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Alabama HB 364 Requires Physicians and Nurse Practitioners to Discuss Opioid Risks Before Initial and Third Prescriptions

Original title: Opioids; require health care professionals to discuss opioid use prior to prescription of Schedule II controlled substances, exceptions provided

Last action · January 29, 2026: Pending Committee Action in House of OriginSponsor: Greg Barnes

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Alabama health care professionals with prescription authority must discuss addiction risks, alternative treatments, and specific prescribing reasons with patients before issuing an initial and a third prescription for a or opioid pain relief drug, starting October 1, 2026.

Why it matters

Patients receiving certain controlled substances will receive specific risk disclosures and alternative treatment information unless exempt due to cancer, hospice care, long-term care residency, or substance abuse treatment.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

physicians

Physicians with prescription authority must conduct and document specific risk discussions before issuing initial and third prescriptions for certain controlled substances.

Directly affected

nurse practitioners

Certified registered nurse practitioners engaged in collaborative practice must conduct and document specific risk discussions before issuing initial and third prescriptions for certain controlled substances.

Directly affected

patients

Patients receiving initial and third prescriptions for Schedule II controlled substances or opioid pain relief drugs will receive mandatory risk disclosures and alternative treatment information.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

When does the discussion requirement apply?
The requirement applies before prescribing an initial prescription and again before prescribing a third prescription for a or opioid pain relief drug.
Are there any patient exemptions from this requirement?
Yes, exemptions are provided for patients in active cancer treatment, hospice or , long-term care facility residents, and patients being treated for substance abuse or opioid dependence.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

2 actions
  1. Jan 29, 2026HouseCommittee
    Pending Committee Action in House of Origin
  2. Jan 29, 2026HouseIntroduced
    Read for the first time and referred to the House Committee on Health

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Connected Entities

Greg Barnes
PersonGreg Barnes“Representative who introduced HB 364”Map →

Sources

Open source document

alison.legislature.state.al.us

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy25
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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