Opiate Information Amendments
HB 257 requires pharmacies, not the state, to provide patients receiving opiate prescriptions with a pamphlet covering addiction risks, safe storage/disposal methods, pain management alternatives, naloxone benefits, and substance use disorder resources. The pamphlets must be written in simple language, available in multiple languages, and periodically reviewed for effectiveness. The bill takes effect on May 6, 2026, with no new state funding required. It directly affects pharmacies dispensing opiates and patients receiving such prescriptions.
Bill status
failed
2 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
House Failed
Feb 2026
Governor
Introduced Jan 20, 2026
Last action Mar 7, 2026
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
Substitute #1
·
4 edits
MODERATE
The bill was amended to shift responsibility for creating opiate prevention pamphlets from pharmacies to the Department of Health and Human Services, which must now make the materials available online. Additionally, a new section was added to the state's controlled substance labeling laws requiring pharmacies to offer naloxone and provide counseling to patients receiving high-risk opiate prescriptions.
Scope change
The bill's scope expanded from a single requirement for pharmacies to provide pamphlets to a broader mandate for the state department to create and host the materials, and a new requirement for pharmacies to offer naloxone and counseling to specific high-risk patients.
REQUIREMENT
Changed the requirement for opiate prevention pamphlets from being a duty of individual pharmacies to a duty of the Department of Health and Human Services to create and make the materials available online.
Added a new requirement for pharmacies to offer counseling on and dispense naloxone to patients receiving high-dose opiates or those taking both opiates and benzodiazepines within a 30-day period.
Added a new requirement for pharmacies to affix specific overdose warning labels to containers of Schedule II or III opiate prescriptions.
Removed the provision allowing pharmacies to avoid displaying the pamphlet if they were unable to obtain it from the Department of Health and Human Services.
Floor votes · House Feb 27, 2026
How they voted
26–45
Failed · 4 other
Total votes 75
Feb 27, 2026
D
Democratic14
92% Nay
R
Republican61
52% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
24
Key actions
2
Committee
3
Feb 27, 2026
Vote failed
House Vote: fail (26-45-4)
house
Feb 20, 2026
Lower · Passed
House/ comm rpt/ substituted [House Health and Human Services Committee]
lower
Feb 20, 2026
Lower · Passed
House Comm - Favorable Recommendation [House Health and Human Services Committee]
lower
Feb 18, 2026
Committee
House/ to standing committee [House Health and Human Services Committee]
lower
Jan 20, 2026
Introduced
House/ 1st reading (Introduced)
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Nicholeen Peck
RRepublican
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