John R. Kasich, Governor Tracy J. Plouck, Director Missy Craddock, Deputy Director Missy Craddock, Deputy Director

Summary of Opiate-related Legislation OhioMHAS Mid-Biennium Review Provisions Other legislative efforts Other OhioMHAS efforts that intersect with criminal justice Medicaid Expansion 2

House Bill 92 (Antonio, Sears) – Authorizes the establishment of syringe exchange programs Pending in Senate Medicaid, Health & Human Services House Bill 170 (Johnson, Stinziano) – Increases access to naloxone, an antidote to a opiate overdose Signed by Governor Kasich, effective March 11, 2014 House Bill 314 (Baker, Kunze) – Requires informed consent by a responsible adult to allow opioid prescriptions issued to minors Signed by Governor Kasich, effective September 17,2014 House Bill 315 (Wachtmann) – Requires reports to the Department of Health regarding newborns diagnosed as opioid dependent Signed by Governor Kasich, effective July 10, 2014 House Bill 332 (Wachtmann, Antonio) – Establish standards and procedures for opioid treatment of chronic, intractable pain resulting from noncancer conditions Pending in House Health and Aging Committee, State Medical Board guidance House Bill 341 (Smith) – Establishes requirements to be followed by prescribers in reviewing patient information in the State Board of Pharmacy’s Ohio Automated Rx Reporting System Signed by Governor Kasich, effective September 16,

House Bill 359 (Sprague) – Requires distribution of one-page information sheet regarding the addictive nature of drugs on Schedule II or containing an opioid Pending in House Health and Aging House Bill 363 (Sprague, Driehaus) – Provides immunity from arrest, prosecution, conviction, or supervised release sanctioning for a minor drug possession offense for a person who seeks or obtains medical assistance for self of another person who is experiencing a medical emergency and for whom medical assistance is sought Pending in House Judiciary House Bill 366 (Sprague) – Requires hospice care programs to establish policies to prevent diversion of controlled substances that contain opioids Signed by Governor Kasich, effective September 17, 2014 House Bill 367 (Driehaus, Sprague) – Requires the health curriculum of each school district to include instruction in prescription opioid abuse prevention Pending in Senate Education House Bill 369 (Sprague) – Multiple provisions on establishment of a continuum of care for opioid treatment and to promote recovery housing Inserted into Mid- Biennium Review 4

House Bill 378 (Smith, Sprague) – Prohibits a physician from prescribing of personally furnishing certain drugs to treat opioid dependence or addiction unless the patient is receiving appropriate behavioral counseling or treatment Pending in House Health and Aging, State Medical Board looking at rules House Bill 381 (Sears) – Requires a retail terminal distributor of dangerous drugs to verify identification when dispensing a controlled substance or tramadol Pending in House Health and Aging House Bill 399 (Sheehy, Sprague) – Designates the first Friday of May as “Prescription Drug Abuse Awareness and Education Day” Signed by Governor Kasich, effective September 4, 2014 Senate Bill 57 (Manning) – establishes a one-year pilot project in Lorain County to allow qualified emergency responders in the county to obtain and administer naloxone to revive a person suffering from an apparent opioid-related overdose Signed by Governor Kasich, effective October 11, 2013 House Bill 501 (Smith, Sprague) – Adds the drug Zohydro to the list of Schedule I controlled substances Pending in House Health and Aging House Bill 508 (Butler) – Expands the offense of murder to also prohibit causing the death of another as a proximate result of selling the person a controlled substance when the death is caused by an overdose and to provide for special life sentences for a violation Pending in House Judiciary 5

Definition of Recovery Housing Requires each board to ensure essential elements of the continuum of care are available to the community, or OhioMHAS may withhold funds. Modified to include specificity for opioid addiction Requires addiction providers to maintain a waiting list to be able to track when a person does not have immediate access to treatment Requires revisions to rules to streamline administrivia for providers 6

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Senate Bill 43 (Burke, Tavares) – Makes changes to the laws governing the civil commitment of and treatment provided to mentally ill persons Modifies and clarifies commitment law to include court ordered outpatient commitment. Not all probate judges interpreted the commitment law to allow outpatient settings Main proponent: NAMI Ohio Option for families seeking to require their loved one to comply with treatment Summer Committee work by the House based on criminal justice needs – House Study Committee on Law Enforcement Perspectives on the Drug Epidemic and Its Impact on Families 8

Community Innovations - $1.5 million in administrative savings from the consolidation of ODADAS and ODMH invested in projects in local jails Expansion of community linkage Historic Support for Drug Courts Addiction Treatment Pilot Program OASIS Therapeutic Community (Our Awareness of Self Increases Success) at Pickaway Correctional 9

Will help thousands of individuals with mental health and addiction, including many who are trapped in the revolving criminal justice system Frees up dollars at local level to be used for recovery supports such as housing and employment services “Medicaid expansion could make the most positive contribution to criminal justice reform that I’ve seen in nearly 40 years,” DRC Director Gary Mohr Medicaid expansion allows all adults with incomes up to 138% of poverty to gain coverage 10

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