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SB25-164

Opioid Antagonist Availability & State Board of Health

Type Bill
Session 2025 Regular Session
Subjects
Education & School Finance (Pre & K-12) Public Health

Concerning opioid antagonists with a primary focus on the youth opioid epidemic, and, in connection therewith, clarifying requirements for school policies about possession and administration of opioid antagonists, requiring the state board of health to determine who a prescriber may prescribe or dispense an opioid antagonist to, and requiring the state board to consult with the Colorado youth advisory council on issues relating to the youth opioid epidemic.

Bill Summary:

The act requires the state board of health (board) to allow the Colorado youth advisory council (council) to present to the board twice a year on issues regarding the youth opioid epidemic and other health issues. The act also allows the council to consult the prevention services division within the department of public health and environment during the stakeholding process for rule-making regarding opioid antagonists.

Under current law, a school district, the state charter school institute, or a governing board of a nonpublic school may adopt and implement a policy that allows:

  • A school to acquire and maintain a stock supply of opioid antagonists on school grounds or on a school bus;
  • A school employee or agent who has received relevant training to administer an opioid antagonist to a person who is at risk of experiencing an opioid-related overdose; and
  • A school employee or agent to furnish an opioid antagonist to any individual, including a student, if the student has received relevant training.

The act:

  • Permits a school to maintain an opioid antagonist in an automated external defibrillator or defibrillator cabinet in the school or on a school bus;
  • Repeals the requirement that a school employee or agent must receive training prior to administering an opioid antagonist; and
  • Creates an exception that a school employee or agent may furnish an opioid antagonist to a student who has not received relevant training if the employee or agent believes that the student is in a position to assist an individual who is suffering from an opioid-related drug overdose event or who is at risk of experiencing an opioid-related drug overdose event.

Current law provides a specific list of eligible entities that a prescriber may prescribe or dispense an opioid antagonist to. The act eliminates the specific list and instead requires the state board of health to establish a list of eligible entities that a prescriber may prescribe or dispense an opioid antagonist to.

The act permits a standing order allowing all eligible entities to distribute opioid antagonists.

The act requires the department of public health and environment to furnish a report detailing youth overdose prevention during "SMART Act" hearings.


(Note: This summary applies to this bill as enacted.)

Status

Became Law

Introduced

Passed

Became Law

Related Documents & Information

Date Version Documents
05/05/2025 Signed Act PDF
04/25/2025 Final Act PDF
04/15/2025 Rerevised PDF
04/14/2025 Revised PDF
03/19/2025 Reengrossed PDF
03/18/2025 Engrossed PDF
02/14/2025 Introduced PDF
Date Version Documents
03/14/2025 PA1 PDF
Date Version Documents
06/11/2025 FN2 PDF
02/18/2025 FN1 PDF
Activity Vote Documents
Refer Senate Bill 25-164 to the Committee of the Whole. The motion passed on a vote of 12-1. Vote summary
Activity Vote Documents
Adopt amendment L.001 (Attachment C). The motion passed without objection. Vote summary
Adopt amendment L.002 (Attachment D). The motion passed without objection. Vote summary
Adopt amendment L.003 (Attachment E). The motion passed without objection. Vote summary
Refer Senate Bill 25-164, as amended, to the Committee of the Whole. The motion passed on a vote of 8-0. Vote summary
Date Calendar Motion Vote Vote Document
04/15/2025 Third Reading BILL
61
AYE
1
NO
3
OTHER
Vote record
Date Calendar Motion Vote Vote Document
03/19/2025 Third Reading BILL
32
AYE
2
NO
0
OTHER
Vote record
Date Amendment Number Committee/ Floor Hearing Status Documents
03/13/2025 L.003 SEN Health & Human Services Passed [*] PDF
03/13/2025 L.002 SEN Health & Human Services Passed [*] PDF
03/13/2025 L.001 SEN Health & Human Services Passed [*] PDF
Date Location Action
05/05/2025 Governor Governor Signed
04/25/2025 Governor Sent to the Governor
04/25/2025 House Signed by the Speaker of the House
04/24/2025 Senate Signed by the President of the Senate
04/15/2025 House House Third Reading Passed - No Amendments
04/14/2025 House House Second Reading Special Order - Passed - No Amendments
04/11/2025 House House Second Reading Laid Over Daily - No Amendments
04/08/2025 House House Committee on Health & Human Services Refer Unamended to House Committee of the Whole
03/19/2025 House Introduced In House - Assigned to Health & Human Services
03/19/2025 Senate Senate Third Reading Passed - No Amendments
03/18/2025 Senate Senate Second Reading Passed with Amendments - Committee
03/13/2025 Senate Senate Committee on Health & Human Services Refer Amended to Senate Committee of the Whole
02/14/2025 Senate Introduced In Senate - Assigned to Health & Human Services
Effective Date Chapter # Title Documents
08/06/2025 168 Opioid Antagonist Availability & State Bd of Hlth PDF