An Act
Maine Legislature, Session 128, LD 1594
Committee Amendment CA_A_H355 (House)
Amends: 22 MRSA §2353, 32 MRSA §13815

COMMITTEE AMENDMENT «H" to H.P. 1098, L.D. 1594, Bill, 
Regarding the Dispensing ofNaloxone Hydrochloride by Pharmacists" 
"An Act 
Amend the bill by striking out everything after the title and before the summary and 
inserting the following: 
'Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and 
Whereas, the State is facing a crisis due to the rapidly increasing number of opioid-
related drug overdose deaths; and 
Whereas, in the judgment of the Legislature, these facts create an emergency within 
the meaning of the Constitution of Maine and require the following legislation as 
immediately necessary for the preservation of the public peace, health and safety; now, 
therefore, 
Be it enacted by the People of the State of Maine as follows: 
Sec. 1. 22 MRSA §2353, sub-§2, 11A-2 and C-2 are enacted to read: 
A-2. 
Until July 1, 2019, a pharmacist may prescribe and dispense naloxone 
hydrochloride in accordance with protocols established under Title 32, section 13815 
to an individual at risk of experiencing an opioid-related drug overdose. 
C-2. 
Until July 1, 2019, a pharmacist may prescribe and dispense naloxone 
hydrochloride in accordance with protocols established under Title 32, section 13 815 
to a member of an individual's immediate family or a friend of the individual or to 
another person in a position to assist the individual if the individual is at risk of 
experiencing an opioid-related drug overdose. 
Sec. 2. 32 MRSA §13815, as enacted by PL 2015, c. 508, §5, is repealed and the 
following enacted in its place: 
COMMITTEE AMENDMENT 
R.dS. 
COMMI1TEE AMENDMENT,{+,, to H.P. 1098, L.D. 1594 
§13815. Authorization 
1. Rules for dispensing naloxone hydrochloride. The board by rule shall establish 
procedures and standards for authorizing pharmacists to dispense naloxone hydrochloride 
in accordance with Title 22, section 23 53. The rules must establish adequate training 
requirements and protocols for dispensing naloxone hydrochloride by prescription drug 
order or standing order or pursuant to a collaborative practice agreement. Rules adopted 
under this subsection are routine technical rules as defined in Title 5, chapter 375, 
subchapter 2-A. A pharmacist authorized by the board pursuant to this subsection to 
dispense naloxone hydrochloride may dispense naloxone hydrochloride in accordance 
with Title 22, section 23 53. 
2. Rules for prescribing and dispensing naloxone hydrochloride. The board by 
rule shall establish standards for authorizing pharmacists to prescribe and dispense 
naloxone hydrochloride in accordance with Title 22, section 2353, subsection 2, 
paragraphs A-2 and C-2. The rules must establish adequate training requirements and 
protocols for prescribing and dispensing naloxone hydrochloride when there is no 
prescription drug order, standing order or collaborative practice agreement authorizing 
naloxone hydrochloride to be dispensed to the intended recipient. Rules adopted under 
this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 
2-A. A pharmacist authorized by the board pursuant to this subsection to prescribe and 
dispense naloxone hydrochloride may prescribe and dispense naloxone hydrochloride in 
accordance with Title 22, section 2353, paragraphs A-2 and C-2. 
This subsection is repealed July 1, 2019. 
Emergency clause. 
In view of the emergency cited in the preamble, this 
legislation takes effect when approved.' 
SUMMARY 
This amendment, which is the majority rep01t of the committee, adds an emergency 
preamble and emergency clause and provides for the authority of a phannacist to 
prescribe naloxone hydrochloride in accordance with rules adopted by the Maine Board 
of Pharmacy. This authority expires on July 1, 2019. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/21/17 feaC!. 
LD 1594 
LR2352(02) 
An Act Regarding the Dispensing ofNaloxone Hydrochloride by Pharmacists 
.\ 
Fiscal Note for Bill as Amended by Committee Amendment ,{r (_ H"" 3 5 ~ 
Committee: Labor, Commerce, Research and Economic Development 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - Other Special Revenue Funds 
Fiscal Detail and Notes 
Additional costs to the Maine Board of Pharmacy within the Office of Professional and Occupational Regulation, 
Department of Professional and Financial Regulation, to implement the requirements of this legislation can be 
absorbed within existing budgeted resources. 
LR2352(02) - Fiscal Note - Page 1 of 1