New Bill Pushes Requiring Naloxone in California to Be Made Available By All Employers

A new bill signed by Governor Newson improves headway for all California employers to, eventually, stock Naloxone in first aid kits. The bill, AB 1976, sets a deadline of December 1, 2028, for the Occupational Safety and Health Standards Board to consider proposals that would require all employers to have Naloxone or other opioid antagonists readily available on their worksites.
Naloxone in California and nationwide has become increasingly important as opioid-related deaths continue to rise. From workplace fatalities to accidents caused by overdoses and drug use, it's no surprise that lawmakers are now pushing for its widespread availability in the workplace.
What is AB 1976?
Assembly Bill 1976 is a bill that proposes the Division of Occupational Safety and Health of California (Cal/OSHA) submit amendments to requirements for first aid kits in California. According to these amendments, employers would now have to legally include Naloxone or other opioid antagonists on worksites. The bill aims to ensure that all employers in the state of California are equipped with life-saving medication that's stored properly and easy to access.
However, the bill did receive pushback from some organizations. In particular, the National Electrical Contractors Association and other construction industry stakeholders found it difficult to support changes to first aid kit standards right away. These organizations expressed concerns over proper storage of medication in construction sites, for instance, and training protocols for administering Naxolone. However, since the bill now only states that a proposal must be considered by December 1, 2028, and not necessarily implemented by then, many organizations have started to support it.
Why is Naloxone in California important in the workplace?
Naloxone is a medication used to reverse the effects of an opioid overdose. As opioid-related fatalities continue to increase in both California and nationwide, having Naloxone readily available in the workplace can save lives. In fact, according to a recent Cal/OSHA Petition, overdoses now account for nearly 1 in 11 worker deaths on the job nationwide. In California specifically, over 18% of workplace deaths in 2021 were due to an unintentional overdose.
Unfortunately, the signs and symptoms of someone struggling with an opioid addiction might not always be apparent, especially in the workplace. In addition, overdoses might not always be apparent, especially with opioids.
Recognizing Signs of an Overdose
Recognizing the signs and symptoms of an overdose, in addition to having naloxone on hand, can play a huge role in saving lives. Signs and symptoms of an opioid overdose can include:
- Slow or shallow breathing
- Drowsiness or difficulty staying awake
- Small, pinpoint pupils
- Confusion or disorientation
- Blue or purple tint to lips and fingernails
If you notice any of these signs in a coworker or employee, it is important to take action immediately. This could mean administering naloxone if available, calling 911, and providing first aid until help arrives.
In addition to recognizing these signs, proper training on administering naloxone can also make a significant impact in the workplace. By having naloxone and trained employees, businesses can be better prepared to handle emergencies.
Where Can Employees Find Naloxone?
Fortunately, Narcan and naloxone are available over the counter at most pharmacies. This means that anyone can purchase and keep them on hand in case of emergencies, including in the workplace. Even if you are not required by law to have naloxone in the workplace, or don't use opioids yourself, it can still be a potentially life-saving measure to have on hand.
Other places you can access Narcan and naloxone in California besides a traditional pharmacy include:
- Public health clinics
- Harm reduction centers
- Needle exchange sites
- Hospitals
- Community organizations
These are all excellent places where employees can also access resources for addiction treatment in addition to Naloxone in California. Whether it's enrolling in a rehab program or harm reduction, every resource that can help promote recovery and safety should be utilized by employees.
Creating a Safe and Supportive Workplace
Even if state law doesn't require Naloxone in California for employees, businesses should consider carrying naloxone to benefit and protect employees. Having naloxone available in the workplace can also send a message of support and safety for employees struggling with addiction or those who have loved ones who use opioids.
In addition, providing resources such as employee assistance programs, mental health services, and education on substance abuse can create a more open and supportive environment. In short, while state laws pave the way toward de-stigmatization of drug use, employers can do their part to create a safe and supportive workplace for all employees in the meantime.
Educating Employees about Proper Naloxone Use
Another important step in preventing opioid overdoses in the workplace is educating employees about proper Naloxone use and storage. Like most medications, Narcan and other opioid antagonists should be used as directed to get the most benefit.
AB 1976 specifically wants nasal naloxone in California to be provided in workplaces. Nasal sprays like Narcan are incredibly easy and intuitive to use. All you need to do is remove the protective cap, place the nozzle in a nostril, and press down on the plunger to administer the medication.
However, it's important for employees to understand how to properly store naloxone as well. The medication should be kept at room temperature and protected from direct sunlight. It should also be stored out of reach of children or anyone who may accidentally misuse it.
Employee training should include recognizing the signs of an opioid overdose, administering naloxone, and calling for emergency medical assistance. Additionally, employees should be made aware that naloxone is not a replacement for professional medical care and that calling 911 is always the best course of action in case of an overdose.
Encouraging Naloxone and Narcan Use
Whether someone is at home or at work, having Narcan or Naloxone on hand can mean the difference between life and death. AB 1976 highlights the importance of continuous change and support for people with substance and opioid use disorder. Narcan Finder is here to help employees and employers alike in obtaining, storing, and using naloxone properly! Check out our interactive map to find Narcan sites near you. Whether you're looking for Naloxone in California or any other state, Narcan Finder has you covered.