Illinois General Assembly - Full Text of SB1402
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Full Text of SB1402  103rd General Assembly




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1    AN ACT concerning public aid.
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
4    Section 5. The Early Mental Health and Addictions
5Treatment Act is amended by adding Section 15 as follows:
6    (305 ILCS 65/15 new)
7    Sec. 15. Pilot program for 8-milligram naloxone nasal
8spray kits.
9    (a) Findings. The General Assembly finds the following:
10        (1) In its May 2022 Statewide Semiannual Opioid
11    Report, the Department of Public Health reported that
12    3,013 fatalities occurred in 2021 due to opioid overdoses.
13        (2) These 3,013 opioid overdose deaths in Illinois
14    represent a 2.3% increase from 2020 and a 35.8% spike from
15    2019.
16        (3) In 2021, toxicology testing found that 2,672 or
17    89% of the opioid fatalities involved a synthetic opioid
18    such as fentanyl.
19        (4) A 4-milligram naloxone nasal spray has been the
20    principal tool for bystanders and emergency medical
21    service providers to revive an individual from an overdose
22    episode.
23        (5) A study published in the Harm Reduction Journal in



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1    May 2022 surveyed 125 adult residents of the United States
2    who were administered a 4-milligram naloxone nasal spray
3    during an opioid overdose. The study found that 78% of the
4    adults surveyed reported using at least 2 or more doses of
5    the 4-milligram naloxone nasal spray. While 30% of the
6    adults surveyed reported using at least 3 or more doses of
7    the 4-milligram naloxone nasal spray.
8        (6) A 2021 article published in the Harm Reduction
9    Journal reported on a study conducted by the Johns Hopkins
10    Bloomberg School of Public Health which surveyed 171
11    people living in suburban Maryland who use opioids.
12    Sixty-one or 35.7% of the persons surveyed reported having
13    received take-home naloxone during the 6-month period
14    immediately prior to the start of the study. 57% of those
15    persons reported using it to reverse an overdose. Out of
16    that group of persons who had an overdose reversal, 79%
17    reported needing at least 2 or more doses of the take-home
18    naloxone.
19        (7) The National Library of Medicine recently
20    published a study that analyzed emergency medical services
21    (EMS) data collected and stored in the National Emergency
22    Medical Services Information System database. The study
23    examined data collected from over 10,000 EMS agencies
24    across 47 states concerning 946,000 EMS calls that
25    involved the administration of naloxone. The study found
26    that naloxone multi-dosing by emergency medical service



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1    providers increased 54% over 5 years, from 18.4% to 28.4%
2    in 2020.
3        (8) On April 30, 2021, the U.S. Food and Drug
4    Administration approved a higher 8-milligram dose naloxone
5    nasal spray product to treat opioid overdose.
6        (9) Thirty-three states have Naloxone Standing Orders
7    that authorize eligible entities to have open access to
8    the 8-milligram naloxone nasal spray. Those states are:
9    Ohio, Kentucky, Iowa, Pennsylvania, Massachusetts, New
10    Jersey, Virginia, Alabama, Florida, Tennessee, Colorado,
11    Alaska, New Hampshire, Illinois, Arizona, Kansas,
12    California, Texas, Georgia, South Carolina, North
13    Carolina, West Virginia, Michigan, Connecticut, Oklahoma,
14    Minnesota, Maine, Louisiana, Nevada, Idaho, Oregon,
15    Nebraska, and Vermont.
16        (10) Thirteen state government agencies have purchased
17    the 8-milligram naloxone nasal spray: Alabama, Alaska,
18    Colorado, Florida, Idaho, Iowa, Kentucky, New Hampshire,
19    Ohio, Pennsylvania, Tennessee, Wisconsin, and West
20    Virginia.
21        (11) In November 2021, the U.S. Department of Veterans
22    Affairs added the 8-milligram naloxone nasal spray to the
23    VA National Formulary.
24        (12) 70% of Americans with private health insurance
25    can access the 8-milligram naloxone nasal spray.
26        (13) 90% of Americans with Medicaid, including



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1    Medicaid recipients residing in Illinois, can access the
2    8-milligram naloxone nasal spray.
3        (14) The current cost of the 4-milligram naloxone
4    nasal spray is $5.93 per milligram. In contrast, the
5    8-milligram naloxone nasal spray costs 36.7% less at $3.75
6    per milligram.
7    (b) The Department of Human Services shall implement a
82-year pilot program to provide FDA-approved 8-milligram
9naloxone nasal spray kits to licensed community substance use
10providers and public health departments in Cook County, DuPage
11County, Winnebago County, Sangamon County, and St. Clair
13    The Department of Human Services shall implement a data
14collection program to determine the number of 8-milligram
15naloxone nasal spray kits administered by emergency medical
16service providers and bystanders per overdose incident during
17the 2-year term of the pilot program. The data collected must
18also include the number of individuals who survived as a
19result of the 8-milligram naloxone nasal spray intervention
20and those who became deceased. The data collected must also
21include the number of opioid overdose reversals attributed to
22the administration of the 8-milligram naloxone nasal spray
23intervention, by county.
24    The Department of Human Services shall prepare a report on
25the results of the 2-year pilot program and submit the report
26to the General Assembly by July 1, 2026.



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1    Section 99. Effective date. This Act takes effect January
21, 2024.