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 bill amends multiple sections of law (AS 08.36.355, AS 08.64.363, AS 08.68.705, and AS 08.72.276) to apply the same rules; specific professions covered depend on those existing statutes.

HB 270: Offering Opioid Overdose Drugs with Certain Prescriptions

This bill requires certain medical licensees in Alaska to offer a prescription for an opioid overdose drug when they prescribe opioids under specific high-risk conditions.

What This Bill Does

Defines 'opioid overdose drug' using the meaning found in existing state law AS 17.20.085(g).
Requires licensees to offer a prescription for an opioid overdose drug if the opioid supply lasts more than three days.
Mandates offering the overdose drug if the daily opioid dose equals or exceeds 50 morphine milligram equivalents.
Requires offering the overdose drug if the patient is also prescribed benzodiazepines.
Requires offering the overdose drug if the patient has a history of overdose or substance use disorder.

Who It Names or Affects

Licensees who issue prescriptions for opioids under AS 08.36.355, AS 08.64.363, and AS 08.72.276.
Advanced practice registered nurses who prescribe opioids under AS 08.68.705.
Patients receiving opioid prescriptions that meet the listed risk criteria.

Terms To Know

Opioid overdose drug: A medication defined in state statute AS 17.20.085(g).
Morphine milligram equivalent (MME): A measurement used to compare the strength of different opioids.

Limits and Unknowns

The bill text does not specify an effective date.
The definition of 'opioid overdose drug' relies on another state statute (AS 17.20.085(g)) which is referenced but not fully quoted in this text.

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