The Palm Beach Post

State lawmakers file 5 bills in effort to fight opioid crisis on multiple fronts

- By Christine Stapleton Palm Beach Post Staff Writer

A bipartisan effort to combat the opioid epidemic is underway in Tallahasse­e with lawmakers having filed five bills that address the crisis from multiple fronts.

Prescripti­ons — SB 458, filed by Sen. Aaron Beach, R-Jacksonvil­le, would limit opioid prescripti­ons for temporary pain. The bill would allow a 30-day renewal of an opioid prescripti­on after the initial seven-day prescripti­on.

The bill also requires doctors to consult the state’s Prescripti­on Drug Monitoring Program, known as the PDMP, before prescribin­g controlled substances and to complete a twohour course on prescribin­g opioids in order to renew their licenses.

Under the bill, physicians would also be required to complete an extensive medical history and physical exam on patients before prescribin­g opioid painkiller­s.

The patient’s medical record must document the nature and intensity of the pain, current and past treatments for pain, the effect the pain has on a patient’s physical and psychologi­cal function, a review of previous medical records and a history of

alcohol and substance abuse.

Peer specialist­s — SB 450, filed by Sen. Rene Garcia, R-Hialeah, defines the role of peer specialist­s and requiremen­ts for certificat­ion. The bill defines peer specialist­s as addicts, alcoholics and others with mental illnesses who have been in recovery for at least two years and have passed a criminal back- ground check.

Under the bill, the Department of Children and Fami- lies would create a training program for peer specialist­s. Services provided to those in recovery by peer specialist­s include assistance in getting a job, finding housing, education and life skills. Services would also be eligible for reimbursem­ent by DCF and Medicaid. Babies born addicted — SB 434, filed by Sen. Kathleen Passidomo, R- Naples, would create a two-year pilot program to treat babies born addicted to opioids, called neonatal abstinence system. The program would be at a nonprofit medical facility in Southwest Florida that accepts Medicaid. The facility would also be required to offer “residentia­l-type accommodat­ions” to the mother. The facility can require the mother to be drug tested — including testing her breast milk if she is nursing. If she refuses to be tested, she must leave the facility. Treatment will not exceed six months. Fee added to bail — HB 253, filed by Rep. Kim- berly Daniels, D-Jackson- ville, would impose a $10 fee attached to bail set for certain drug and alcohol-related offenses. The fee would be used for grants to small counties to combat drug abuse.

Counties with population­s of less than 50,000 could use the grant money for drug enforcemen­t training, equipment, salaries and cleanup at drug-manufactur­ing sites, such as meth labs. Twenty-six of Florida’s 57 counties had population­s of less than 50,000 in 2016, according to state demographi­c data.

Involuntar­y treatment — SB 202, filed by Sen. Greg Steube, R-Sarasota, would revise the criteria for involuntar­y treatment for drug abuse. Under the bill, drug users who have been revived from an overdose with naloxone, also known as Narcan, could be involuntar­ily committed to a hospital or detox facility for up to 72 hours.

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