MI HB5261

Creates a nonopioid directive form that individuals can execute to request they not be administered opioids or prescribed opioid medications, with the form to be developed and made available by the Department of Health and Human Services.

Allows guardians or patient advocates to execute the nonopioid directive form on behalf of individuals, and permits revocation at any time through communication or written notice.

Permits opioid administration despite a nonopioid directive in emergency situations where medically necessary (with required substance use disorder information provided) and for intraoperative use during surgery.

Provides immunity from civil, criminal, and professional disciplinary liability for health professionals, facilities, employees, and emergency medical services personnel who reasonably and in good faith fail to administer or prescribe opioids to individuals with nonopioid directives.

Requires the department to promulgate rules establishing procedures for recording and revoking directives, ensuring confidentiality compliance, and exempting opioid administration for substance use disorder treatment and hospice patients.