1 | 1 | | S.B. No. 904 |
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2 | 2 | | |
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3 | 3 | | |
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4 | 4 | | AN ACT |
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5 | 5 | | relating to the classification of and prescriptions issued for |
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6 | 6 | | certain controlled substances. |
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7 | 7 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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8 | 8 | | SECTION 1. Section 481.074, Health and Safety Code, is |
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9 | 9 | | amended by adding Subsection (d-1) and amending Subsection (k) to |
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10 | 10 | | read as follows: |
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11 | 11 | | (d-1) Notwithstanding Subsection (d), a prescribing |
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12 | 12 | | practitioner may issue multiple prescriptions authorizing the |
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13 | 13 | | patient to receive a total of up to a 90-day supply of a Schedule II |
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14 | 14 | | controlled substance if: |
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15 | 15 | | (1) each separate prescription is issued for a |
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16 | 16 | | legitimate medical purpose by a prescribing practitioner acting in |
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17 | 17 | | the usual course of professional practice; |
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18 | 18 | | (2) the prescribing practitioner provides written |
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19 | 19 | | instructions on each prescription to be filled at a later date |
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20 | 20 | | indicating the earliest date on which a pharmacy may fill each |
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21 | 21 | | prescription; |
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22 | 22 | | (3) the prescribing practitioner concludes that |
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23 | 23 | | providing the patient with multiple prescriptions in this manner |
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24 | 24 | | does not create an undue risk of diversion or abuse; and |
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25 | 25 | | (4) the issuance of multiple prescriptions complies |
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26 | 26 | | with other applicable state and federal laws. |
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27 | 27 | | (k) A prescription for a controlled substance must show: |
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28 | 28 | | (1) the quantity of the substance prescribed: |
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29 | 29 | | (A) numerically, followed by the number written |
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30 | 30 | | as a word, if the prescription is written; or |
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31 | 31 | | (B) if the prescription is communicated orally or |
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32 | 32 | | telephonically, as transcribed by the receiving pharmacist; |
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33 | 33 | | (2) the date of issue; |
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34 | 34 | | (2-a) if the prescription is issued for a Schedule II |
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35 | 35 | | controlled substance to be filled at a later date under Subsection |
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36 | 36 | | (d-1), the earliest date on which a pharmacy may fill the |
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37 | 37 | | prescription; |
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38 | 38 | | (3) the name, address, and date of birth or age of the |
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39 | 39 | | patient or, if the controlled substance is prescribed for an |
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40 | 40 | | animal, the species of the animal and the name and address of its |
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41 | 41 | | owner; |
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42 | 42 | | (4) the name and strength of the controlled substance |
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43 | 43 | | prescribed; |
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44 | 44 | | (5) the directions for use of the controlled |
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45 | 45 | | substance; |
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46 | 46 | | (6) the intended use of the substance prescribed |
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47 | 47 | | unless the practitioner determines the furnishing of this |
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48 | 48 | | information is not in the best interest of the patient; |
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49 | 49 | | (7) the legibly printed or stamped name, address, |
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50 | 50 | | Federal Drug Enforcement Administration registration number, and |
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51 | 51 | | telephone number of the practitioner at the practitioner's usual |
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52 | 52 | | place of business; |
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53 | 53 | | (8) if the prescription is handwritten, the signature |
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54 | 54 | | of the prescribing practitioner; and |
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55 | 55 | | (9) if the prescribing practitioner is licensed in |
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56 | 56 | | this state, the practitioner's department registration number. |
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57 | 57 | | SECTION 2. Subsection (e), Section 481.075, Health and |
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58 | 58 | | Safety Code, is amended to read as follows: |
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59 | 59 | | (e) Each official prescription form used to prescribe a |
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60 | 60 | | Schedule II controlled substance must contain: |
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61 | 61 | | (1) information provided by the prescribing |
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62 | 62 | | practitioner, including: |
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63 | 63 | | (A) the date the prescription is written; |
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64 | 64 | | (B) the controlled substance prescribed; |
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65 | 65 | | (C) the quantity of controlled substance |
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66 | 66 | | prescribed, shown numerically followed by the number written as a |
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67 | 67 | | word; |
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68 | 68 | | (D) the intended use of the controlled substance |
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69 | 69 | | or the diagnosis for which it is prescribed and the instructions for |
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70 | 70 | | use of the substance; |
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71 | 71 | | (E) the practitioner's name, address, department |
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72 | 72 | | registration number, and Federal Drug Enforcement Administration |
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73 | 73 | | number; [and] |
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74 | 74 | | (F) the name, address, and date of birth or age of |
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75 | 75 | | the person for whom the controlled substance is prescribed; and |
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76 | 76 | | (G) if the prescription is issued to be filled at |
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77 | 77 | | a later date under Section 481.074(d-1), the earliest date on which |
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78 | 78 | | a pharmacy may fill the prescription; |
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79 | 79 | | (2) information provided by the dispensing |
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80 | 80 | | pharmacist, including the date the prescription is filled; and |
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81 | 81 | | (3) the signatures of the prescribing practitioner and |
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82 | 82 | | the dispensing pharmacist. |
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83 | 83 | | SECTION 3. Subsection (c), Section 481.0761, Health and |
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84 | 84 | | Safety Code, is amended to read as follows: |
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85 | 85 | | (c) The director by rule may: |
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86 | 86 | | (1) permit more than one prescription to be |
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87 | 87 | | administered or dispensed and recorded on one prescription form for |
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88 | 88 | | a Schedule III through V controlled substance; |
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89 | 89 | | (1-a) establish a procedure for the issuance of |
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90 | 90 | | multiple prescriptions of a Schedule II controlled substance under |
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91 | 91 | | Section 481.074(d-1); |
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92 | 92 | | (2) remove from or return to the official prescription |
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93 | 93 | | program any aspect of a practitioner's or pharmacist's hospital |
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94 | 94 | | practice, including administering or dispensing; |
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95 | 95 | | (3) waive or delay any requirement relating to the |
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96 | 96 | | time or manner of reporting; |
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97 | 97 | | (4) establish compatibility protocols for electronic |
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98 | 98 | | data transfer hardware, software, or format; |
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99 | 99 | | (5) establish a procedure to control the release of |
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100 | 100 | | information under Sections 481.074, 481.075, and 481.076; and |
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101 | 101 | | (6) establish a minimum level of prescription activity |
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102 | 102 | | below which a reporting activity may be modified or deleted. |
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103 | 103 | | SECTION 4. Subchapter B, Chapter 481, Health and Safety |
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104 | 104 | | Code, is amended by adding Section 481.037 to read as follows: |
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105 | 105 | | Sec. 481.037. CARISOPRODOL. Schedule IV includes |
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106 | 106 | | carisoprodol. |
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107 | 107 | | SECTION 5. The change in law made by this Act applies only |
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108 | 108 | | to the issuance of a prescription on or after the effective date of |
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109 | 109 | | this Act. The issuance of a prescription before the effective date |
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110 | 110 | | of this Act is covered by the law in effect when the prescription |
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111 | 111 | | was issued, and the former law is continued in effect for that |
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112 | 112 | | purpose. |
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113 | 113 | | SECTION 6. This Act takes effect immediately if it receives |
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114 | 114 | | a vote of two-thirds of all the members elected to each house, as |
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115 | 115 | | provided by Section 39, Article III, Texas Constitution. If this |
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116 | 116 | | Act does not receive the vote necessary for immediate effect, this |
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117 | 117 | | Act takes effect September 1, 2009. |
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118 | 118 | | ______________________________ ______________________________ |
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119 | 119 | | President of the Senate Speaker of the House |
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120 | 120 | | I hereby certify that S.B. No. 904 passed the Senate on |
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121 | 121 | | April 9, 2009, by the following vote: Yeas 31, Nays 0; and that |
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122 | 122 | | the Senate concurred in House amendment on May 28, 2009, by the |
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123 | 123 | | following vote: Yeas 31, Nays 0. |
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124 | 124 | | ______________________________ |
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125 | 125 | | Secretary of the Senate |
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126 | 126 | | I hereby certify that S.B. No. 904 passed the House, with |
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127 | 127 | | amendment, on May 26, 2009, by the following vote: Yeas 146, |
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128 | 128 | | Nays 0, one present not voting. |
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129 | 129 | | ______________________________ |
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130 | 130 | | Chief Clerk of the House |
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131 | 131 | | Approved: |
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132 | 132 | | ______________________________ |
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133 | 133 | | Date |
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134 | 134 | | ______________________________ |
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135 | 135 | | Governor |
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