CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Senate Bill No. 524Introduced by Senator CaballeroFebruary 14, 2023 An act to amend Section 4052 of the Business and Professions Code, relating to healing arts.LEGISLATIVE COUNSEL'S DIGESTSB 524, as introduced, Caballero. The Pharmacy Law.The Pharmacy Law establishes the California State Board of Pharmacy to administer its provisions and authorizes a pharmacist to, among other things, perform certain procedures or functions in a licensed health care facility, as specified.This bill would make a nonsubstantive change to that provision.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NO Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 4052 of the Business and Professions Code is amended to read:4052. (a) Notwithstanding any other law, a pharmacist may do all of the following:(1) Furnish a reasonable quantity of compounded drug product to a prescriber for office use by the prescriber.(2) Transmit a valid prescription to another pharmacist.(3) Administer drugs and biological products that have been ordered by a prescriber.(4) Perform procedures or functions in a licensed health care facility facility, as authorized by Section 4052.1.(5) Perform procedures or functions as part of the care provided by a health care facility, a licensed home health agency, a licensed clinic in which there is physician oversight, a provider who contracts with a licensed health care service plan with regard to the care or services provided to the enrollees of that health care service plan, or a physician, as authorized by Section 4052.2.(6) Perform procedures or functions as authorized by Section 4052.6.(7) Manufacture, measure, fit to the patient, or sell and repair dangerous devices, or furnish instructions to the patient or the patients representative concerning the use of those devices.(8) Provide consultation, training, and education to patients about drug therapy, disease management, and disease prevention.(9) Provide professional information, including clinical or pharmacological information, advice, or consultation to other health care professionals, and participate in multidisciplinary review of patient progress, including appropriate access to medical records.(10) Furnish the medications described in subparagraph (A) in accordance with subparagraph (B):(A) (i) Emergency contraception drug therapy and self-administered hormonal contraceptives, as authorized by Section 4052.3.(ii) Nicotine replacement products, as authorized by Section 4052.9.(iii) Prescription medications not requiring a diagnosis that are recommended by the federal Centers for Disease Control and Prevention for individuals traveling outside of the United States.(iv) HIV preexposure prophylaxis, as authorized by Section 4052.02.(v) HIV postexposure prophylaxis, as authorized by Section 4052.03.(B) The pharmacist shall notify the patients primary care provider of any drugs or devices furnished to the patient, or enter the appropriate information in a patient record system shared with the primary care provider, as permitted by that primary care provider. If the patient does not have a primary care provider, the pharmacist shall provide the patient with a written record of the drugs or devices furnished and advise the patient to consult a physician of the patients choice.(11) Administer immunizations pursuant to a protocol with a prescriber.(12) Order and interpret tests for the purpose of monitoring and managing the efficacy and toxicity of drug therapies. A pharmacist who orders and interprets tests pursuant to this paragraph shall ensure that the ordering of those tests is done in coordination with the patients primary care provider or diagnosing prescriber, as appropriate, including promptly transmitting written notification to the patients diagnosing prescriber or entering the appropriate information in a patient record system shared with the prescriber, when available and as permitted by that prescriber.(13) Initiate, adjust, or discontinue drug therapy for a patient under a collaborative practice agreement with any health care provider with prescriptive authority. The collaborative practice agreement may be between a single or multiple pharmacists and a single or multiple health care providers with prescriptive authority.(14) Provide medication-assisted treatment pursuant to a state protocol, to the extent authorized by federal law.(b) A pharmacist who is authorized to issue an order to initiate or adjust a controlled substance therapy pursuant to this section shall personally register with the federal Drug Enforcement Administration.(c) This section does not affect the applicable requirements of law relating to either of the following:(1) Maintaining the confidentiality of medical records.(2) The licensing of a health care facility. CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Senate Bill No. 524Introduced by Senator CaballeroFebruary 14, 2023 An act to amend Section 4052 of the Business and Professions Code, relating to healing arts.LEGISLATIVE COUNSEL'S DIGESTSB 524, as introduced, Caballero. The Pharmacy Law.The Pharmacy Law establishes the California State Board of Pharmacy to administer its provisions and authorizes a pharmacist to, among other things, perform certain procedures or functions in a licensed health care facility, as specified.This bill would make a nonsubstantive change to that provision.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NO Local Program: NO CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Senate Bill No. 524 Introduced by Senator CaballeroFebruary 14, 2023 Introduced by Senator Caballero February 14, 2023 An act to amend Section 4052 of the Business and Professions Code, relating to healing arts. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST SB 524, as introduced, Caballero. The Pharmacy Law. The Pharmacy Law establishes the California State Board of Pharmacy to administer its provisions and authorizes a pharmacist to, among other things, perform certain procedures or functions in a licensed health care facility, as specified.This bill would make a nonsubstantive change to that provision. The Pharmacy Law establishes the California State Board of Pharmacy to administer its provisions and authorizes a pharmacist to, among other things, perform certain procedures or functions in a licensed health care facility, as specified. This bill would make a nonsubstantive change to that provision. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. Section 4052 of the Business and Professions Code is amended to read:4052. (a) Notwithstanding any other law, a pharmacist may do all of the following:(1) Furnish a reasonable quantity of compounded drug product to a prescriber for office use by the prescriber.(2) Transmit a valid prescription to another pharmacist.(3) Administer drugs and biological products that have been ordered by a prescriber.(4) Perform procedures or functions in a licensed health care facility facility, as authorized by Section 4052.1.(5) Perform procedures or functions as part of the care provided by a health care facility, a licensed home health agency, a licensed clinic in which there is physician oversight, a provider who contracts with a licensed health care service plan with regard to the care or services provided to the enrollees of that health care service plan, or a physician, as authorized by Section 4052.2.(6) Perform procedures or functions as authorized by Section 4052.6.(7) Manufacture, measure, fit to the patient, or sell and repair dangerous devices, or furnish instructions to the patient or the patients representative concerning the use of those devices.(8) Provide consultation, training, and education to patients about drug therapy, disease management, and disease prevention.(9) Provide professional information, including clinical or pharmacological information, advice, or consultation to other health care professionals, and participate in multidisciplinary review of patient progress, including appropriate access to medical records.(10) Furnish the medications described in subparagraph (A) in accordance with subparagraph (B):(A) (i) Emergency contraception drug therapy and self-administered hormonal contraceptives, as authorized by Section 4052.3.(ii) Nicotine replacement products, as authorized by Section 4052.9.(iii) Prescription medications not requiring a diagnosis that are recommended by the federal Centers for Disease Control and Prevention for individuals traveling outside of the United States.(iv) HIV preexposure prophylaxis, as authorized by Section 4052.02.(v) HIV postexposure prophylaxis, as authorized by Section 4052.03.(B) The pharmacist shall notify the patients primary care provider of any drugs or devices furnished to the patient, or enter the appropriate information in a patient record system shared with the primary care provider, as permitted by that primary care provider. If the patient does not have a primary care provider, the pharmacist shall provide the patient with a written record of the drugs or devices furnished and advise the patient to consult a physician of the patients choice.(11) Administer immunizations pursuant to a protocol with a prescriber.(12) Order and interpret tests for the purpose of monitoring and managing the efficacy and toxicity of drug therapies. A pharmacist who orders and interprets tests pursuant to this paragraph shall ensure that the ordering of those tests is done in coordination with the patients primary care provider or diagnosing prescriber, as appropriate, including promptly transmitting written notification to the patients diagnosing prescriber or entering the appropriate information in a patient record system shared with the prescriber, when available and as permitted by that prescriber.(13) Initiate, adjust, or discontinue drug therapy for a patient under a collaborative practice agreement with any health care provider with prescriptive authority. The collaborative practice agreement may be between a single or multiple pharmacists and a single or multiple health care providers with prescriptive authority.(14) Provide medication-assisted treatment pursuant to a state protocol, to the extent authorized by federal law.(b) A pharmacist who is authorized to issue an order to initiate or adjust a controlled substance therapy pursuant to this section shall personally register with the federal Drug Enforcement Administration.(c) This section does not affect the applicable requirements of law relating to either of the following:(1) Maintaining the confidentiality of medical records.(2) The licensing of a health care facility. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. Section 4052 of the Business and Professions Code is amended to read:4052. (a) Notwithstanding any other law, a pharmacist may do all of the following:(1) Furnish a reasonable quantity of compounded drug product to a prescriber for office use by the prescriber.(2) Transmit a valid prescription to another pharmacist.(3) Administer drugs and biological products that have been ordered by a prescriber.(4) Perform procedures or functions in a licensed health care facility facility, as authorized by Section 4052.1.(5) Perform procedures or functions as part of the care provided by a health care facility, a licensed home health agency, a licensed clinic in which there is physician oversight, a provider who contracts with a licensed health care service plan with regard to the care or services provided to the enrollees of that health care service plan, or a physician, as authorized by Section 4052.2.(6) Perform procedures or functions as authorized by Section 4052.6.(7) Manufacture, measure, fit to the patient, or sell and repair dangerous devices, or furnish instructions to the patient or the patients representative concerning the use of those devices.(8) Provide consultation, training, and education to patients about drug therapy, disease management, and disease prevention.(9) Provide professional information, including clinical or pharmacological information, advice, or consultation to other health care professionals, and participate in multidisciplinary review of patient progress, including appropriate access to medical records.(10) Furnish the medications described in subparagraph (A) in accordance with subparagraph (B):(A) (i) Emergency contraception drug therapy and self-administered hormonal contraceptives, as authorized by Section 4052.3.(ii) Nicotine replacement products, as authorized by Section 4052.9.(iii) Prescription medications not requiring a diagnosis that are recommended by the federal Centers for Disease Control and Prevention for individuals traveling outside of the United States.(iv) HIV preexposure prophylaxis, as authorized by Section 4052.02.(v) HIV postexposure prophylaxis, as authorized by Section 4052.03.(B) The pharmacist shall notify the patients primary care provider of any drugs or devices furnished to the patient, or enter the appropriate information in a patient record system shared with the primary care provider, as permitted by that primary care provider. If the patient does not have a primary care provider, the pharmacist shall provide the patient with a written record of the drugs or devices furnished and advise the patient to consult a physician of the patients choice.(11) Administer immunizations pursuant to a protocol with a prescriber.(12) Order and interpret tests for the purpose of monitoring and managing the efficacy and toxicity of drug therapies. A pharmacist who orders and interprets tests pursuant to this paragraph shall ensure that the ordering of those tests is done in coordination with the patients primary care provider or diagnosing prescriber, as appropriate, including promptly transmitting written notification to the patients diagnosing prescriber or entering the appropriate information in a patient record system shared with the prescriber, when available and as permitted by that prescriber.(13) Initiate, adjust, or discontinue drug therapy for a patient under a collaborative practice agreement with any health care provider with prescriptive authority. The collaborative practice agreement may be between a single or multiple pharmacists and a single or multiple health care providers with prescriptive authority.(14) Provide medication-assisted treatment pursuant to a state protocol, to the extent authorized by federal law.(b) A pharmacist who is authorized to issue an order to initiate or adjust a controlled substance therapy pursuant to this section shall personally register with the federal Drug Enforcement Administration.(c) This section does not affect the applicable requirements of law relating to either of the following:(1) Maintaining the confidentiality of medical records.(2) The licensing of a health care facility. SECTION 1. Section 4052 of the Business and Professions Code is amended to read: ### SECTION 1. 4052. (a) Notwithstanding any other law, a pharmacist may do all of the following:(1) Furnish a reasonable quantity of compounded drug product to a prescriber for office use by the prescriber.(2) Transmit a valid prescription to another pharmacist.(3) Administer drugs and biological products that have been ordered by a prescriber.(4) Perform procedures or functions in a licensed health care facility facility, as authorized by Section 4052.1.(5) Perform procedures or functions as part of the care provided by a health care facility, a licensed home health agency, a licensed clinic in which there is physician oversight, a provider who contracts with a licensed health care service plan with regard to the care or services provided to the enrollees of that health care service plan, or a physician, as authorized by Section 4052.2.(6) Perform procedures or functions as authorized by Section 4052.6.(7) Manufacture, measure, fit to the patient, or sell and repair dangerous devices, or furnish instructions to the patient or the patients representative concerning the use of those devices.(8) Provide consultation, training, and education to patients about drug therapy, disease management, and disease prevention.(9) Provide professional information, including clinical or pharmacological information, advice, or consultation to other health care professionals, and participate in multidisciplinary review of patient progress, including appropriate access to medical records.(10) Furnish the medications described in subparagraph (A) in accordance with subparagraph (B):(A) (i) Emergency contraception drug therapy and self-administered hormonal contraceptives, as authorized by Section 4052.3.(ii) Nicotine replacement products, as authorized by Section 4052.9.(iii) Prescription medications not requiring a diagnosis that are recommended by the federal Centers for Disease Control and Prevention for individuals traveling outside of the United States.(iv) HIV preexposure prophylaxis, as authorized by Section 4052.02.(v) HIV postexposure prophylaxis, as authorized by Section 4052.03.(B) The pharmacist shall notify the patients primary care provider of any drugs or devices furnished to the patient, or enter the appropriate information in a patient record system shared with the primary care provider, as permitted by that primary care provider. If the patient does not have a primary care provider, the pharmacist shall provide the patient with a written record of the drugs or devices furnished and advise the patient to consult a physician of the patients choice.(11) Administer immunizations pursuant to a protocol with a prescriber.(12) Order and interpret tests for the purpose of monitoring and managing the efficacy and toxicity of drug therapies. A pharmacist who orders and interprets tests pursuant to this paragraph shall ensure that the ordering of those tests is done in coordination with the patients primary care provider or diagnosing prescriber, as appropriate, including promptly transmitting written notification to the patients diagnosing prescriber or entering the appropriate information in a patient record system shared with the prescriber, when available and as permitted by that prescriber.(13) Initiate, adjust, or discontinue drug therapy for a patient under a collaborative practice agreement with any health care provider with prescriptive authority. The collaborative practice agreement may be between a single or multiple pharmacists and a single or multiple health care providers with prescriptive authority.(14) Provide medication-assisted treatment pursuant to a state protocol, to the extent authorized by federal law.(b) A pharmacist who is authorized to issue an order to initiate or adjust a controlled substance therapy pursuant to this section shall personally register with the federal Drug Enforcement Administration.(c) This section does not affect the applicable requirements of law relating to either of the following:(1) Maintaining the confidentiality of medical records.(2) The licensing of a health care facility. 4052. (a) Notwithstanding any other law, a pharmacist may do all of the following:(1) Furnish a reasonable quantity of compounded drug product to a prescriber for office use by the prescriber.(2) Transmit a valid prescription to another pharmacist.(3) Administer drugs and biological products that have been ordered by a prescriber.(4) Perform procedures or functions in a licensed health care facility facility, as authorized by Section 4052.1.(5) Perform procedures or functions as part of the care provided by a health care facility, a licensed home health agency, a licensed clinic in which there is physician oversight, a provider who contracts with a licensed health care service plan with regard to the care or services provided to the enrollees of that health care service plan, or a physician, as authorized by Section 4052.2.(6) Perform procedures or functions as authorized by Section 4052.6.(7) Manufacture, measure, fit to the patient, or sell and repair dangerous devices, or furnish instructions to the patient or the patients representative concerning the use of those devices.(8) Provide consultation, training, and education to patients about drug therapy, disease management, and disease prevention.(9) Provide professional information, including clinical or pharmacological information, advice, or consultation to other health care professionals, and participate in multidisciplinary review of patient progress, including appropriate access to medical records.(10) Furnish the medications described in subparagraph (A) in accordance with subparagraph (B):(A) (i) Emergency contraception drug therapy and self-administered hormonal contraceptives, as authorized by Section 4052.3.(ii) Nicotine replacement products, as authorized by Section 4052.9.(iii) Prescription medications not requiring a diagnosis that are recommended by the federal Centers for Disease Control and Prevention for individuals traveling outside of the United States.(iv) HIV preexposure prophylaxis, as authorized by Section 4052.02.(v) HIV postexposure prophylaxis, as authorized by Section 4052.03.(B) The pharmacist shall notify the patients primary care provider of any drugs or devices furnished to the patient, or enter the appropriate information in a patient record system shared with the primary care provider, as permitted by that primary care provider. If the patient does not have a primary care provider, the pharmacist shall provide the patient with a written record of the drugs or devices furnished and advise the patient to consult a physician of the patients choice.(11) Administer immunizations pursuant to a protocol with a prescriber.(12) Order and interpret tests for the purpose of monitoring and managing the efficacy and toxicity of drug therapies. A pharmacist who orders and interprets tests pursuant to this paragraph shall ensure that the ordering of those tests is done in coordination with the patients primary care provider or diagnosing prescriber, as appropriate, including promptly transmitting written notification to the patients diagnosing prescriber or entering the appropriate information in a patient record system shared with the prescriber, when available and as permitted by that prescriber.(13) Initiate, adjust, or discontinue drug therapy for a patient under a collaborative practice agreement with any health care provider with prescriptive authority. The collaborative practice agreement may be between a single or multiple pharmacists and a single or multiple health care providers with prescriptive authority.(14) Provide medication-assisted treatment pursuant to a state protocol, to the extent authorized by federal law.(b) A pharmacist who is authorized to issue an order to initiate or adjust a controlled substance therapy pursuant to this section shall personally register with the federal Drug Enforcement Administration.(c) This section does not affect the applicable requirements of law relating to either of the following:(1) Maintaining the confidentiality of medical records.(2) The licensing of a health care facility. 4052. (a) Notwithstanding any other law, a pharmacist may do all of the following:(1) Furnish a reasonable quantity of compounded drug product to a prescriber for office use by the prescriber.(2) Transmit a valid prescription to another pharmacist.(3) Administer drugs and biological products that have been ordered by a prescriber.(4) Perform procedures or functions in a licensed health care facility facility, as authorized by Section 4052.1.(5) Perform procedures or functions as part of the care provided by a health care facility, a licensed home health agency, a licensed clinic in which there is physician oversight, a provider who contracts with a licensed health care service plan with regard to the care or services provided to the enrollees of that health care service plan, or a physician, as authorized by Section 4052.2.(6) Perform procedures or functions as authorized by Section 4052.6.(7) Manufacture, measure, fit to the patient, or sell and repair dangerous devices, or furnish instructions to the patient or the patients representative concerning the use of those devices.(8) Provide consultation, training, and education to patients about drug therapy, disease management, and disease prevention.(9) Provide professional information, including clinical or pharmacological information, advice, or consultation to other health care professionals, and participate in multidisciplinary review of patient progress, including appropriate access to medical records.(10) Furnish the medications described in subparagraph (A) in accordance with subparagraph (B):(A) (i) Emergency contraception drug therapy and self-administered hormonal contraceptives, as authorized by Section 4052.3.(ii) Nicotine replacement products, as authorized by Section 4052.9.(iii) Prescription medications not requiring a diagnosis that are recommended by the federal Centers for Disease Control and Prevention for individuals traveling outside of the United States.(iv) HIV preexposure prophylaxis, as authorized by Section 4052.02.(v) HIV postexposure prophylaxis, as authorized by Section 4052.03.(B) The pharmacist shall notify the patients primary care provider of any drugs or devices furnished to the patient, or enter the appropriate information in a patient record system shared with the primary care provider, as permitted by that primary care provider. If the patient does not have a primary care provider, the pharmacist shall provide the patient with a written record of the drugs or devices furnished and advise the patient to consult a physician of the patients choice.(11) Administer immunizations pursuant to a protocol with a prescriber.(12) Order and interpret tests for the purpose of monitoring and managing the efficacy and toxicity of drug therapies. A pharmacist who orders and interprets tests pursuant to this paragraph shall ensure that the ordering of those tests is done in coordination with the patients primary care provider or diagnosing prescriber, as appropriate, including promptly transmitting written notification to the patients diagnosing prescriber or entering the appropriate information in a patient record system shared with the prescriber, when available and as permitted by that prescriber.(13) Initiate, adjust, or discontinue drug therapy for a patient under a collaborative practice agreement with any health care provider with prescriptive authority. The collaborative practice agreement may be between a single or multiple pharmacists and a single or multiple health care providers with prescriptive authority.(14) Provide medication-assisted treatment pursuant to a state protocol, to the extent authorized by federal law.(b) A pharmacist who is authorized to issue an order to initiate or adjust a controlled substance therapy pursuant to this section shall personally register with the federal Drug Enforcement Administration.(c) This section does not affect the applicable requirements of law relating to either of the following:(1) Maintaining the confidentiality of medical records.(2) The licensing of a health care facility. 4052. (a) Notwithstanding any other law, a pharmacist may do all of the following: (1) Furnish a reasonable quantity of compounded drug product to a prescriber for office use by the prescriber. (2) Transmit a valid prescription to another pharmacist. (3) Administer drugs and biological products that have been ordered by a prescriber. (4) Perform procedures or functions in a licensed health care facility facility, as authorized by Section 4052.1. (5) Perform procedures or functions as part of the care provided by a health care facility, a licensed home health agency, a licensed clinic in which there is physician oversight, a provider who contracts with a licensed health care service plan with regard to the care or services provided to the enrollees of that health care service plan, or a physician, as authorized by Section 4052.2. (6) Perform procedures or functions as authorized by Section 4052.6. (7) Manufacture, measure, fit to the patient, or sell and repair dangerous devices, or furnish instructions to the patient or the patients representative concerning the use of those devices. (8) Provide consultation, training, and education to patients about drug therapy, disease management, and disease prevention. (9) Provide professional information, including clinical or pharmacological information, advice, or consultation to other health care professionals, and participate in multidisciplinary review of patient progress, including appropriate access to medical records. (10) Furnish the medications described in subparagraph (A) in accordance with subparagraph (B): (A) (i) Emergency contraception drug therapy and self-administered hormonal contraceptives, as authorized by Section 4052.3. (ii) Nicotine replacement products, as authorized by Section 4052.9. (iii) Prescription medications not requiring a diagnosis that are recommended by the federal Centers for Disease Control and Prevention for individuals traveling outside of the United States. (iv) HIV preexposure prophylaxis, as authorized by Section 4052.02. (v) HIV postexposure prophylaxis, as authorized by Section 4052.03. (B) The pharmacist shall notify the patients primary care provider of any drugs or devices furnished to the patient, or enter the appropriate information in a patient record system shared with the primary care provider, as permitted by that primary care provider. If the patient does not have a primary care provider, the pharmacist shall provide the patient with a written record of the drugs or devices furnished and advise the patient to consult a physician of the patients choice. (11) Administer immunizations pursuant to a protocol with a prescriber. (12) Order and interpret tests for the purpose of monitoring and managing the efficacy and toxicity of drug therapies. A pharmacist who orders and interprets tests pursuant to this paragraph shall ensure that the ordering of those tests is done in coordination with the patients primary care provider or diagnosing prescriber, as appropriate, including promptly transmitting written notification to the patients diagnosing prescriber or entering the appropriate information in a patient record system shared with the prescriber, when available and as permitted by that prescriber. (13) Initiate, adjust, or discontinue drug therapy for a patient under a collaborative practice agreement with any health care provider with prescriptive authority. The collaborative practice agreement may be between a single or multiple pharmacists and a single or multiple health care providers with prescriptive authority. (14) Provide medication-assisted treatment pursuant to a state protocol, to the extent authorized by federal law. (b) A pharmacist who is authorized to issue an order to initiate or adjust a controlled substance therapy pursuant to this section shall personally register with the federal Drug Enforcement Administration. (c) This section does not affect the applicable requirements of law relating to either of the following: (1) Maintaining the confidentiality of medical records. (2) The licensing of a health care facility.