Florida Senate - 2017 CS for CS for CS for SB 588 By the Committees on Rules; Criminal Justice; and Health Policy; and Senator Passidomo 595-04452-17 2017588c3 1 A bill to be entitled 2 An act relating to drug overdoses; providing 3 legislative findings and intent; amending s. 395.1041, 4 F.S.; requiring hospitals that have an emergency 5 department to develop a best practices policy to 6 promote the prevention of unintentional drug 7 overdoses; authorizing the policy to include certain 8 processes, guidelines, uses of professionals or 9 specialists, and protocols; providing construction; 10 creating s. 401.253, F.S.; authorizing certain 11 entities to report controlled substance overdoses to 12 the Department of Health; defining the term 13 “overdose”; providing requirements for such reports; 14 providing immunity for persons who make reports in 15 good faith; providing that a failure to report is not 16 a basis for licensure discipline; requiring the 17 department to produce a quarterly report and share the 18 data with specified entities; providing for use of 19 such data; providing an effective date. 20 21 Be It Enacted by the Legislature of the State of Florida: 22 23 Section 1. (1) The Legislature finds that substance abuse 24 and drug overdose are major health problems that affect the 25 lives of many people and multiple service systems and that lead 26 to such profoundly disturbing consequences as permanent injury 27 or death. Heroin, opiates, illegal drugs, and accidental 28 overdoses are a crisis and stress the financial, health care, 29 and public safety resources because there are no central 30 databases that can quickly help address this problem. Quick data 31 collection will allow all agencies to focus on specific age 32 groups, areas, criminal behavior, and needed public education 33 and prevention with the maximum utilization of resources. 34 Further, it is the intent of the Legislature to require the 35 collaboration of local, regional, and state agencies, service 36 systems, and program offices to address the needs of the public; 37 to establish a comprehensive system addressing the problems 38 associated with drug overdoses; and to reduce duplicative 39 requirements across local, county, state, and health care 40 agencies. 41 (2) It is the goal of the Legislature in this act to: 42 (a) Discourage substance abuse and accidental or 43 intentional overdoses by quickly identifying the type of drug 44 involved, whether prescription or illegal, the age of the 45 individual involved, and the areas where drug overdoses pose a 46 potential risk to the public, schools, workplaces, and 47 communities. 48 (b) Provide a central data point so that data can be shared 49 between the health care community and municipal, county, and 50 state agencies to quickly identify needs and provide short- and 51 long-term solutions while protecting and respecting the rights 52 of individuals. 53 (3) It is the intent of the Legislature in this act to 54 maximize: 55 (a) The efficiency of financial, public education, health 56 professional, and public safety resources so that these 57 resources may be concentrated on areas and groups in need. 58 (b) The utilization of funding programs for the 59 dissemination of available federal, state, and private funds 60 through contractual agreements with licensed basic life support 61 service providers, advanced life support service providers, 62 community-based organizations, or units of state or local 63 government that deliver local substance abuse services in 64 accordance with the intent of this act and s. 397.321(4), 65 Florida Statutes. 66 Section 2. Subsection (6) of section 395.1041, Florida 67 Statutes, is amended to read: 68 395.1041 Access to emergency services and care.— 69 (6) RIGHTS OF PERSONS BEING TREATED.— 70 (a) A hospital providing emergency services and care to a 71 person who is being involuntarily examined under the provisions 72 of s. 394.463 shall adhere to the rights of patients specified 73 in part I of chapter 394 and the involuntary examination 74 procedures provided in s. 394.463, regardless of whether the 75 hospital, or any part thereof, is designated as a receiving or 76 treatment facility under part I of chapter 394 and regardless of 77 whether the person is admitted to the hospital. 78 (b) Each hospital with an emergency department shall 79 develop a best practices policy to promote the prevention of 80 unintentional drug overdoses. The policy may include, but is not 81 limited to: 82 1. A process to obtain the patient’s consent to notify the 83 patient’s next of kin, and each physician or health care 84 practitioner who prescribed a controlled substance to the 85 patient, regarding the patient’s overdose, her or his location, 86 and the nature of the substance or controlled substance involved 87 in the overdose. 88 2. A process for providing the patient or the patient’s 89 next of kin with information about licensed substance abuse 90 treatment services, voluntary admission procedures under part IV 91 of chapter 397, involuntary admission procedures under part V of 92 chapter 397, and involuntary commitment procedures under chapter 93 394. 94 3. Guidelines for emergency department health care 95 practitioners authorized to prescribe controlled substances to 96 reduce the risk of opioid use, misuse, and addiction. 97 4. The use of licensed or certified behavioral health 98 professionals or peer specialists in the emergency department to 99 encourage the patient to seek substance abuse treatment. 100 5. The use of Screening, Brief Intervention, and Referral 101 to Treatment protocols in the emergency department. 102 103 This paragraph may not be construed as creating a cause of 104 action for any party. 105 Section 3. Section 401.253, Florida Statutes, is created to 106 read: 107 401.253 Reporting of controlled substance overdoses.— 108 (1)(a) A basic life support service or advanced life 109 support service that treats and releases, or transports to a 110 medical facility, a person in response to an emergency call for 111 a suspected or actual overdose of a controlled substance may 112 report such incidents to the department. Such reports must be 113 made using the Emergency Medical Services Tracking and Reporting 114 System, or other appropriate method with secure access, 115 including, but not limited to, the Washington/Baltimore High 116 Intensity Drug Trafficking Area’s Overdose Detection Mapping 117 Application Program or other program identified by the 118 department in rule. If a basic life support service or advanced 119 life support service reports such incidents, it shall use best 120 efforts to make the report to the department within 120 hours. 121 (b) The data collected by the department shall be made 122 available within 120 hours to law enforcement, public health, 123 fire rescue, and emergency medical service agencies in each 124 county. 125 (c) For purposes of this section, the term “overdose” 126 means: 127 1. A condition, including, but not limited to, extreme 128 physical illness, decreased level of consciousness, respiratory 129 depression, coma, or death resulting from the consumption or use 130 of any controlled substance which requires medical attention, 131 assistance, or treatment; or 132 2. Clinical suspicion of drug overdose, such as respiratory 133 depression, unconsciousness, or altered mental status, without 134 other conditions to explain the clinical condition. 135 (2)(a) A report of an overdose of a controlled substance 136 under this section must include: 137 1. The date and time of overdose. 138 2. The approximate address of where the person was picked 139 up or where the overdose took place. 140 3. Whether an emergency opioid antagonist, as defined in s. 141 381.887, was administered. 142 4. Whether the overdose was fatal or nonfatal. 143 (b) A report of an overdose of a controlled substance under 144 this section must also include, if the reporting mechanism 145 permits: 146 1. The gender and approximate age of the person receiving 147 attention or treatment. 148 2. The suspected controlled substance involved in the 149 overdose. 150 (3) A basic life support service or advanced life support 151 service that reports information to or from the department 152 pursuant to this section in good faith is not subject to civil 153 or criminal liability for making the report. 154 (4) Failure to report an overdose under this section is not 155 grounds for disciplinary action or penalties pursuant to s. 156 401.411(1)(a). 157 (5) The department shall produce a quarterly report to the 158 Statewide Drug Policy Advisory Council, the Department of 159 Children and Families, and the Florida Fusion Center summarizing 160 the raw data received pursuant to this section. Such reports 161 shall also be made immediately available to the county-level 162 agencies described in paragraph (1)(b). The Statewide Drug 163 Policy Advisory Council, the Department of Children and 164 Families, and the department may use these reports to maximize 165 the utilization of funding programs for licensed basic life 166 support service providers or advanced life support service 167 providers, and for the dissemination of available federal, 168 state, and private funds for local substance abuse services in 169 accordance with s. 397.321(4). 170 Section 4. This act shall take effect October 1, 2017.