An Act To Address Preventable Deaths from Drug Overdose
Maine Legislature, Session 126, LD 1686
Committee Amendment CA_B-SA_A_S527 (Senate)

SENATE AMENDMENT "A " to COMMITTEE AMENDMENT "B" to H.P. 
1209, L.D. 1686, Bill, "An Act To Address Preventable Deaths from Drug Overdose" 
Amend the amendment in section I by striking out all of §2353 (page I, lines 25 to 
II 
and page 2, lines 1 to 9 in amendment) and inserting the following: 
'§2353. Naloxone hydrochloride 
1. Definitions. As used in this section, unless the context otherwise indicates, the 
following terms have the following meanings. 
A. 
"Health care professional" means a person licensed under Title 32 who is 
authorized to prescribe naloxone hydrochloride. 
B. "Immediate family" has the same meaning as set forth in Title 21-A, section 1, 
subsection 20. 
C. "Opioid-related drug overdose" means a condition including, but not limited to, 
extreme physical illness, decreased level of consciousness, respiratory depression, 
coma or death resulting from the consumption or use of an opioid, or another 
substance with which an opioid was combined, or a condition that a reasonable 
person would believe to be an opioid-related drug overdose that requires medical 
assistance. 
2. 
Prescription; possession; administration. The prescription, possession and 
administration of naloxone hydrochloride is governed by this subsection. 
A. A health care professional may prescribe naloxone hydrochloride to an individual 
at risk of experiencing an opioid-related drug overdose. 
B. An individual to whom naloxone hydrochloride is prescribed in accordance with 
paragraph A may provide the naloxone hydrochloride so prescribed to a member of 
that individual's immediate family to possess and administer to the individual if the 
family member believes in good faith that the individual is experiencing an opioid-
related drug overdose. 
C. A health care professional may prescribe naloxone hydrochloride to a member of 
an individual's immediate family for administration to the individual in the event of 
an opioid-related drug overdose if: 
SENATE AMENDMENT 
~ .. ,. 
SENATE AMENDMENT" A" to COMMITTEE AMENDMENT "B" to H.P. 1209, L.D. 1686 
(0 The health care professional has an established health care professional-
patient relationship with the individual; and 
(2) The individual is at risk of experiencing an opioid-related drug overdose. 
A health care professional who prescribes naloxone hydrochloride to a member of an 
individual's immediate family in accordance with this paragraph shall document in 
the individual's patient medical record the name of each family member who receives 
such a prescription and the health care professional's intention that the naloxone 
hydrochloride be administered to the individual. 
D. 
If a member of an individual's immediate family is prescribed naloxone 
hydrochloride in accordance with paragraph C, that family member may administer 
the naloxone hydrochloride to the individual if the family member believes in good 
faith that the individual is experiencing an opioid-related drug overdose. 
Nothing in this subsection affects the provisions of law relating to maintaining the 
confidentiality of medical records. 
3. Authorized administration of naloxone hydrochloride by law enforcement 
officers and municipal firefighters. A law enforcement officer as defined in Title 17 -A, 
section 2, subsection 17, in accordance with policies adopted by the law enforcement 
agency, and a municipal firefighter as defined in Title 30-A, section 3151, subsection 2, 
in accordance with policies adopted by the municipality, may administer intranasal 
naloxone hydrochloride as clinically indicated if the officer or firefighter has received 
medical training in accordance with protocols adopted by the Medical Direction and 
Practices Board established in Title 32, section 83, subsection 16-B. 
The Medical 
Direction and Practices Board shall establish medical training protocols for law 
enforcement officers and municipal firefighters pursuant to this subsection.' 
SUMMARY 
This amendment retains the provisions in House Amendment "A" to Committee 
Amendment "B" except in the following manner: 
1. It removes authorization for emergency medical personnel to administer naloxone 
hydrochloride; and 
2. 
It provides that law enforcement officers and municipal firefighters may 
administer intranasal naloxone hydrochloride only if they have received medical training 
as determined by the Medical Direction and Practices Board. 
SPONSORED BY: ~ 
(Senator RAMP R) 
COUNTY: Oxford 
SENA TE AMENDMENT