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Governor Wolf Announces Naloxone Standing Order to Combat Heroin Epidemic (+ FAQs)

first_img SHARE Email Facebook Twitter Naloxone FAQs:What is naloxone?Naloxone is a medication that can temporarily reverse an overdose that is caused by an opioid drug (prescription pain medication or heroin). When given during an overdose, naloxone blocks the effects of opioids on the brain and restores breathing within two to eight minutes. Naloxone has been used safely by medical professionals for more than 40 years and has only one function: to reverse the effects of opioids on the brain and respiratory system in order to prevent death. Naloxone has no potential for abuse- a person can’t get high or become addicted to it – and it is safe to use. (Naloxone does not work to reverse overdose from other types of substances).How do I get naloxone?Family members and friends can access this medication by obtaining a prescription from their family doctor or by using the standing order (a prescription written for the general public, rather than specifically for an individual) issued by Rachel Levine, M.D., PA Physician General. The standing order is kept on file at many pharmacies, or may be downloaded here.If you cannot access Scribd, you can also download the standing order here from the Department of Health’s website.Naloxone prescriptions can be filled at most pharmacies. Although the medication may not be available for same day pick up, it can often be ordered and available within a day or two.What types of naloxone are available?Two of the most common ways that naloxone is administered are intranasal (nasal spray) and the auto-injector. Please note, not all pharmacies stock both forms and insurance coverage may vary depending on the type of medication being purchased and each individual insurance plan. Check your insurance prescription formulary or call your benefits manager to determine if the medication is covered by your particular plan or if your purchase of the medication will be an out-of-pocket cost.Intranasal currently has two pieces that are easily assembled: a prefilled medication tube and an atomization device which is sold separately. The nasal piece may not be stocked at your local pharmacy; however, they may assist in ordering it. Additionally, the nasal atomization device can be ordered from a number of medical supply companies without a prescription.The Auto-injector comes in a manufactured dosage form (similar to an epi-pen) and has a recorded message to talk you through giving the medication.How do I administer naloxone?In addition to talking to your healthcare provider or the pharmacist about how to use naloxone, individuals giving this medication to someone should take the online training ahead of time. Training is available at one of the Department of Health approved training sites: Get Naloxone Now or PA Virtual Training Network. These easy to understand, brief trainings explain how to recognize the signs and symptoms of an opioid overdose, what to do in the event of an overdose, and instruct on how to give naloxone. While it is not necessary to obtain a training certificate in order to purchase naloxone, learning these important details will help you respond properly in the event of an overdose and also meet the immunity requirements of PA Act 139.Could I get in trouble for giving someone naloxone (statutory immunity)?Good Samaritan: Through the ‘Good Samaritan’ provision of Act 139, friends, loved ones and bystanders are encouraged to call 911 for emergency medical services in the event an overdose is witnessed and to stay with the individual until help arrives. The provision offers certain criminal and civil protections to the caller so that they cannot get in trouble for being present, witnessing and reporting an overdose.Administering Naloxone: Physicians are permitted to write third party prescriptions for naloxone and you are immune from liability for giving naloxone if you believed the person was suffering from an opioid overdose (heroin or prescription pain medication) and you called for medical help/911 after giving the medication.Does insurance cover naloxone?Insurance companies vary in how they cover naloxone and other drugs used to treat an opioid overdose. Prior to having a naloxone prescription filled with a pharmacy, consumers are encouraged to check with their insurance carriers to find out whether naloxone is a covered benefit under their policy, and, if so, what form of naloxone is covered, and any cost-sharing amounts that may apply under their policy.Will Fee-for-Service and the managed care organizations (MCOs) pay for naloxone dispensed under the standing order for Medical Assistance recipients?Yes.Will Medical Assistance require a prescription in order for the pharmacist to fill the naloxone for a Medical Assistance recipient?Yes, per 55 Pa Code, Chapter 1121 – Pharmaceutical Services – §1121.52, pharmacists can treat the standing order as a verbal order for Medical Assistance recipients.Can a person other than the eligible Medical Assistance recipient (friend or family member) obtain the naloxone at the pharmacy on the recipient’s behalf? Will the Medical Assistance Program make payment?PA Medical Assistance will make payment for naloxone for the eligible Medical Assistance recipient.Is prior authorization required by Medical Assistance for any of the naloxone products or supplies?The Evzio Auto-Injector is covered by Medical Assistance, but requires prior authorization. Generic naloxone is covered without the need for prior authorization.Where can a pharmacy access Medical Assistance billing procedures for naloxone and the nasal actuator?The Fee-for-Service Program will post information related to billing for naloxone on the DHS Pharmacy Services website. Pharmacies will need to contact each MCO individually to obtain information about their billing procedures.Will copays apply for the naloxone products and nasal actuator?No, the Medical Assistance copay will not apply.Is there a limit to the number of times that a Medical Assistance recipient can get naloxone?No, there is no limit to the number of fills that can be obtained.How can someone with an addiction to prescription pain medicines, heroin or other drugs get help?Treatment for drug abuse and addiction is available! You can find out more by calling the County Drug and Alcohol Office where you live. For more information or to get the contact information for your local office visit the Department of Drug and Alcohol Programs website or call 717-783-8200.While it may be uncomfortable to talk to someone about their substance abuse problem, research shows that it is more likely for an individual to seek help for their problem within 30 days following an overdose if someone talks to them right after the overdose event about going to treatment.Are there any other standing orders in Pennsylvania?Yes. There have been three well publicized standing orders that we are aware of to date that impact Pennsylvania which include: 1) CVS who has developed one for their pharmacies nationwide; 2) Montgomery County; and 3) Allegheny County.The standing order being signed today does not affect these standing orders. Instead the Physician General’s standing order expands upon them to ensure statewide access.Naloxone Standing Order by Governor Tom Wolf*If you cannot access Scribd, you can also download the standing order here from the Department of Health’s website.# # # Governor Wolf Announces Naloxone Standing Order to Combat Heroin Epidemic (+ FAQs) Government That Works,  Press Release,  Results,  Substance Use Disorder On January 10, 2018, Governor Tom Wolf declared the opioid epidemic a statewide disaster. Under this declaration, emergency service providers are now able to leave naloxone behind after a 911 visit. Centralized Coordinating Entities (CCE) can contact the Pennsylvania Commission on Crime and Delinquency (PCCD) to obtain naloxone for first responders under their jurisdiction. For more information, visit PCCD’s website. Updated with the paragraph above: February 15, 2018, 12:00 PMUpdated with FAQs: October 29, 2015, 3:59 PM Posted: October 28, 2015, 1:20 PMHarrisburg, PA – Governor Tom Wolf today continued his “Government That Works” Tour and announced a significant step forward in his administration’s fight against the heroin epidemic in Pennsylvania. Governor Wolf stood with Physician General Dr. Rachel Levine at the Pennsylvania Medical Society as Dr. Levine signed a statewide standing order for naloxone*, a medication that can reverse an overdose that is caused by an opioid drug. The governor was also joined by Secretary Ted Dallas, Secretary Gary Tennis, Secretary Karen Murphy, and Chairman Josh Shapiro.“This standing order is the next step in my administration’s fight against the addiction and overdose epidemic in our state,” said Governor Wolf. “We must do all that we can to support those Pennsylvania families suffering from the effects of addiction. I am proud to take this action with my cabinet members today.”Through the signing of this standing order, Dr. Levine has signed a prescription for naloxone to all Pennsylvanians. For more information about naloxone and how to administer it, please visit the Department of Drug and Alcohol Program’s page on overdose reversal.“Making it possible for all Pennsylvania residents to access the life-saving drug naloxone is a huge victory in our battle against drug overdose deaths in the commonwealth,” said Physician General Dr. Rachel Levine. “I am proud to sign this standing order and continue the efforts of the Wolf Administration to protect the most vulnerable Pennsylvanians. This forward-thinking initiative gives people the tools they need to keep their communities and families intact.”The rise in heroin addiction and prescription drug abuse has quickly led to a public health crisis in Pennsylvania, where 1 in 4 families suffer from the effects of substance abuse addiction. Heroin and opioid overdose are now the leading cause of accidental death in Pennsylvania, killing more individuals than those involved in fatal motor vehicle accidents. In 2014, 2,400 Pennsylvanians died from drug overdoses.“Addiction can happen to anyone from any walk of life, and heroin is now the second leading cause of years of life lost,” said Department of Human Services Secretary Ted Dallas. “I am not going to accept that. We must fight to ensure our children, our loved ones, and our neighbors have access to these critical life-saving programs.”“Too many Pennsylvania families are being affected by this crisis,” said Department of Drug and Alcohol Programs Secretary Gary Tennis. “In addition to finding solutions like these to save lives, we are also working hard to raise awareness and break down stigmas about substance abuse disorders. My department will continue to work tirelessly to provide the best possible recovery and treatment options, to ensure that we do not see high rates of overdose recurrences.”“It is our goal at the Department of Health is to ensure that life-saving resources such as naloxone are available to every Pennsylvanian,” said Department of Health Secretary Dr. Karen Murphy. “Educating Pennsylvanians on how to use naloxone in case of an emergency is essential to curbing the devastating number of opioid-related overdose deaths that we have seen in the commonwealth over the past several years.”“The opioid epidemic is a serious public health issue and is it also an issue of public safety,” said Pennsylvania Commission on Crime and Delinquency Chairman Josh Shapiro. “PCCD is working to ensure that the healthcare and law enforcement communities are working collaboratively to bring all our resources to this fight.”Since his inauguration, Governor Wolf has worked with his administration to provide real solutions not only to save lives but also to help addicted individuals and their families get the treatment they need to live long, productive lives. Such actions taken by the Wolf Administration include the development of the ABC-MAP prescription drug monitoring program, the creation of the interagency Heroin Task Force, the support for the use of naloxone at schools across the Commonwealth, and stocking all Pennsylvania State Police cars with the naloxone drug. Since equipping State Police cars with naloxone, over 300 lives have been saved with this drug.Governor Wolf’s 2015-16 budget proposes $7.5 million in funds to provide more naloxone to police and to provide more and better treatment options for Pennsylvanians.“My administration, law enforcement agencies, those in the health care field, those in county services offices, and many others work hard every day to fight back against heroin epidemic,” concluded Governor Wolf. “My greatest hope is that today’s action will continue to aid these statewide efforts to overcome the addiction and overdose crisis in Pennsylvania.” October 28, 2015last_img read more

Wolf Administration Announces Medical Marijuana Applications Available for Second Phase of Program

first_img April 05, 2018 Human Services,  Medical Marijuana,  Press Release Harrisburg, PA – The Wolf Administration today announced that permit applications are available online and for submission for grower/processors, dispensaries and academic clinical research centers (ACRCs) as part of the second phase of Pennsylvania’s medical marijuana program.“Because of the Department of Health’s careful tracking of the number of patients in need of and receiving identification cards for medical marijuana, we now know that it’s the right time to expand the number of growers/processors and dispensaries,” Governor Tom Wolf said. “We are also introducing the ability to apply to conduct medical marijuana research at academic institutions, which can enhance efforts to determine how this medication can be best used to safely and effectively treat various diseases.”Phase two of the program will allow for up to 13 new grower/processor permits and up to 23 new primary dispensary permits. Pennsylvania’s medical marijuana program will be increased to 25 grower/processors permittees and 50 dispensary permittees, the maximum numbers allowed by the medical marijuana law.“The department continues to work to ensure that Pennsylvania’s medical marijuana program is second-to-none in providing this form of treatment to patients with serious medical conditions,” Health Secretary Dr. Rachel Levine said. “This next phase of the program will expand the reach of medical marijuana to make it more convenient for patients who need this medication. By approving ACRCs, Pennsylvania will be the first state in the nation to conduct medical marijuana research to benefit patients in need.”In addition, the 14th dispensary, Columbia Care Pennsylvania, LLC, in Scranton, Lackawanna County, has passed all Department of Health inspections and can begin operations. Patients will be able to purchase medical marijuana at this location once it is available.Nearly 28,000 patients have registered to participate in the medical marijuana program, with nearly 11,000 certified by a physician and over 10,000 who have received their identification cards. Dispensaries have recorded more than 10,500 patient purchases of medical marijuana.Physicians continue to register to participate in the program. To date, over 900 have registered and of those, 511 have competed the training to become certified practitioners.The Medical Marijuana Program was signed into law by Governor Tom Wolf on April 17, 2016. Since that time, the department has:Completed the Safe Harbor temporary guidelines and Safe Harbor Letter application process, as well as approved more than 340 applications;Completed temporary regulations for growers/processors, dispensaries, physicians, patients, laboratories, and academic clinical research centers and clinical registrants, all of which have been published in the Pennsylvania Bulletin;Issued permits to grower/processors and dispensaries;Developed the Medical Marijuana Physician Workgroup;Convened the Medical Marijuana Advisory Board;Approved five training providers for physician continuing-education;Approved four laboratories to test medication before it is delivered to patients;Launched registries for patients and caregivers, as well as physicians;Registered nearly 28,000 patients for the program;Approved 14 dispensaries and 12 grower/processers to begin operations; andContinue to work with permittees to ensure they will become operational.The Medical Marijuana Program offers medical marijuana to patients who are residents of Pennsylvania and under a practitioner’s care for the treatment of a serious medical condition as defined by the Medical Marijuana Law.Questions about the Medical Marijuana Program can be emailed to RA-DHMedMarijuana@pa.gov. Information is also available at www.medicalmarijuana.pa.gov. Wolf Administration Announces Medical Marijuana Applications Available for Second Phase of Programcenter_img SHARE Email Facebook Twitterlast_img read more

Tougher law to protect children hailed

first_imgStuff.co.nz 7 Dec 2011Child advocates are hailing new laws giving sweeping powers to prosecute all those turning a blind eye to assaults on the very young. The Crimes Amendment Act (No3) becomes law on March 19 and will allow police to charge everyone in a household with failing to protect a child. The maximum sentence is 10 years’ jail. The new law comes as a result of the public outcry following the murder of the Kahui twins for which no-one has been held responsible after a jury acquitted the twins’ father. However, the extended family’s infamous “code of silence” was typical of such cases, pediatricians say. In Taranaki, a serious assault of a 14-month-old, who suffered a fractured skull, was dropped last month for lack of evidence.Starship children’s hospital paediatrician Patrick Kelly welcomes the law which allows everyone in a house where the abuse took place to be charged. The message is that they should have protected the abused child. “If you can’t determine which of the adults in the house did it you charge all of them – or none of them.” However, the law change should have gone further, he said. The code of silence within families was an issue throughout the world. In Britain, the same “failing to protect” law was implemented but went further to limit the right to silence. “The UK has shown it’s possible to modify the law. For some reason New Zealand did not follow through with changing the right to silence.”http://www.stuff.co.nz/national/crime/6097019/Tougher-law-to-protect-children-hailedlast_img read more

The Latest: NWSL moves to allow training in small groups

first_imgMalagò says FISI would officially send the request to the International Ski Federation’s (FIS) board on Monday.Cortina was already forced to cancel the World Cup finals in March this year due to the advancing virus.Moving the worlds to March 2022 would put the event one month after the 2022 Beijing Olympics and likely force FIS to cancel that season’s finals in Méribel and Courchevel, France.The Cortina worlds are currently scheduled for Feb. 7-21, 2021.Worlds are usually held every other winter, in odd years. The Latest: NWSL moves to allow training in small groups Associated Press Chinese technology company Tencent has donated 150,000 face masks and 10,000 pairs of protective goggles to Paris Saint-Germain’s foundation.The foundation will dispatch them to organizations and charities in need of equipment to help fight the spread of the coronavirus.The shipment was delivered last week and is being stored at PSG’s Parc des Princes. The stadium has been operating as a logistics support base in the Greater Paris region.Sabrina Delannoy, the deputy director of the Paris Saint-Germain Foundation, said on Monday that the donation “will enable our many partner charities to continue working in safe conditions and to pass on this equipment in turn to the people who need it most.”PSG and Tencent sealed a partnership during the French club’s Tour in China last year. The second-tier Women’s Championship has also been canceled.___Japan Prime Minister Shinzo Abe says the swift development of vaccines and effective treatments for COVID-19 are priorities towards achieving the Tokyo Olympics next year.Abe says recovery from the coronavirus pandemic only in Japan would not be enough to hold the Games because it involves spectators and athletes from around the world.He reiterates that the government hopes to hold the Tokyo Games “in a complete form” with spectators as a proof of human victory against the coronavirus. ___The German soccer federation says it faces heavy losses this year due to the coronavirus pandemic.Treasurer Stephan Osnabrügge has presented figures to a general meeting showing a possible loss of nearly 77 million euros ($83 million) in the worst-case scenario. The deficit would be smaller if national-team games can resume in the second half of 2020.Osnabrügge says that means the “deepest economic crisis” in the DFB’s history but that it is not facing insolvency.In a meeting held over video conferencing the DFB ended the season for all junior competitions and for the women’s second division. Japan and the International Olympic Committee have agreed to postpone the Games by one year to July 2021.Experts say developing an effective and safe vaccine by the Games next year will be difficult.___The French tennis federation will set aside nine million euros ($9.8 million) for its players who financially struggle as a result of the coronavirus pandemic.The money will come from a larger 35-million euro ($38.1 million) support plan for French tennis as a whole. It will go to the players ranked outside the Top 100 who won’t receive any compensation from tennis’ international governing bodies. May 25, 2020 ___The chief executive of West Indies’ cricket team says a plan is in place to fly a 25-man squad to England around June 8 ahead of a three-test series starting a month later in bio-secure stadiums with no spectators.Johnny Grave says he has been in discussions with the England and Wales Cricket Board for the past six weeks and that Cricket West Indies is expecting a formal offer to go ahead with the tour in the coming days.Grave says in an interview with espncricinfo.com the players would take privately sourced tests for COVID-19 three or four days before the departure date. They would then convene at a base in Antigua and fly out in one aircraft on the same day, before being transported to their quarantine and training venue where they would spend about three weeks.He adds that the current plan is for the test matches to start July 8, July 16 and July 24. The tour was due to start on June 4 but no professional cricket can be played in England before July 1 because of the coronavirus outbreak. The top women’s soccer league in England has been canceled because of the coronavirus outbreak.The Football Association says a decision was taken to end the Women’s Super League with immediate effect following “overwhelming feedback from the clubs” and to give them the chance to “prepare and focus on next season.”Manchester City was leading the league by a point from Chelsea, which had a game in hand. Arsenal was a further three points behind and also had a game in hand on City.Recommendations for sporting outcomes such as which team should represent England in the Women’s Champions League next season will be sent to the FA board.center_img The DFB confirmed the men’s third division will resume Saturday despite objections from some clubs and state federations. The first and second divisions restarted earlier this month.The top women’s league will resume Friday.___Barcelona has launched a line of protective masks for its fans during the coronavirus pandemic.The club says the masks are available in three different models with exclusive designs using Barcelona’s colors. They can be found online or in physical stores as they gradually reopen to the public beginning on Monday. The league says it considered and rejected various plans for continuing the season, including proposals from many cities to hold remaining games. It instead opted to focus on the 2020-21 season.The league adds that “for reasons of sporting integrity, all competition system modifications including a reduced number of teams were discarded.”The Euroleague has 18 teams across 10 European nations. The different lockdown and border restrictions in those countries made it difficult to continue games.The season was suspended March 12. Turkish club Anadolu Efes Istanbul was leading with a 24-4 regular season record.___ Share This StoryFacebookTwitteremailPrintLinkedinRedditThe Latest on the effects of the coronavirus outbreak on sports around the world:___The National Women’s Soccer League says players may start training in small groups, provided it is done under league protocols and meets the requirements of local authorities. The masks are made in Catalonia using 100% ecological cotton. Barcelona says they comply with all “health requirements and regulations.” The masks are reusable and guaranteed to up to 40 washes.Spain was one of the hardest hit countries by the coronavirus pandemic with nearly 30,000 deaths. Masks are now obligatory for the entire population in most situations.Barcelona and most Spanish clubs sustained heavy financial losses and reduced the salaries of its players during the pandemic. ___ Bernard Giudicelli, the president of the French tennis federation, told a conference call Monday that 66 male players and 39 female professionals will benefit from the allocation. Beach tennis and paddle tennis players, as well as wheelchair professionals and players with disabilities, can also sign up to the scheme. The support plan will be operational from June 3 and will last until Aug. 31, 2021. It will also help clubs, coaches, instructors, umpires, other officials and tournament organizers affected by the health crisis.The men’s and women’s professional tours are suspended until at least July 13.___The Euroleague basketball season has been canceled because of the coronavirus pandemic and no championship will be awarded. Grave says there is still some apprehension among players and support staff about leaving their families for seven weeks, travelling to Britain and playing in bio-secure venues, but that no player has said formally he does not want to tour.___The Italian Winter Sports Federation (FISI) would like to postpone next year’s Alpine skiing world championships in Cortina d’Ampezzo until March 2022.Italian Olympic Committee president Giovanni Malagò revealed the plans during an interview with RAI state TV on Sunday night.Malagò says “this is the best solution” in order to avoid the championships being canceled or shortened after the fallout in Italy from the coronavirus pandemic. Teams will be able to progress to full team training on May 30 once they complete five days of small group training.“Following the advice and counsel of our medical advisers, the NWSL is pleased to be taking the next steps to safely return to competition,” Commissioner Lisa Baird said Monday in a statement.The small groups cannot exceed eight players during Phase 2 of the nine-team league’s return to play protocol. Players must complete a pre-training assessment and undergo daily symptom and temperature screenings as well as other tests.Players will have to arrive in their training gear and wear masks when arriving and leaving the facility. They will be allowed to use weight rooms, training rooms and meeting rooms.The NWSL season was originally scheduled to start April 18. The league allowed voluntary individual outdoor workouts on May 6. ___More AP sports: https://apnews.com/apf-sports and https://twitter.com/AP_Sports,Tampa Bay Lightning advance to face Dallas Stars in Stanley Cup finals, beating New York Islanders 2-1 in OT in Game 6last_img read more