---
type: "Bill"
title: "Relates to prescribing an opioid antagonist with a patient's first opioid prescription each year"
description: "Provides that with the first opioid prescription of each year for use in a setting other than a general hospital or nursing home under article twenty-eight of this chapter or facility under article thirty-one of the mental hygiene law, or when a practitioner is prescribing a controlled substance to a patient under the care of hospice, the prescriber shall prescribe an opioid antagonist when any of the following risk factors are present: a history of substance abuse disorder; high dose or cumulative prescriptions that result in 90 morphine milligram equivalents or higher per day; concurrent use of opioids and benzodiazepine or nonbenzodiazepine sedative hypnotics."
jurisdiction: "us/states/ny"
legislature: "New York Legislature"
session: "2021-2022"
identifier: "A 336"
citation: "New York A 336 (2021-2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["BRAUNSTEIN"]
version_count: 2
action_count: 17
vote_count: 2
first_action: "2021-01-06"
last_action: "2021-12-30"
source: "openstates"
source_identifier: "ocd-bill/90779e16-6813-474d-bbef-ec5827ebf5f9"
source_url: "http://www.nysenate.gov/legislation/bills/2021/A336"
source_hash: "72f9abe3813a39966d88532767012f55f01e00b070c4307b66f0fee0a1de93d5"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ny"]
---

# New York A 336 (2021-2022) — Relates to prescribing an opioid antagonist with a patient's first opioid prescription each year

Provides that with the first opioid prescription of each year for use in a setting other than a general hospital or nursing home under article twenty-eight of this chapter or facility under article thirty-one of the mental hygiene law, or when a practitioner is prescribing a controlled substance to a patient under the care of hospice, the prescriber shall prescribe an opioid antagonist when any of the following risk factors are present: a history of substance abuse disorder; high dose or cumulative prescriptions that result in 90 morphine milligram equivalents or higher per day; concurrent use of opioids and benzodiazepine or nonbenzodiazepine sedative hypnotics.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **A336** (committee substitute) — [source](http://assembly.state.ny.us/leg/?sh=printbill&bn=A336&term=2021&Text=Y)
2. **A336A** (committee substitute) — [source](http://legislation.nysenate.gov/pdf/bills/2021/A336A)

## Votes

- Assembly Vote — **144–3** (pass) · lower
- Floor Vote - Version: A — **51–12** (pass) · upper

## Sponsors

- BRAUNSTEIN — primary (person)
- AUBRY — cosponsor (person)
- BARRON — cosponsor (person)
- CYMBROWITZ — cosponsor (person)
- DINOWITZ — cosponsor (person)
- FERNANDEZ — cosponsor (person)
- HEVESI — cosponsor (person)
- HUNTER — cosponsor (person)
- JOYNER — cosponsor (person)
- MCDONALD — cosponsor (person)
- OTIS — cosponsor (person)
- PERRY — cosponsor (person)
- RAMOS — cosponsor (person)
- ROSENTHAL L — cosponsor (person)
- ROZIC — cosponsor (person)
- STECK — cosponsor (person)
- STERN — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-01-06** REFERRED TO HEALTH `referral-committee`
- **2021-02-09** REPORTED REFERRED TO WAYS AND MEANS `referral-committee`
- **2021-04-19** AMEND AND RECOMMIT TO WAYS AND MEANS `amendment-passage, referral-committee`
- **2021-04-19** PRINT NUMBER 336A `amendment-passage`
- **2021-05-19** REPORTED REFERRED TO RULES `referral-committee`
- **2021-05-24** REPORTED
- **2021-05-24** RULES REPORT CAL.68
- **2021-05-24** ORDERED TO THIRD READING RULES CAL.68
- **2021-05-24** PASSED ASSEMBLY `passage`
- **2021-05-24** DELIVERED TO SENATE
- **2021-05-24** REFERRED TO FINANCE `referral-committee`
- **2021-06-03** SUBSTITUTED FOR S2966A
- **2021-06-03** 3RD READING CAL.904
- **2021-06-03** PASSED SENATE `passage`
- **2021-06-03** RETURNED TO ASSEMBLY
- **2021-12-17** DELIVERED TO GOVERNOR `executive-receipt`
- **2021-12-30** SIGNED CHAP.803 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/90779e16-6813-474d-bbef-ec5827ebf5f9`. Confidence: reported (aggregated from official New York legislature records).