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2022 Session

Budget Amendments - HB30 (Floor Approved)

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Provide ARPA for Emergency Department Pilot Program

Item 486 #12h

Item 486 #12h

First Year - FY2023 Second Year - FY2024
Central Appropriations
Central Appropriations FY2023 $250,000 FY2024 $0 NGF

Language
Page 507, line 22, strike "$744,761,272" and insert "$745,011,272".

Page 509, after line 31, insert:

"3) $250,000 the first year to the Department of Behavioral Health and Developmental Services (720) to establish a pilot program at Carilion Clinic to study, operationalize and determine barriers for Opioid Education and Naloxone Distribution (OEND) in the emergency department to high-risk opioid use disorder and opioid overdose patients who present in the emergency department. The pilot program will examine the following items: (i) OEND naloxone kit design to meet appropriate Virginia Board of Pharmacy and federal regulatory requirements for dispensing medications from a hospital; (ii) cost of such OEND kits, including the reimbursement for such kits; (iii) specific naloxone dispensation requirements including a naloxone encounter form; (iv) OEND kit storage in the ED; (v) education for pharmacy, ED physicians, nurses and other pertinent ED staff; (vi) education needs, including what is required internally to meet process goals and requirements, and required patient education components and documentation; (vi) the role of Peer Recovery Specialists in the OEND process in the ED; and (viii) outcomes to be assessed to evaluate the downstream effects of the OEND program regarding lives saved by direct dispensation after acute overdose. The department shall submit a report on the findings of the pilot including policy recommendations to the Chairs of the House Appropriations and Senate Finance and Appropriations Committees no later than September 1, 2023."



Explanation

(This amendment provides $250,000 the first year from American Rescue Plan Act funds in fiscal year 2023 only to be used to establish a pilot program at Carilion Clinic in Roanoke to study, operationalize and determine barriers for Opioid Education and Naloxone Distribution in the emergency department (ED) to high-risk opioid use disorder and opioid overdose patients who present in the ED. A report on the results of the pilot including policy recommendations is required no later than September 1, 2023.)