This bill, Minnesota Senate File No. 1814, relates to health care and aims to authorize the use of nonopioid directives while providing legal immunity to certain individuals and entities for compliance or inadvertent noncompliance. The bill makes amendments to Minnesota Statutes, Chapter 145C and includes the following provisions:

1. Definitions:

   • Defines an "Emergency Medical Services Provider" to include ambulance services, medical response units, emergency medical responders, and ambulance personnel.
   • Defines "Nonopioid Directive" as a written document stating that a patient must not be administered or prescribed opioids.
   • Defines "Prescriber" as a medical professional authorized to prescribe medications.

2. Inclusion in Medical Records:

   • Health care providers must enter a patient’s nonopioid directive into their medical records upon request.
   • If a patient revokes their nonopioid directive, the provider must also document the revocation.

3. Execution and Revocation of Nonopioid Directives:

   • A patient or their health care agent can execute a nonopioid directive.
   • Patients or their health care agents can revoke the directive at any time, either verbally or in writing.

4. Compliance and Exceptions:

   • Health professionals must comply with a nonopioid directive unless:
     • The patient is being treated in a hospital or emergency setting.
     • The prescriber deems opioid administration medically necessary.
   • If an opioid is administered under these exceptions, the patient must receive information on substance use disorder services.

5. Immunities:

   • Health professionals, health care employees, health care facilities, and emergency medical service providers are protected from liability, professional discipline, or criminal prosecution if they act reasonably and in good faith in either adhering to or inadvertently violating a nonopioid directive.

6. Nonopioid Directive Form:

   • The Minnesota Commissioner of Health must develop a standardized nonopioid directive form, post it on the Department of Health website, and include instructions on how to revoke it.

Purpose:
This bill aims to give patients more control over their pain management by allowing them to refuse opioid prescriptions and administration, while also protecting healthcare providers and emergency responders from legal repercussions when following or mistakenly not following such directives.