28 | | - | licensing and registration requirements for certain wholesale drug distributors; relating 3 |
---|
29 | | - | to prescriptions for epinephrine; relating to the administration of epinephrine; and 4 |
---|
30 | | - | providing for an effective date." 5 |
---|
31 | | - | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 6 |
---|
32 | | - | * Section 1. AS 08.80.010(a) is amended to read: 7 |
---|
33 | | - | (a) There is created the Board of Pharmacy, composed of seven members, five 8 |
---|
34 | | - | of whom shall be pharmacists licensed in the state who have been actively engaged in 9 |
---|
35 | | - | the practice of pharmacy in the state for a period of three years immediately preceding 10 |
---|
| 29 | + | prescriptions for epinephrine; relating to the administration of epinephrine; and 3 |
---|
| 30 | + | providing for an effective date." 4 |
---|
| 31 | + | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 5 |
---|
| 32 | + | * Section 1. AS 08.80.010(a) is amended to read: 6 |
---|
| 33 | + | (a) There is created the Board of Pharmacy, composed of seven members, five 7 |
---|
| 34 | + | of whom shall be pharmacists licensed in the state who have been actively engaged in 8 |
---|
| 35 | + | the practice of pharmacy in the state for a period of three years immediately preceding 9 |
---|
43 | | - | Whenever possible, the board shall include at least one member from each judicial 1 |
---|
44 | | - | district. 2 |
---|
45 | | - | * Sec. 2. AS 08.80.030(b) is amended to read: 3 |
---|
46 | | - | (b) In order to fulfill its responsibilities, the board has the powers necessary 4 |
---|
47 | | - | for implementation and enforcement of this chapter, including the power to 5 |
---|
48 | | - | (1) elect a president and secretary from its membership and adopt rules 6 |
---|
49 | | - | for the conduct of its business; 7 |
---|
50 | | - | (2) license by examination or by license transfer the applicants who are 8 |
---|
51 | | - | qualified to engage in the practice of pharmacy; 9 |
---|
52 | | - | (3) assist the department in inspections and investigations for 10 |
---|
53 | | - | violations of this chapter, or of any other state or federal statute relating to the practice 11 |
---|
54 | | - | of pharmacy; 12 |
---|
55 | | - | (4) adopt regulations to carry out the purposes of this chapter; 13 |
---|
56 | | - | (5) establish and enforce compliance with professional standards and 14 |
---|
57 | | - | rules of conduct for pharmacists engaged in the practice of pharmacy; 15 |
---|
58 | | - | (6) determine standards for recognition and approval of degree 16 |
---|
59 | | - | programs of schools and colleges of pharmacy whose graduates shall be eligible for 17 |
---|
60 | | - | licensure in this state, including the specification and enforcement of requirements for 18 |
---|
61 | | - | practical training, including internships; 19 |
---|
62 | | - | (7) establish for pharmacists and pharmacies minimum specifications 20 |
---|
63 | | - | for the physical facilities, technical equipment, personnel, and procedures for the 21 |
---|
64 | | - | storage, compounding, and dispensing of drugs or related devices, and for the 22 |
---|
65 | | - | monitoring of drug therapy, including independent monitoring of drug therapy; 23 |
---|
66 | | - | (8) enforce the provisions of this chapter relating to the conduct or 24 |
---|
67 | | - | competence of pharmacists practicing in the state, and the suspension, revocation, or 25 |
---|
68 | | - | restriction of licenses to engage in the practice of pharmacy; 26 |
---|
69 | | - | (9) license and regulate the training, qualifications, and employment of 27 |
---|
70 | | - | pharmacy interns and pharmacy technicians; 28 |
---|
71 | | - | (10) license and regulate the qualifications of entities and 29 |
---|
72 | | - | individuals [ISSUE LICENSES TO PERSONS] engaged in the manufacture or 30 |
---|
73 | | - | [AND] distribution of drugs and related devices; 31 33-LS0293\R |
---|
74 | | - | SB0094B -3- CSSB 94(L&C) |
---|
| 45 | + | * Sec. 2. AS 08.80.030(b) is amended to read: 1 |
---|
| 46 | + | (b) In order to fulfill its responsibilities, the board has the powers necessary 2 |
---|
| 47 | + | for implementation and enforcement of this chapter, including the power to 3 |
---|
| 48 | + | (1) elect a president and secretary from its membership and adopt rules 4 |
---|
| 49 | + | for the conduct of its business; 5 |
---|
| 50 | + | (2) license by examination or by license transfer the applicants who are 6 |
---|
| 51 | + | qualified to engage in the practice of pharmacy; 7 |
---|
| 52 | + | (3) assist the department in inspections and investigations for 8 |
---|
| 53 | + | violations of this chapter, or of any other state or federal statute relating to the practice 9 |
---|
| 54 | + | of pharmacy; 10 |
---|
| 55 | + | (4) adopt regulations to carry out the purposes of this chapter; 11 |
---|
| 56 | + | (5) establish and enforce compliance with professional standards and 12 |
---|
| 57 | + | rules of conduct for pharmacists engaged in the practice of pharmacy; 13 |
---|
| 58 | + | (6) determine standards for recognition and approval of degree 14 |
---|
| 59 | + | programs of schools and colleges of pharmacy whose graduates shall be eligible for 15 |
---|
| 60 | + | licensure in this state, including the specification and enforcement of requirements for 16 |
---|
| 61 | + | practical training, including internships; 17 |
---|
| 62 | + | (7) establish for pharmacists and pharmacies minimum specifications 18 |
---|
| 63 | + | for the physical facilities, technical equipment, personnel, and procedures for the 19 |
---|
| 64 | + | storage, compounding, and dispensing of drugs or related devices, and for the 20 |
---|
| 65 | + | monitoring of drug therapy, including independent monitoring of drug therapy; 21 |
---|
| 66 | + | (8) enforce the provisions of this chapter relating to the conduct or 22 |
---|
| 67 | + | competence of pharmacists practicing in the state, and the suspension, revocation, or 23 |
---|
| 68 | + | restriction of licenses to engage in the practice of pharmacy; 24 |
---|
| 69 | + | (9) license and regulate the training, qualifications, and employment of 25 |
---|
| 70 | + | pharmacy interns and pharmacy technicians; 26 |
---|
| 71 | + | (10) license and regulate the qualifications of entities and 27 |
---|
| 72 | + | individuals [ISSUE LICENSES TO PERSONS] engaged in the manufacture or 28 |
---|
| 73 | + | [AND] distribution of drugs and related devices; 29 |
---|
| 74 | + | (11) establish and maintain a controlled substance prescription 30 |
---|
| 75 | + | database as provided in AS 17.30.200; 31 33-LS0293\U |
---|
| 76 | + | SB0094A -3- SB 94 |
---|
77 | | - | (11) establish and maintain a controlled substance prescription 1 |
---|
78 | | - | database as provided in AS 17.30.200; 2 |
---|
79 | | - | (12) establish standards for the independent prescribing and 3 |
---|
80 | | - | administration of vaccines and related emergency medications under AS 08.80.168, 4 |
---|
81 | | - | including the completion of an immunization training program approved by the board 5 |
---|
82 | | - | and an epinephrine auto-injector training program under AS 17.22.020(b); 6 |
---|
83 | | - | (13) establish standards for the independent prescribing and dispensing 7 |
---|
84 | | - | by a pharmacist of an opioid overdose drug under AS 17.20.085, including the 8 |
---|
85 | | - | completion of an opioid overdose training program approved by the board; 9 |
---|
86 | | - | (14) require that a licensed pharmacist who dispenses a schedule II, 10 |
---|
87 | | - | III, or IV controlled substance under federal law to a person in the state register 11 |
---|
88 | | - | with the controlled substance prescription database under AS 17.30.200(n); 12 |
---|
89 | | - | (15) establish the qualifications and duties of the executive 13 |
---|
90 | | - | administrator and delegate authority to the executive administrator that is necessary to 14 |
---|
91 | | - | conduct board business; 15 |
---|
92 | | - | (16) license and inspect the facilities of pharmacies, manufacturers, 16 |
---|
93 | | - | wholesale drug distributors, third-party logistics providers, and outsourcing facilities 17 |
---|
94 | | - | located outside the state under AS 08.80.159; 18 |
---|
95 | | - | (17) license Internet-based pharmacies providing services to 19 |
---|
96 | | - | residents in the state; 20 |
---|
97 | | - | (18) adopt regulations pertaining to retired pharmacist status. 21 |
---|
98 | | - | * Sec. 3. AS 08.80.145 is amended to read: 22 |
---|
99 | | - | Sec. 08.80.145. Reciprocity; license transfer. If another jurisdiction allows 23 |
---|
100 | | - | licensure in that jurisdiction of a pharmacist licensed in this state under conditions 24 |
---|
101 | | - | similar to those in this section, the board may license as a pharmacist in this state a 25 |
---|
102 | | - | person licensed as a pharmacist in the other jurisdiction if the person 26 |
---|
103 | | - | (1) submits a written application to the board on a form required by the 27 |
---|
104 | | - | board; 28 |
---|
105 | | - | (2) is at least 18 years of age; 29 |
---|
106 | | - | (3) [IS OF GOOD MORAL CHARACTER; 30 |
---|
107 | | - | (4)] possesses at the time of the request for licensure as a pharmacist in 31 33-LS0293\R |
---|
108 | | - | CSSB 94(L&C) -4- SB0094B |
---|
| 79 | + | (12) establish standards for the independent prescribing and 1 |
---|
| 80 | + | administration of vaccines and related emergency medications under AS 08.80.168, 2 |
---|
| 81 | + | including the completion of an immunization training program approved by the board 3 |
---|
| 82 | + | and an epinephrine auto-injector training program under AS 17.22.020(b); 4 |
---|
| 83 | + | (13) establish standards for the independent prescribing and dispensing 5 |
---|
| 84 | + | by a pharmacist of an opioid overdose drug under AS 17.20.085, including the 6 |
---|
| 85 | + | completion of an opioid overdose training program approved by the board; 7 |
---|
| 86 | + | (14) require that a licensed pharmacist who dispenses a schedule II, 8 |
---|
| 87 | + | III, or IV controlled substance under federal law to a person in the state register 9 |
---|
| 88 | + | with the controlled substance prescription database under AS 17.30.200(n); 10 |
---|
| 89 | + | (15) establish the qualifications and duties of the executive 11 |
---|
| 90 | + | administrator and delegate authority to the executive administrator that is necessary to 12 |
---|
| 91 | + | conduct board business; 13 |
---|
| 92 | + | (16) license and inspect the facilities of pharmacies, manufacturers, 14 |
---|
| 93 | + | wholesale drug distributors, third-party logistics providers, and outsourcing facilities 15 |
---|
| 94 | + | located outside the state under AS 08.80.159; 16 |
---|
| 95 | + | (17) license Internet-based pharmacies providing services to 17 |
---|
| 96 | + | residents in the state; 18 |
---|
| 97 | + | (18) adopt regulations pertaining to retired pharmacist status. 19 |
---|
| 98 | + | * Sec. 3. AS 08.80.145 is amended to read: 20 |
---|
| 99 | + | Sec. 08.80.145. Reciprocity; license transfer. If another jurisdiction allows 21 |
---|
| 100 | + | licensure in that jurisdiction of a pharmacist licensed in this state under conditions 22 |
---|
| 101 | + | similar to those in this section, the board may license as a pharmacist in this state a 23 |
---|
| 102 | + | person licensed as a pharmacist in the other jurisdiction if the person 24 |
---|
| 103 | + | (1) submits a written application to the board on a form required by the 25 |
---|
| 104 | + | board; 26 |
---|
| 105 | + | (2) is at least 18 years of age; 27 |
---|
| 106 | + | (3) [IS OF GOOD MORAL CHARACTER; 28 |
---|
| 107 | + | (4)] possesses at the time of the request for licensure as a pharmacist in 29 |
---|
| 108 | + | this state the qualifications necessary to be eligible for licensure in this state; 30 |
---|
| 109 | + | (4) [(5)] has engaged in the practice of pharmacy for at least one year 31 33-LS0293\U |
---|
| 110 | + | SB 94 -4- SB0094A |
---|
111 | | - | this state the qualifications necessary to be eligible for licensure in this state; 1 |
---|
112 | | - | (4) [(5)] has engaged in the practice of pharmacy for at least one year 2 |
---|
113 | | - | [OR HAS MET THE INTERNSHIP REQUIREMENTS OF THIS STATE WITHIN 3 |
---|
114 | | - | THE ONE-YEAR PERIOD] immediately before applying for a license under this 4 |
---|
115 | | - | section; 5 |
---|
116 | | - | (5) [(6)] presents proof satisfactory to the board that the person is 6 |
---|
117 | | - | currently licensed as a pharmacist in the other jurisdiction and does not currently have 7 |
---|
118 | | - | a pharmacist license suspended, revoked, or otherwise restricted except for failure to 8 |
---|
119 | | - | apply for renewal or failure to obtain the required continuing education credits; 9 |
---|
120 | | - | (6) [(7)] has passed an examination approved by the board that tests 10 |
---|
121 | | - | the person's knowledge of Alaska laws relating to pharmacies and pharmacists and the 11 |
---|
122 | | - | regulations adopted under those laws; and 12 |
---|
123 | | - | (7) [(8)] pays all required fees. 13 |
---|
124 | | - | * Sec. 4. AS 08.80.157(h) is amended to read: 14 |
---|
125 | | - | (h) The board may suspend, revoke, deny, or refuse to renew the license of a 15 |
---|
126 | | - | facility or pharmacy on the following grounds: 16 |
---|
127 | | - | (1) the finding by the board of violations of a federal, state, or local 17 |
---|
128 | | - | law relating to the practice of pharmacy, drug samples, wholesale or retail drug or 18 |
---|
129 | | - | device distribution, or distribution of controlled substances; 19 |
---|
130 | | - | (2) a felony conviction under federal, state, or local law of an owner of 20 |
---|
131 | | - | the facility or pharmacy or of an employee of the facility or pharmacy; 21 |
---|
132 | | - | (3) the furnishing of false or fraudulent material in an application made 22 |
---|
133 | | - | in connection with drug or device manufacturing or distribution; 23 |
---|
134 | | - | (4) suspension or revocation by federal, state, or local government of a 24 |
---|
135 | | - | license currently or previously held by the applicant for the manufacture or 25 |
---|
136 | | - | distribution of drugs or devices, including controlled substances; 26 |
---|
137 | | - | (5) obtaining remuneration by fraud, misrepresentation, or deception; 27 |
---|
138 | | - | (6) dealing with drugs or devices that are known or should have been 28 |
---|
139 | | - | known to be stolen drugs or devices; 29 |
---|
140 | | - | (7) dispensing or distributing drugs or devices directly to patients by a 30 |
---|
141 | | - | wholesale drug distributor other than a pharmacy unless 31 33-LS0293\R |
---|
142 | | - | SB0094B -5- CSSB 94(L&C) |
---|
| 113 | + | [OR HAS MET THE INTERNSHIP REQUIREMENTS OF THIS STATE WITHIN 1 |
---|
| 114 | + | THE ONE-YEAR PERIOD] immediately before applying for a license under this 2 |
---|
| 115 | + | section; 3 |
---|
| 116 | + | (5) [(6)] presents proof satisfactory to the board that the person is 4 |
---|
| 117 | + | currently licensed as a pharmacist in the other jurisdiction and does not currently have 5 |
---|
| 118 | + | a pharmacist license suspended, revoked, or otherwise restricted except for failure to 6 |
---|
| 119 | + | apply for renewal or failure to obtain the required continuing education credits; 7 |
---|
| 120 | + | (6) [(7)] has passed an examination approved by the board that tests 8 |
---|
| 121 | + | the person's knowledge of Alaska laws relating to pharmacies and pharmacists and the 9 |
---|
| 122 | + | regulations adopted under those laws; and 10 |
---|
| 123 | + | (7) [(8)] pays all required fees. 11 |
---|
| 124 | + | * Sec. 4. AS 08.80.157(k) is amended to read: 12 |
---|
| 125 | + | (k) This section applies to pharmacies, manufacturers, wholesale drug 13 |
---|
| 126 | + | distributors, third-party logistics providers, and outsourcing facilities located outside 14 |
---|
| 127 | + | the state under AS 08.80.159. 15 |
---|
| 128 | + | * Sec. 5. AS 08.80.159(a) is amended to read: 16 |
---|
| 129 | + | (a) Before shipping, mailing, distributing, or delivering a prescription drug 17 |
---|
| 130 | + | [DRUGS] to a person [LICENSEE] in the state or advertising in the state, a 18 |
---|
| 131 | + | pharmacy, manufacturer, wholesale drug distributor, third-party logistics provider, 19 |
---|
| 132 | + | or an outsourcing facility that is located outside the state shall 20 |
---|
| 133 | + | (1) obtain a license under AS 08.80.157; 21 |
---|
| 134 | + | (2) appoint an agent on whom process can be served in the state; and 22 |
---|
| 135 | + | (3) authorize inspection of the facility by a designee of the board under 23 |
---|
| 136 | + | (c) of this section. 24 |
---|
| 137 | + | * Sec. 6. AS 08.80.159(c) is amended to read: 25 |
---|
| 138 | + | (c) Upon application by a pharmacy, manufacturer, wholesale drug 26 |
---|
| 139 | + | distributor, third-party logistics provider, or an outsourcing facility for a license under 27 |
---|
| 140 | + | this section, the board may 28 |
---|
| 141 | + | (1) require an inspection of the applicant's facility located outside the 29 |
---|
| 142 | + | state; and 30 |
---|
| 143 | + | (2) approve a designee to conduct the inspection. 31 33-LS0293\U |
---|
| 144 | + | SB0094A -5- SB 94 |
---|
145 | | - | (A) the drug or device is a dialysate, drug composed solely 1 |
---|
146 | | - | of fluids, electrolytes, and sugars, or device that is 2 |
---|
147 | | - | (i) necessary to perform home dialysis; 3 |
---|
148 | | - | (ii) approved by the United States Food and Drug 4 |
---|
149 | | - | Administration, as required by federal law; and 5 |
---|
150 | | - | (iii) delivered in its original, sealed, and labeled 6 |
---|
151 | | - | packaging only upon the receipt of a physician's order; and 7 |
---|
152 | | - | (B) the wholesale drug distributor 8 |
---|
153 | | - | (i) delivers the dialysate drug or device directly to a 9 |
---|
154 | | - | patient with end-stage renal disease, or to the patient's designee, 10 |
---|
155 | | - | for the patient's self-administration of dialysis therapy; 11 |
---|
156 | | - | (ii) uses a bar code scanning and verification system 12 |
---|
157 | | - | confirming that the dialysate drug or device selected to fill the 13 |
---|
158 | | - | patient-specific order matches the information on the patient-14 |
---|
159 | | - | specific label; and 15 |
---|
160 | | - | (iii) has additional secondary accuracy and delivery 16 |
---|
161 | | - | checks in place; and 17 |
---|
162 | | - | (C) a licensed pharmacist serves as a consultant to the 18 |
---|
163 | | - | wholesale drug distributor to 19 |
---|
164 | | - | (i) conduct a retrospective audit of 10 percent of the 20 |
---|
165 | | - | dialysate drug and device orders provided directly to patients 21 |
---|
166 | | - | processed by the wholesale drug distributor every month; and 22 |
---|
167 | | - | (ii) perform assessments at least twice monthly to 23 |
---|
168 | | - | ensure quality of product storage, handling, and distribution by the 24 |
---|
169 | | - | wholesale drug distributor, and to ensure product expiration dates 25 |
---|
170 | | - | are later than three months after the date of assessment; 26 |
---|
171 | | - | (8) violation of this chapter or a regulation adopted under this chapter. 27 |
---|
172 | | - | * Sec. 5. AS 08.80.157(k) is amended to read: 28 |
---|
173 | | - | (k) This section applies to pharmacies, manufacturers, wholesale drug 29 |
---|
174 | | - | distributors, third-party logistics providers, and outsourcing facilities located outside 30 |
---|
175 | | - | the state under AS 08.80.159. 31 33-LS0293\R |
---|
176 | | - | CSSB 94(L&C) -6- SB0094B |
---|
| 147 | + | * Sec. 7. AS 08.80.160 is amended to read: 1 |
---|
| 148 | + | Sec. 08.80.160. Fees. The Department of Commerce, Community, and 2 |
---|
| 149 | + | Economic Development shall set fees under AS 08.01.065 for the following: 3 |
---|
| 150 | + | (1) examination; 4 |
---|
| 151 | + | (2) reexamination; 5 |
---|
| 152 | + | (3) investigation for licensing by license transfer; 6 |
---|
| 153 | + | (4) pharmacist license; 7 |
---|
| 154 | + | (5) temporary license; 8 |
---|
| 155 | + | (6) pharmacy technician license; 9 |
---|
| 156 | + | (7) pharmacy intern license; 10 |
---|
| 157 | + | (8) emergency permit; 11 |
---|
| 158 | + | (9) license amendment or replacement; 12 |
---|
| 159 | + | (10) [REGISTRATION OR] licensure of a facility classified under 13 |
---|
| 160 | + | AS 08.80.157(b). 14 |
---|
| 161 | + | * Sec. 8. AS 08.80.168 is amended by adding a new subsection to read: 15 |
---|
| 162 | + | (e) A pharmacist may independently administer epinephrine to a patient or 16 |
---|
| 163 | + | prescribe epinephrine auto-injectors to a person who has completed a training program 17 |
---|
| 164 | + | approved by the board under AS 17.22.020(b). 18 |
---|
| 165 | + | * Sec. 9. AS 08.80.270(a) is amended to read: 19 |
---|
| 166 | + | (a) The board shall employ an executive administrator to carry out the duties 20 |
---|
| 167 | + | established under (b) of this section. The executive administrator is the principal 21 |
---|
| 168 | + | executive officer of the board. The executive administrator is in the partially exempt 22 |
---|
| 169 | + | service under AS 39.25.120 and is entitled to receive a monthly salary equal to a step 23 |
---|
| 170 | + | in range 23 on the salary schedule set out in AS 39.27.011(a). If the executive 24 |
---|
| 171 | + | administrator has a pharmacist license, the executive administrator is entitled to 25 |
---|
| 172 | + | a monthly salary based on the salary classification for pharmacists. 26 |
---|
| 173 | + | * Sec. 10. AS 08.80.420(a) is amended to read: 27 |
---|
| 174 | + | (a) A person may not use or exhibit the title "pharmacist," "assistant 28 |
---|
| 175 | + | pharmacist," or "druggist," or the descriptive term "pharmacy," "drug store," "drug 29 |
---|
| 176 | + | sundries," "apothecary," or other similar title or term containing the word "drug," in 30 |
---|
| 177 | + | any business premises [,] or in an advertisement through the media of press [,] or 31 33-LS0293\U |
---|
| 178 | + | SB 94 -6- SB0094A |
---|
179 | | - | * Sec. 6. AS 08.80.159(a) is amended to read: 1 |
---|
180 | | - | (a) Before shipping, mailing, distributing, or delivering a prescription drug 2 |
---|
181 | | - | [DRUGS] to a person [LICENSEE] in the state or advertising in the state, a 3 |
---|
182 | | - | pharmacy, manufacturer, wholesale drug distributor, third-party logistics provider, 4 |
---|
183 | | - | or an outsourcing facility that is located outside the state shall 5 |
---|
184 | | - | (1) obtain a license under AS 08.80.157; 6 |
---|
185 | | - | (2) appoint an agent on whom process can be served in the state; and 7 |
---|
186 | | - | (3) authorize inspection of the facility by a designee of the board under 8 |
---|
187 | | - | (c) of this section. 9 |
---|
188 | | - | * Sec. 7. AS 08.80.159(c) is amended to read: 10 |
---|
189 | | - | (c) Upon application by a pharmacy, manufacturer, wholesale drug 11 |
---|
190 | | - | distributor, third-party logistics provider, or an outsourcing facility for a license under 12 |
---|
191 | | - | this section, the board may 13 |
---|
192 | | - | (1) require an inspection of the applicant's facility located outside the 14 |
---|
193 | | - | state; and 15 |
---|
194 | | - | (2) approve a designee to conduct the inspection. 16 |
---|
195 | | - | * Sec. 8. AS 08.80.160 is amended to read: 17 |
---|
196 | | - | Sec. 08.80.160. Fees. The Department of Commerce, Community, and 18 |
---|
197 | | - | Economic Development shall set fees under AS 08.01.065 for the following: 19 |
---|
198 | | - | (1) examination; 20 |
---|
199 | | - | (2) reexamination; 21 |
---|
200 | | - | (3) investigation for licensing by license transfer; 22 |
---|
201 | | - | (4) pharmacist license; 23 |
---|
202 | | - | (5) temporary license; 24 |
---|
203 | | - | (6) pharmacy technician license; 25 |
---|
204 | | - | (7) pharmacy intern license; 26 |
---|
205 | | - | (8) emergency permit; 27 |
---|
206 | | - | (9) license amendment or replacement; 28 |
---|
207 | | - | (10) [REGISTRATION OR] licensure of a facility classified under 29 |
---|
208 | | - | AS 08.80.157(b). 30 |
---|
209 | | - | * Sec. 9. AS 08.80.168 is amended by adding a new subsection to read: 31 33-LS0293\R |
---|
210 | | - | SB0094B -7- CSSB 94(L&C) |
---|
| 181 | + | publication, or by radio or television, unless the business has a licensed pharmacist in 1 |
---|
| 182 | + | regular and continuous employment. 2 |
---|
| 183 | + | * Sec. 11. AS 12.62.400(a) is amended to read: 3 |
---|
| 184 | + | (a) To obtain a national criminal history record check for determining a 4 |
---|
| 185 | + | person's qualifications for a license, permit, registration, employment, or position, a 5 |
---|
| 186 | + | person shall submit the person's fingerprints to the department with the fee established 6 |
---|
| 187 | + | by AS 12.62.160. The department may submit the fingerprints to the Federal Bureau 7 |
---|
| 188 | + | of Investigation to obtain a national criminal history record check of the person for the 8 |
---|
| 189 | + | purpose of evaluating a person's qualifications for 9 |
---|
| 190 | + | (1) a license or conditional contractor's permit to manufacture, sell, 10 |
---|
| 191 | + | offer for sale, possess for sale or barter, traffic in, or barter an alcoholic beverage 11 |
---|
| 192 | + | under AS 04.11; 12 |
---|
| 193 | + | (2) licensure as a mortgage lender, a mortgage broker, or a mortgage 13 |
---|
| 194 | + | loan originator under AS 06.60; 14 |
---|
| 195 | + | (3) admission to the Alaska Bar Association under AS 08.08; 15 |
---|
| 196 | + | (4) licensure as a collection agency operator under AS 08.24; 16 |
---|
| 197 | + | (5) a certificate of fitness to handle explosives under AS 08.52; 17 |
---|
| 198 | + | (6) licensure as a massage therapist under AS 08.61; 18 |
---|
| 199 | + | (7) licensure to practice nursing or certification as a nurse aide under 19 |
---|
| 200 | + | AS 08.68; 20 |
---|
| 201 | + | (8) certification as a real estate appraiser under AS 08.87; 21 |
---|
| 202 | + | (9) a position involving supervisory or disciplinary power over a minor 22 |
---|
| 203 | + | or dependent adult for which criminal justice information may be released under 23 |
---|
| 204 | + | AS 12.62.160(b)(9); 24 |
---|
| 205 | + | (10) a teacher certificate under AS 14.20; 25 |
---|
| 206 | + | (11) a registration or license to operate a marijuana establishment 26 |
---|
| 207 | + | under AS 17.38; 27 |
---|
| 208 | + | (12) admittance to a police training program under AS 18.65.230 or for 28 |
---|
| 209 | + | certification as a police officer under AS 18.65.240 if that person's prospective 29 |
---|
| 210 | + | employer does not have access to a criminal justice information system; 30 |
---|
| 211 | + | (13) licensure as a security guard under AS 18.65.400 - 18.65.490; 31 33-LS0293\U |
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| 212 | + | SB0094A -7- SB 94 |
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213 | | - | (e) A pharmacist may independently administer epinephrine to a patient or 1 |
---|
214 | | - | prescribe epinephrine auto-injectors to a person who has completed a training program 2 |
---|
215 | | - | approved by the board under AS 17.22.020(b). 3 |
---|
216 | | - | * Sec. 10. AS 08.80.270(a) is amended to read: 4 |
---|
217 | | - | (a) The board shall employ an executive administrator to carry out the duties 5 |
---|
218 | | - | established under (b) of this section. The executive administrator is the principal 6 |
---|
219 | | - | executive officer of the board. The executive administrator is in the partially exempt 7 |
---|
220 | | - | service under AS 39.25.120 and is entitled to receive a monthly salary equal to a step 8 |
---|
221 | | - | in range 23 on the salary schedule set out in AS 39.27.011(a). If the executive 9 |
---|
222 | | - | administrator has a pharmacist license, the executive administrator is entitled to 10 |
---|
223 | | - | a monthly salary based on the salary classification for pharmacists. 11 |
---|
224 | | - | * Sec. 11. AS 08.80.420(a) is amended to read: 12 |
---|
225 | | - | (a) A person may not use or exhibit the title "pharmacist," "assistant 13 |
---|
226 | | - | pharmacist," or "druggist," or the descriptive term "pharmacy," "drug store," "drug 14 |
---|
227 | | - | sundries," "apothecary," or other similar title or term containing the word "drug," in 15 |
---|
228 | | - | any business premises [,] or in an advertisement through the media of press [,] or 16 |
---|
229 | | - | publication, or by radio or television, unless the business has a licensed pharmacist in 17 |
---|
230 | | - | regular and continuous employment. 18 |
---|
231 | | - | * Sec. 12. AS 12.62.400(a) is amended to read: 19 |
---|
232 | | - | (a) To obtain a national criminal history record check for determining a 20 |
---|
233 | | - | person's qualifications for a license, permit, registration, employment, or position, a 21 |
---|
234 | | - | person shall submit the person's fingerprints to the department with the fee established 22 |
---|
235 | | - | by AS 12.62.160. The department may submit the fingerprints to the Federal Bureau 23 |
---|
236 | | - | of Investigation to obtain a national criminal history record check of the person for the 24 |
---|
237 | | - | purpose of evaluating a person's qualifications for 25 |
---|
238 | | - | (1) a license or conditional contractor's permit to manufacture, sell, 26 |
---|
239 | | - | offer for sale, possess for sale or barter, traffic in, or barter an alcoholic beverage 27 |
---|
240 | | - | under AS 04.11; 28 |
---|
241 | | - | (2) licensure as a mortgage lender, a mortgage broker, or a mortgage 29 |
---|
242 | | - | loan originator under AS 06.60; 30 |
---|
243 | | - | (3) admission to the Alaska Bar Association under AS 08.08; 31 33-LS0293\R |
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244 | | - | CSSB 94(L&C) -8- SB0094B |
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| 215 | + | (14) a concealed handgun permit under AS 18.65.700 - 18.65.790; 1 |
---|
| 216 | + | (15) licensure as an insurance producer, managing general agent, 2 |
---|
| 217 | + | reinsurance intermediary broker, reinsurance intermediary manager, surplus lines 3 |
---|
| 218 | + | broker, or independent adjuster under AS 21.27; 4 |
---|
| 219 | + | (16) serving and executing process issued by a court by a person 5 |
---|
| 220 | + | designated under AS 22.20.130; 6 |
---|
| 221 | + | (17) a school bus driver license under AS 28.15.046; 7 |
---|
| 222 | + | (18) licensure as an operator or an instructor for a commercial driver 8 |
---|
| 223 | + | training school under AS 28.17; 9 |
---|
| 224 | + | (19) registration as a broker-dealer, agent, investment adviser 10 |
---|
| 225 | + | representative, or investment adviser under AS 45.56.300 - 45.56.350; 11 |
---|
| 226 | + | (20) licensure, license renewal, certification, certification renewal, or 12 |
---|
| 227 | + | payment from the Department of Health of an individual and an entity subject to the 13 |
---|
| 228 | + | requirements for a criminal history check under AS 47.05.310, including 14 |
---|
| 229 | + | (A) a public home care provider described in AS 47.05.017; 15 |
---|
| 230 | + | (B) a provider of home and community-based waiver services 16 |
---|
| 231 | + | financed under AS 47.07.030(c); 17 |
---|
| 232 | + | (C) a case manager to coordinate community mental health 18 |
---|
| 233 | + | services under AS 47.30.530; 19 |
---|
| 234 | + | (D) an entity listed in AS 47.32.010(b) and (c), including an 20 |
---|
| 235 | + | owner, officer, director, member, partner, employee, volunteer, or contractor of 21 |
---|
| 236 | + | an entity; or 22 |
---|
| 237 | + | (E) an individual or entity not described in (A) - (D) of this 23 |
---|
| 238 | + | paragraph that is required by statute or regulation to be licensed or certified by 24 |
---|
| 239 | + | the Department of Health or that is eligible to receive payments, in whole or in 25 |
---|
| 240 | + | part, from the Department of Health to provide for the health, safety, and 26 |
---|
| 241 | + | welfare of persons who are served by the programs administered by the 27 |
---|
| 242 | + | Department of Health; 28 |
---|
| 243 | + | (21) employment as a village public safety officer under AS 18.65.672 29 |
---|
| 244 | + | or certification as a village public safety officer under AS 18.65.682; 30 |
---|
| 245 | + | (22) licensure, license renewal, certification, or certification renewal 31 33-LS0293\U |
---|
| 246 | + | SB 94 -8- SB0094A |
---|
247 | | - | (4) licensure as a collection agency operator under AS 08.24; 1 |
---|
248 | | - | (5) a certificate of fitness to handle explosives under AS 08.52; 2 |
---|
249 | | - | (6) licensure as a massage therapist under AS 08.61; 3 |
---|
250 | | - | (7) licensure to practice nursing or certification as a nurse aide under 4 |
---|
251 | | - | AS 08.68; 5 |
---|
252 | | - | (8) certification as a real estate appraiser under AS 08.87; 6 |
---|
253 | | - | (9) a position involving supervisory or disciplinary power over a minor 7 |
---|
254 | | - | or dependent adult for which criminal justice information may be released under 8 |
---|
255 | | - | AS 12.62.160(b)(9); 9 |
---|
256 | | - | (10) a teacher certificate under AS 14.20; 10 |
---|
257 | | - | (11) a registration or license to operate a marijuana establishment 11 |
---|
258 | | - | under AS 17.38; 12 |
---|
259 | | - | (12) admittance to a police training program under AS 18.65.230 or for 13 |
---|
260 | | - | certification as a police officer under AS 18.65.240 if that person's prospective 14 |
---|
261 | | - | employer does not have access to a criminal justice information system; 15 |
---|
262 | | - | (13) licensure as a security guard under AS 18.65.400 - 18.65.490; 16 |
---|
263 | | - | (14) a concealed handgun permit under AS 18.65.700 - 18.65.790; 17 |
---|
264 | | - | (15) licensure as an insurance producer, managing general agent, 18 |
---|
265 | | - | reinsurance intermediary broker, reinsurance intermediary manager, surplus lines 19 |
---|
266 | | - | broker, or independent adjuster under AS 21.27; 20 |
---|
267 | | - | (16) serving and executing process issued by a court by a person 21 |
---|
268 | | - | designated under AS 22.20.130; 22 |
---|
269 | | - | (17) a school bus driver license under AS 28.15.046; 23 |
---|
270 | | - | (18) licensure as an operator or an instructor for a commercial driver 24 |
---|
271 | | - | training school under AS 28.17; 25 |
---|
272 | | - | (19) registration as a broker-dealer, agent, investment adviser 26 |
---|
273 | | - | representative, or investment adviser under AS 45.56.300 - 45.56.350; 27 |
---|
274 | | - | (20) licensure, license renewal, certification, certification renewal, or 28 |
---|
275 | | - | payment from the Department of Health of an individual and an entity subject to the 29 |
---|
276 | | - | requirements for a criminal history check under AS 47.05.310, including 30 |
---|
277 | | - | (A) a public home care provider described in AS 47.05.017; 31 33-LS0293\R |
---|
278 | | - | SB0094B -9- CSSB 94(L&C) |
---|
| 249 | + | by the Department of Family and Community Services of an individual or entity, or 1 |
---|
| 250 | + | payment from the Department of Family and Community Services to an individual or 2 |
---|
| 251 | + | entity, subject to the requirements for a criminal history check under AS 47.05.310 for 3 |
---|
| 252 | + | a foster home, child placement agency, and runaway shelter listed in AS 47.32.010(c), 4 |
---|
| 253 | + | including an owner, officer, director, member, partner, employee, volunteer, or 5 |
---|
| 254 | + | contractor of an entity; 6 |
---|
| 255 | + | (23) licensure as a pharmacist or pharmacy technician under 7 |
---|
| 256 | + | AS 08.80. 8 |
---|
| 257 | + | * Sec. 12. AS 17.22.010 is amended to read: 9 |
---|
| 258 | + | Sec. 17.22.010. Prescription, purchase, and administration of epinephrine 10 |
---|
| 259 | + | by a trained individual. An individual who is 18 years of age or older may obtain a 11 |
---|
| 260 | + | prescription for, purchase, and, in an emergency situation, administer epinephrine to 12 |
---|
| 261 | + | another person using 13 |
---|
| 262 | + | [(1)] an auto-injector, if the individual has successfully completed a 14 |
---|
| 263 | + | training program approved by the board [DEPARTMENT] under as 17.22.020(b) [; 15 |
---|
| 264 | + | OR 16 |
---|
| 265 | + | (2) AN AMPULE, IF THE INDIVIDUAL HAS SUCCESSFULLY 17 |
---|
| 266 | + | COMPLETED A TRAINING PROGRAM APPROVED BY THE DEPARTMENT 18 |
---|
| 267 | + | UNDER AS 17.22.020(c)]. 19 |
---|
| 268 | + | * Sec. 13. AS 17.22.020(a) is amended to read: 20 |
---|
| 269 | + | (a) The board [DEPARTMENT] shall adopt standards for the approval of a 21 |
---|
| 270 | + | training program [PROGRAMS] for the use of 22 |
---|
| 271 | + | [(1)] epinephrine auto-injectors [; AND 23 |
---|
| 272 | + | (2) EPINEPHRINE AMPULES]. 24 |
---|
| 273 | + | * Sec. 14. AS 17.22.020(b) is amended to read: 25 |
---|
| 274 | + | (b) The board [DEPARTMENT] shall approve an auto-injector training 26 |
---|
| 275 | + | program that meets standards adopted under (a) [(a)(1)] of this section. The standards 27 |
---|
| 276 | + | must require an epinephrine auto-injector program to provide training in 28 |
---|
| 277 | + | (1) techniques on how to recognize symptoms of severe asthmatic or 29 |
---|
| 278 | + | allergic reactions, including anaphylaxis; 30 |
---|
| 279 | + | (2) standards and procedures for the storage of epinephrine auto-31 33-LS0293\U |
---|
| 280 | + | SB0094A -9- SB 94 |
---|
281 | | - | (B) a provider of home and community-based waiver services 1 |
---|
282 | | - | financed under AS 47.07.030(c); 2 |
---|
283 | | - | (C) a case manager to coordinate community mental health 3 |
---|
284 | | - | services under AS 47.30.530; 4 |
---|
285 | | - | (D) an entity listed in AS 47.32.010(b) and (c), including an 5 |
---|
286 | | - | owner, officer, director, member, partner, employee, volunteer, or contractor of 6 |
---|
287 | | - | an entity; or 7 |
---|
288 | | - | (E) an individual or entity not described in (A) - (D) of this 8 |
---|
289 | | - | paragraph that is required by statute or regulation to be licensed or certified by 9 |
---|
290 | | - | the Department of Health or that is eligible to receive payments, in whole or in 10 |
---|
291 | | - | part, from the Department of Health to provide for the health, safety, and 11 |
---|
292 | | - | welfare of persons who are served by the programs administered by the 12 |
---|
293 | | - | Department of Health; 13 |
---|
294 | | - | (21) employment as a village public safety officer under AS 18.65.672 14 |
---|
295 | | - | or certification as a village public safety officer under AS 18.65.682; 15 |
---|
296 | | - | (22) licensure, license renewal, certification, or certification renewal 16 |
---|
297 | | - | by the Department of Family and Community Services of an individual or entity, or 17 |
---|
298 | | - | payment from the Department of Family and Community Services to an individual or 18 |
---|
299 | | - | entity, subject to the requirements for a criminal history check under AS 47.05.310 for 19 |
---|
300 | | - | a foster home, child placement agency, and runaway shelter listed in AS 47.32.010(c), 20 |
---|
301 | | - | including an owner, officer, director, member, partner, employee, volunteer, or 21 |
---|
302 | | - | contractor of an entity; 22 |
---|
303 | | - | (23) licensure as a pharmacist or pharmacy technician under 23 |
---|
304 | | - | AS 08.80. 24 |
---|
305 | | - | * Sec. 13. AS 17.22.010 is amended to read: 25 |
---|
306 | | - | Sec. 17.22.010. Prescription, purchase, and administration of epinephrine 26 |
---|
307 | | - | by a trained individual. An individual who is 18 years of age or older may obtain a 27 |
---|
308 | | - | prescription for, purchase, and, in an emergency situation, administer epinephrine to 28 |
---|
309 | | - | another person using 29 |
---|
310 | | - | [(1)] an auto-injector, if the individual has successfully completed a 30 |
---|
311 | | - | training program approved by the board [DEPARTMENT] under as 17.22.020(b) [; 31 33-LS0293\R |
---|
312 | | - | CSSB 94(L&C) -10- SB0094B |
---|
| 283 | + | injectors and administration of epinephrine using auto-injectors; and 1 |
---|
| 284 | + | (3) emergency follow-up procedures. 2 |
---|
| 285 | + | * Sec. 15. AS 17.22.030 is amended to read: 3 |
---|
| 286 | + | Sec. 17.22.030. Applicability. This chapter does not apply to a person who is 4 |
---|
| 287 | + | authorized under another law to administer epinephrine [OR TO A PERSON WHO IS 5 |
---|
| 288 | + | PRESCRIBED EPINEPHRINE FOR PERSONAL USE]. 6 |
---|
| 289 | + | * Sec. 16. AS 17.22.040 is amended to read: 7 |
---|
| 290 | + | Sec. 17.22.040. Liability of certified individual. A claim for relief may not be 8 |
---|
| 291 | + | brought against an individual who has successfully completed an auto-injector [A] 9 |
---|
| 292 | + | training program approved by the board [DEPARTMENT] under AS 17.22.020 for an 10 |
---|
| 293 | + | act or omission relating to the administration of epinephrine to another individual in an 11 |
---|
| 294 | + | emergency situation if the individual who completed the training program acted in 12 |
---|
| 295 | + | good faith under the authority granted by this chapter. 13 |
---|
| 296 | + | * Sec. 17. AS 17.22.090 is amended by adding a new paragraph to read: 14 |
---|
| 297 | + | (3) "board" means the Board of Pharmacy. 15 |
---|
| 298 | + | * Sec. 18. AS 08.80.110(2), 08.80.158; AS 17.22.020(c), and 17.22.090(1) are repealed. 16 |
---|
| 299 | + | * Sec. 19. The uncodified law of the State of Alaska is amended by adding a new section to 17 |
---|
| 300 | + | read: 18 |
---|
| 301 | + | TRANSITION: EFFECT ON CURRENT REGISTERED PHARMACIES. On and 19 |
---|
| 302 | + | after the effective date of sec. 18 of this Act, a pharmacy registered under AS 08.80.158 on 20 |
---|
| 303 | + | the effective date of sec. 18 of this Act may continue to ship, mail, or deliver prescription 21 |
---|
| 304 | + | drugs to consumers in the state under the registration until the registration expires normally 22 |
---|
| 305 | + | under AS 08.80. 23 |
---|
| 306 | + | * Sec. 20. The uncodified law of the State of Alaska is amended by adding a new section to 24 |
---|
| 307 | + | read: 25 |
---|
| 308 | + | TRANSITION: REGULATIONS. The Board of Pharmacy and the Department of 26 |
---|
| 309 | + | Commerce, Community, and Economic Development may adopt regulations necessary to 27 |
---|
| 310 | + | implement the changes made by this Act. The regulations take effect under AS 44.62 28 |
---|
| 311 | + | (Administrative Procedure Act), but not before the effective date of the relevant provision of 29 |
---|
| 312 | + | this Act implemented by the regulation. 30 |
---|
| 313 | + | * Sec. 21. Section 20 of this Act takes effect immediately under AS 01.10.070(c). 31 33-LS0293\U |
---|
| 314 | + | SB 94 -10- SB0094A |
---|
315 | | - | OR 1 |
---|
316 | | - | (2) AN AMPULE, IF THE INDIVIDUAL HAS SUCCESSFULLY 2 |
---|
317 | | - | COMPLETED A TRAINING PROGRAM APPROVED BY THE DEPARTMENT 3 |
---|
318 | | - | UNDER AS 17.22.020(c)]. 4 |
---|
319 | | - | * Sec. 14. AS 17.22.020(a) is amended to read: 5 |
---|
320 | | - | (a) The board [DEPARTMENT] shall adopt standards for the approval of a 6 |
---|
321 | | - | training program [PROGRAMS] for the use of 7 |
---|
322 | | - | [(1)] epinephrine auto-injectors [; AND 8 |
---|
323 | | - | (2) EPINEPHRINE AMPULES]. 9 |
---|
324 | | - | * Sec. 15. AS 17.22.020(b) is amended to read: 10 |
---|
325 | | - | (b) The board [DEPARTMENT] shall approve an auto-injector training 11 |
---|
326 | | - | program that meets standards adopted under (a) [(a)(1)] of this section. The standards 12 |
---|
327 | | - | must require an epinephrine auto-injector program to provide training in 13 |
---|
328 | | - | (1) techniques on how to recognize symptoms of severe asthmatic or 14 |
---|
329 | | - | allergic reactions, including anaphylaxis; 15 |
---|
330 | | - | (2) standards and procedures for the storage of epinephrine auto-16 |
---|
331 | | - | injectors and administration of epinephrine using auto-injectors; and 17 |
---|
332 | | - | (3) emergency follow-up procedures. 18 |
---|
333 | | - | * Sec. 16. AS 17.22.030 is amended to read: 19 |
---|
334 | | - | Sec. 17.22.030. Applicability. This chapter does not apply to a person who is 20 |
---|
335 | | - | authorized under another law to administer epinephrine [OR TO A PERSON WHO IS 21 |
---|
336 | | - | PRESCRIBED EPINEPHRINE FOR PERSONAL USE]. 22 |
---|
337 | | - | * Sec. 17. AS 17.22.040 is amended to read: 23 |
---|
338 | | - | Sec. 17.22.040. Liability of certified individual. A claim for relief may not be 24 |
---|
339 | | - | brought against an individual who has successfully completed an auto-injector [A] 25 |
---|
340 | | - | training program approved by the board [DEPARTMENT] under AS 17.22.020 for an 26 |
---|
341 | | - | act or omission relating to the administration of epinephrine to another individual in an 27 |
---|
342 | | - | emergency situation if the individual who completed the training program acted in 28 |
---|
343 | | - | good faith under the authority granted by this chapter. 29 |
---|
344 | | - | * Sec. 18. AS 17.22.090 is amended by adding a new paragraph to read: 30 |
---|
345 | | - | (3) "board" means the Board of Pharmacy. 31 33-LS0293\R |
---|
346 | | - | SB0094B -11- CSSB 94(L&C) |
---|
347 | | - | New Text Underlined [DELETED TEXT BRACKETED] |
---|
348 | | - | |
---|
349 | | - | * Sec. 19. AS 08.80.110(2), 08.80.158; AS 17.22.020(c), and 17.22.090(1) are repealed. 1 |
---|
350 | | - | * Sec. 20. The uncodified law of the State of Alaska is amended by adding a new section to 2 |
---|
351 | | - | read: 3 |
---|
352 | | - | TRANSITION: EFFECT ON CURRENT REGISTERED PHARMACIES. On and 4 |
---|
353 | | - | after the effective date of sec. 19 of this Act, a pharmacy registered under AS 08.80.158 on 5 |
---|
354 | | - | the effective date of sec. 19 of this Act may continue to ship, mail, or deliver prescription 6 |
---|
355 | | - | drugs to consumers in the state under the registration until the registration expires normally 7 |
---|
356 | | - | under AS 08.80. 8 |
---|
357 | | - | * Sec. 21. The uncodified law of the State of Alaska is amended by adding a new section to 9 |
---|
358 | | - | read: 10 |
---|
359 | | - | TRANSITION: REGULATIONS. The Board of Pharmacy and the Department of 11 |
---|
360 | | - | Commerce, Community, and Economic Development may adopt regulations necessary to 12 |
---|
361 | | - | implement the changes made by this Act. The regulations take effect under AS 44.62 13 |
---|
362 | | - | (Administrative Procedure Act), but not before the effective date of the relevant provision of 14 |
---|
363 | | - | this Act implemented by the regulation. 15 |
---|
364 | | - | * Sec. 22. Sections 4 and 21 of this Act take effect immediately under AS 01.10.070(c). 16 |
---|
365 | | - | * Sec. 23. Except as provided in sec. 22 of this Act, this Act takes effect November 26, 17 |
---|
366 | | - | 2023. 18 |
---|
| 317 | + | * Sec. 22. Except as provided in sec. 21 of this Act, this Act takes effect November 26, 1 |
---|
| 318 | + | 2023. 2 |
---|