S.B. 231 - *SB231* SENATE BILL NO. 231–SENATORS STONE, STEINBECK, KRASNER, BUCK; ELLISON AND NGUYEN FEBRUARY 24, 2025 ____________ Referred to Committee on Commerce and Labor SUMMARY—Establishes provisions relating to the collection and destruction of unused drugs. (BDR 54-564) FISCAL NOTE: Effect on Local Government: No. Effect on the State: Contains Appropriation not included in Executive Budget. ~ EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted. AN ACT relating to pharmacy; establishing requirements governing the maintenance of secure drug take-back bins for the collection and destruction of unused drugs; providing that entities that maintain a secure drug take-back bin in accordance with such requirements are not subject to certain discipline for certain injuries and harms; making an appropriation; and providing other matters properly relating thereto. Legislative Counsel’s Digest: Existing federal regulations authorize pharmacies, hospitals and other entities 1 authorized to handle controlled substances to register with the Drug Enforcement 2 Administration of the United States Department of Justice to obtain authorization to 3 be a collector of controlled substances. Existing federal regulations authorize such 4 collectors to: (1) conduct mail-back programs for the return of controlled 5 substances; and (2) maintain collection receptacles for disposal of the controlled 6 substances. (21 C.F.R. §§ 1317.40, 1317.70, 1317.75) Existing federal regulations 7 also prescribe standards governing the disposal of controlled substances by entities 8 authorized to handle and dispose of controlled substances. (21 C.F.R. Part 1317) 9 Existing regulations of the State Board of Pharmacy require an entity that is 10 authorized pursuant to federal law and conducts such a mail-back program or 11 maintains such collection receptacles to provide to the Board: (1) written 12 notification of the registration of the entity with the Drug Enforcement 13 Administration to be a collector; and (2) copies of a certain federal form which is 14 required to document the destruction of controlled substances. (NAC 639.050) 15 Existing regulations of the Board also prescribe standards for the destruction of 16 controlled substances, which mirror the relevant federal regulations. 17 (NAC 639.498) 18 – 2 – - *SB231* Section 1 of this bill prescribes requirements for the installation and 19 maintenance of secure drug take-back bins by a collector that is registered with the 20 Drug Enforcement Administration for the on-site collection and destruction of 21 home-generated pharmaceutical waste. Specifically, section 1 requires such a 22 collector to: (1) comply with all applicable state and federal laws and regulations; 23 (2) notify at least one local law enforcement agency of any suspected or known 24 tampering or theft or significant loss of controlled substances from a secure drug 25 take-back bin that occurs while the bin is under the control of the collector; (3) post 26 signage notifying customers of the substances that are and are not acceptable for 27 deposit into the secure drug take-back bin; (4) regularly monitor and inspect the bin 28 and surrounding area, including by limiting customer access to the bin to certain 29 hours when the bin is being actively monitored; and (5) maintain records of such 30 inspections and other records acquired by law. Section 1 also prohibits such a 31 collector from receiving any compensation from a customer to maintain the secure 32 drug take-back bin. Section 1: (1) provides that a collector that complies with such 33 requirements is not subject to discipline by the Board for any injury or harm that 34 directly results from the collector maintaining a secure drug take-back bin, unless 35 the injury or harm directly resulted from the gross negligence or willful and wanton 36 misconduct of the collector; and (2) relieves such a collector from compliance with 37 any restriction established by the governing body of a county, city or other local 38 governmental entity that would affect the collection and destruction of the contents 39 of a secure drug take-back bin. 40 Existing law creates the Fund for a Resilient Nevada and requires the Attorney 41 General to deposit in the Fund money received by this State pursuant to any 42 judgment received or settlement entered into by the State of Nevada as a result of 43 certain litigation concerning the manufacture, distribution, sale or marketing of 44 opioids. (NRS 433.732) Section 2 of this bill appropriates $500,000 from the Fund 45 to the Division of Public and Behavioral Health of the Department of Health and 46 Human Services to assist collectors with the destruction of home-generated 47 pharmaceutical waste deposited in a secure drug take-back bin. 48 THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS: Section 1. Chapter 639 of NRS is hereby amended by adding 1 thereto a new section to read as follows: 2 1. A collector that maintains a secure drug take-back bin for 3 the collection and destruction of home-generated pharmaceutical 4 waste shall: 5 (a) Comply with all applicable state and federal laws and 6 regulations relating to the collection of home-generated 7 pharmaceutical waste for destruction in secure drug take-back 8 bins; 9 (b) Ensure that the secure drug take-back bin is placed in a 10 location that is regularly monitored by employees of the collector; 11 (c) Ensure that conspicuous signage is posted on the secure 12 drug take-back bin that clearly notifies customers as to the 13 substances that are and are not acceptable for deposit into the bin; 14 (d) Ensure that public access to the secure drug take-back bin 15 is limited to hours during which employees of the collector are 16 – 3 – - *SB231* present and able to monitor the operation of the secure drug take-1 back bin; 2 (e) Regularly inspect the secure drug take-back bin and the 3 area surrounding the secure drug take-back bin for potential 4 tampering or diversion; 5 (f) Maintain a record of inspections conducted pursuant to 6 paragraph (e) that must: 7 (1) Be documented in writing or electronically and may be 8 combined with records required to be maintained by other state or 9 federal laws or regulations; 10 (2) Include the date and time of each inspection; and 11 (3) Include the initials of the employee who conducted each 12 inspection; 13 (g) Retain each record maintained pursuant to paragraph (f) 14 and any other record relating to the secure drug take-back bin 15 required by state or federal laws or regulations for at least 2 years 16 after the date of the event to which the record pertains; and 17 (h) Notify at least one local law enforcement agency of any 18 suspected or known tampering or theft or significant loss of 19 controlled substances that occurs while the secure drug take-back 20 bin is under the control of the collector not later than 1 business 21 day after the date on which the tampering, theft or significant loss 22 is suspected or discovered. 23 2. A collector shall not receive compensation from a customer 24 of the collector to maintain a secure drug take-back bin or to 25 perform any act required by subsection 1. 26 3. Any collector that maintains a secure drug take-back bin 27 and complies with the provisions of subsections 1 and 2 is not 28 subject to any: 29 (a) Disciplinary action by the Board for any injury or harm 30 that directly results from the collector maintaining a secure drug 31 take-back bin on its premises, unless the injury or harm directly 32 results from the gross negligence or willful and wanton 33 misconduct of the collector; or 34 (b) Restriction established by the governing body of a county, 35 city or other local governmental entity that would affect the 36 collection, transportation, treatment or destruction of the contents 37 of a secure drug take-back bin pursuant to this section. 38 4. Nothing in this section shall be construed to require any 39 entity that: 40 (a) May qualify as a collector to acquire, maintain or make 41 available to the public a secure drug take-back bin on its premises; 42 or 43 (b) Has entered into an agreement to collect and dispose of 44 solid waste as part of a solid waste management system to collect 45 – 4 – - *SB231* and dispose of the contents of secure drug take-back bins, unless 1 the agreement or plan expressly provides for such collection and 2 disposal. 3 5. The Board may adopt regulations necessary to carry out 4 the provisions of this section. 5 6. As used in this section: 6 (a) “Collector” means an entity that is: 7 (1) Authorized by and registered with the Drug 8 Enforcement Administration to receive a controlled substance for 9 the purpose of destruction; and 10 (2) In good standing with the Board. 11 (b) “Home-generated pharmaceutical waste” means a 12 pharmaceutical that is no longer wanted or needed by the 13 consumer, including, without limitation, in the form of pills, 14 liquids, inhalers, topical creams, suppositories or patches. 15 (c) “Local law enforcement agency” means: 16 (1) The sheriff’s office of a county; 17 (2) A metropolitan police department; or 18 (3) A police department of an incorporated city. 19 (d) “Maintain” means to own, lease, operate or otherwise host 20 a secure drug take-back bin. 21 (e) “Pharmaceutical” means a drug intended for human or 22 veterinary use, regardless of whether the drug is sold with or 23 without a prescription. The term includes, without limitation, 24 controlled substances listed in schedule II, III, IV or V. The term 25 does not include controlled substances listed in schedule I. 26 (f) “Secure drug take-back bin” means a collection receptacle 27 as described in 21 C.F.R. § 1317.75. 28 (g) “Solid waste management system” has the meaning 29 ascribed to it in NRS 444.500. 30 Sec. 2. 1. There is hereby appropriated from the Fund for a 31 Resilient Nevada created by NRS 433.732 to the Division of Public 32 and Behavioral Health of the Department of Health and Human 33 Services the sum of $500,000 to assist collectors with the 34 destruction of home-generated pharmaceutical waste deposited in a 35 secure drug take-back bin. 36 2. Any remaining balance of the appropriation made by 37 subsection 1 must not be committed for expenditure after June 30, 38 2027, by the entity to which the appropriation is made or any entity 39 to which money from the appropriation is granted or otherwise 40 transferred in any manner, and any portion of the appropriated 41 money remaining must not be spent for any purpose after 42 September 17, 2027, by either the entity to which the money was 43 appropriated or the entity to which the money was subsequently 44 – 5 – - *SB231* granted or transferred, and must be reverted to the Fund for a 1 Resilient Nevada on or before September 17, 2027. 2 3. As used in this section: 3 (a) “Collector” has the meaning ascribed to it in section 1 of this 4 act. 5 (b) “Home-generated pharmaceutical waste” has the meaning 6 ascribed to it in section 1 of this act. 7 (c) “Secure drug take-back bin” has the meaning ascribed to it 8 by section 1 of this act. 9 Sec. 3. 1. This section becomes effective upon passage and 10 approval. 11 2. Section 1 of this act becomes effective: 12 (a) Upon passage and approval for the purpose of adopting any 13 regulations and performing any preparatory administrative tasks that 14 are necessary to carry out the provisions of this act; and 15 (b) On July 1, 2025, for all other purposes. 16 3. Section 2 of this act becomes effective on July 1, 2025. 17 H