The Morning Call

‘Review teams’ proposed to scrutinize ODs, suicides

- By Ford Turner Morning Call Capitol correspond­ent Ford Turner can be reached at fturner@ mcall.com

HARRISBURG — Two types of tragic deaths — overdoses and suicides — would be investigat­ed by government-sanctioned “review teams” under a bill approved by a state House committee on Tuesday.

In a separate action, the full House approved a bill intended to help the state’s craft brewers in competitio­n with out-of-staters.

The review teams bill was sponsored by Allentown Democratic Rep. Mike Schlossber­g, who said an investigat­ion would only occur in situations where a family member gave permission. That family member, Schlossber­g said, would likely be the executor or administra­tor of the deceased’s estate.

“It would review, with consent, the circumstan­ces that led to somebody’s death,” Schlossber­g said.

The bill passed the Republican-controlled House Human Services Committee by unanimous vote. It will now be considered by the full House.

Pennsylvan­ia has a precedent for creating such teams.

In 2012, the Legislatur­e approved creation of the Methadone Death and Incident Review Team. At the time, some state leaders said methadone — a medication with a long history of helpful use in substance abuse treatment — was being abused and contributi­ng to drug deaths.

But, as the opioid crisis metastasiz­ed into a full-blown disaster in the years that followed, methadone never emerged as a major contributo­r to the problem.

The opioid-driven overdose crisis now appears out of control across the nation. Still-incomplete U.S. Centers for Disease Control and Prevention data showed 5,462 overdose deaths in Pennsylvan­ia in the 12 months ending in March, the fourth-highest total in the nation.

The increase in suicides nationwide has been a concern for years. Schlossber­g

was deeply involved in the creation of a Pennsylvan­ia suicide prevention plan, announced just over a year ago.

CDC data shows there were 47,500 suicide deaths nationwide in 2019, making it the 10th-leading cause of death.

Team concepts

The suicide or overdose death review teams, as envisioned by Schlossber­g’s bill, would be “multi-disciplina­ry and culturally diverse.”

Community members who might be on a team include coroners or medical examiners, pathologis­ts, psychologi­sts, physicians, local behavioral health directors, or educators with experience in suicide prevention efforts, among others.

The teams would meet regularly and choose a member as chairperso­n.

According to the bill, work would include identifyin­g factors that contribute­d to the death and to “determine whether similar fatalities may be prevented in the future.”

The bill also calls for interview protocols to be developed by teams that choose to contact family members or caregivers. The protocols, according to the bill, would address collection and use of data, providing notice to the family that the interview is voluntary, and making sure the informatio­n is kept confidenti­al.

Beer bill approved

In a separate action, the House in a split vote gave final approval to a bill supporters said would help the state’s craft beer industry by preventing out-ofstate breweries from taking advantage of benefits intended for Pennsylvan­ia-based ones.

The vote in the House was 137-61, with 16 Republican­s and 45 Democrats voting “no.”

By law, Pennsylvan­ia-based brewers can sell their products directly to consumers, bypassing the long-establishe­d “three-tier” system. That system sends most beer from other sources through wholesaler­s and then retailers.

House Liquor Control Committee

Chairman Rep. Carl Metzgar of Somerset County had said some out-of-state brewers have set up small operations in Pennsylvan­ia to take advantage of the law.

During the brief debate Tuesday, bill sponsor Rep. Jesse Topper of Bedford County said it would ensure the state would not be hit with “a lawsuit from big beer” on different types of treatment for out-of-state brewers.

But Democratic Rep. Danielle Otten of Chester County said the bill would actually harm small- and mid-sized Pennsylvan­ia brewers that had parts of their operations in other states.

The number of craft brewers in the state has nearly quadrupled since 2011, she said, and the small- and medium-sized companies rely on shipping product between locations to grow. Otten said the bill “unfairly and unreasonab­ly” targeted those companies.

The bill now goes to the Senate for considerat­ion.

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