Revised Code of Washington
Chapter 70.41 - Hospital Licensing and Regulation.
70.41.485 - Opioid overdose reversal medications—Distribution—Labeling—Liability.

RCW 70.41.485
Opioid overdose reversal medications—Distribution—Labeling—Liability.

(1) A hospital shall provide a person who presents to an emergency department with symptoms of an opioid overdose, opioid use disorder, or other adverse event related to opioid use with opioid overdose reversal medication upon discharge, unless the treating practitioner determines in their clinical and professional judgment that dispensing or distributing opioid overdose reversal medication is not appropriate or the practitioner has confirmed that the patient already has opioid overdose reversal medication. If the hospital dispenses or distributes opioid overdose reversal medication it must provide directions for use.
(2) The opioid overdose reversal medication may be dispensed with technology used to dispense medications.
(3) A person who is provided opioid overdose reversal medication under this section must be provided information and resources about medication for opioid use disorder and harm reduction strategies and services which may be available, such as substance use disorder treatment services and substance use disorder peer counselors. This information should be available in all languages relevant to the communities that the hospital serves.
(4) The labeling requirements of RCW 69.41.050 and 18.64.246 do not apply to opioid overdose reversal medications dispensed or distributed in accordance with this section.
(5) Until the opioid overdose reversal medication bulk purchasing and distribution program established in RCW 70.14.170 is operational:
(a) If the patient is enrolled in a medical assistance program under chapter 74.09 RCW, the hospital must bill the patient's medicaid benefit for the patient's opioid overdose reversal medication utilizing the appropriate billing codes established by the health care authority. This billing must be separate from and in addition to the payment for the other services provided during the hospital visit.
(b) If the patient has available health insurance coverage other than medical assistance under chapter 74.09 RCW, the hospital must bill the patient's health plan for the cost of the opioid overdose reversal medication.
(c) For patients who are not enrolled in medical assistance and do not have any other available insurance coverage, the hospital must bill the health care authority for the cost of the patient's opioid overdose reversal medication.
(6) This section does not prohibit a hospital from dispensing opioid overdose reversal medication to a patient at no cost to the patient out of the hospital's prepurchased supply.
(7) Nothing in this section prohibits or modifies a hospital's ability or responsibility to bill a patient's health insurance or to provide financial assistance as required by state or federal law.
(8) A hospital, its employees, and its practitioners are immune from suit in any action, civil or criminal, or from professional or other disciplinary action, for action or inaction in compliance with this section.
(9) For purposes of this section:
(a) "Opioid overdose reversal medication" has the meaning provided in RCW 69.41.095.
(b) "Practitioner" has the meaning provided in RCW 18.64.011.

[ 2021 c 273 § 3.]
NOTES:

Effective date—2021 c 273 §§ 2-4: See note following RCW 70.41.480.


Findings—Intent—2021 c 273: See note following RCW 70.41.480.

Structure Revised Code of Washington

Revised Code of Washington

Title 70 - Public Health and Safety

Chapter 70.41 - Hospital Licensing and Regulation.

70.41.005 - Transfer of duties to the department of health.

70.41.010 - Declaration of purpose.

70.41.020 - Definitions.

70.41.030 - Standards and rules.

70.41.040 - Enforcement of chapter—Personnel—Merit system.

70.41.045 - Hospital surveys or audits—Frequent problems to be posted on agency websites—Hospital evaluation of survey or audit, form—Notice.

70.41.080 - Fire protection.

70.41.090 - Hospital license required—Certificate of need required—Participation in Washington rural health access preservation pilot.

70.41.100 - Applications for licenses and renewals—Fees.

70.41.110 - Licenses, provisional licenses—Issuance, duration, assignment, posting.

70.41.115 - Specialty hospitals—Licenses—Exemptions.

70.41.120 - Inspection of hospitals—Final report—Alterations or additions, new facilities—Coordination with state and local agencies—Notice of inspection.

70.41.122 - Exemption from RCW 70.41.120 for hospitals accredited by other entities.

70.41.125 - Hospital construction review process—Coordination with state and local agencies.

70.41.130 - Administrative actions against license—Rules—Procedure.

70.41.150 - Denial, suspension, revocation of license—Disclosure of information.

70.41.155 - Duty to investigate patient well-being.

70.41.160 - Remedies available to department—Duty of attorney general.

70.41.170 - Operating or maintaining unlicensed hospital or unapproved tertiary health service—Penalty.

70.41.180 - Physicians' services.

70.41.190 - Medical records of patients—Retention and preservation.

70.41.200 - Quality improvement and medical malpractice prevention program—Quality improvement committee—Sanction and grievance procedures—Information collection, reporting, and sharing.

70.41.205 - Public hospitals—Review of hospital privileges and quality improvement committee reports—Confidentiality.

70.41.210 - Duty to report restrictions on health care practitioners' privileges based on unprofessional conduct—Penalty.

70.41.220 - Duty to keep records of restrictions on practitioners' privileges—Penalty.

70.41.230 - Duty of hospital to request information on physicians, physician assistants, or advanced registered nurse practitioners granted privileges.

70.41.235 - Doctor of osteopathic medicine and surgery—Discrimination based on board certification is prohibited.

70.41.240 - Information regarding conversion of hospitals to nonhospital health care facilities.

70.41.250 - Cost disclosure to health care providers.

70.41.300 - Long-term care—Definitions.

70.41.310 - Long-term care—Program information to be provided to hospitals—Information on options to be provided to patients.

70.41.320 - Long-term care—Patient discharge requirements for hospitals and acute care facilities—Pilot projects.

70.41.322 - Discharge planning—Requirements—Lay caregivers.

70.41.324 - Discharge planning—Certain policies and criteria not required.

70.41.326 - Discharge planning—Construction—Liability.

70.41.330 - Hospital complaint toll-free telephone number.

70.41.340 - Investigation of hospital complaints—Rules.

70.41.350 - Emergency care provided to victims of sexual assault—Development of informational materials on emergency contraception—Rules.

70.41.360 - Emergency care provided to victims of sexual assault—Department to respond to violations—Task force.

70.41.365 - Statewide sexual assault kit tracking system—Participation by hospitals.

70.41.367 - Sexual assault evidence kit collection—Availability, plan, and notice requirements.

70.41.370 - Investigation of complaints of violations concerning nursing technicians.

70.41.380 - Notice of unanticipated outcomes.

70.41.390 - Safe patient handling.

70.41.400 - Patient billing—Written statement describing who may be billing the patient required—Contact phone numbers—Exceptions.

70.41.410 - Nurse staffing committee—Definitions.

70.41.420 - Nurse staffing committee.

70.41.425 - Nurse staffing—Department investigations.

70.41.430 - Prevention and control of the transmission of pathogens of epidemiological concern—Policy adoption—Reporting—Definitions.

70.41.440 - Duty to report violent injuries—Preservation of evidence—Immunity—Privilege.

70.41.450 - Estimated charges of hospital services—Notice.

70.41.460 - Contract with department of corrections.

70.41.470 - Information to be made widely available by certain hospitals—Community health needs assessment—Description of community served—Community benefit implementation strategy.

70.41.480 - Findings—Intent—Authority to prescribe prepackaged emergency medications—Definitions.

70.41.485 - Opioid overdose reversal medications—Distribution—Labeling—Liability.

70.41.490 - Authorization for certain transfers of drugs between hospitals and their affiliated companies.

70.41.500 - Down syndrome—Parent information.

70.41.510 - Pattern of balance billing protection act violations by hospital—Fines and disciplinary action.

70.41.520 - Access to care policies for admission, nondiscrimination, and reproductive health care—Requirement to submit, post on website, and use department-created form.

70.41.530 - Audio-only telemedicine—Facility fees.

70.41.900 - Severability—1955 c 267.