HB270 • 2026

OPIOID OVERDOSE DRUG PRESCRIPTION

An Act relating to the prescription of opioid overdose drugs.

Healthcare

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor: REPRESENTATIVES TOMASZEWSKI, Underwood, Kopp
Last action: 2026-04-28
Official status: (H) HSS
Effective date: Not listed

Plain English Breakdown

The official source material does not specify if a patient refusing an offer for an opioid overdose drug prescription has any consequences.

Opioid Overdose Drug Prescription Act

This act requires medical license holders to offer patients a prescription for an opioid overdose drug under certain conditions when prescribing opioids.

What This Bill Does

Defines 'opioid overdose drug' as given in another Alaska statute.
Requires medical license holders to offer a patient a prescription for an opioid overdose drug if the patient is prescribed more than three days of opioids or has a high daily dosage equivalent to at least 50 milligrams of morphine.
Requires medical license holders to offer a prescription for an opioid overdose drug if the patient is also taking benzodiazepines.
Requires medical license holders to offer a prescription for an opioid overdose drug if the patient has had previous overdoses or substance use disorders.

Who It Names or Affects

Medical professionals who prescribe opioids, such as doctors and advanced practice registered nurses.
Patients receiving prescriptions for opioids under specific conditions.

Terms To Know

opioid overdose drug: A medication used to reverse the effects of an opioid overdose.
morphine milligram equivalent (MME): The amount of morphine that has the same pain-relieving effect as another opioid.

Limits and Unknowns

Does not specify what happens if a patient refuses an offer for an opioid overdose drug prescription.
Does not provide details on how medical professionals will be informed about patients' histories of overdoses or substance use disorders.

Bill History

2026-04-28 Text
(H) Heard & Held
2026-04-28 Text
(H) HEALTH & SOCIAL SERVICES at 03:15 PM DAVIS 106
2026-01-28 1519
(H) COSPONSOR(S): KOPP
2026-01-26 1500
(H) COSPONSOR(S): UNDERWOOD
2026-01-23 1478
(H) REFERRED TO HEALTH & SOCIAL SERVICES
2026-01-23 1478
(H) HSS, L&C
2026-01-23 1478
(H) READ THE FIRST TIME - REFERRALS

Official Summary Text

OPIOID OVERDOSE DRUG PRESCRIPTION
An Act relating to the prescription of opioid overdose drugs.

Current Bill Text

Read the full stored bill text

HB0270a -1- HB 270
New Text Underlined [DELETED TEXT BRACKETED]

34-LS1202\A

HOUSE BILL NO. 270

IN THE LEGISLATURE OF THE STATE OF ALASKA

THIRTY-FOURTH LEGISLATURE - SECOND SESSION

BY REPRESENTATIVES TOMASZEWSKI, Underwood, Kopp

Introduced: 1/23/26
Referred: Health and Social Services, Labor and Commerce

A BILL

FOR AN ACT ENTITLED

"An Act relating to the prescription of opioid overdose drugs." 1
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 2
* Section 1. AS 08.36.355(c) is amended by adding a new paragraph to read: 3
(4) "opioid overdose drug" has the meaning given in AS 17.20.085(g). 4
* Sec. 2. AS 08.36.355 is amended by adding a new subsection to read: 5
(d) A licensee who issues a prescription for an opioid to a patient shall offer 6
the patient a prescription for an opioid overdose drug if 7
(1) the prescription is for an opioid that exceeds a three-day supply; 8
(2) the prescription is for a total daily opioid dosage representing a 9
morphine milligram equivalent of 50 milligrams or more; 10
(3) the patient is concurrently prescribed a benzodiazepine; or 11
(4) the patient has a history of overdose or substance use disorder. 12
* Sec. 3. AS 08.64.363(c) is amended by adding a new paragraph to read: 13
(4) "opioid overdose drug" has the meaning given in AS 17.20.085(g). 14
* Sec. 4. AS 08.64.363 is amended by adding a new subsection to read: 15
34-LS1202\A
HB 270 -2- HB0270a
New Text Underlined [DELETED TEXT BRACKETED]

(d) A licensee who issues a prescription for an opioid to a patient shall offer 1
the patient a prescription for an opioid overdose drug if 2
(1) the prescription is for an opioid that exceeds a three-day supply; 3
(2) the prescription is for a total daily opioid dosage representing a 4
morphine milligram equivalent of 50 milligrams or more; 5
(3) the patient is concurrently prescribed a benzodiazepine; or 6
(4) the patient has a history of overdose or substance use disorder. 7
* Sec. 5. AS 08.68.705(d) is amended by adding a new paragraph to read: 8
(4) "opioid overdose drug" has the meaning given in AS 17.20.085(g). 9
* Sec. 6. AS 08.68.705 is amended by adding a new subsection to read: 10
(e) An advanced practice registered nurse who issues a prescription for an 11
opioid to a patient shall offer the patient a prescription for an opioid overdose drug if 12
(1) the prescription is for an opioid that exceeds a three-day supply; 13
(2) the prescription is for a total daily opioid dosage representing a 14
morphine milligram equivalent of 50 milligrams or more; 15
(3) the patient is concurrently prescribed a benzodiazepine; or 16
(4) the patient has a history of overdose or substance use disorder. 17
* Sec. 7. AS 08.72.276 is amended by adding new subsections to read: 18
(c) A licensee who issues a prescription for an opioid to a patient shall offer 19
the patient a prescription for an opioid overdose drug if 20
(1) the prescription is for an opioid that exceeds a three-day supply; 21
(2) the prescription is for a total daily opioid dosage representing a 22
morphine milligram equivalent of 50 milligrams or more; 23
(3) the patient is concurrently prescribed a benzodiazepine; or 24
(4) the patient has a history of overdose or substance use disorder. 25
(d) In this section, "opioid overdose drug" has the meaning given in 26
AS 17.20.085(g). 27