Oregon Revised Statutes Chapter 127 § 127.690 — Nonopioid directive form; when administration of opioids authorized; rules

Nonopioid directive form; when administration of opioids authorized; rules. (1) As used in this section: (a) “Emergency medical services provider” means a person practicing within the scope of the person’s license to practice as an emergency medical services provider under ORS chapter 682. (b) “Health care advocate” has the meaning given that term in ORS 127.765. (c) “Health care facility” has the meaning given that term in ORS 442.015. (d) “Health care provider” has the meaning given that term in ORS 127.505. (e) “Health care representative” has the meaning given that term in ORS 127.505. (f) “Hospital” has the meaning given that term in ORS 442.015. (g) “Skilled nursing facility” has the meaning given that term in ORS 442.015. (2)(a) The Oregon Health Authority shall develop by rule a nonopioid directive form indicating to health care providers and emergency medical services providers that, except as otherwise provided in subsection (4) of this section or by rule, an individual who has executed the nonopioid directive form or who has had a nonopioid directive form executed on the individual’s behalf may not be administered an opioid or offered a prescription for an opioid. (b) The authority shall include on the nonopioid directive form: (A) A warning that execution of the nonopioid directive form may result in the individual having unrelieved or breakthrough pain that would otherwise be adequately managed with the use of an opioid; (B) Instructions on how the form may be revoked; and (C) Any other information that the authority considers relevant. (c) The authority shall make the form available to the public electronically on the authority’s website. (d) An individual may not be required to execute a nonopioid directive form as a condition for receiving health care services. (e) Upon being presented with a nonopioid directive form, a physician or other health care provider shall make the form a part of the individual’s medical record. (3)(a) An individual or an individual’s health care representative or health care advocate may execute a nonopioid directive form on the individual’s behalf. (b) If a nonopioid directive form is executed by or on behalf of an individual and is presented to a health care provider, the health care provider shall make the nonopioid directive form a part of the individual’s medical record. (c) A nonopioid directive form may be revoked: (A) If the form was executed by the individual, by the individual at any time and in any manner by which the individual is able to communicate the individual’s intent to revoke the form; (B) If the form was executed by the individual’s health care representative, by the health care representative at any time by issuing the revocation in writing and providing notice of the revocation to the individual’s health care provider; or (C) If the form was executed by the individual’s health care advocate, by the health care advocate at any time by issuing the revocation in writing and providing notice of the revocation to the individual’s health care provider. (4) A health care provider who is authorized to prescribe controlled substances may administer or direct the administration of an opioid to an individual who has executed a nonopioid directive form or who has had a nonopioid directive form executed on the individual’s behalf if: (a) The individual is being treated at a hospital or in a setting outside of a hospital in the case of an emergency and, in the health care provider’s professional opinion, the administration of the opioid is medically necessary to treat the individual. If an opioid is administered under this paragraph, the health care provider shall ensure that the individual is provided with information on substance use disorder treatment and services as defined in ORS 414.780; (b) The opioid is for intraoperative use; or (c) The individual is being treated at a skilled nursing facility. (5) The following are not subject to civil or criminal liability or professional disciplinary action for failing to administer, prescribe or dispense an opioid, or for the inadvertent administration of an opioid, to an individual who has executed a nonopioid directive form or who has had a nonopioid directive form executed on the individual’s behalf, if the failure to act or act was done in good faith: (a) A health care provider whose scope of practice includes the prescribing, administering or dispensing of a controlled substance. (b) A health care facility. (c) An employee of a health care provider. (d) An employee of a health care facility. (e) Emergency medical services providers. (6) The authority shall adopt rules to implement this section. The rules must include, but are not limited to, the following: (a) Procedures to record a nonopioid directive form in a patient’s medical record. (b) Procedures to revoke a nonopioid directive form. (c) Procedures to ensure that the recording, di