Senate Bill No. 391 amends existing laws related to the Opioid Overdose Fatality Review Board by transferring its duties to the Office of the Attorney General. The bill repeals the section that outlines the membership of the Board and introduces new provisions that empower the Attorney General to coordinate efforts to address opioid overdose deaths, conduct case reviews, and collect and analyze data on such deaths. The Attorney General is also tasked with maintaining confidentiality of sensitive information and is granted the authority to assign duties to assistants or employees within the office.

Additionally, the bill mandates that the Center for Health Statistics provide death certificates related to overdose deaths to the Office of the Chief Medical Examiner, which will then refer cases to the Attorney General for further review. The Attorney General is required to submit annual reports on opioid overdose deaths and their causes, along with recommendations for improvements in the medical and law enforcement systems. The act is set to take effect on July 1, 2025, and includes an emergency clause for immediate implementation upon passage.