Opioid overdose fatalities; dissolving Overdose Fatality Review Board; providing for Attorney General oversight. Effective date. Emergency.
SB 391 extends the Opioid Overdose Fatality Review Board's existence until July 1, 2026 (correcting the bill title's "dissolving" error), requiring it to review opioid overdose cases involving adults. The Board gathers confidential records from medical examiners, hospitals, law enforcement, and other agencies to identify systemic issues in medical or law enforcement responses, then makes recommendations for improvement. All case discussions and recommendations remain confidential and privileged, not admissible in court, while the Board must publish an annual public report by February 1 detailing its findings and system coordination. This directly affects state agencies (like mental health services, law enforcement, and medical examiners) and ensures public transparency through annual reports.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2025
Committee Review
May 2025
Senate Passage
Mar 2025
House Passage
May 2025
Signed into Law
May 2025
Introduced Feb 3, 2025
Signed May 14, 2025
Maddy AI version diff · 5 comparisons
What changed between versions
Floor (House)
→
Floor (Senate)
·
2 edits
MINOR
The bill was converted from the House version to the Senate floor version, with minor formatting adjustments and a new provision added at the end requiring the Attorney General to provide information to the Speaker of the House about overdose trends and systemic issues. The core policy provisions regarding the Opioid Overdose Fatality Review Board remain substantively unchanged.
Scope change
The scope of the bill remains the same; it continues to govern the Opioid Overdose Fatality Review Board within the Department of Mental Health and Substance Abuse Services.
REQUIREMENT
Added a new requirement for the Attorney General to provide information and guidance to the Speaker of the House regarding overdose trends, substances, methods, and systemic issues discovered in medical, law enforcement, or other relevant systems.
TECHNICAL
Minor formatting changes including page headers, date updates, and line numbering adjustments to reflect Senate floor version formatting.
Floor votes · Senate Mar 17, 2025 · House May 6, 2025
How they voted
39–8
Passed · 2 other
Total votes 49
Mar 17, 2025
D
Democratic9
88% Nay
R
Republican40
95% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
21
Key actions
5
Committee
4
May 6, 2025
Committee
Referred for enrollment
upper
May 6, 2025
Lower · Passed
Third Reading, Measure and Emergency passed: Ayes: 92 Nays: 0
lower
Apr 8, 2025
Lower · Passed
CR; Do Pass Administrative Rules Committee
lower
Mar 18, 2025
Introduced
First Reading
lower
Mar 18, 2025
Upper · Passed
Engrossed to House
upper
Mar 17, 2025
Committee
Referred for engrossment
upper
Mar 17, 2025
Upper · Passed
Measure and Emergency passed: Ayes: 37 Nays: 8
upper
Feb 13, 2025
Upper · Passed
Reported Do Pass, amended by committee substitute Administrative Rules committee; CR filed
upper
Feb 3, 2025
Introduced
First Reading
upper
2 primary · 0 co-sponsors
Sponsors
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