MN SF4104

Repeals restrictions on methadone take-home doses based on treatment duration, allowing practitioners to individualize take-home dosing decisions for clients meeting established safety criteria.

Permits all clients to receive take-home doses for one weekend day and state/federal holidays when clinics are closed, regardless of treatment length, with doses beyond this requiring practitioner review of safety criteria per federal regulations.

Repeals the high-dose requirement mandating face-to-face meetings for methadone exceeding 150 milligrams or buprenorphine exceeding 24 milligrams daily.

Requires opioid treatment programs to maintain diversion control policies including monthly contact with at least 5% of clients with unsupervised use to verify medication accounting and document outcomes.

Establishes a temporary increase in counselor-to-client ratios from 1:50 to 1:60 from July 1, 2023 through June 30, 2024, with existing clients permitted to remain at 1:60 ratio after the deadline while new clients must have counselors below the 50-client threshold.