Texas 2009 - 81st Regular

Texas House Bill HB3962 Compare Versions

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11 81R9297 JSC-F
22 By: McReynolds H.B. No. 3962
33
44
55 A BILL TO BE ENTITLED
66 AN ACT
77 relating to the regulation of controlled substances.
88 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
99 SECTION 1. Section 481.002, Health and Safety Code, is
1010 amended by adding Subdivision (2-a) and amending Subdivision (22)
1111 to read as follows:
1212 (2-a) "Board" means the Texas State Board of Pharmacy.
1313 (22) "Immediate precursor" means a substance
1414 designated [the director finds to be and] by rule under this chapter
1515 [designates] as being:
1616 (A) a principal compound commonly used or
1717 produced primarily for use in the manufacture of a controlled
1818 substance;
1919 (B) a substance that is an immediate chemical
2020 intermediary used or likely to be used in the manufacture of a
2121 controlled substance; and
2222 (C) a substance the control of which is necessary
2323 to prevent, curtail, or limit the manufacture of a controlled
2424 substance.
2525 SECTION 2. Section 481.003(a), Health and Safety Code, is
2626 amended to read as follows:
2727 (a) The director may adopt rules to administer and enforce
2828 this chapter, except that the board may adopt rules relating to the
2929 issuance of prescriptions and information submitted in connection
3030 with those prescriptions. The department and the board by rule
3131 shall adopt a memorandum of understanding outlining the
3232 responsibilities of each agency in regulating controlled
3333 substances under this chapter.
3434 SECTION 3. Section 481.034(h), Health and Safety Code, is
3535 amended to read as follows:
3636 (h) Not later than the 10th day after the date on which the
3737 commissioner designates, deletes, or reschedules a substance under
3838 Subsection (a), the commissioner shall give written notice of that
3939 action to the director, the board, and [to] each state licensing
4040 agency having jurisdiction over practitioners.
4141 SECTION 4. Section 481.064(c), Health and Safety Code, is
4242 amended to read as follows:
4343 (c) The director shall deposit the collected fees to the
4444 credit of the [operator's and chauffeur's license account in the]
4545 general revenue fund. The fees may be used only by the department
4646 and the board in the administration or enforcement of this
4747 subchapter.
4848 SECTION 5. Section 481.074, Health and Safety Code, is
4949 amended by amending Subsections (b), (c), (d), (f), (k), (p), and
5050 (q), and reenacting and amending Subsection (o), as amended by
5151 Chapters 349 (S.B. 1188) and 1345 (S.B. 410), Acts of the 79th
5252 Legislature, Regular Session, 2005, to read as follows:
5353 (b) Except in an emergency as defined by rule of the board
5454 [director] or as provided by Subsection (o) [or Section 481.075(j)
5555 or (m)], a person may not dispense or administer a controlled
5656 substance listed in Schedule II without the written prescription of
5757 a practitioner [on an official prescription form that meets the
5858 requirements of and is completed by the practitioner in accordance
5959 with Section 481.075]. In an emergency, a person may dispense or
6060 administer a controlled substance listed in Schedule II on the oral
6161 or telephonically communicated prescription of a practitioner. The
6262 person who administers or dispenses the substance shall:
6363 (1) if the person is a prescribing practitioner or a
6464 pharmacist, promptly comply with Subsection (c); or
6565 (2) if the person is not a prescribing practitioner or
6666 a pharmacist, promptly write the oral or telephonically
6767 communicated prescription and include in the written record of the
6868 prescription the name, address, [department registration number,]
6969 and Federal Drug Enforcement Administration number of the
7070 prescribing practitioner[, all information required to be provided
7171 by a practitioner under Section 481.075(e)(1), and all information
7272 required to be provided by a dispensing pharmacist under Section
7373 481.075(e)(2)].
7474 (c) Not later than the seventh day after the date a
7575 prescribing practitioner authorizes an emergency oral or
7676 telephonically communicated prescription, the prescribing
7777 practitioner shall cause a written prescription[, completed in the
7878 manner required by Section 481.075,] to be delivered in person or
7979 mailed to the dispensing pharmacist at the pharmacy where the
8080 prescription was dispensed. The envelope of a prescription
8181 delivered by mail must be postmarked not later than the seventh day
8282 after the date the prescription was authorized. [On receipt of the
8383 prescription, the dispensing pharmacy shall file the transcription
8484 of the telephonically communicated prescription and the pharmacy
8585 copy and shall send information to the director as required by
8686 Section 481.075.]
8787 (d) Except as specified in Subsections (e) and (f), the
8888 board [director], by rule and in consultation with the Texas
8989 Medical Board and the department [Texas State Board of Pharmacy],
9090 shall establish the period after the date on which the prescription
9191 is issued that a person may fill a prescription for a controlled
9292 substance listed in Schedule II. A person may not refill a
9393 prescription for a substance listed in Schedule II.
9494 (f) A prescription for a Schedule II controlled substance
9595 written for a patient in a long-term care facility (LTCF) or for a
9696 patient with a medical diagnosis documenting a terminal illness may
9797 be filled in partial quantities to include individual dosage units.
9898 If there is any question about whether a patient may be classified
9999 as having a terminal illness, the pharmacist must contact the
100100 practitioner before partially filling the prescription. Both the
101101 pharmacist and the practitioner have a corresponding
102102 responsibility to assure that the controlled substance is for a
103103 terminally ill patient. The pharmacist must record [the
104104 prescription on an official prescription form and must indicate] on
105105 the prescription [form] whether the patient is "terminally ill" or
106106 an "LTCF patient." A prescription that is partially filled and does
107107 not contain the notation "terminally ill" or "LTCF patient" is
108108 considered to have been filled in violation of this chapter. For
109109 each partial filling, the dispensing pharmacist shall record on the
110110 back of the [official] prescription [form] the date of the partial
111111 filling, the quantity dispensed, the remaining quantity authorized
112112 to be dispensed, and the identification of the dispensing
113113 pharmacist. Before any subsequent partial filling, the pharmacist
114114 must determine that the additional partial filling is necessary.
115115 The total quantity of Schedule II controlled substances dispensed
116116 in all partial fillings may not exceed the total quantity
117117 prescribed. Schedule II prescriptions for patients in a long-term
118118 care facility or patients with a medical diagnosis documenting a
119119 terminal illness are valid for a period not to exceed 60 days
120120 following the issue date unless sooner terminated by discontinuance
121121 of the medication.
122122 (k) A prescription for a controlled substance must show:
123123 (1) the quantity of the substance prescribed:
124124 (A) numerically, followed by the number written
125125 as a word, if the prescription is written; or
126126 (B) if the prescription is communicated orally or
127127 telephonically, as transcribed by the receiving pharmacist;
128128 (2) the date of issue;
129129 (3) the name, address, and date of birth or age of the
130130 patient or, if the controlled substance is prescribed for an
131131 animal, the species of the animal and the name and address of its
132132 owner;
133133 (4) the name and strength of the controlled substance
134134 prescribed;
135135 (5) the directions for use of the controlled
136136 substance;
137137 (6) the intended use of the substance prescribed
138138 unless the practitioner determines the furnishing of this
139139 information is not in the best interest of the patient;
140140 (7) the legibly printed or stamped name, address,
141141 Federal Drug Enforcement Administration registration number, and
142142 telephone number of the practitioner at the practitioner's usual
143143 place of business; and
144144 (8) if the prescription is handwritten, the signature
145145 of the prescribing practitioner[; and
146146 [(9) if the prescribing practitioner is licensed in
147147 this state, the practitioner's department registration number].
148148 (o) A pharmacist may dispense a Schedule II controlled
149149 substance pursuant to a facsimile copy of a [an official]
150150 prescription completed in the manner required by board rule
151151 [Section 481.075] and transmitted by the practitioner or the
152152 practitioner's agent to the pharmacy if:
153153 (1) the prescription is written for:
154154 (A) a Schedule II narcotic or nonnarcotic
155155 substance for a patient in a long-term care facility (LTCF), and the
156156 practitioner notes on the prescription "LTCF patient";
157157 (B) a Schedule II narcotic product to be
158158 compounded for the direct administration to a patient by
159159 parenteral, intravenous, intramuscular, subcutaneous, or
160160 intraspinal infusion; or
161161 (C) a Schedule II narcotic substance for a
162162 patient with a medical diagnosis documenting a terminal illness or
163163 a patient enrolled in a hospice care program certified or paid for
164164 by Medicare under Title XVIII, Social Security Act (42 U.S.C.
165165 Section 1395 et seq.), as amended, by Medicaid, or by a hospice
166166 program that is licensed under Chapter 142, and the practitioner or
167167 the practitioner's agent notes on the prescription "terminally ill"
168168 or "hospice patient"; and
169169 (2) after transmitting the prescription, the
170170 prescribing practitioner or the practitioner's agent:
171171 (A) writes across the face of the [official]
172172 prescription "VOID--sent by fax to (name and telephone number of
173173 receiving pharmacy)"; and
174174 (B) files the [official] prescription in the
175175 patient's medical records instead of delivering it to the patient.
176176 (p) On receipt of the prescription, the dispensing pharmacy
177177 shall file the facsimile copy of the prescription and shall send
178178 information relating to the prescription to the board [director] as
179179 required by board rule [Section 481.075].
180180 (q) Each dispensing pharmacist shall send all information
181181 required by the board [director], including any information
182182 required to complete the Schedule III through V prescription forms,
183183 to the board [director] by electronic transfer or another form
184184 approved by the board [director] not later than the 15th day after
185185 the last day of the month in which the prescription is completely
186186 filled. The board shall submit any information received under this
187187 section to the director on request.
188188 SECTION 6. Section 481.076, Health and Safety Code, is
189189 amended to read as follows:
190190 Sec. 481.076. [OFFICIAL] PRESCRIPTION INFORMATION. (a)
191191 The board [director] may not permit any person to have access to
192192 information submitted to the board [director] under Section
193193 481.074(q) [or 481.075] except:
194194 (1) an investigator for the Texas Medical Board, the
195195 Texas State Board of Podiatric Medical Examiners, the State Board
196196 of Dental Examiners, or the State Board of Veterinary Medical
197197 Examiners[, or the Texas State Board of Pharmacy];
198198 (2) an authorized officer or member of the department
199199 engaged in the administration, investigation, or enforcement of
200200 this chapter or another law governing illicit drugs in this state or
201201 another state; [or]
202202 (3) if the board [director] finds that proper need has
203203 been shown to the board, [director:
204204 [(A)] a law enforcement or prosecutorial
205205 official engaged in the administration, investigation, or
206206 enforcement of this chapter or another law governing illicit drugs
207207 in this state or another state;
208208 (4) [(B)] a pharmacist or practitioner who is a
209209 physician, dentist, veterinarian, podiatrist, or advanced practice
210210 nurse or physician assistant described by Section 481.002(39)(D)
211211 and is inquiring about a recent Schedule II, III, IV, or V
212212 prescription history of a particular patient of the practitioner;
213213 or
214214 (5) [(C)] a pharmacist or practitioner who is
215215 inquiring about the person's own dispensing or prescribing
216216 activity.
217217 (b) This section does not prohibit the board [director] from
218218 creating, using, or disclosing statistical data about information
219219 received by the board [director] under this section if the board
220220 [director] removes any information reasonably likely to reveal the
221221 identity of each patient, practitioner, or other person who is a
222222 subject of the information.
223223 (c) The board [director] by rule shall design and implement
224224 a system for submission of information to the board [director] by
225225 electronic or other means and for retrieval of information
226226 submitted to the board [director] under this section and Section
227227 [Sections] 481.074 [and 481.075]. The board [director] shall use
228228 automated information security techniques and devices to preclude
229229 improper access to the information. The board [director] shall
230230 submit the system design to the director [Texas State Board of
231231 Pharmacy] and the Texas Medical Board for review and approval or
232232 comment a reasonable time before implementation of the system and
233233 shall comply with the comments of those agencies unless it is
234234 unreasonable to do so.
235235 (d) Information submitted to the board [director] under
236236 this section shall be released to the department upon request and
237237 may be used by the department or the board only for:
238238 (1) the administration, investigation, or enforcement
239239 of this chapter or another law governing illicit drugs in this state
240240 or another state;
241241 (2) investigatory or evidentiary purposes in
242242 connection with the functions of an agency listed in Subsection
243243 (a)(1); or
244244 (3) dissemination [by the director] to the public in
245245 the form of a statistical tabulation or report if all information
246246 reasonably likely to reveal the identity of each patient,
247247 practitioner, or other person who is a subject of the information
248248 has been removed.
249249 (e) The board [director] shall remove from the information
250250 retrieval system, destroy, and make irretrievable the record of the
251251 identity of a patient submitted under this section to the board
252252 [director] not later than the end of the 12th calendar month after
253253 the month in which the identity is entered into the system.
254254 However, the board or the director may retain a patient identity
255255 that is necessary for use in a specific ongoing investigation
256256 conducted by the department in accordance with this section until
257257 the 30th day after the end of the month in which the necessity for
258258 retention of the identity ends.
259259 (f) If the board or the director permits access to
260260 information under Subsection (a)(2) relating to a person licensed
261261 or regulated by an agency listed in Subsection (a)(1), the director
262262 shall notify and cooperate with that agency regarding the
263263 disposition of the matter before taking action against the person,
264264 unless the director determines that notification is reasonably
265265 likely to interfere with an administrative or criminal
266266 investigation or prosecution.
267267 (g) If the board or the director permits access to
268268 information under Subsection (a)(3) [(a)(3)(A)] relating to a
269269 person licensed or regulated by an agency listed in Subsection
270270 (a)(1), the board or the director shall notify that agency of the
271271 disclosure of the information not later than the 10th working day
272272 after the date the information is disclosed.
273273 (h) If the board or the director withholds notification to
274274 an agency under Subsection (f), the board or the director shall
275275 notify the agency of the disclosure of the information and the
276276 reason for withholding notification when the director determines
277277 that notification is no longer likely to interfere with an
278278 administrative or criminal investigation or prosecution.
279279 (i) Information submitted to the board or the director under
280280 Section 481.074(q) [481.075] is confidential and remains
281281 confidential regardless of whether the board or the director
282282 permits access to the information under this section.
283283 SECTION 7. Sections 481.0761(a), (c), and (e), Health and
284284 Safety Code, are amended to read as follows:
285285 (a) The board [director] shall consult with the director and
286286 the Texas Medical [State] Board [of Pharmacy] and by rule establish
287287 and revise as necessary a standardized database format that may be
288288 used by a pharmacy to transmit the information required by Sections
289289 481.074 [481.074(q)] and 481.076 [481.075(i)] to the board
290290 [director] electronically or to deliver the information on storage
291291 media, including disks, tapes, and cassettes.
292292 (c) The board [director] by rule may:
293293 (1) permit more than one prescription to be
294294 administered or dispensed and recorded on one prescription form for
295295 a Schedule III through V controlled substance;
296296 (2) [remove from or return to the official
297297 prescription program any aspect of a practitioner's or pharmacist's
298298 hospital practice, including administering or dispensing;
299299 [(3)] waive or delay any requirement relating to the
300300 time or manner of reporting;
301301 (3) [(4)] establish compatibility protocols for
302302 electronic data transfer hardware, software, or format;
303303 (4) [(5)] establish a procedure to control the release
304304 of information under Sections 481.074[, 481.075,] and 481.076; and
305305 (5) [(6)] establish a minimum level of prescription
306306 activity below which a reporting activity may be modified or
307307 deleted.
308308 (e) In adopting a rule relating to the electronic transfer
309309 of information under this subchapter, the board [director] shall
310310 consider the economic impact of the rule on practitioners and
311311 pharmacists and, to the extent permitted by law, act to minimize any
312312 negative economic impact, including the imposition of costs related
313313 to computer hardware or software or to the transfer of
314314 information. The board [director] may not adopt a rule relating to
315315 the electronic transfer of information under this subchapter that
316316 imposes a fee in addition to the fees authorized by Section 481.064.
317317 SECTION 8. Section 481.127(a), Health and Safety Code, is
318318 amended to read as follows:
319319 (a) A person commits an offense if the person knowingly
320320 gives, permits, or obtains unauthorized access to information
321321 submitted to the board [director] under Section 481.074 [481.075].
322322 SECTION 9. Section 481.128(a), Health and Safety Code, is
323323 amended to read as follows:
324324 (a) A registrant or dispenser commits an offense if the
325325 registrant or dispenser knowingly:
326326 (1) distributes, delivers, administers, or dispenses
327327 a controlled substance in violation of Sections 481.070-481.074
328328 [481.070-481.075];
329329 (2) manufactures a controlled substance not
330330 authorized by the person's registration or distributes or dispenses
331331 a controlled substance not authorized by the person's registration
332332 to another registrant or other person;
333333 (3) refuses or fails to make, keep, or furnish a
334334 record, report, notification, order form, statement, invoice, or
335335 information required by this chapter;
336336 (4) prints, manufactures, possesses, or produces an
337337 official prescription form without the approval of the director;
338338 (5) delivers or possesses a counterfeit official
339339 prescription form;
340340 (6) refuses an entry into a premise for an inspection
341341 authorized by this chapter;
342342 (7) [refuses or fails to return an official
343343 prescription form as required by Section 481.075(k);
344344 [(8)] refuses or fails to make, keep, or furnish a
345345 record, report, notification, order form, statement, invoice, or
346346 information required by a rule adopted by the director; or
347347 (8) [(9)] refuses or fails to maintain security
348348 required by this chapter or a rule adopted under this chapter.
349349 SECTION 10. Section 552.118, Government Code, is amended to
350350 read as follows:
351351 Sec. 552.118. EXCEPTION: [OFFICIAL] PRESCRIPTION
352352 INFORMATION [FORM]. Information is excepted from the requirements
353353 of Section 552.021 if it is:
354354 (1) information on or derived from an official
355355 prescription form filed with the director of the Department of
356356 Public Safety under Section 481.075, Health and Safety Code, as
357357 that section existed before September 1, 2010; or
358358 (2) other information collected under Section
359359 481.074(q) or 481.075, Health and Safety Code, as that section
360360 existed before September 1, 2010 [of that code].
361361 SECTION 11. Section 565.003(b), Occupations Code, is
362362 amended to read as follows:
363363 (b) Unless compliance would violate the pharmacy or drug
364364 statutes or rules in the state in which the pharmacy is located the
365365 board may discipline an applicant for or the holder of a Class E
366366 pharmacy license if the board finds that the applicant or license
367367 holder has failed to comply with:
368368 (1) Section 481.074 [or 481.075], Health and Safety
369369 Code;
370370 (2) Texas substitution requirements regarding:
371371 (A) the practitioner's directions concerning
372372 generic substitution;
373373 (B) the patient's right to refuse generic
374374 substitution; or
375375 (C) notification to the patient of the patient's
376376 right to refuse substitution;
377377 (3) any board rule relating to providing drug
378378 information to the patient or the patient's agent in written form or
379379 by telephone; or
380380 (4) any board rule adopted under Section 554.051(a)
381381 and determined by the board to be applicable under Section
382382 554.051(b).
383383 SECTION 12. The following provisions are repealed:
384384 (1) Section 481.002(47), Health and Safety Code;
385385 (2) Section 481.075, Health and Safety Code;
386386 (3) Sections 481.0761(b), (d), and (f), Health and
387387 Safety Code;
388388 (4) Subchapter H, Chapter 481, Health and Safety Code;
389389 (5) Section 157.059(c), Occupations Code; and
390390 (6) Sections 7 and 8, Chapter 1391 (S.B. 1879), Acts of
391391 the 80th Legislature, Regular Session, 2007.
392392 SECTION 13. (a) An advisory committee is created to advise
393393 the Texas State Board of Pharmacy on the implementation of this Act.
394394 (b) The advisory committee is composed of:
395395 (1) the executive director of the Texas State Board of
396396 Pharmacy or the executive director's designee;
397397 (2) the public safety director of the Department of
398398 Public Safety or the director's designee;
399399 (3) a physician appointed by the governor;
400400 (4) a pharmacist appointed by the governor;
401401 (5) a physician appointed by the lieutenant governor;
402402 (6) a pharmacist appointed by the lieutenant governor;
403403 (7) a physician appointed by the governor from a list
404404 of names submitted by the speaker of the house of representatives;
405405 (8) a pharmacist appointed by the governor from a list
406406 of names submitted by the speaker of the house of representatives;
407407 and
408408 (9) one member from each of the following boards:
409409 (A) the Texas Medical Board;
410410 (B) the Texas State Board of Pharmacy;
411411 (C) the State Board of Dental Examiners; and
412412 (D) the Texas Board of Nursing.
413413 (c) The executive director of the Texas State Board of
414414 Pharmacy or the executive director's designee is the presiding
415415 officer of the advisory committee. The committee shall meet at the
416416 call of the presiding officer or at the request of any three members
417417 other than the presiding officer.
418418 (d) The advisory committee shall:
419419 (1) develop recommendations regarding the
420420 implementation of an electronic controlled substance monitoring
421421 system that would be used for prescriptions of controlled
422422 substances listed in Schedule II through V as established under
423423 Subchapter B, Chapter 481, Health and Safety Code;
424424 (2) develop recommendations as to which data should be
425425 provided to the Texas State Board of Pharmacy to support a
426426 controlled substance monitoring system recommended under
427427 Subdivision (1), including provider identification information;
428428 (3) monitor and develop recommendations regarding the
429429 implementation and enforcement of a controlled substance
430430 monitoring system recommended under Subdivision (1);
431431 (4) develop recommended procedures necessary for
432432 real-time point-of-service access for a practitioner authorized to
433433 prescribe or dispense controlled substances listed in Schedule II
434434 through V to enable the practitioner to obtain:
435435 (A) the prescription history for a particular
436436 patient; or
437437 (B) the practitioner's own dispensing or
438438 prescribing activity; and
439439 (5) develop recommended procedures that should be
440440 followed by the Texas State Board of Pharmacy and the applicable
441441 licensing authority of this state, another state, or the United
442442 States when:
443443 (A) the Texas State Board of Pharmacy shares
444444 information related to the diversion of controlled substances with
445445 a licensing authority for the purpose of licensing enforcement; or
446446 (B) a licensing authority shares information
447447 related to diversion of controlled substances with the department
448448 for the purpose of criminal enforcement.
449449 (e) The executive director or the executive director's
450450 designee of the Texas State Board of Pharmacy shall report the
451451 recommendations developed under Subsection (d) of this section to
452452 the governor, the lieutenant governor, speaker of the house of
453453 representatives, and appropriate committees of the senate and the
454454 house of representatives not later than July 1, 2011.
455455 (f) This section expires and the advisory committee is
456456 abolished on September 1, 2011.
457457 SECTION 14. (a) The Department of Public Safety, Texas
458458 Medical Board, Texas State Board of Pharmacy, State Board of Dental
459459 Examiners, and Texas Board of Nursing shall submit to the presiding
460460 officers of the Senate Committee on Health and Human Services and
461461 the House Committee on Public Health a report that details the
462462 number and type of actions relating to the prosecution of
463463 violations of Chapter 481, Health and Safety Code, as amended by
464464 this Act.
465465 (b) Each agency shall submit its initial report under
466466 Subsection (a) of this section not later than November 1, 2009.
467467 Each agency shall submit an update of its initial report not later
468468 than May 1 and November 1 of each year.
469469 (c) This section expires November 1, 2013.
470470 SECTION 15. (a) The Texas State Board of Pharmacy and the
471471 public safety director of the Department of Public Safety shall
472472 enter into the memorandum of understanding required by Section
473473 481.003, Health and Safety Code, as amended by this Act, not later
474474 than January 1, 2010.
475475 (b) The Texas State Board of Pharmacy shall adopt any rules
476476 required by Chapter 481, Health and Safety Code, as amended by this
477477 Act, not later than September 1, 2010.
478478 (c) Not later than September 1, 2010, the Department of
479479 Public Safety shall transfer the records received under Sections
480480 481.074, 481.076, and 481.0761, Health and Safety Code, to the
481481 Texas State Board of Pharmacy.
482482 (d) A rule, form, policy, procedure, or decision adopted
483483 under Chapter 481, Health and Safety Code, as it existed before
484484 amendment by this Act, continues in effect as a rule, form, policy,
485485 procedure, or decision and remains in effect until amended or
486486 replaced.
487487 (e) A reference in law or an administrative rule to the
488488 public safety director of the Department of Public Safety relating
489489 to rulemaking authority given and duties transferred to the Texas
490490 State Board of Pharmacy by this Act is a reference to the Texas
491491 State Board of Pharmacy.
492492 SECTION 16. The changes in law made by this Act in amending
493493 Sections 481.074, 481.076, and 481.127, Health and Safety Code, and
494494 in repealing Sections 481.002(47) and 481.075, Health and Safety
495495 Code, and Section 157.059(c), Occupations Code, take effect
496496 September 1, 2010.
497497 SECTION 17. Except as otherwise provided by this Act, this
498498 Act takes effect September 1, 2009.