North Carolina HB 681: Update Opioid Abatement Treatment Program Rules.

Bill Text

GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2025
H 3
HOUSE BILL 681
Committee Substitute Favorable 4/29/25
Third Edition Engrossed 5/7/25

Short Title: Update Opioid Abatement Treatment Prog. Rules. (Public)
Sponsors:
Referred to:
April 3, 2025
*H681-v-3*
A BILL TO BE ENTITLED 1
AN ACT DIRECTING THE COMMISSION FOR MENTAL HEALTH, DEVELOPMENTAL 2
DISABILITIES, AND SUBSTANCE USE SERVICES TO AMEND THE RULES 3
REGARDING OUTPATIENT OPIOID TREATMENT PROGRAMS FOR GREATER 4
CONSISTENCY WITH FEDERAL REGULATIONS. 5
The General Assembly of North Carolina enacts: 6
SECTION 1.(a) The Commission for Mental Health, Developmental Disabilities, 7
and Substance Use Services (Commission) shall amend the rules applicable to outpatient opioid 8
treatment programs (OTPs) in 10A NCAC 27G .3600 through 10A NCAC 27G .3605, to be more 9
consistent with 42 C.F.R. Part 8 governing medications for the treatment of opioid use disorder. 10
In amending these rules, the Commission shall make at least all of the following changes: 11
(1) Remove stability of a patient's home environment and social relationships as 12
an eligibility criterion for take-home medication. 13
(2) Require the State Opioid Treatment Authority (SOTA) to review patient 14
discharge policies related to continued substance use, missed doses, and 15
nonparticipation in ancillary services such as counseling. 16
(3) Remove structured counseling schedules to better align with federal 17
regulations that promote individualized care that is more patient-centered and 18
flexible. 19
(4) Reduce the number of required drug tests to align with the frequency required 20
by federal regulations. 21
(5) Explicitly permit OTPs to administer methadone to patients who are not 22
enrolled with the OTPs as their patients but can be verified as a patient in 23
another OTP through contacting the patient's home OTP, checking the central 24
registry, or other means established by the Commission. 25
SECTION 1.(b) In determining whether to include any additional changes to the 26
rules applicable to OTPs to achieve greater consistency with 42 C.F.R. Part 8, the Commission 27
shall engage with current and former OTP clients and OTP providers for input on other changes 28
that would serve the goal of improving access to patient-centered care and achieving better 29
alignment with federal regulations. However, the Commission shall not amend the rules to 30
include any input that is inconsistent with State or federal law. 31
SECTION 1.(c) The Commission shall publish the proposed text of the amended 32
rules applicable to OTPs by January 1, 2026. 33
SECTION 2. This act is effective when it becomes law. 34