SB28INTRODUCED Page 0 SB28 ZU3SKRR-1 By Senator Beasley RFD: Healthcare First Read: 04-Feb-25 PFD: 18-Dec-24 1 2 3 4 5 6 ZU3SKRR-1 12/17/2024 FC (L)ma 2024-2888 Page 1 PFD: 18-Dec-24 SYNOPSIS: This bill would relate to the Alabama Board of Pharmacy and further provide for the regulation of the practice of pharmacy and the licensure of pharmacists. This bill would delete the definition of an extern and delete other references to an extern, which would be covered by the term "intern." This bill would delete a requirement for a permit holder as a manufacturer, wholesaler, or other similar pharmaceutical entities to have a full-time licensed pharmacist on the premises. This bill would provide that the penalty for a manufacturer, wholesaler, or other similar pharmaceutical entities shipping drugs, etc. without a permit applies to each shipment as a separate offense. This bill would delete requirements for an affidavit on completion of the practical training program for an intern. This bill would specify that the Board of Pharmacy is directed to adopt rules to administer and enforce the provisions of the law relating to the operation of pharmacies. This bill would delete a provision relating to notice of Board of Pharmacy meetings, which is otherwise covered by general law relating to open 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 SB28 INTRODUCED Page 2 otherwise covered by general law relating to open meetings. This bill would authorize the treasurer in addition to the president of the board and the secretary to authorize disbursement of board funds. This bill would specify that a proposed rule change of general applicability would be published as determined by the board and would delete a requirement for the electronic mailing of rule changes to each pharmacist. This bill would clarify that the board could assess a penalty for each violation of the pharmacy law and that each offense would be a separate violation. This bill would provide that a "pharmacy technician" registered with the board could perform pharmacy functions and provide for a new position of "pharmacy clerk" who would be registered with the board and authorized to perform operational functions in a pharmacy department under the supervision of a licensed pharmacist as provided by rule. The terms pharmacy technician and pharmacy function, pharmacy clerk and operational function, and supervision would be defined in Section 34-23-1, Code of Alabama 1975. The registration provisions and fee for registration of a pharmacy clerk would be the same as a pharmacy technician. 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 SB28 INTRODUCED Page 3 A BILL TO BE ENTITLED AN ACT Relating to the Board of Pharmacy; to amend Sections 34-23-1, 34-23-32, 34-23-50, 34-23-51, 34-23-73, 34-23-91, 34-23-92, 34-23-131, and 34-23-132, Code of Alabama 1975, to further provide for definitions and for the licensing and regulation of the practice of pharmacy; to authorize a new position in a pharmacy to be designated as a pharmacy clerk authorized to perform operational functions in a pharmacy; to revise the duties and powers of the board; and to repeal Section 34-23-130, Code of Alabama 1975, providing certain definitions. BE IT ENACTED BY THE LEGISLATURE OF ALABAMA: Section 1. Sections 34-23-1, 34-23-32, 34-23-50, 34-23-51, 34-23-73, 34-23-91, 34-23-92, 34-23-131, and 34-23-132, Code of Alabama 1975, are amended to read as follows: "§34-23-1 For the purpose of this chapter, the following words and phrases shall have the following meanings: (1) ASSOCIATION. The Alabama Pharmacy Association. (2) BIOLOGICAL PRODUCT. Has the same meaning as the term as defined in 42 U.S.C. § 262. (3) BOARD or STATE BOARD. The Alabama State Board of Pharmacy. (4) CHEMICAL. Any substance of a medicinal nature, whether simple or compound, obtained through the process of 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 SB28 INTRODUCED Page 4 whether simple or compound, obtained through the process of the science and art of chemistry, whether of organic or inorganic origin. (5) DISPENSE. To sell, distribute, administer, leave with, give away, dispose of, deliver, or supply a drug or medicine to the ultimate user or his or her agent. (6) DRUGS. All medicinal substances, preparations, and devices recognized by the United States Pharmacopoeia and National Formulary, or any revision thereof, and all substances and preparations intended for external and internal use in the cure, diagnosis, mitigation, treatment, or prevention of disease in man or animal and all substances and preparations other than food intended to affect the structure or any function of the body of man or animal. (7) EXTERN. A candidate for licensure as a pharmacist during the time prior to graduation from an accredited college of pharmacy. (8)(7) HOSPITAL. An institution for the care and treatment of the sick and injured, licensed by the Alabama State BoardDepartment of Public Health and authorized to be entrusted with the custody of drugs and medicines, the professional use of drugs and medicines being under the direct supervision of a medical practitioner or pharmacist. (9)(8) INTERCHANGEABLE BIOLOGICAL PRODUCT. A biological product for which the federal Food and Drug Administration has made either a determination of licensure based on standards for interchangeability pursuant to 42 U.S.C. § 262(k)(4), or a determination of therapeutic equivalence based on the latest edition of or supplement to the federal Food and Drug 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 SB28 INTRODUCED Page 5 edition of or supplement to the federal Food and Drug Administration's publication Approved Drug Products with Therapeutic Equivalence Evaluations (Orange Book). (10)(9) INTERN. An individual who is currently licensed by this state to engage in the practice of pharmacy while under the personal supervision of a pharmacist and is satisfactorily progressing toward meeting the requirements for licensure as a pharmacist, a graduate of an approved college of pharmacy who is currently licensed by the board for the purpose of obtaining practical experience as a requirement for licensure as a pharmacist, or a qualified applicant awaiting examination for licensure. (11)(10) LEGEND DRUG. Any drug, medicine, chemical, or poison bearing on the label the words, "Caution, federal law prohibits dispensing without prescription" or similar wording indicating that such the drug, medicine, chemical, or poison may be sold or dispensed only upon the prescription of a licensed medical practitioner. (12)(11) LICENSE. The grant of authority by the board to a person authorizing him or her to engage in the practice of pharmacy in this state. (13)(12) MANUFACTURER. A person or entity, except a pharmacy, who prepares, derives, produces, researches, tests, labels, or packages any drug, medicine, chemical, or poison. (14)(13) MEDICAL PRACTITIONER. Any physician, dentist, or veterinarian, or any other person individual authorized by law to treat, use, or prescribe medicine and drugs for sick and injured human beings or animals in this state. (15)(14) MEDICINE. Any drug or combination of drugs 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 SB28 INTRODUCED Page 6 (15)(14) MEDICINE. Any drug or combination of drugs that has the property of curing, diagnosing, preventing, treating, or mitigating diseases or that which may be used for those purposes. (15) OPERATIONAL FUNCTION. A function performed in a pharmacy department that does not require the professional judgment of a licensed pharmacist and that requires supervision by a licensed pharmacist. The term does not include pharmacy functions required to be performed by a pharmacy technician. The duties may include, but are not limited to, completing transactions at a register, stocking inventory, and other similar functions as determined by rule of the board. (16) OUTSOURCING FACILITY. A facility at one geographic location or address that is engaged in the compounding of sterile drugs, which has elected to register with the federal Food and Drug Administration as an outsourcing facility and complies with the requirements of Section 503B(d)(4)(A) of the federal Food, Drug, and Cosmetic Act. (17) PATENT OR PROPRIETARY MEDICINES. Completely compounded nonprescription packaged drugs, medicines, and nonbulk chemicals which that are sold, offered, promoted, or advertised by the manufacturer or primary distributor under a trademark, trade name, or other trade symbol, and the labeling of which conforms to the requirements of the federal Food, Drug, and Cosmetic Act ; provided, that this definition shall The term does not include: a. Drugs which that are only advertised and promoted professionally to licensed physicians, dentists, or 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 SB28 INTRODUCED Page 7 professionally to licensed physicians, dentists, or veterinarians by manufacturers or primary distributors. b. A narcotic or drug containing a narcotic. c. A drug the label of which bears substantially either the statements "Caution--federal law prohibits dispensing without prescription" or "Warning--may be habit-forming". d. A drug intended for injection. (18) PERMIT. The grant of authority by the board to any person, firm, or corporation authorizing the operation of a pharmacy, wholesale drug distributor, repackager, bottler, manufacturer, or packer of drugs, medicines, chemicals, or poisons for medicinal purposes. Nonresident wholesale drug distributors registered with the appropriate agency , in the state in which they are domiciled , and operating in compliance with Prescription Drug Marketing Act standards , shall be allowed to do business in this state. No permit shall be required of any physician licensed to practice medicine for any act or conduct related to or connected with his or her professional practice. (19) PERSON. Any individual, partnership, corporation, association, trust, or other entity. (20) PHARMACIST. Any person individual licensed by the board to practice the profession of pharmacy as a health care provider in the State of Alabama and whose license is in good standing. (21) PHARMACY. A place licensed by the board in which prescriptions, drugs, medicines, medical devices, chemicals, and poisons are sold, offered for sale, compounded, or dispensed, and shall include all places whose title may imply 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 SB28 INTRODUCED Page 8 dispensed, and shall include all places whose title may imply the sale, offering for sale, compounding, or dispensing of prescriptions, drugs, medicines, chemicals, or poisons. (22) PHARMACY CLERK. An individual, other than an intern or pharmacy technician, who performs operational functions under the supervision of a licensed pharmacist. (23) PHARMACY FUNCTION. A function performed in a pharmacy department that does not require the professional judgment of a licensed pharmacist, that requires supervision by a licensed pharmacist, and that is restricted by ratios as determined by board rule. (22)(24) PHARMACY SERVICES PERMIT. Certain services performed by a pharmacy, as defined by board rule, and specifically excluding the receipt or inventory of drugs, medicines, chemicals, poisons, or medical devices. a. This subdivision, and any rule adopted by the board pursuant to this subdivision, may not be interpreted to expand the practice of pharmacy, as the practice of pharmacy and permits are limited by this section and Sections 34-23-11 and 34-23-70, or to restrict the practice of medicine or osteopathy as defined in Section 34-24-50. b. This subdivision, and any rule adopted by the board pursuant to this subdivision, is subject to the restrictions contained in subsection (b) of Section 34-23-30. c. This subdivision shall not be interpreted to allow the board to adopt any rule that would authorize a pharmacist to sell, offer for sale, or dispense any prescription drug except pursuant to the terms of a valid prescription issued by a licensed practitioner authorized to prescribe such drug. 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 SB28 INTRODUCED Page 9 a licensed practitioner authorized to prescribe such drug. (25) PHARMACY TECHNICIAN. An individual, other than an intern, who performs pharmacy functions under the supervision of a licensed pharmacist. (23)(26) POISON. Any substance other than agricultural products and pesticides which when applied to, introduced into, or developed within the body in relatively small quantities by its inherent chemical action uniformly produces serious bodily injury, disease, or death. (24)(27) PRECEPTOR. A personAn individual who is duly licensed to practice pharmacy in the state and meets the requirements as established by the board. (25)(28) PRESCRIPTION. Any order for drug or medical supplies, written or signed or transmitted by word of mouth, telephone, telegraph, closed circuit television, or other means of communication by a legally competent practitioner, licensed by law to prescribe and administer such drugs and medical supplies intended to be filled, compounded, or dispensed by a pharmacist. (26)(29) PRIVATE LABEL DISTRIBUTOR. A firm that does not participate in the manufacture or processing of a drug , but instead markets and distributes under its own trade name , and labels a drug product made by someone else. A private label distributor is responsible for the products it introduces into interstate commerce and for compliance with federal Food, Drug, and Cosmetic Act requirements and Current Good Manufacturing Practices regulations. (27)(30) PROFESSIONAL DEGREE. A degree in pharmacy requiring a minimum of five academic years. 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 SB28 INTRODUCED Page 10 requiring a minimum of five academic years. (28)(31) REPACKAGER. A person who purchases or acquires from a manufacturer or distributor, a drug, medicine, chemical, or poison for the purpose of bottling, labeling, or otherwise repackaging for sale or distribution. This definition shall not apply to a physician licensed to practice medicine who as a part of his or her professional practice dispenses, administers, sells, or otherwise distributes any drug to a patient. (29)(32) SALE. Barter, exchange, or gift, or offer of barter, exchange, or gift, and shall include includes each transaction made by any person, whether a principal, proprietor, agent, servant, or employee. (33) SUPERVISION. The direct on-site overseeing of the performance of assigned or delegated duties or functions. (30)(34) THIRD-PARTY LOGISTICS LOGISTIC PROVIDER. An entity that provides or coordinates warehousing or other logistics services of a product in interstate commerce on behalf of a manufacturer, wholesale distributor, or dispenser of a product, that does not take ownership of the product , nor have responsibility to direct the sale or disposition of the product. (31)(35) WHOLESALE DRUG DISTRIBUTORS. A person, other than a manufacturer, the co-licensed partner of a manufacturer, a third-party logistics provider, or repackager, engaged in the business of distributing drugs and medicines for resale to pharmacies, hospitals, practitioners, government agencies, or other lawful outlets permitted to sell drugs or medicines. The sale, purchase, or trade of a drug by a retail 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 SB28 INTRODUCED Page 11 medicines. The sale, purchase, or trade of a drug by a retail pharmacy to another retail pharmacy or practitioner, for relief of temporary shortages, is exempt from this definition. Also exempt from this definition shall be all of the following: a. Intracompany sales. b. Manufacturer and distributor sales representatives who distribute drug samples. c. Charitable organizations distributing to nonprofit affiliates of that organization. d. Certain purchases by hospitals or other health care entities that are members of a group purchasing organization. e. The distributors of blood and blood components." "§34-23-32 (a) Commencing on August 1, 2017, every Any manufacturer, bottler, packager, repackager, third partythird-party logistic provider, wholesale drug distributor, private label distributor, outsourcing facility, or pharmacy business identified in the supply chain of drugs, medicines, chemicals, or poisons for medicinal purposes shall register annually with the board by application for a permit on a form furnished by the board and accompanied by a fee to be determined by the board as follows: (1) The fee shall not be less than five hundred dollars ($500) nor more than two thousand dollars ($2,000) for a new establishment. (2) The fee shall not be less than two hundred fifty dollars ($250) nor more than one thousand dollars ($1,000) for a renewal permit. 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 SB28 INTRODUCED Page 12 a renewal permit. (3) The fee shall not be less than five hundred dollars ($500) nor more than two thousand dollars ($2,000) for a permit due to transfer of ownership. (b) A holder of a permit shall employ a full-time licensed pharmacist whose principal duty shall be confined to on-premise pharmaceutical operations. Wholesale drug distributors who strictly limit their operation to distribution of drugs, medicines, chemicals, or poisons for medicinal purposes are exempt from the requirement to employ a full-time licensed pharmacist. (c)(b) The professional practice of any physician licensed to practice medicine is exempt from the requirements of this section. (d)(c) All permits issued under this section shall become due on October 31 and shall become null and void if not paid by December 31. Each application for the renewal of the permit shall be made annually on or before December 31. A penalty of one hundred dollars ($100) for each overdue month shall be assessed in addition to the permit fee for renewal of delinquent permits. (e)(d)(1) Commencing on January 1, 2024, each holder of a permit issued under this section, with the exception of an outsourcing facility, shall designate a current representative of the permit holder and shall register the designated representative with the board. The designated representative shall possess the qualifications, requirements, and background as set out by the board. (2) The holder of the permit shall pay an initial 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 SB28 INTRODUCED Page 13 (2) The holder of the permit shall pay an initial registration fee to register the designated representative of not less than one hundred dollars ($100), as set by rule of the board. The registration of a designated representative shall expire on December 31. The renewal of the registration shall be due on October 31 of each year and shall be delinquent after December 31. The annual fee for the renewal of a designated representative shall not be less than one hundred dollars ($100), as set by rule of the board. If the renewal is not timely received by the board, the applicant for renewal of the registration shall pay a penalty of not more than fifty dollars ($50) for each month the renewal is late, as set by rule of the board. (f)(e) All holders of a permit, before shipping any drug bearing the legend, " cautionCaution, federal law prohibits dispensing without prescription" or similar wording causing these drugs to be known as legend drugs to new customers, shall assure themselves that the recipient is either a duly licensed doctor of medicine, dentistry, or veterinary medicine or holds a registered pharmacy permit from the board by contacting the office of the board. (g)(f) No manufacturer, manufacturer affiliate, bottler, packager, repackager, third partythird-party logistic provider, wholesale drug distributor, private label distributor, outsourcing facility, or pharmacy business identified in the supply chain of any legend drug or device shall ship, or cause to be shipped, into the state any legend drug or device without a valid permit issued by the board. Each invalid shipment shall be a separate violation. The civil 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 SB28 INTRODUCED Page 14 Each invalid shipment shall be a separate violation. The civil penalty for a violation of this subsection shall be four thousand dollars ($4,000) for each violation. The civil penalties provided in this subdivision shall supersede the penalties provided in Section 34-23-92. (h)(g) The holder of a permit to ship any legend drug or device into the state shall provide to the board a list of all trading partners, upon request of the board. (i)(h) No holder of a permit shall ship any legend drug to any person or firm after receiving written notice from the board that the person or firm no longer holds a registered pharmacy permit. Any person violating this section shall be guilty of a misdemeanor. (j)(i) For each application for a permit found to be satisfactory by the board, the secretary of the board shall issue to the applicant a permit for the appropriate function, which permit shall be displayed in a conspicuous place." "§34-23-50 (a) It shall be unlawful for any person , firm, or corporation to practice pharmacy in this state or to permit prescriptions to be compounded or dispensed by a person other than a person duly licensed by the board to practice pharmacy in this state. (b)(1) Notwithstanding subsection (a), the board may issue a pharmacy intern /extern permit as further provided in this subsection that authorizes a pharmacy intern or extern to compound and dispense prescriptions while serving under the immediate direct supervision of a licensed pharmacist on the premises of a permitted pharmacy. 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 SB28 INTRODUCED Page 15 premises of a permitted pharmacy. (2) The following persons individuals may apply to the board for a pharmacy intern /extern permit: a. A personAn individual who holds a professional degree in pharmacy from a school of pharmacy recognized by the board who desires to serve as a pharmacy intern. b. A personAn individual who is enrolled in a school of pharmacy recognized by the board who desires to serve as a pharmacy externintern while pursuing his or her education as a pharmacist. In order to be considered enrolled in a school of pharmacy and pursuing education as a pharmacist, the person individual shall not be absent from the school of pharmacy for more than two consecutive semesters or three consecutive quarters, dependent upon the system in use in the school of pharmacy. (3) A personAn individual requesting a pharmacy intern/extern permit shall submit an application to the board in a form as determined by the board. The person individual shall be required to be of good moral character and a citizen of the United States or, if not a citizen, must be legally present in the United States with appropriate documentation from the federal government. Further, the person shall individual must not have engaged in any conduct that would be a violation of this chapter or board rule. (4) The application shall be accompanied with by an initial fee of not more than one hundred dollars ($100). (5) The board shall require a background check on each applicant as part of the initial application process. The cost of the background check shall be paid by the applicant. 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 SB28 INTRODUCED Page 16 of the background check shall be paid by the applicant. (6) A pharmacy intern /extern permit shall expire on December 31 of odd-numbered years. In order to continue to work as an intern or extern, a renewal fee of not more than one hundred dollars ($100), as determined by the board, shall be received by the board by December 31 of the year of expiration. If the renewal is not timely received by the board, the applicant for renewal shall pay a penalty of not more than fifty dollars ($50), as determined by the board, for each month the renewal is late. (7) For the purposes of this subsection, "immediate direct supervision" means that at least one pharmacist is personally present and available on the premises of the pharmacy for consultation with the intern or extern at all times. (c) Notwithstanding Section 20-2-51 or any other law to the contrary, each person licensed by the board to practice pharmacy may distribute or dispense controlled substances during the biennial period for which the person is licensed." "§34-23-51 (a) Every person individual who desires to practice pharmacy within this state shall file with the secretary of the board his or her application for licensure as required by the board not less than 10 days prior to his or her examination. The application shall be accompanied by an examination and registration fee for residents and nonresidents of this state, the fees to be set by the board. (b) The applicant shall furnish satisfactory proof that he or she is at least 19 years of age, of good moral 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 SB28 INTRODUCED Page 17 he or she is at least 19 years of age, of good moral character, and that he or she holds a professional degree from a division, school, college, or a university department of pharmacy recognized by the board. Each applicant shall also be a citizen of the United States or, if not a citizen of the United States, a personan individual who is legally present in the United States with appropriate documentation from the federal government. (c) The applicant shall have completed an approved practical training program under the supervision of a licensed pharmacist in a site recognized by the board as qualified for training pharmacy externs and interns, the training standards to be established by the board as long as the standards are not less than those set by the National Association of Boards of Pharmacy. The completion of the practical training requirements shall be attested by affidavit from the licensed pharmacist preceptor under whom the training is served. (d)(1) The applicant shall pass an examination administered by the National Association of Boards of Pharmacy or other entity approved by the board in subjects consistent with those required by the National Association of Boards of Pharmacy and in accordance with the rules of the board. In case of failure of a first examination, the applicant shall have within three years the privilege of a second and third examination. In case of failure in the third examination, the applicant shall be eligible for only one additional examination and this only after he or she has satisfactorily completed additional preparation as directed and approved by the board. 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 SB28 INTRODUCED Page 18 the board. (2) An applicant may be admitted to the examination provided all of the requirements in subsections (a), (b), and (c) are met, and in addition, that affidavits attesting to the prescribed practical training program have been presented to the secretary prior to the examination . (3) An application for examination by the board may be denied if the applicant is proven to have been involved in any violation of this chapter. An applicant who has been expelled from an examination for cribbing, cheating, or other dishonest conduct shall not be permitted to complete the examination applied for and shall not be permitted to file a new application for examination during the balance of the same calendar year or the calendar year next following the expulsion. (e)(1) The board may issue a license without examination to an applicant who furnishes satisfactory proof that he or she has been licensed to practice pharmacy by examination in another state that under like conditions grants reciprocal licensure without examination to pharmacists duly licensed by examination in this state, that he or she is a person an individual of good moral character and temperate habits, and provided that the requirements in the state from which the applicant is reciprocating were no less than the requirements of the National Association of Boards of Pharmacy. The application shall be accompanied by a fee set by the board. (2) Each applicant for licensure by reciprocity shall be personally interviewed by two or more members of the board 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 SB28 INTRODUCED Page 19 be personally interviewed by two or more members of the board before being granted a license, and the applicant shall pass an examination on the laws governing the practice of pharmacy in this state. The applicant shall be approved for reciprocity by the board prior to the time that he or she begins the duties of a licensed pharmacist in this state. No applicant shall be granted reciprocal licensure unless all evidence and supporting documents of licensure in the state from which the applicant is reciprocating are approved as meeting the requirements for reciprocity of the National Association of Boards of Pharmacy. The board shall set and collect a fee for submitting and certifying grades for reciprocity in other states." "§34-23-73 Every pharmacist serving as a preceptor shall have expressed a willingness to serve as a preceptor. Pharmacist preceptors shall be approved by the board and shall be willing to cooperate with the board in developing the necessary training requirements and shall provide appropriate documentation to the board. Each preceptor shall certify as to the commencement and completion of the training period and may make recommendations to the board concerning the competency of his or her trainee. The preceptor shall report to the board from time to time as requested on the progress of any intern or extern under his or her supervision. It shall be his or her responsibility in a supervisory capacity to see ensure that each intern or extern receives proper training under the objectives of the board for this practical training program." "§34-23-91 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 SB28 INTRODUCED Page 20 "§34-23-91 (a) The president of the board shall preside at all of the board's meetings. The vice-presidentvice president shall preside in the absence or inability of the president. The secretary of the board shall be the executive officer in charge of the board's office. The secretary shall make, keep, and be in charge of all records and record books required to be kept by the board, including a register containing all information which shall be required under this chapter. The secretary shall attend to the correspondence of the board and perform any other duties the board may require in keeping with the office of secretary. The secretary shall receive and record all fees collected under this chapter and, at regular intervals as ordered by the board, shall pay the fees to the treasurer of the board for its use. The secretary may have any forms printed and office supplies furnished as necessary to implement this chapter. The secretary and treasurer of the board shall each furnish bond in an amount to be fixed by the board and shall be conditioned upon the faithful performance and discharge of their respective official duties. (b) The members of the board shall be paid the same per diem and travel allowance as is paid by law to state employees while engaged in the performance of the duties of the board, in addition to any daily compensation or allowance determined by the board. (c) The board shall conduct meetings at least three times annually and more often when deemed necessary for the examination of applicants for licensure and for the transaction of business as may legally come before it. Public 533 534 535 536 537 538 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 SB28 INTRODUCED Page 21 transaction of business as may legally come before it. Public notice of all stated meetings shall be given at least 30 days in advance of the meetings. At all meetings of the board, a majority shall constitute a quorum. The members of the board shall determine the place of meetings of the board. (d) The treasurer of the board shall have custody of all funds derived from the various provisions of this chapter. All disbursements shall be made by check as authorized by vouchers signed by the president or treasurer and the secretary of the board. (e) The books and records of the board as made and kept by the secretary or under his or her supervision shall be prima facie evidence of the matter therein recorded in any court." "§34-23-92 The board shall exercise, subject to this chapter, the following powers and duties: (1) To adopt rules concerning the records and reports to be kept and made by a pharmacy relating to the filling of prescriptions and the handling and preservation of drugs. (2) To fix standards and requirements for licenses and permits except as otherwise specified in this chapter. (3) To make rules and regulations regarding sanitation consistent with state health regulations. (4) To employ such chemists, agents, clerical help, and attorneys necessary for the proper administration of the duties of the board. (5) To employ a Chief Drug Investigator and such other drug investigators that it deems necessary to enforce this 561 562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 SB28 INTRODUCED Page 22 drug investigators that it deems necessary to enforce this chapter which are under the supervision of the board. (6) To adopt rules and regulations for the administration and enforcement of this chapter and not inconsistent herewith. Such rules and regulations shall be referenced to the section or sections of this chapter which set forth the legislative standard which it interprets or to which it applies. Every such rule and regulation shall be adopted in accordance with the Alabama Administrative Procedure Act. A copy of every rule and regulation containing a requirement of general application shall be electronically mailed to each registered pharmacist at least 10 days before the effective date thereof published in a manner as determined by the board. A printed copy of such rules and regulations shall be mailed to any registered pharmacist upon written request to the board. (7) To investigate violations of this chapter or any other law pertaining to the practice of pharmacy that may come to the knowledge of the board and institute or cause to be instituted before the board or in a proper court appropriate proceedings in connection therewith. (8) To issue subpoenas and compel the attendance of witnesses and the production of all necessary papers, books and records, documentary evidence and materials, or other evidence in matters pending before the board relating to the revocation, suspension, or probation of any license. Those persons issued subpoenas and compelled to attend hearings or meetings in matters pending before the board shall be entitled to witness fees from board funds. Claims for witness fees 589 590 591 592 593 594 595 596 597 598 599 600 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 SB28 INTRODUCED Page 23 to witness fees from board funds. Claims for witness fees shall be made on accepted State of Alabama voucher forms as appropriate. Travel and mileage expenses shall be reimbursed to witnesses in the amounts officially authorized to the board and its personnel at the time the service to the board is performed. (9) To administer oaths in connection with the duties of the board. (10) To make a written report annually of its receipts and disbursements to the Governor and to the State Pharmaceutical Alabama Pharmacy Association, or its successor . Included in this report shall be the names of all registrants licensed to practice under this chapter and a record of all permits issued during the period covered by the report. (11) To enforce the state barbiturate act, the state amphetamine act, the state narcotic law, and all other laws of the state which pertain to the practice of pharmacy, the examination of applicants, the licensing of pharmacists, the manufacture, packaging, repackaging, production, sale, or distribution of drugs, chemicals, and poisons, and all laws pertaining to standards for their strength and purity. The board may work in conjunction with other law enforcement agencies to enforce any law pertaining to the practice of pharmacy. Nothing in this section shall be construed to deprive the State Board Department of Public Health of any powers or duties otherwise prescribed by law including the enforcement of the narcotic law. (12) To investigate alleged violations of this chapter or any rule or regulation published adopted by the board and 617 618 619 620 621 622 623 624 625 626 627 628 629 630 631 632 633 634 635 636 637 638 639 640 641 642 643 644 SB28 INTRODUCED Page 24 or any rule or regulation published adopted by the board and conduct hearings to discipline, revoke, suspend, or probate any license or permit granted by the board under this chapter and to invoke penalties not to exceed the sum of one thousand dollars ($1,000) for each violation and to institute any legal proceedings necessary to effect compliance with this chapter; provided, that any person , firm, or corporation subjected to such penalty or legal proceedings may take an appeal in accordance with Section 34-23-94. For the purpose of this subdivision, each offense shall be a separate violation. (13) On application of any person and payment of the cost therefor, the secretary of the board shall furnish, under its seal and signed by the secretary, a certified copy of the license or permit of the requestor, or a certified copy of a regulation or rule of the board. In any court or proceeding, such the copy shall be prima facie evidence of the fact of the issuance of such the permit or license and the adoption of such the rule or regulation. (14) To acquire by gift, grant, purchase, condemnation, or otherwise, and to convey or hold title to, real property, together with all rights incidental thereto." "§34-23-131 (a) A pharmacy technician shall not perform pharmacy functions or be present in the prescription department of a pharmacy unless he or she the pharmacy technician is under the direct supervision of a licensed pharmacist . A pharmacy technician shall not perform pharmacy functions or be present in the prescription department of a pharmacy unless he or she and is registered by the board. 645 646 647 648 649 650 651 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 SB28 INTRODUCED Page 25 and is registered by the board. (b) A pharmacy clerk shall not perform operational functions or be present in the prescription department of a pharmacy unless the pharmacy clerk is under the supervision of a licensed pharmacist and is registered by the board. (b)(c) When supervision is required, a licensed pharmacist shall be jointly responsible and liable for the actions of a pharmacy technician or pharmacy clerk . (c)(d) A pharmacy technician or pharmacy clerk shall register and pay a fee as determined by the board before performing any pharmacy functions. The board shall adopt rules relating to the registration of all pharmacy technicians and pharmacy clerks. The registration of a pharmacy technician or pharmacy clerk shall be renewable biennially in odd-numbered years upon payment of the required renewal fee. The registration of each pharmacy technician or pharmacy clerk shall expire on December 31 of odd-numbered years. In order to continue to be licensed, each registered pharmacy technician or pharmacy clerk shall pay a biennial renewal fee of not less than twenty dollars ($20), as determined by rule of the board, the fee being due on October 31 and delinquent after December 31 of odd-numbered years. The payment of the renewal fee shall entitle the pharmacy technician or pharmacy clerk to renewal of his or her registration at the discretion of the board. If any pharmacy technician or pharmacy clerk fails to pay the renewal fee as required by this subsection, he or she may be reinstated as a pharmacy technician or pharmacy clerk only upon payment of a penalty of not less than ten dollars ($10) nor more than twenty dollars ($20), as determined by rule of 673 674 675 676 677 678 679 680 681 682 683 684 685 686 687 688 689 690 691 692 693 694 695 696 697 698 699 700 SB28 INTRODUCED Page 26 nor more than twenty dollars ($20), as determined by rule of the board, for each lapsed year and all lapsed fees for each lapsed year up to a maximum of five years of total penalties and lapsed fees. (d)(e) In addition to any other registration requirements, a pharmacy technician or pharmacy clerk shall complete three hours of continuing education annually, or six hours biennially, of which one hour per year shall be live presentation. The board may grant an extension to a pharmacy technician or pharmacy clerk who fails to complete the required continuing education hours in the allotted time. A pharmacy technician or pharmacy clerk who fails to complete the annual continuing education requirements shall be subject to disciplinary action by the board. (f) The board shall adopt rules necessary to implement, administer, and enforce this section. " "§34-23-132 The board shall revoke review for discipline, revocation, suspension, or suspend the registration of a pharmacy technician or place on probation the registration of a pharmacy technician or pharmacy clerk for any of, but not limited to, the following reasons: (1) Willful violation of any provision of this article or the Alabama Uniform Controlled Substances Act. (2) Willful violation of any rule or regulation promulgatedadopted in accordance with this article or the Alabama Uniform Controlled Substances Act. (3) Action which threatens the public health, safety, or welfare. 701 702 703 704 705 706 707 708 709 710 711 712 713 714 715 716 717 718 719 720 721 722 723 724 725 726 727 728 SB28 INTRODUCED Page 27 or welfare. (4) Conviction of a felony or misdemeanor involving moral turpitude. (5) Conviction of a felony or misdemeanor involving a drug related offense of a legend drug or controlled substance. (6) Obtaining the pharmacy technician registration by fraudulent means. (7) Violation of the laws regulating the sale or dispensing of narcotics, exempt narcotics, or drugs bearing the label "cautionCaution, federal law prohibits dispensing without prescription," or similar wording which causes the drugs to be classified as prescription legend drugs." Section 2. Section 34-23-130 of the Code of Alabama 1975, is repealed. Section 3. This act shall become effective on October 1, 2025. 729 730 731 732 733 734 735 736 737 738 739 740 741 742 743