H1005B1341A01645 AJB:CDM 06/04/19 #90 A01645
AMENDMENTS TO HOUSE BILL NO. 1005
Sponsor: REPRESENTATIVE HEFFLEY
Printer's No. 1341
Amend Bill, page 1, line 6, by striking out the comma after
"board" and inserting
and
Amend Bill, page 1, lines 7 and 8, by striking out "and for
requirements for dispensers and pharmacies;" and inserting
and
Amend Bill, page 1, lines 9 and 10, by striking out all of
said lines and inserting
responder agencies and hospital emergency departments and for
requirements for coroners and medical examiners.
Amend Bill, page 1, line 21, by striking out "drug overdose"
and inserting
drug-related overdose event
Amend Bill, page 2, by inserting between lines 15 and 16
"Drug-related overdose event." As follows:
(1) An incidence of a physical state resulting from
intentionally or unintentionally consuming or administering a
toxic or otherwise harmful level of an over-the-counter drug,
prescription or controlled substance or illegal substance
that may be suspected by any of the following:
(i) An observation of symptoms requiring medical
response.
(ii) A clinical suspicion of a drug overdose.
(iii) A positive urine toxicology screen for a
controlled substance or a negative urine toxicology
screen if there are no other conditions to explain the
clinical symptoms.
(2) The term may include, but is not limited to, any of
the following events that resulted from consuming drugs:
(i) Central nervous system depression resulting in a
decreased heart rate and breathing, loss of consciousness
2019/90AJB/HB1005A01645 - 1 -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
or death.
(ii) Stimulant effects resulting in an increased or
irregular heart rate, agitation or hypertension.
(iii) Hallucinations, seizures or unresponsiveness.
"Drug-related overdose death." An incident where an over-
the-counter drug, prescription or controlled substance or
illegal substance is the primary or secondary cause of death of
an individual or may have been a contributing factor to the
death of an individual.
Amend Bill, page 2, line 17, by striking out "personnel." and
inserting
provider.
"First responder agency." A Federal, State, local
governmental or nongovernmental agency that employs first
responders. The term includes an emergency medical services
agency as defined in 35 Pa.C.S. § 8103 (relating to
definitions).
Amend Bill, page 2, lines 19 through 22, by striking out all
of said lines
Amend Bill, page 3, line 10, by striking out "opioid overdose
agents" and inserting
d rug-related overdose events
Amend Bill, page 5, lines 6 and 7, by striking out ", the use
and availability of opioid overdose agents"
Amend Bill, page 6, lines 8 and 9, by striking out all of
said lines and inserting
Section 4. Section 6(b)(1) of the act is amended and the
section is amended by adding paragraphs to read:
Amend Bill, page 6, by inserting between lines 12 and 13
(1) Provide an electronic system of controlled
substances prescribed and dispensed in this Commonwealth and
of drug-related overdose events that occurred in this
Commonwealth.
Amend Bill, page 6, line 14, by striking out "health care
professionals" and inserting
hospital emergency departments
Amend Bill, page 6, line 15, by striking out "responders" and
2019/90AJB/HB1005A01645 - 2 -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
inserting
responder agencies
Amend Bill, page 6, line 16, by striking out "an opioid
overdose" and inserting
drug-related overdose events
Amend Bill, page 6, by inserting between lines 16 and 17
(7) Provide drug-related overdose death event
information, including any drugs that contributed to the
overdose, on the patient's program record.
Amend Bill, page 6, lines 18 through 30; page 7, lines 1
through 30; page 8, lines 1 through 6; by striking out all of
said lines on said pages
Amend Bill, page 8, line 7, by striking out "6" and inserting
5
Amend Bill, page 8, line 7, by striking out "a section" and
inserting
sections
Amend Bill, page 8, lines 8 through 30; page 9, lines 1
through 30; page 10, lines 1 through 15; by striking out all of
said lines on said pages and inserting
Section 7.1. Requirements for first responder agencies and
hospital emergency departments.
(a) Submission.--A first responder agency or hospital
emergency department shall, in the format determined by the
department, electronically submit drug-related overdose event
information to the department.
(b) Data elements.--All of the following information shall
be provided by a first responder agency or hospital emergency
department:
(1) The full name, date of birth, gender and address of
an individual who experienced a drug-related overdose event.
(2) The date and time of the drug-related overdose
event.
(3) The address where the individual was picked up or
where the drug-related overdose event took place.
(4) Whether an emergency opioid antagonist was
administered to the individual.
(5) The location where the emergency opioid antagonist
2019/90AJB/HB1005A01645 - 3 -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
was administered, if available.
(6) The amount of emergency opioid antagonist
administered, if available.
(7) Whether the drug-related overdose event resulted in
death.
(8) The suspected or confirmed drug involved in the
drug-related overdose event.
(c) Frequency.--A first responder agency or hospital
emergency department shall submit all information required under
subsection (b) to the program no later than 72 hours after a
drug-related overdose event was reported.
(d) Definition.--As used in this section, the term
"emergency opioid antagonist" means a medication approved by the
United States Food and Drug Administration to reverse the
effects of an opioid drug.
Section 7.2. Requirements for coroners and medical examiners.
(a) Submission.--A county coroner or medical examiner in
this Commonwealth shall electronically submit data, in the
format published under subsection (c), on a drug-related
overdose death to the department within five business days of
finalizing the cause and manner of the drug-related overdose
death.
(b) Contents of data.--In complying with subsection (a), a
county coroner or medical examiner shall provide all of the
following information to the department:
(1) Demographic information of the decedent, including
but not limited to, the full name, address and date of birth
of the decedent.
(2) The toxicology report.
(3) The autopsy report.
(4) The circumstances of the drug-related overdose
death.
(c) Publication.--The department shall transmit a notice of
the format for data submission under subsection (a) to the
Legislative Reference Bureau for publication in the Pennsylvania
Bulletin within 30 days of the effective date of this
subsection.
(d) Public reports.--The department shall use the data
submitted under subsection (a) to compile publicly available
reports containing statistics and patterns relating to drug-
related overdose deaths on a quarterly basis to help identify
threats to public health and safety.
(e) Liability.--Any individual who, in good faith, provides
data to the department under this section shall not be subject
to any civil or criminal liability as a result of providing the
data.
Section 6. Section 9 heading of the act is amended to read:
Section 9. Access to prescription information and drug-related
overdose event information.
* * *
2019/90AJB/HB1005A01645 - 4 -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Amend Bill, page 10, line 16, by striking out "8" and
inserting
7
Amend Bill, page 10, line 16, by striking out "60" and
inserting
180
2019/90AJB/HB1005A01645 - 5 -
1
2
3
4
5
6