An Act to Expand
Maine Legislature, Session 132, LD 0710
Committee Amendment CA_A_H207 (House)
Amends: 22 MRSA §2353

COMMITTEE AMENDMENT "A '.' to H.P. 449, L.D. 710, "An Act to Expand 
Access and Reduce Baniers to Access to Naloxone Hydrochloride and Other Opioid 
Overdose-reversing Medications" 
Amend the bill by inserting after the enacting clause the following: 
'Sec. 1. 22 MRSA §2353, sub-§2, as amended by PL 2023, c. 161, §3, is futther 
amended to read: 
· 2. 
Prescription; possession; administration, The prescription, possession and 
administration of naloxone hydrochloride or another opioid overdose-reversing medication 
is governed by this subsection. 
A. A health care professional may directly or by standing order prescribe naloxone 
hydrochloride or another opioid overdose-reversing medication to an individual at risk 
of experiencing an opioid-related drug (?Verdose. 
Over-the-counter naloxone 
hydrochloride or another opioid overdose-reversing medication approved for over-the-
counter dispensation by the federal Food and Drug Administration or its successor 
organization may be provided or administered with or without a prescription. 
A-1. A pharmacist may prescribe and dispense naloxone hydrochloride or another 
opioid overdose-reversing medication in accordance with protocols established under 
Title 32, section 13 815 to an individual of any age at risk of experiencing an opioid-
related drug overdose. Over-the-counter naloxone hydrochloride or another opioid 
overdose-reversing medication approved for over-the-counter dispensation by the 
federal Food and Drug Administration or its successor organization may be provided 
or administered with or without a prescription. 
B. 
An individual to whom naloxone hydrochloride or another opioid overdose-
reversing medication is prescribed or dispensed in accordance with paragraph A or A-1 
may provide the naloxone hydrochloride or another opioid overdose-reversing 
medication so prescribed or dispensed 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. 
Page I - 132LR0267(02) 
COMMITTEE AMENDMENT 
ROS .. 
·3 
COMMITTEE AMENDMENT "A" to H.P. 449; L.D. 710 
C. A health care professional may directly or by standing order prescribe naloxone 
hydrochloride or another opioid overdose-reversing medication to a ntembe1· of an 
individual's immediate family or a friend of the-individual or to another pel's◊i1 ·itfa 
position to assist the individual ifthe individual ·is at risk cif experiencing·al1' opioid-
related drug overdose. Over-the~counter naloxone hydrochlol'fde or anothei• opioid 
overdose-reversing medication approved for over-the-counter dispensation by·· the 
federal Food and Drug Administration or its successor organization may be pi·0'vided 
or adininistered with or without a prescription. 
C-1. A pha11nacist may prescribe and dispen,se naloxone hydrochlot'ide • or anothet· 
opioid overdose-reversing medication in accordance with protocols established under 
Title 32, section 13815 to a person of any age_ who is a member of an intjivi.dual'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. 
Over-the-counter naloxone hydrochloride or another opioid overdose-
reversing medication approved for over-the-counter dispensation by the federal Food 
and Drug Administration or its successor organization may be p1;ovided or 
administered with or without a prescription. 
• 
'· 
D. If a member of an individual's immediate family, friend of the individual _or other 
person is prescribed or provided naloxone hydrochloride or another opioid overdose-
reversing medication in accordance with paragraph C or C-1, that family member, 
friend or other person may administer the naloxone hydrochloride or another opioid 
overdose-reversing medication to the individual if the family member, friend or other 
person 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 medjcal records.' 
Amend the bill by relettering or renumbering any nonconsecutive Patt letter or section 
number to read consecutively. 
SUMMARY 
This amendment adds language to the bill that clarifies the authority of health care . 
professionals to administer naloxone hydrochloride or another opioid overdose-reversing 
medication approved for over-the-counter dispensation by the federal Food and Drug 
Administration or its successor organization with or without a prescription. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/05/25 LRL 
LD710 
LR267(02) 
An Act to Expand Access and Reduce Barriers to Access to Naloxone Hydrochloride and Other 
Opioid Overdose-reversing Medications 
Fiscal Detail and Notes 
Fiscal Note for Bill as Amended by Committee Amendment~' ( f+- 2D:f-) 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Any additional costs to the Depatiment of Health and Human Services from the provisions of this bill are expected to 
be minor and can be absorbed within existing budgeted resources. 
LR0267(02) - Fiscal Note - Page 1 of 1