HI HB2063

Authorizes licensed paramedics to administer buprenorphine after administering naloxone to patients experiencing opioid overdose, beginning July 1, 2026, under Department of Health-approved protocols.

Requires patients to be alert with decision-making capacity and receive a same-day or next-day referral to a designated treatment provider capable of accepting patients within 24-48 hours.

Establishes a phased pilot program starting in at least one county with verified linkage-to-care capacity, with potential statewide expansion as treatment resources become available.

Mandates the Department of Health to adopt rules for clinical protocols, designate treatment centers, and coordinate between emergency medical services and substance use disorder treatment programs.

Requires a legislative report within 20 months of the pilot program's start, evaluating patient numbers, withdrawal outcomes, treatment engagement rates, and recommendations for expansion.