The bill establishes the Municipal Naloxone Bulk Purchase Trust Fund, which will be managed by the Commissioner of Public Health or a designated representative. This fund is designed to enable municipalities to acquire naloxone, a medication crucial for reversing opioid overdoses, at discounted rates for their first responder agencies. The State Office of Pharmacy Services will facilitate the purchasing and distribution of naloxone, while the Department of Public Health will provide necessary technical assistance to ensure compliance with training and registration requirements. The fund will be financed through payments from participating municipalities, appropriations, and contributions from public or private sources, aimed at reducing naloxone purchase costs.

Additionally, the bill mandates an annual report from the Commissioner to the House and Senate Committees on Ways and Means by October 1, detailing the fund's activities, including revenue, expenditure projections, and naloxone purchases by municipalities. The report aims to enhance transparency and accountability regarding the fund's use and the effectiveness of the bulk purchasing program in combating the opioid crisis in Massachusetts. The bill also introduces new legal language to improve the distribution process of naloxone products, ensuring that first responders and community organizations have reliable access to these life-saving medications.