Sending Office: Honorable James R. Langevin
Sent By:

        Request for Signature(s)

Supported by the Association of Flight Attendants – CWA 

Current Cosigners: Susan Wild, David B. McKinley, P.E., André Carson, David P. Joyce, Sheila Jackson Lee,
Don Bacon, Ro Khanna, Gwen Moore, Eleanor Holmes Norton


Dear Colleague,

You may have seen recent media reports that an airline passenger died from an overdose while on a cross-country flight from Boston to Los Angeles. These reports stated that although those onboard tried to administer care, they did not have access to naloxone,
an opioid overdose prevention medication that may have saved the passenger’s life.

As our nation responds to the opioid crisis, we must ensure that all individuals have access to naloxone when needed – whether a person is on the ground or in the air. Currently, the FAA Administrator is evaluating emergency medical kits onboard passenger aircraft
as required by the FAA Reauthorization Act of 2018. As the Administrator conducts this review, I invite you to join me in urging him to include naloxone in emergency medical kits. Doing so will ensure that those responding to medical emergencies in the air
have access to the tools they need to help prevent future tragedies.  

If you have any questions or would like to cosign this letter, please contact Katherine Lee in Congressman Langevin’s office at or Mike McCabe in Congressman Fitzpatrick’s office
Deadline is COB on Wednesday, August 14th


James R. Langevin                         Brian Fitzpatrick
Member of Congress                      Member of Congress

Daniel K. Elwell
Acting Administrator
Federal Aviation Administration
800 Independence Avenue, SW
Washington, DC 20591

Dear Acting Administrator Elwell,

Section 307 of the FAA Reauthorization Act of 2018 (Public Law No. 115-254) requires the Administrator to reevaluate regulations regarding emergency medical equipment on passenger aircraft. As you continue this evaluation, we implore you to implement regulations
that require all certificate holders operating passenger aircraft to carry naloxone in emergency medical kits.

One of the most pressing health challenges facing our nation is the opioid crisis, which has claimed the lives of over 400,000 Americans in the last twenty years. As we develop best practices for responding to the opioid overdose epidemic, medical providers,
including the U.S. Surgeon General, have called for widespread access to and use of naloxone,[1] a life-saving, quick-acting overdose reversal drug. However,
passenger aircraft are not currently required to have naloxone onboard.

Media outlets recently reported that an airline passenger died from an overdose while on a flight from Boston to Los Angeles.[2] Coverage of the incident stated
that although flight attendants attempted to assist the dying man, they did not have access to the naloxone that could have saved his life. This is not the first report of an overdose on an aircraft,[3] and
unfortunately it will not be the last. 

As opioid overdoses continue to claim the lives of thousands of our friends, neighbors, and family members each year, we must ensure that emergency overdose treatment is available, whether a person is on the ground or in the air. While we are encouraged that
a few airlines are voluntarily carrying naloxone in their emergency medical kits, an individual’s chances of surviving an overdose should not depend on which air carrier he or she chooses.[4] As
you continue your evaluation of emergency medical equipment onboard passenger aircraft, we urge you to require the inclusion of naloxone in emergency medical kits and, in so doing, prevent overdose deaths on commercial airlines.




CC: Dr. Michael A. Berry, M.D., M.S., Federal Air Surgeon




[1] AMA Strengthens Its Policies Promoting Naloxone Access and Education –;
U.S. Surgeon General’s Advisory on Naloxone and Opioid Overdose –

[2] Delta Passenger Carried Off Plane ‘in a Body Bag’ After Bathroom Overdose, Flier Says –

[3] Naloxone, the medicine helping fight the opioid crisis, explained –

[4] Delta adding overdose-reversal drug on planes to combat opioid crisis –

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Selected legislative information:HealthCare, Transportation

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