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Pete Harckham

Sponsor · State Senator, District 40 · Democratic/Working Families

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Senate bill · S4150 (2025-26)

Relates to the availability of opioid reversal agents

Latest action Jan 12, 2026

Summary

Relates to the availability of opioid reversal agents; requires the department of health to make available any formulation and dosage of opioid reversal agents approved by the federal food and drug administration.

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Where it stands

Passed one of the two chambers; it still needs the other.

  1. Introduced
  2. In committee
  3. Up for a vote
  4. Passed one chamber
  5. Passed
  6. Enacted

New York State Senate

Same as A265, the matching bill in the Assembly.

Amends the Mental Hygiene Law.

Committee

Alcoholism and Drug Abuse · New York State Assembly

Also referred to Alcoholism And Substance Use Disorders · New York State Senate.

Purpose, from the sponsor's memo

Provide access to all formulations and doses of opioid reversal agents approved the Federal Drug and Administration

Filed with the bill. Read it on nysenate.gov (opens in a new tab)

The sponsor's argument

Why Pete Harckham says this is needed

This legislation is critically important as New York continues to confront an alarming increase in the rate of overdose deaths. Data from the CDC reports that the share of drug overdose deaths in the State involving opioids increased to 85% in 2020 and 2021 from 69% in 2010, and overdose fatalities grew across all racial and ethnic groups. Death rates increased five-fold for Black New Yorkers, quadrupled for Hispanic or Latino New Yorkers, and nearly tripled for white New Yorkers. In 2021, 30 out of every 100,000 New Yorkers lost their lives to drug over- doses; of that, 30, 25 died specifically from opioid overdoses. A stag- gering rise from 2010, which saw 5 opioid-related deaths per 100,000 residents. This public health crisis has evolved and continues to grow significantly. The transition from prescription drugs to heroin, and now predominantly to fentanyl, a synthetic opioid is responsible for a substantial portion of overdose incidents in recent years. Synthetic opioids, especially fentanyl, present a formidable challenge due to their unparalleled .potency-up to 50 times stronger than heroin and 100 times more potent than morphine. The numbers in New York are striking, with synthetic opioid-related overdoses, mainly due to fentanyl, rising from just 18 cases in 1999 to 4,950 in 2022. As we work to develop effective strategies to reduce overdose fatalities, it is essential that all communities in New York State have access to every life-saving FDA- approved opioid reversal agent. As the Food and Drug Administration continues to approve various formu- lations and dosages of FDA-approved opioid reversal agents to combat the rise of synthetic opioid overdose, it becomes essential for New York to offer the flexibility to make all formulations and dosages readily available. This approach aligns with a 2020 advisory from the CDC, which was directed at first responders, harm reduction organizations, and other stakeholders. The CDC's recommendations include the imperative to "expand distribution and use of FDA-approved opioid reversal agents and overdose prevention education." Increasing the resources accessible to first responders and individuals within the community is of paramount importance, particularly considering that 40% of all overdoses occur in the presence of another individual. This legislation will ensure that New York State is equipped with a comprehensive toolkit to effectively combat the overdose crisis and the surge in synthetic opioids, which is profoundly impacting communities and families across the state.

This is the sponsor's own case for the bill, quoted from their memorandum. It is not Agora's description of what the bill does.

Full history

  1. Jan 12, 2026

    Sent to the executive

    DELIVERED TO SENATE

    NY Assembly

  2. Jan 12, 2026

    Passed a chamber

    PASSED ASSEMBLY

    NY Assembly

  3. Jan 12, 2026

    Referred to committee

    REFERRED TO ALCOHOLISM AND SUBSTANCE USE DISORDERS

    NY Senate

  4. Jan 7, 2026

    Died in Senate

    DIED IN SENATE

    NY Senate

  5. Jan 7, 2026

    Ordered to Third Reading CAL.9

    ORDERED TO THIRD READING CAL.9

    NY Assembly

Show full history (9 earlier events)
  1. Jan 7, 2026

    Referred to committee

    REFERRED TO ALCOHOLISM AND SUBSTANCE USE DISORDERS

    NY Senate

  2. Jun 13, 2025

    Sent to the executive

    DELIVERED TO SENATE

    NY Assembly

  3. Jun 13, 2025

    Passed a chamber

    PASSED ASSEMBLY

    NY Assembly

  4. Jun 13, 2025

    Reported out of committee

    REPORTED REFERRED TO RULES

    NY Assembly

  5. Jun 13, 2025

    Rules Report CAL.705

    RULES REPORT CAL.705

    NY Assembly

  6. Feb 11, 2025

    Reported out of committee

    REPORTED REFERRED TO WAYS AND MEANS

    NY Assembly

  7. Feb 3, 2025

    Referred to committee

    REFERRED TO ALCOHOLISM AND SUBSTANCE USE DISORDERS

    NY Senate

  8. Jan 10, 2025

    Amend and Recommit to Alcoholism and Drug Abuse

    AMEND AND RECOMMIT TO ALCOHOLISM AND DRUG ABUSE

    NY Assembly

  9. Jan 8, 2025

    Referred to committee

    REFERRED TO ALCOHOLISM AND DRUG ABUSE

    NY Assembly

About this record

Summary

The summary comes from NY Open Legislation, the New York State Senate's public record. For more, see How we handle summaries.

Cosponsors

The list shows the cosponsors who are on Agora, A to Z. The official record may list more.

Party colors

Parties are shown in the same neutral colors.

Source

From NY Open Legislation, the NY Senate and Assembly, and official rosters. This record was last updated Nov 1, 2026. About our data

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