PRINTER'S NO. 424 THE GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL No.446 Session of 2025 INTRODUCED BY SANCHEZ, KHAN, GUENST, GIRAL, PIELLI, HOWARD, DONAHUE, HADDOCK, HILL-EVANS, FREEMAN, FLEMING, CIRESI, CERRATO AND GREEN, FEBRUARY 3, 2025 REFERRED TO COMMITTEE ON HEALTH, FEBRUARY 3, 2025 AN ACT Amending the act of July 19, 1979 (P.L.130, No.48), entitled "An act relating to health care; prescribing the powers and duties of the Department of Health; establishing and providing the powers and duties of the State Health Coordinating Council, health systems agencies and Health Care Policy Board in the Department of Health, and State Health Facility Hearing Board in the Department of Justice; providing for certification of need of health care providers and prescribing penalties," in licensing of health care facilities, providing for medication offered to patient. The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows: Section 1. The act of July 19, 1979 (P.L.130, No.48), known as the Health Care Facilities Act, is amended by adding a section to read: Section 809.3. Medication offered to patient. (a) General rule.--For a facility-provided medication administered to a patient during an episode of care in a health care facility, any portion of the medication billed to the patient that is unused shall be offered to the patient at no additional charge upon discharge when the medication may be 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 required for continuing treatment. (b) Facility option.--For a facility-provided medication administered to a patient during an episode of care in a health care facility, any portion of the medication that is unused that would otherwise be wasted shall be offered to the patient at no additional charge upon discharge when the medication is required for continuing treatment. (c) Labeling.--A facility-provided medication shall be labeled consistent with labeling requirements under the act of September 27, 1961 (P.L.1700, No.699), known as the "Pharmacy Act." (d) Counseling waived.--If a facility-provided medication is used in an operating room or emergency department setting, the prescriber shall counsel the patient on the medication's proper use and administration and the requirements of pharmacist counseling shall be waived. (e) Definitions.--As used in this section, the following words and phrases shall have the meanings given to them in this subsection unless the context clearly indicates otherwise: "Facility-provided medication." A topical antibiotic, anti- inflammatory, dilation or glaucoma drop or ointment or nasal spray that a health care facility employee has on standby or that is retrieved from a dispensing system for a specified patient for use during a procedure or visit. "Prescriber." A person that is licensed, registered or otherwise authorized to distribute, dispense or administer a controlled substance, other drug or device in the course of professional practice or research in this Commonwealth. The term does not include a veterinarian. Section 2. This act shall take effect in 60 days. 20250HB0446PN0424 - 2 - 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 29 30