Florida Senate - 2023                              CS for SB 704
       
       
        
       By the Committee on Fiscal Policy; and Senator Boyd
       
       
       
       
       
       594-04097-23                                           2023704c1
    1                        A bill to be entitled                      
    2         An act relating to opioid abatement; amending s.
    3         381.887, F.S.; revising definitions; revising the
    4         types of delivery systems a pharmacist may order or
    5         use to dispense an emergency opioid antagonist;
    6         creating s. 397.335, F.S.; establishing the Statewide
    7         Council on Opioid Abatement within the Department of
    8         Children and Families; providing the purpose of the
    9         council; providing for membership, organization and
   10         support, and duties of the council; providing an
   11         effective date.
   12          
   13  Be It Enacted by the Legislature of the State of Florida:
   14  
   15         Section 1. Paragraphs (b) and (c) of subsection (1) and
   16  paragraphs (a) and (b) of subsection (3) of section 381.887,
   17  Florida Statutes, are amended to read:
   18         381.887 Emergency treatment for suspected opioid overdose.—
   19         (1) As used in this section, the term:
   20         (b) “Authorized health care practitioner” means a licensed
   21  practitioner authorized by the laws of this state to prescribe
   22  or dispense drugs.
   23         (c) “Caregiver” means a family member, friend, or person in
   24  a position to have recurring contact with a person at risk of
   25  experiencing an opioid overdose.
   26         (3)(a) An authorized health care practitioner may prescribe
   27  and dispense an emergency opioid antagonist to, and a pharmacist
   28  may order an emergency opioid antagonist with an autoinjection
   29  delivery system, prefilled injection device delivery system, or
   30  intranasal application delivery system for, a patient or
   31  caregiver for use in accordance with this section.
   32         (b) A pharmacist may dispense an emergency opioid
   33  antagonist pursuant to a prescription by an authorized health
   34  care practitioner. A pharmacist may dispense an emergency opioid
   35  antagonist with an autoinjection delivery system, prefilled
   36  injection device delivery system, or intranasal application
   37  delivery system, which must be appropriately labeled with
   38  instructions for use, pursuant to a pharmacist’s order or
   39  pursuant to a nonpatient-specific standing order.
   40         Section 2. Section 397.335, Florida Statutes, is created to
   41  read:
   42         397.335Statewide Council on Opioid Abatement.—
   43         (1)ESTABLISHMENT.—The Statewide Council on Opioid
   44  Abatement, an advisory council as defined in s. 20.03, is
   45  created within the department for the purpose of enhancing the
   46  development and coordination of state and local efforts to abate
   47  the opioid epidemic and to support the victims and families of
   48  the crisis.
   49         (2)MEMBERSHIP.—
   50         (a)Notwithstanding s. 20.052, the council shall be
   51  composed of the following members:
   52         1.The Attorney General, or his or her designee, who shall
   53  serve as chair.
   54         2.The secretary of the department, or his or her designee,
   55  who shall serve as vice chair.
   56         3.One member appointed by the Governor.
   57         4.One member appointed by the President of the Senate.
   58         5.One member appointed by the Speaker of the House of
   59  Representatives.
   60         6.Two members appointed by the Florida League of Cities
   61  who are commissioners or mayors of municipalities. One member
   62  shall be from a municipality with a population of fewer than
   63  50,000 people.
   64         7.Two members appointed by or through the Florida
   65  Association of Counties who are county commissioners or mayors.
   66  One member shall be appointed from a county with a population of
   67  fewer than 200,000, and one member shall be appointed from a
   68  county with a population of more than 200,000.
   69         8.One member who is either a county commissioner or county
   70  mayor appointed by the Florida Association of Counties or who is
   71  a commissioner or mayor of a municipality appointed by the
   72  Florida League of Cities. The Florida Association of Counties
   73  shall appoint such member for the initial term, and future
   74  appointments must alternate between a member appointed by the
   75  Florida League of Cities and a member appointed by the Florida
   76  Association of Counties.
   77         (b)Each member shall serve a 2-year term. Any vacancy
   78  shall be filled in the same manner as the original appointment
   79  for the remainder of the unexpired term.
   80         (c)A member may not receive a commission, fee, or
   81  financial benefit in connection with serving on the council.
   82  Council members may be reimbursed for per diem and travel
   83  expenses in accordance with s. 112.061 by the state agency that
   84  the member represents. If the member is not affiliated with a
   85  state agency, the member shall be reimbursed by the Department
   86  of Children and Families.
   87         (3)ORGANIZATION AND SUPPORT.—
   88         (a)The first meeting of the council must be held by August
   89  31, 2023.
   90         (b)The council shall meet quarterly and upon the call of
   91  the chair or two other members. Meetings of the council may take
   92  place in person or through electronic transmission using
   93  communications media technology as described in s.
   94  120.54(5)(b)2.
   95         (c)A majority of the members of the council shall
   96  constitute a quorum.
   97         (d)The department and the Department of Legal Affairs
   98  shall provide the council with staff necessary to assist the
   99  council in the performance of its duties.
  100         (e)The council may apply for and accept funds, grants,
  101  gifts, and services from the state, the Federal Government or
  102  any of its agencies, or any other public or private source for
  103  the purposes of defraying costs or performing its duties.
  104         (f)All members shall adhere to all applicable general law,
  105  rules, and regulations, including, but not limited to, s.
  106  112.311, concerning the disclosure of conflicts of interest and
  107  recusal from discussions or votes on conflicted matters.
  108         (4)DUTIES.—
  109         (a)The council shall advise the state and local
  110  governments on resolving or abating the opioid epidemic and
  111  review how settlement moneys recovered from the opioid
  112  litigation brought by the state and its subdivisions have been
  113  spent and the results that have been achieved from those
  114  expenditures.
  115         (b)The council shall work with, provide information to,
  116  and receive information from the Statewide Drug Policy Advisory
  117  Council and ensure that its recommendations and actions are
  118  consistent with that council’s recommendations to the extent
  119  possible.
  120         (c)The council shall review data from local, state, and
  121  national agencies, both on a regional and a statewide basis, to
  122  advise state and local governments on the status, severity, and
  123  stage of the opioid epidemic.
  124         (d)The council shall review data from local governments,
  125  other states, and national agencies regarding how moneys are
  126  being spent to abate the opioid epidemic, the success of such
  127  programs, and the appropriate metrics needed to assess the
  128  epidemic and progress in abating it.
  129         (e)By June 30 of each year, each county, municipality,
  130  managing entity, or state agency that receives settlement funds
  131  from an opioid settlement shall provide information to the
  132  council related to how it intends to use settlement funds and
  133  how it intends to collect data regarding its use of funds.
  134         (f)By August 31 of each year, each county, municipality,
  135  managing entity, or state agency that receives settlement funds
  136  from an opioid settlement must provide information to the
  137  council related to its expenditure of settlement funds and the
  138  results obtained from those expenditures.
  139         (g)The council shall develop and recommend metrics,
  140  measures, or datasets to assess the progress and success of
  141  programs funded by expenditures of opioid settlement funds. The
  142  council must attempt to keep such metrics, measures, or datasets
  143  consistent with those used by the state with managing entities,
  144  as well as any metrics, measures, or datasets required by the
  145  Substance Abuse and Mental Health Services Administration of the
  146  United States Department of Health and Human Services in
  147  connection with any grants received by the state. Upon request
  148  of the council, a county, municipality, managing entity, or
  149  state agency must provide the council data or information
  150  required to develop such metrics, measures, or datasets.
  151         (h)The council, with assistance and support of the
  152  department, shall provide a system of documentation and
  153  reporting in accordance with the requirements of federal
  154  agencies and any other agencies providing funding to the state,
  155  including auditing expenditures consistent with any requirements
  156  imposed by the Legislature.
  157         (i)By December 1, 2023, and annually thereafter, the
  158  council shall provide and publish an annual report. The report
  159  shall contain information on how settlement moneys were spent
  160  the previous fiscal year by the state, each of the managing
  161  entities, and each of the counties and municipalities. The
  162  report shall also contain recommendations to the Governor, the
  163  Legislature, and local governments for how moneys should be
  164  prioritized and spent the coming fiscal year to respond to the
  165  opioid epidemic.
  166         (j)The report shall be posted on the websites of the
  167  department and the Department of Legal Affairs.
  168         Section 3. This act shall take effect July 1, 2023.