance use disorders Sen. Stiles 2878 Early

Long term care for Sen. Sanborn 2893 Regular Order addicts Rep. Kurk 2606 Regular Order Rep. Bouldin 2427, §17 Regular Order Narcan; study Sen. Sanborn 2955, §7 and §8 with am Expedited commission, reporting 3004s and use Rep. Hopper 2380 Early Rep. Bouldin 2428 Early Rep. White 2431 Regular Order Alcohol and drug Sen. Stiles 2879 with am 3017s Expedited education in schools

Syringes/needles Rep. Hannon 2501 Early

Division II – Medical/Pharmaceutical Services, Education and Oversight

Topic -Division II Prime LSR #; section(s) Recommendation Sponsor Expanding Board of Sen. Bradley 2758, §10 with am 3022 Expedited Medicine; including practitioner of pain medicine or anesthesiology 1

Topic -Division II Prime LSR #; section(s) Recommendation Sponsor PDMP; allow funding Sen. Bradley 2758, §5 with am 3001s Expedited beyond grants, repeal prohibition on state funding

PDMP; access by law Sen. Bradley 2758, §6 and 7 with am Expedited enforcement, federal 3002s health care providers in NH or VT and the Office Sen. Sanborn 2955, §2 Not needed; issue of the Chief Medical covered in 2758 Examiner, case by case Rep. Ward 2600 Regular Order

PDMP; updating and Sen. Sanborn 2955, §1, 3, 4, 5 and 6 Early; need new LSR access, naturopaths, universal use, opioid treatment agreement; tamper-proof drugs

Mandate use of PDMP for Sen. Bradley 2758, §8 (first half) with Expedited all prescribers am 3021

CME/Exam for Sen. Bradley 2758, §8 (second half) and Expedited prescribers §9 with am 3021

24-hour hotline Sen. Bradley 2758, §12 Expedited

Require tamper-proof Rep. Sherman new LSR with am 3008 Early; need new LSR drugs/Abuse deterrent drugs

Board of Medicine Rep. Rosenwald 2677 Early rulemaking

Limit prescription of Rep. Ward 2235 Regular Order controlled drugs; 34-day supply or 100 doses

Prescription through Rep. McKay 2087 Regular Order telemedicine

Collaborative Pharmacy Rep. McKay 2692 Regular Order Practice Agreements

Division III – Finance/Appropriations 2

Topic -Division III Prime LSR # Recommendation Sponsor $130,000 in additional Sen. Bradley New Early; need new LSR funding for PDMP technical upgrades

Drug courts Sen. Bradley 2695 Early

State grant program; Sen. Forrester 2875 Early enhanced drug interdiction; broaden NH SP high intensity traffic stop programs

Funding for position at New Regular Order; need DOJ new LSR

Funding for add to 2695 probation/parole officers

$5 million for Gov’s to be determined Commission Appendix B

Proposed Legislation Considered by the Task Force

 Gov Hassan Special Session Proposed Legislation  16-2074.0 - Registry for heroin offenders, Rep. Flanagan  16-2087.0 - Prescriptions for controlled drugs by telemedicine, Rep. MacKay  16-2235.0 - Sales by pharmacists, Rep. Ward  16-2347.0 - Fentanyl penalty, Rep. Estevez  16-2380.2 - Narcan recipients, access to recovery coach, Rep. Hopper  16-2427.0 - Controlled drug possession; substance abuse treatment, Rep. Bouldin  16-2428.0 - Pharmacy Board protocols for naloxone, Rep. Bouldin  16-2462.1 - Commission to study the termination of medicaid benefits, Rep. Snow  16-2501.0 - Syringes and needles, Rep. Hannon  16-2600.0 - Access to PDMP information, Rep. Ward  16-2606.2 - Alcohol and drug treatment programs, Rep. Kurk  16-2677.0 - Rulemaking for prescribing controlled drugs, Rep. Rosenwald  16-2692.0 - Collaborative Practice Between Pharmacists and healthcare practitioners, Rep. McKay  16-2695.1 - Drug Courts, Sen. Bradley  16-2758.3 - Fentanyl, Sen. Bradley  16-2875.0 - State grant program for law enforcement, Sen. Forrester  16-2878.0 - Prior authorization for substance abuse treatment, Sen. Stiles  16-2879.1 - Drug and alcohol education in schools, Sen. Stiles  16-2893.1 - Long-Term Recovery, Sen. Sanborn  16-2955.0 - PDMP, Sen. Sanborn