Health and Human Services - Policy and Legislative - Nonopioid Directive

Published: 1969

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(By authority conferred on the department of health and human services by sections

2226, 2233, and 9145 of the public health code, 1978 PA 368, MCL 333.2226, 333.2233,

and 333.9145)

R 333.1001 Recording directive form in medical record; electronic records.

Rule 1. (1) A health professional presented with a nonopioid directive must, without

undue delay, record the directive in the individual’s medical record.

(2) A nonopioid directive must be recorded in a manner, whether paper or electronic,

that makes the directive available to other health professionals who may review the


(3) A nonopioid directive may be incorporated into an existing patient form or other

documentation used by the health professional or health facility or agency.

History: 2019 AACS.

R 333.1002 Revoking a nonopioid directive form.

Rule 2. (1) A nonopioid directive form filed by an individual may be revoked at any

time and in any manner by which he or she is able to communicate his or her intent to

revoke the form.

(2) A nonopioid directive form filed by a patient advocate or guardian may be revoked

at any time by issuing the revocation in writing and providing notice of the revocation to

the individual’s health professional or his or her delegatee.

History: 2019 AACS.

R 333.1003 Confidentiality.

Rule 3. A health professional who records, discloses, distributes, or otherwise interacts

with a nonopioid directive form is required to abide by all relevant state and federal laws,

rules, and regulations applicable to confidentiality of other similar health data.

History: 2019 AACS.

R 333.1004 Exemptions; hospital and emergency setting; substance abuse disorder;

hospice patient.

Rule 4. A nonopioid directive does not preclude administration or prescription of

opioids when any of the following are met:

Courtesy of Michigan Administrative Rules

(a) The opioid is administered or prescribed to treat the individual for a substance use


(b) The criteria set forth by MCL 333.9145(3) are met.

(c) The opioid is administered or prescribed to an individual who is a hospice patient.

History: 2019 AACS.

Courtesy of Michigan Administrative Rules