SB 25-164 Colorado Senate · 2025 Regular Session

Opioid Antagonist Availability & State Board of Health

Summary
The act requires the state board of health (board) to allow the Colorado youth advisory council (council) to present to the board twice a year on issues regarding the youth opioid epidemic and other health issues. The act also allows the council to consult the prevention services division within the department of public health and environment during the stakeholding process for rule-making regarding opioid antagonists. Under current law, a school district, the state charter school institute, or a governing board of a nonpublic school may adopt and implement a policy that allows: A school to acquire and maintain a stock supply of opioid antagonists on school grounds or on a school bus; A school employee or agent who has received relevant training to administer an opioid antagonist to a person who is at risk of experiencing an opioid-related overdose; and A school employee or agent to furnish an opioid antagonist to any individual, including a student, if the student has received relevant training. The act: Permits a school to maintain an opioid antagonist in an automated external defibrillator or defibrillator cabinet in the school or on a school bus; Repeals the requirement that a school employee or agent must receive training prior to administering an opioid antagonist; and Creates an exception that a school employee or agent may furnish an opioid antagonist to a student who has not received relevant training if the employee or agent believes that the student is in a position to assist an individual who is suffering from an opioid-related drug overdose event or who is at risk of experiencing an opioid-related drug overdose event. Current law provides a specific list of eligible entities that a prescriber may prescribe or dispense an opioid antagonist to. The act eliminates the specific list and instead requires the state board of health to establish a list of eligible entities that a prescriber may prescribe or dispense an opioid antagonist to. The act permits a standing order allowing all eligible entities to distribute opioid antagonists. The act requires the department of public health and environment to furnish a report detailing youth overdose prevention during "SMART Act" hearings. (Note: This summary applies to this bill as enacted.)
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
Senate Passage
Mar 2025
House Passage
Apr 2025
Signed into Law
May 2025
Introduced Feb 14, 2025 Signed May 5, 2025
Maddy AI version diff · 7 comparisons

What changed between versions

Revised (04/14/2025) PA1 (03/14/2025) · 3 edits
MINOR
This bill was amended to clarify that schools can maintain opioid antagonists in automated external defibrillator (AED) cabinets and to specify training requirements for school employees who administer these medications. The changes expand the scope of where and how opioid antagonists can be stored and administered in schools.
Scope change
Expanded to explicitly allow opioid antagonists to be stored in AED cabinets and clarified training requirements for school personnel.
REQUIREMENT

Added provision allowing schools to maintain opioid antagonists in automated external defibrillator or defibrillator cabinets on school grounds or school buses.

Added specific training requirements for school employees who administer opioid antagonists, including instruction on identifying individuals suffering from or at risk of opioid-related drug overdose events.

TECHNICAL

Removed previous formatting and committee markup that indicated the bill was in revised status with amendments adopted on second reading.

Floor votes · Senate Mar 19, 2025 · House Apr 15, 2025

How they voted

322
Passed
Total votes 34
Mar 19, 2025
D Democratic22
22 Yea
100% Yea
R Republican12
10 Yea 2 Nay
83% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
13
Key actions
5
Committee
2
May 5, 2025
Signed into law
Governor Signed
executive
Apr 15, 2025
Lower · Passed
House Third Reading Passed - No Amendments
lower
Apr 8, 2025
Lower · Passed
House Committee on Health & Human Services Refer Unamended to House Committee of the Whole
lower
Mar 19, 2025
Introduced
Introduced In House - Assigned to Health & Human Services
lower
Mar 19, 2025
Upper · Passed
Senate Third Reading Passed - No Amendments
upper
Mar 13, 2025
Upper · Passed
Senate Committee on Health & Human Services Refer Amended to Senate Committee of the Whole
upper
Feb 14, 2025
Introduced
Introduced In Senate - Assigned to Health & Human Services
upper
4 primary · 33 co-sponsors

Sponsors