Maryland Code § HG-19-308.11

Section HG-19-308.11
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(a) In this section, "medication for opioid use disorder":
(1) Means a drug approved by the U.S. Food and Drug
Administration for the treatment of opioid use disorder; and

(2) Does not include a drug administered to mitigate opioid-related
overdose symptoms.
(b) Each hospital shall establish and maintain, as part of its emergency
services, protocols and capacity to:
(1) Provide to a patient before discharging the patient appropriate,
evidence-based interventions that reduce the risk of subsequent harm and fatality
following an opioid-related overdose or a visit for an opioid-related emergency
medical condition;
(2) Possess at least one formulation of each U.S. Food and Drug
Administration-approved full opioid agonist and partial opioid agonist used for the
treatment of opioid use disorder; and
(3) Treat a patient who presents in a hospital emergency department
for care and treatment of an opioid-related overdose or opioid-related emergency
medical condition with a medication for opioid use disorder if the treatment:
(i) Occurs as recommended by the treating health care
practitioner; and
(ii) Is voluntarily agreed to by the patient.
(c) A protocol established by a hospital under this section shall include:
(1) Any requirement by the Department regarding prescribing opioid
agonist treatment;
(2) Uniform practices for screening and diagnosing individuals who
present with an opioid-related overdose or opioid-related emergency medical
condition for an opioid use disorder based on the criteria in the most recent edition of
the Diagnostic and Statistical Manual of Mental Disorders;
(3) Uniform practices for offering and administering opioid agonist
medication to treat an opioid-related overdose or opioid use disorder; and
(4) Uniform practices to identify community-based treatment
services that are appropriate for:
(i) Treating opioid use disorders; and
(ii) Assisting patients to voluntarily access ongoing
community-based treatment at discharge.

(d) Before discharging a patient who is diagnosed with an opioid use
disorder or administered or prescribed medication for opioid use disorder, a hospital
shall:
(1) Make a referral of the patient to an appropriate provider or
facility for a timely appointment, when possible, to voluntarily continue treatment in
the community; and
(2) Work with peer support professionals, as available, or other
resources to assist the patient in accessing the identified treatment services.

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