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Non-Opioid Directive Act: Patient Choice in Pain Management

This act allows individuals to formally state their preference to not receive opioids for pain management, including post-surgical pain. It aims to give patients more control over their treatment and reduce the risk of opioid addiction. The directive will be included in medical records, with exceptions for emergencies.
Key points
Individuals can execute a formal non-opioid pain management directive.
This directive will be included in medical records, including electronic ones, and visible to healthcare professionals.
Health plans and insurers must make the form available and notify enrollees of this option.
Exceptions allow opioid administration in medical emergencies or during surgery if medically necessary.
Healthcare professionals are protected from liability for adhering to the directive or for inadvertent administration in good faith.
The directive can be revoked at any time by the individual or their authorized representative.
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Status:
Expired
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Additional Information
Non-Opioid Directive Act
Print number: HR 4098
Sponsor: Rep. McKinley, David B. [R-WV-1]
Process start date: 2021-06-23
System Note: Lustra is free, publicly auditable civic infrastructure, with full source code available on GitHub. You are reading sterilized legislative data, processed by our radical neutrality engine to strip political spin and retain factual mechanics. We process only official government data. Original documents remain the authoritative source, always verify them if you can.
Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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Summary & Status

Key Questions about Non-Opioid Directive Act: Patient Choice in Pain Management

A structured overview of the legislative process, official sources, status and civic context.

What is the official ID of this bill?

The official print number for this legislation is HR 4098.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2021-06-23.

What are the main provisions?

Key points include:

  • Individuals can execute a formal non-opioid pain management directive.
  • This directive will be included in medical records, including electronic ones, and visible to healthcare professionals.
  • Health plans and insurers must make the form available and notify enrollees of this option.
  • Exceptions allow opioid administration in medical emergencies or during surgery if medically necessary.
  • Healthcare professionals are protected from liability for adhering to the directive or for inadvertent administration in good faith.
  • The directive can be revoked at any time by the individual or their authorized representative.

What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. McKinley, David B. [R-WV-1].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-28.

Analysis and Potential Impact of HR 4098

We don't know, that is up to you to decide. Summarizing raw data with AI is fundamentally different from predicting socio-economic outcomes. As of 2026, we believe impact assessment strictly requires a human in the loop to verify and judge. Review our public AI processing logs for full transparency, and use Lustra to track active legislation for instant status push notifications.

CATEGORIES

Health