1 | 1 | | 81R9297 JSC-F |
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2 | 2 | | By: McReynolds H.B. No. 3962 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to the regulation of controlled substances. |
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8 | 8 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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9 | 9 | | SECTION 1. Section 481.002, Health and Safety Code, is |
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10 | 10 | | amended by adding Subdivision (2-a) and amending Subdivision (22) |
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11 | 11 | | to read as follows: |
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12 | 12 | | (2-a) "Board" means the Texas State Board of Pharmacy. |
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13 | 13 | | (22) "Immediate precursor" means a substance |
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14 | 14 | | designated [the director finds to be and] by rule under this chapter |
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15 | 15 | | [designates] as being: |
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16 | 16 | | (A) a principal compound commonly used or |
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17 | 17 | | produced primarily for use in the manufacture of a controlled |
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18 | 18 | | substance; |
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19 | 19 | | (B) a substance that is an immediate chemical |
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20 | 20 | | intermediary used or likely to be used in the manufacture of a |
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21 | 21 | | controlled substance; and |
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22 | 22 | | (C) a substance the control of which is necessary |
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23 | 23 | | to prevent, curtail, or limit the manufacture of a controlled |
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24 | 24 | | substance. |
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25 | 25 | | SECTION 2. Section 481.003(a), Health and Safety Code, is |
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26 | 26 | | amended to read as follows: |
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27 | 27 | | (a) The director may adopt rules to administer and enforce |
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28 | 28 | | this chapter, except that the board may adopt rules relating to the |
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29 | 29 | | issuance of prescriptions and information submitted in connection |
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30 | 30 | | with those prescriptions. The department and the board by rule |
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31 | 31 | | shall adopt a memorandum of understanding outlining the |
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32 | 32 | | responsibilities of each agency in regulating controlled |
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33 | 33 | | substances under this chapter. |
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34 | 34 | | SECTION 3. Section 481.034(h), Health and Safety Code, is |
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35 | 35 | | amended to read as follows: |
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36 | 36 | | (h) Not later than the 10th day after the date on which the |
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37 | 37 | | commissioner designates, deletes, or reschedules a substance under |
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38 | 38 | | Subsection (a), the commissioner shall give written notice of that |
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39 | 39 | | action to the director, the board, and [to] each state licensing |
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40 | 40 | | agency having jurisdiction over practitioners. |
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41 | 41 | | SECTION 4. Section 481.064(c), Health and Safety Code, is |
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42 | 42 | | amended to read as follows: |
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43 | 43 | | (c) The director shall deposit the collected fees to the |
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44 | 44 | | credit of the [operator's and chauffeur's license account in the] |
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45 | 45 | | general revenue fund. The fees may be used only by the department |
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46 | 46 | | and the board in the administration or enforcement of this |
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47 | 47 | | subchapter. |
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48 | 48 | | SECTION 5. Section 481.074, Health and Safety Code, is |
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49 | 49 | | amended by amending Subsections (b), (c), (d), (f), (k), (p), and |
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50 | 50 | | (q), and reenacting and amending Subsection (o), as amended by |
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51 | 51 | | Chapters 349 (S.B. 1188) and 1345 (S.B. 410), Acts of the 79th |
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52 | 52 | | Legislature, Regular Session, 2005, to read as follows: |
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53 | 53 | | (b) Except in an emergency as defined by rule of the board |
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54 | 54 | | [director] or as provided by Subsection (o) [or Section 481.075(j) |
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55 | 55 | | or (m)], a person may not dispense or administer a controlled |
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56 | 56 | | substance listed in Schedule II without the written prescription of |
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57 | 57 | | a practitioner [on an official prescription form that meets the |
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58 | 58 | | requirements of and is completed by the practitioner in accordance |
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59 | 59 | | with Section 481.075]. In an emergency, a person may dispense or |
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60 | 60 | | administer a controlled substance listed in Schedule II on the oral |
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61 | 61 | | or telephonically communicated prescription of a practitioner. The |
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62 | 62 | | person who administers or dispenses the substance shall: |
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63 | 63 | | (1) if the person is a prescribing practitioner or a |
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64 | 64 | | pharmacist, promptly comply with Subsection (c); or |
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65 | 65 | | (2) if the person is not a prescribing practitioner or |
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66 | 66 | | a pharmacist, promptly write the oral or telephonically |
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67 | 67 | | communicated prescription and include in the written record of the |
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68 | 68 | | prescription the name, address, [department registration number,] |
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69 | 69 | | and Federal Drug Enforcement Administration number of the |
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70 | 70 | | prescribing practitioner[, all information required to be provided |
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71 | 71 | | by a practitioner under Section 481.075(e)(1), and all information |
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72 | 72 | | required to be provided by a dispensing pharmacist under Section |
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73 | 73 | | 481.075(e)(2)]. |
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74 | 74 | | (c) Not later than the seventh day after the date a |
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75 | 75 | | prescribing practitioner authorizes an emergency oral or |
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76 | 76 | | telephonically communicated prescription, the prescribing |
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77 | 77 | | practitioner shall cause a written prescription[, completed in the |
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78 | 78 | | manner required by Section 481.075,] to be delivered in person or |
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79 | 79 | | mailed to the dispensing pharmacist at the pharmacy where the |
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80 | 80 | | prescription was dispensed. The envelope of a prescription |
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81 | 81 | | delivered by mail must be postmarked not later than the seventh day |
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82 | 82 | | after the date the prescription was authorized. [On receipt of the |
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83 | 83 | | prescription, the dispensing pharmacy shall file the transcription |
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84 | 84 | | of the telephonically communicated prescription and the pharmacy |
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85 | 85 | | copy and shall send information to the director as required by |
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86 | 86 | | Section 481.075.] |
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87 | 87 | | (d) Except as specified in Subsections (e) and (f), the |
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88 | 88 | | board [director], by rule and in consultation with the Texas |
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89 | 89 | | Medical Board and the department [Texas State Board of Pharmacy], |
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90 | 90 | | shall establish the period after the date on which the prescription |
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91 | 91 | | is issued that a person may fill a prescription for a controlled |
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92 | 92 | | substance listed in Schedule II. A person may not refill a |
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93 | 93 | | prescription for a substance listed in Schedule II. |
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94 | 94 | | (f) A prescription for a Schedule II controlled substance |
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95 | 95 | | written for a patient in a long-term care facility (LTCF) or for a |
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96 | 96 | | patient with a medical diagnosis documenting a terminal illness may |
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97 | 97 | | be filled in partial quantities to include individual dosage units. |
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98 | 98 | | If there is any question about whether a patient may be classified |
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99 | 99 | | as having a terminal illness, the pharmacist must contact the |
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100 | 100 | | practitioner before partially filling the prescription. Both the |
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101 | 101 | | pharmacist and the practitioner have a corresponding |
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102 | 102 | | responsibility to assure that the controlled substance is for a |
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103 | 103 | | terminally ill patient. The pharmacist must record [the |
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104 | 104 | | prescription on an official prescription form and must indicate] on |
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105 | 105 | | the prescription [form] whether the patient is "terminally ill" or |
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106 | 106 | | an "LTCF patient." A prescription that is partially filled and does |
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107 | 107 | | not contain the notation "terminally ill" or "LTCF patient" is |
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108 | 108 | | considered to have been filled in violation of this chapter. For |
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109 | 109 | | each partial filling, the dispensing pharmacist shall record on the |
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110 | 110 | | back of the [official] prescription [form] the date of the partial |
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111 | 111 | | filling, the quantity dispensed, the remaining quantity authorized |
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112 | 112 | | to be dispensed, and the identification of the dispensing |
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113 | 113 | | pharmacist. Before any subsequent partial filling, the pharmacist |
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114 | 114 | | must determine that the additional partial filling is necessary. |
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115 | 115 | | The total quantity of Schedule II controlled substances dispensed |
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116 | 116 | | in all partial fillings may not exceed the total quantity |
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117 | 117 | | prescribed. Schedule II prescriptions for patients in a long-term |
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118 | 118 | | care facility or patients with a medical diagnosis documenting a |
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119 | 119 | | terminal illness are valid for a period not to exceed 60 days |
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120 | 120 | | following the issue date unless sooner terminated by discontinuance |
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121 | 121 | | of the medication. |
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122 | 122 | | (k) A prescription for a controlled substance must show: |
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123 | 123 | | (1) the quantity of the substance prescribed: |
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124 | 124 | | (A) numerically, followed by the number written |
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125 | 125 | | as a word, if the prescription is written; or |
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126 | 126 | | (B) if the prescription is communicated orally or |
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127 | 127 | | telephonically, as transcribed by the receiving pharmacist; |
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128 | 128 | | (2) the date of issue; |
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129 | 129 | | (3) the name, address, and date of birth or age of the |
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130 | 130 | | patient or, if the controlled substance is prescribed for an |
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131 | 131 | | animal, the species of the animal and the name and address of its |
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132 | 132 | | owner; |
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133 | 133 | | (4) the name and strength of the controlled substance |
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134 | 134 | | prescribed; |
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135 | 135 | | (5) the directions for use of the controlled |
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136 | 136 | | substance; |
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137 | 137 | | (6) the intended use of the substance prescribed |
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138 | 138 | | unless the practitioner determines the furnishing of this |
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139 | 139 | | information is not in the best interest of the patient; |
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140 | 140 | | (7) the legibly printed or stamped name, address, |
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141 | 141 | | Federal Drug Enforcement Administration registration number, and |
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142 | 142 | | telephone number of the practitioner at the practitioner's usual |
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143 | 143 | | place of business; and |
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144 | 144 | | (8) if the prescription is handwritten, the signature |
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145 | 145 | | of the prescribing practitioner[; and |
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146 | 146 | | [(9) if the prescribing practitioner is licensed in |
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147 | 147 | | this state, the practitioner's department registration number]. |
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148 | 148 | | (o) A pharmacist may dispense a Schedule II controlled |
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149 | 149 | | substance pursuant to a facsimile copy of a [an official] |
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150 | 150 | | prescription completed in the manner required by board rule |
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151 | 151 | | [Section 481.075] and transmitted by the practitioner or the |
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152 | 152 | | practitioner's agent to the pharmacy if: |
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153 | 153 | | (1) the prescription is written for: |
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154 | 154 | | (A) a Schedule II narcotic or nonnarcotic |
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155 | 155 | | substance for a patient in a long-term care facility (LTCF), and the |
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156 | 156 | | practitioner notes on the prescription "LTCF patient"; |
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157 | 157 | | (B) a Schedule II narcotic product to be |
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158 | 158 | | compounded for the direct administration to a patient by |
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159 | 159 | | parenteral, intravenous, intramuscular, subcutaneous, or |
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160 | 160 | | intraspinal infusion; or |
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161 | 161 | | (C) a Schedule II narcotic substance for a |
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162 | 162 | | patient with a medical diagnosis documenting a terminal illness or |
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163 | 163 | | a patient enrolled in a hospice care program certified or paid for |
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164 | 164 | | by Medicare under Title XVIII, Social Security Act (42 U.S.C. |
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165 | 165 | | Section 1395 et seq.), as amended, by Medicaid, or by a hospice |
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166 | 166 | | program that is licensed under Chapter 142, and the practitioner or |
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167 | 167 | | the practitioner's agent notes on the prescription "terminally ill" |
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168 | 168 | | or "hospice patient"; and |
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169 | 169 | | (2) after transmitting the prescription, the |
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170 | 170 | | prescribing practitioner or the practitioner's agent: |
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171 | 171 | | (A) writes across the face of the [official] |
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172 | 172 | | prescription "VOID--sent by fax to (name and telephone number of |
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173 | 173 | | receiving pharmacy)"; and |
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174 | 174 | | (B) files the [official] prescription in the |
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175 | 175 | | patient's medical records instead of delivering it to the patient. |
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176 | 176 | | (p) On receipt of the prescription, the dispensing pharmacy |
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177 | 177 | | shall file the facsimile copy of the prescription and shall send |
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178 | 178 | | information relating to the prescription to the board [director] as |
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179 | 179 | | required by board rule [Section 481.075]. |
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180 | 180 | | (q) Each dispensing pharmacist shall send all information |
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181 | 181 | | required by the board [director], including any information |
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182 | 182 | | required to complete the Schedule III through V prescription forms, |
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183 | 183 | | to the board [director] by electronic transfer or another form |
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184 | 184 | | approved by the board [director] not later than the 15th day after |
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185 | 185 | | the last day of the month in which the prescription is completely |
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186 | 186 | | filled. The board shall submit any information received under this |
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187 | 187 | | section to the director on request. |
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188 | 188 | | SECTION 6. Section 481.076, Health and Safety Code, is |
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189 | 189 | | amended to read as follows: |
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190 | 190 | | Sec. 481.076. [OFFICIAL] PRESCRIPTION INFORMATION. (a) |
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191 | 191 | | The board [director] may not permit any person to have access to |
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192 | 192 | | information submitted to the board [director] under Section |
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193 | 193 | | 481.074(q) [or 481.075] except: |
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194 | 194 | | (1) an investigator for the Texas Medical Board, the |
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195 | 195 | | Texas State Board of Podiatric Medical Examiners, the State Board |
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196 | 196 | | of Dental Examiners, or the State Board of Veterinary Medical |
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197 | 197 | | Examiners[, or the Texas State Board of Pharmacy]; |
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198 | 198 | | (2) an authorized officer or member of the department |
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199 | 199 | | engaged in the administration, investigation, or enforcement of |
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200 | 200 | | this chapter or another law governing illicit drugs in this state or |
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201 | 201 | | another state; [or] |
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202 | 202 | | (3) if the board [director] finds that proper need has |
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203 | 203 | | been shown to the board, [director: |
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204 | 204 | | [(A)] a law enforcement or prosecutorial |
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205 | 205 | | official engaged in the administration, investigation, or |
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206 | 206 | | enforcement of this chapter or another law governing illicit drugs |
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207 | 207 | | in this state or another state; |
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208 | 208 | | (4) [(B)] a pharmacist or practitioner who is a |
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209 | 209 | | physician, dentist, veterinarian, podiatrist, or advanced practice |
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210 | 210 | | nurse or physician assistant described by Section 481.002(39)(D) |
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211 | 211 | | and is inquiring about a recent Schedule II, III, IV, or V |
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212 | 212 | | prescription history of a particular patient of the practitioner; |
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213 | 213 | | or |
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214 | 214 | | (5) [(C)] a pharmacist or practitioner who is |
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215 | 215 | | inquiring about the person's own dispensing or prescribing |
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216 | 216 | | activity. |
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217 | 217 | | (b) This section does not prohibit the board [director] from |
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218 | 218 | | creating, using, or disclosing statistical data about information |
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219 | 219 | | received by the board [director] under this section if the board |
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220 | 220 | | [director] removes any information reasonably likely to reveal the |
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221 | 221 | | identity of each patient, practitioner, or other person who is a |
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222 | 222 | | subject of the information. |
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223 | 223 | | (c) The board [director] by rule shall design and implement |
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224 | 224 | | a system for submission of information to the board [director] by |
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225 | 225 | | electronic or other means and for retrieval of information |
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226 | 226 | | submitted to the board [director] under this section and Section |
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227 | 227 | | [Sections] 481.074 [and 481.075]. The board [director] shall use |
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228 | 228 | | automated information security techniques and devices to preclude |
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229 | 229 | | improper access to the information. The board [director] shall |
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230 | 230 | | submit the system design to the director [Texas State Board of |
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231 | 231 | | Pharmacy] and the Texas Medical Board for review and approval or |
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232 | 232 | | comment a reasonable time before implementation of the system and |
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233 | 233 | | shall comply with the comments of those agencies unless it is |
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234 | 234 | | unreasonable to do so. |
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235 | 235 | | (d) Information submitted to the board [director] under |
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236 | 236 | | this section shall be released to the department upon request and |
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237 | 237 | | may be used by the department or the board only for: |
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238 | 238 | | (1) the administration, investigation, or enforcement |
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239 | 239 | | of this chapter or another law governing illicit drugs in this state |
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240 | 240 | | or another state; |
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241 | 241 | | (2) investigatory or evidentiary purposes in |
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242 | 242 | | connection with the functions of an agency listed in Subsection |
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243 | 243 | | (a)(1); or |
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244 | 244 | | (3) dissemination [by the director] to the public in |
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245 | 245 | | the form of a statistical tabulation or report if all information |
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246 | 246 | | reasonably likely to reveal the identity of each patient, |
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247 | 247 | | practitioner, or other person who is a subject of the information |
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248 | 248 | | has been removed. |
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249 | 249 | | (e) The board [director] shall remove from the information |
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250 | 250 | | retrieval system, destroy, and make irretrievable the record of the |
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251 | 251 | | identity of a patient submitted under this section to the board |
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252 | 252 | | [director] not later than the end of the 12th calendar month after |
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253 | 253 | | the month in which the identity is entered into the system. |
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254 | 254 | | However, the board or the director may retain a patient identity |
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255 | 255 | | that is necessary for use in a specific ongoing investigation |
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256 | 256 | | conducted by the department in accordance with this section until |
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257 | 257 | | the 30th day after the end of the month in which the necessity for |
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258 | 258 | | retention of the identity ends. |
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259 | 259 | | (f) If the board or the director permits access to |
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260 | 260 | | information under Subsection (a)(2) relating to a person licensed |
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261 | 261 | | or regulated by an agency listed in Subsection (a)(1), the director |
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262 | 262 | | shall notify and cooperate with that agency regarding the |
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263 | 263 | | disposition of the matter before taking action against the person, |
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264 | 264 | | unless the director determines that notification is reasonably |
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265 | 265 | | likely to interfere with an administrative or criminal |
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266 | 266 | | investigation or prosecution. |
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267 | 267 | | (g) If the board or the director permits access to |
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268 | 268 | | information under Subsection (a)(3) [(a)(3)(A)] relating to a |
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269 | 269 | | person licensed or regulated by an agency listed in Subsection |
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270 | 270 | | (a)(1), the board or the director shall notify that agency of the |
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271 | 271 | | disclosure of the information not later than the 10th working day |
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272 | 272 | | after the date the information is disclosed. |
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273 | 273 | | (h) If the board or the director withholds notification to |
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274 | 274 | | an agency under Subsection (f), the board or the director shall |
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275 | 275 | | notify the agency of the disclosure of the information and the |
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276 | 276 | | reason for withholding notification when the director determines |
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277 | 277 | | that notification is no longer likely to interfere with an |
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278 | 278 | | administrative or criminal investigation or prosecution. |
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279 | 279 | | (i) Information submitted to the board or the director under |
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280 | 280 | | Section 481.074(q) [481.075] is confidential and remains |
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281 | 281 | | confidential regardless of whether the board or the director |
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282 | 282 | | permits access to the information under this section. |
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283 | 283 | | SECTION 7. Sections 481.0761(a), (c), and (e), Health and |
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284 | 284 | | Safety Code, are amended to read as follows: |
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285 | 285 | | (a) The board [director] shall consult with the director and |
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286 | 286 | | the Texas Medical [State] Board [of Pharmacy] and by rule establish |
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287 | 287 | | and revise as necessary a standardized database format that may be |
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288 | 288 | | used by a pharmacy to transmit the information required by Sections |
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289 | 289 | | 481.074 [481.074(q)] and 481.076 [481.075(i)] to the board |
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290 | 290 | | [director] electronically or to deliver the information on storage |
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291 | 291 | | media, including disks, tapes, and cassettes. |
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292 | 292 | | (c) The board [director] by rule may: |
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293 | 293 | | (1) permit more than one prescription to be |
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294 | 294 | | administered or dispensed and recorded on one prescription form for |
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295 | 295 | | a Schedule III through V controlled substance; |
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296 | 296 | | (2) [remove from or return to the official |
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297 | 297 | | prescription program any aspect of a practitioner's or pharmacist's |
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298 | 298 | | hospital practice, including administering or dispensing; |
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299 | 299 | | [(3)] waive or delay any requirement relating to the |
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300 | 300 | | time or manner of reporting; |
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301 | 301 | | (3) [(4)] establish compatibility protocols for |
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302 | 302 | | electronic data transfer hardware, software, or format; |
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303 | 303 | | (4) [(5)] establish a procedure to control the release |
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304 | 304 | | of information under Sections 481.074[, 481.075,] and 481.076; and |
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305 | 305 | | (5) [(6)] establish a minimum level of prescription |
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306 | 306 | | activity below which a reporting activity may be modified or |
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307 | 307 | | deleted. |
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308 | 308 | | (e) In adopting a rule relating to the electronic transfer |
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309 | 309 | | of information under this subchapter, the board [director] shall |
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310 | 310 | | consider the economic impact of the rule on practitioners and |
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311 | 311 | | pharmacists and, to the extent permitted by law, act to minimize any |
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312 | 312 | | negative economic impact, including the imposition of costs related |
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313 | 313 | | to computer hardware or software or to the transfer of |
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314 | 314 | | information. The board [director] may not adopt a rule relating to |
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315 | 315 | | the electronic transfer of information under this subchapter that |
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316 | 316 | | imposes a fee in addition to the fees authorized by Section 481.064. |
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317 | 317 | | SECTION 8. Section 481.127(a), Health and Safety Code, is |
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318 | 318 | | amended to read as follows: |
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319 | 319 | | (a) A person commits an offense if the person knowingly |
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320 | 320 | | gives, permits, or obtains unauthorized access to information |
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321 | 321 | | submitted to the board [director] under Section 481.074 [481.075]. |
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322 | 322 | | SECTION 9. Section 481.128(a), Health and Safety Code, is |
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323 | 323 | | amended to read as follows: |
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324 | 324 | | (a) A registrant or dispenser commits an offense if the |
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325 | 325 | | registrant or dispenser knowingly: |
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326 | 326 | | (1) distributes, delivers, administers, or dispenses |
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327 | 327 | | a controlled substance in violation of Sections 481.070-481.074 |
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328 | 328 | | [481.070-481.075]; |
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329 | 329 | | (2) manufactures a controlled substance not |
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330 | 330 | | authorized by the person's registration or distributes or dispenses |
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331 | 331 | | a controlled substance not authorized by the person's registration |
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332 | 332 | | to another registrant or other person; |
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333 | 333 | | (3) refuses or fails to make, keep, or furnish a |
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334 | 334 | | record, report, notification, order form, statement, invoice, or |
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335 | 335 | | information required by this chapter; |
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336 | 336 | | (4) prints, manufactures, possesses, or produces an |
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337 | 337 | | official prescription form without the approval of the director; |
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338 | 338 | | (5) delivers or possesses a counterfeit official |
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339 | 339 | | prescription form; |
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340 | 340 | | (6) refuses an entry into a premise for an inspection |
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341 | 341 | | authorized by this chapter; |
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342 | 342 | | (7) [refuses or fails to return an official |
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343 | 343 | | prescription form as required by Section 481.075(k); |
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344 | 344 | | [(8)] refuses or fails to make, keep, or furnish a |
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345 | 345 | | record, report, notification, order form, statement, invoice, or |
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346 | 346 | | information required by a rule adopted by the director; or |
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347 | 347 | | (8) [(9)] refuses or fails to maintain security |
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348 | 348 | | required by this chapter or a rule adopted under this chapter. |
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349 | 349 | | SECTION 10. Section 552.118, Government Code, is amended to |
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350 | 350 | | read as follows: |
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351 | 351 | | Sec. 552.118. EXCEPTION: [OFFICIAL] PRESCRIPTION |
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352 | 352 | | INFORMATION [FORM]. Information is excepted from the requirements |
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353 | 353 | | of Section 552.021 if it is: |
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354 | 354 | | (1) information on or derived from an official |
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355 | 355 | | prescription form filed with the director of the Department of |
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356 | 356 | | Public Safety under Section 481.075, Health and Safety Code, as |
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357 | 357 | | that section existed before September 1, 2010; or |
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358 | 358 | | (2) other information collected under Section |
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359 | 359 | | 481.074(q) or 481.075, Health and Safety Code, as that section |
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360 | 360 | | existed before September 1, 2010 [of that code]. |
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361 | 361 | | SECTION 11. Section 565.003(b), Occupations Code, is |
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362 | 362 | | amended to read as follows: |
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363 | 363 | | (b) Unless compliance would violate the pharmacy or drug |
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364 | 364 | | statutes or rules in the state in which the pharmacy is located the |
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365 | 365 | | board may discipline an applicant for or the holder of a Class E |
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366 | 366 | | pharmacy license if the board finds that the applicant or license |
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367 | 367 | | holder has failed to comply with: |
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368 | 368 | | (1) Section 481.074 [or 481.075], Health and Safety |
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369 | 369 | | Code; |
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370 | 370 | | (2) Texas substitution requirements regarding: |
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371 | 371 | | (A) the practitioner's directions concerning |
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372 | 372 | | generic substitution; |
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373 | 373 | | (B) the patient's right to refuse generic |
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374 | 374 | | substitution; or |
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375 | 375 | | (C) notification to the patient of the patient's |
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376 | 376 | | right to refuse substitution; |
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377 | 377 | | (3) any board rule relating to providing drug |
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378 | 378 | | information to the patient or the patient's agent in written form or |
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379 | 379 | | by telephone; or |
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380 | 380 | | (4) any board rule adopted under Section 554.051(a) |
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381 | 381 | | and determined by the board to be applicable under Section |
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382 | 382 | | 554.051(b). |
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383 | 383 | | SECTION 12. The following provisions are repealed: |
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384 | 384 | | (1) Section 481.002(47), Health and Safety Code; |
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385 | 385 | | (2) Section 481.075, Health and Safety Code; |
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386 | 386 | | (3) Sections 481.0761(b), (d), and (f), Health and |
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387 | 387 | | Safety Code; |
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388 | 388 | | (4) Subchapter H, Chapter 481, Health and Safety Code; |
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389 | 389 | | (5) Section 157.059(c), Occupations Code; and |
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390 | 390 | | (6) Sections 7 and 8, Chapter 1391 (S.B. 1879), Acts of |
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391 | 391 | | the 80th Legislature, Regular Session, 2007. |
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392 | 392 | | SECTION 13. (a) An advisory committee is created to advise |
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393 | 393 | | the Texas State Board of Pharmacy on the implementation of this Act. |
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394 | 394 | | (b) The advisory committee is composed of: |
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395 | 395 | | (1) the executive director of the Texas State Board of |
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396 | 396 | | Pharmacy or the executive director's designee; |
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397 | 397 | | (2) the public safety director of the Department of |
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398 | 398 | | Public Safety or the director's designee; |
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399 | 399 | | (3) a physician appointed by the governor; |
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400 | 400 | | (4) a pharmacist appointed by the governor; |
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401 | 401 | | (5) a physician appointed by the lieutenant governor; |
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402 | 402 | | (6) a pharmacist appointed by the lieutenant governor; |
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403 | 403 | | (7) a physician appointed by the governor from a list |
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404 | 404 | | of names submitted by the speaker of the house of representatives; |
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405 | 405 | | (8) a pharmacist appointed by the governor from a list |
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406 | 406 | | of names submitted by the speaker of the house of representatives; |
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407 | 407 | | and |
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408 | 408 | | (9) one member from each of the following boards: |
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409 | 409 | | (A) the Texas Medical Board; |
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410 | 410 | | (B) the Texas State Board of Pharmacy; |
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411 | 411 | | (C) the State Board of Dental Examiners; and |
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412 | 412 | | (D) the Texas Board of Nursing. |
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413 | 413 | | (c) The executive director of the Texas State Board of |
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414 | 414 | | Pharmacy or the executive director's designee is the presiding |
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415 | 415 | | officer of the advisory committee. The committee shall meet at the |
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416 | 416 | | call of the presiding officer or at the request of any three members |
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417 | 417 | | other than the presiding officer. |
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418 | 418 | | (d) The advisory committee shall: |
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419 | 419 | | (1) develop recommendations regarding the |
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420 | 420 | | implementation of an electronic controlled substance monitoring |
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421 | 421 | | system that would be used for prescriptions of controlled |
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422 | 422 | | substances listed in Schedule II through V as established under |
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423 | 423 | | Subchapter B, Chapter 481, Health and Safety Code; |
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424 | 424 | | (2) develop recommendations as to which data should be |
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425 | 425 | | provided to the Texas State Board of Pharmacy to support a |
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426 | 426 | | controlled substance monitoring system recommended under |
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427 | 427 | | Subdivision (1), including provider identification information; |
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428 | 428 | | (3) monitor and develop recommendations regarding the |
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429 | 429 | | implementation and enforcement of a controlled substance |
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430 | 430 | | monitoring system recommended under Subdivision (1); |
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431 | 431 | | (4) develop recommended procedures necessary for |
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432 | 432 | | real-time point-of-service access for a practitioner authorized to |
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433 | 433 | | prescribe or dispense controlled substances listed in Schedule II |
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434 | 434 | | through V to enable the practitioner to obtain: |
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435 | 435 | | (A) the prescription history for a particular |
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436 | 436 | | patient; or |
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437 | 437 | | (B) the practitioner's own dispensing or |
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438 | 438 | | prescribing activity; and |
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439 | 439 | | (5) develop recommended procedures that should be |
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440 | 440 | | followed by the Texas State Board of Pharmacy and the applicable |
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441 | 441 | | licensing authority of this state, another state, or the United |
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442 | 442 | | States when: |
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443 | 443 | | (A) the Texas State Board of Pharmacy shares |
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444 | 444 | | information related to the diversion of controlled substances with |
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445 | 445 | | a licensing authority for the purpose of licensing enforcement; or |
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446 | 446 | | (B) a licensing authority shares information |
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447 | 447 | | related to diversion of controlled substances with the department |
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448 | 448 | | for the purpose of criminal enforcement. |
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449 | 449 | | (e) The executive director or the executive director's |
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450 | 450 | | designee of the Texas State Board of Pharmacy shall report the |
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451 | 451 | | recommendations developed under Subsection (d) of this section to |
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452 | 452 | | the governor, the lieutenant governor, speaker of the house of |
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453 | 453 | | representatives, and appropriate committees of the senate and the |
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454 | 454 | | house of representatives not later than July 1, 2011. |
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455 | 455 | | (f) This section expires and the advisory committee is |
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456 | 456 | | abolished on September 1, 2011. |
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457 | 457 | | SECTION 14. (a) The Department of Public Safety, Texas |
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458 | 458 | | Medical Board, Texas State Board of Pharmacy, State Board of Dental |
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459 | 459 | | Examiners, and Texas Board of Nursing shall submit to the presiding |
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460 | 460 | | officers of the Senate Committee on Health and Human Services and |
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461 | 461 | | the House Committee on Public Health a report that details the |
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462 | 462 | | number and type of actions relating to the prosecution of |
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463 | 463 | | violations of Chapter 481, Health and Safety Code, as amended by |
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464 | 464 | | this Act. |
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465 | 465 | | (b) Each agency shall submit its initial report under |
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466 | 466 | | Subsection (a) of this section not later than November 1, 2009. |
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467 | 467 | | Each agency shall submit an update of its initial report not later |
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468 | 468 | | than May 1 and November 1 of each year. |
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469 | 469 | | (c) This section expires November 1, 2013. |
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470 | 470 | | SECTION 15. (a) The Texas State Board of Pharmacy and the |
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471 | 471 | | public safety director of the Department of Public Safety shall |
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472 | 472 | | enter into the memorandum of understanding required by Section |
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473 | 473 | | 481.003, Health and Safety Code, as amended by this Act, not later |
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474 | 474 | | than January 1, 2010. |
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475 | 475 | | (b) The Texas State Board of Pharmacy shall adopt any rules |
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476 | 476 | | required by Chapter 481, Health and Safety Code, as amended by this |
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477 | 477 | | Act, not later than September 1, 2010. |
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478 | 478 | | (c) Not later than September 1, 2010, the Department of |
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479 | 479 | | Public Safety shall transfer the records received under Sections |
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480 | 480 | | 481.074, 481.076, and 481.0761, Health and Safety Code, to the |
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481 | 481 | | Texas State Board of Pharmacy. |
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482 | 482 | | (d) A rule, form, policy, procedure, or decision adopted |
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483 | 483 | | under Chapter 481, Health and Safety Code, as it existed before |
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484 | 484 | | amendment by this Act, continues in effect as a rule, form, policy, |
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485 | 485 | | procedure, or decision and remains in effect until amended or |
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486 | 486 | | replaced. |
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487 | 487 | | (e) A reference in law or an administrative rule to the |
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488 | 488 | | public safety director of the Department of Public Safety relating |
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489 | 489 | | to rulemaking authority given and duties transferred to the Texas |
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490 | 490 | | State Board of Pharmacy by this Act is a reference to the Texas |
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491 | 491 | | State Board of Pharmacy. |
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492 | 492 | | SECTION 16. The changes in law made by this Act in amending |
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493 | 493 | | Sections 481.074, 481.076, and 481.127, Health and Safety Code, and |
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494 | 494 | | in repealing Sections 481.002(47) and 481.075, Health and Safety |
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495 | 495 | | Code, and Section 157.059(c), Occupations Code, take effect |
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496 | 496 | | September 1, 2010. |
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497 | 497 | | SECTION 17. Except as otherwise provided by this Act, this |
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498 | 498 | | Act takes effect September 1, 2009. |
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