By: Van de Putte S.B. No. 1438 (In the Senate - Filed March 10, 2011; March 22, 2011, read first time and referred to Committee on Health and Human Services; April 21, 2011, reported favorably by the following vote: Yeas 9, Nays 0; April 21, 2011, sent to printer.) A BILL TO BE ENTITLED AN ACT relating to the program for impaired pharmacists and disciplinary proceedings conducted by the Texas State Board of Pharmacy. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subsections (a) and (b), Section 564.001, Occupations Code, are amended to read as follows: (a) An individual or entity [A person], including a pharmaceutical peer review committee, who has knowledge relating to an action or omission of a pharmacist in this state or a pharmacy student who is enrolled in the professional sequence of an accredited pharmacy degree program approved by the board that might provide grounds for disciplinary action under Section 565.001(a)(4) or (7) may report relevant facts to the board. (b) A committee of a professional society composed primarily of pharmacists, the staff of the committee, or a district or local intervenor participating in a program established to aid pharmacists or [eligible] pharmacy students impaired by chemical abuse or mental or physical illness may report in writing to the board the name of an impaired pharmacist or pharmacy student and the relevant information relating to the impairment. SECTION 2. Section 564.002, Occupations Code, is amended to read as follows: Sec. 564.002. CONFIDENTIALITY. (a) All [The] records and proceedings of the board, an authorized agent of the board, or a pharmaceutical organization committee relating to the administration of this chapter [described under Section 564.001(a) or (b), in connection with a report under Section 564.001(a) or (b),] are confidential and are not considered public information for purposes of Chapter 552, Government Code. Records considered confidential under this section include: (1) information relating to a report made under Section 564.001, including the identity of the individual or entity making the report; (2) the identity of an impaired pharmacist or pharmacy student participating in a program administered under this chapter, except as provided by Section 564.003; (3) a report, interview, statement, memorandum, evaluation, communication, or other information possessed by the board, an authorized agent of the board, or a pharmaceutical organization committee, related to a potentially impaired pharmacist or pharmacy student; (4) a policy or procedure of an entity that contracts with the board relating to personnel selection; and (5) a record relating to the operation of the board, an authorized agent of the board, or a pharmaceutical organization committee, as the record relates to a potentially impaired pharmacist or pharmacy student. (b) A record or proceeding described by this section is not subject to disclosure, subpoena, or discovery, except to a member of the board or an authorized agent of the board involved in the discipline of an applicant or license holder. SECTION 3. Section 564.003, Occupations Code, is amended by amending Subsection (a) and adding Subsections (a-1) and (a-2) to read as follows: (a) The board may disclose information confidential under Section 564.002 only: (1) during a proceeding conducted by [in a disciplinary hearing before] the State Office of Administrative Hearings, the board, or a panel of the board, or in a subsequent trial or appeal of a board action or order; (2) to a pharmacist licensing or disciplinary authority of another jurisdiction; (3) under a court order; [or] (4) to a person providing a service to the board, including an expert witness, investigator, or employee of an entity that contracts with the board, related to a disciplinary proceeding against an applicant or license holder, if the information is necessary for preparation for, or a presentation in, the proceeding; or (5) as provided by Subsection (b). (a-1) Information that is disclosed under Subsection (a) remains confidential and is not subject to discovery or subpoena in a civil suit and may not be introduced as evidence in any action other than an appeal of a board action. (a-2) Information that is confidential under Section 564.002 and that is admitted under seal in a proceeding conducted by the State Office of Administrative Hearings is confidential information for the purpose of a subsequent trial or appeal. SECTION 4. Subsection (a), Section 564.004, Occupations Code, is amended to read as follows: (a) Any person, including a board employee or member, peer review committee member, pharmaceutical organization committee member, or pharmaceutical organization district or local intervenor, who provides information, reports, or records under Section 564.001[(a) or (b)] to aid an impaired pharmacist or pharmacy student is immune from civil liability if the person provides the information in good faith. SECTION 5. Section 565.052, Occupations Code, is amended to read as follows: Sec. 565.052. SUBMISSION TO MENTAL OR PHYSICAL EXAMINATION. (a) In enforcing Section 565.001(a)(4) or (7), the board or an authorized agent of the board on probable cause, as determined by the board or agent, shall request a pharmacist, pharmacist applicant, pharmacist-intern, or pharmacist-intern applicant to submit to a mental or physical examination by a physician or other health care professional designated by the board. (b) If the pharmacist, pharmacist applicant, pharmacist-intern, or pharmacist-intern applicant refuses to submit to the examination, the board or the executive director of the board shall issue an order requiring the pharmacist, pharmacist applicant, pharmacist-intern, or pharmacist-intern applicant to show cause why the pharmacist, pharmacist applicant, pharmacist-intern, or pharmacist-intern applicant will not submit to the examination and shall schedule a hearing before a panel of three members of the board appointed by the president of the board on the order not later than the 30th day after the date notice is served on the pharmacist, pharmacist applicant, pharmacist-intern, or pharmacist-intern applicant. The pharmacist, pharmacist applicant, pharmacist-intern, or pharmacist-intern applicant shall be notified by either personal service or certified mail with return receipt requested. (c) At the hearing, the pharmacist, pharmacist applicant, pharmacist-intern, or pharmacist-intern applicant and an attorney are entitled to present testimony or other evidence to show why the pharmacist, pharmacist applicant, pharmacist-intern, or pharmacist-intern applicant [pharmacist intern-applicant] should not be required to submit to the examination. The pharmacist, pharmacist applicant, pharmacist-intern, or pharmacist-intern applicant has the burden of proof to show why the pharmacist, pharmacist applicant, pharmacist-intern, or pharmacist-intern applicant should not be required to submit to the examination. (d) After the hearing, the panel [board] shall by order require the pharmacist, pharmacist applicant, pharmacist-intern, or pharmacist-intern applicant to submit to the examination not later than the 60th day after the date of the order or withdraw the request for examination, as applicable. SECTION 6. Subsection (c), Section 565.055, Occupations Code, is amended to read as follows: (c) Notwithstanding Subsection (b), information or material compiled by the board in connection with an investigation may be disclosed [to]: (1) during any proceeding conducted by the State Office of Administrative Hearings, to the board, or a panel of the board, or in a subsequent trial or appeal of a board action or order; (2) to a person providing a service to the board, including an expert witness, investigator, or employee of an entity that contracts with the board, related to a disciplinary proceeding against an applicant or license holder, or a subsequent trial or appeal, if the information is necessary for preparation for, or a presentation in, the proceeding [involved with the board in a disciplinary action against the license holder]; (3) to [(2)] an entity in another jurisdiction that licenses or disciplines pharmacists or pharmacies; (4) to [(3)] a pharmaceutical or pharmacy peer review committee as described under Chapter 564; (5) to [(4)] a law enforcement agency; [or] (6) to [(5)] a person engaged in bona fide research, if all information identifying a specific individual has been deleted; or (7) under a court order. SECTION 7. The heading to Section 565.059, Occupations Code, is amended to read as follows: Sec. 565.059. TEMPORARY SUSPENSION OR RESTRICTION OF LICENSE [OR REGISTRATION]. SECTION 8. Subsections (a), (b), and (c), Section 565.059, Occupations Code, are amended to read as follows: (a) The president of the board shall appoint a three-member disciplinary panel consisting of board members to determine whether a license [or registration] under this subtitle should be temporarily suspended or restricted. If a majority of the disciplinary panel determines from evidence or information presented to the panel that the holder of a license [or registration] by continuation in the practice of pharmacy or in the operation of a pharmacy would constitute a continuing threat to the public welfare, the panel shall temporarily suspend or restrict the license as provided by Subsection (b) [or registration]. (b) The disciplinary panel may temporarily suspend or restrict the license: (1) after a hearing conducted by the panel after the 10th day after the date notice of the hearing is provided to the license holder; or (2) [or registration] without notice or hearing if, at the time the suspension or restriction is ordered, a hearing before the panel [on whether disciplinary proceedings under this chapter should be initiated against the holder of a license or registration] is scheduled to be held not later than the 14th day after the date of the temporary suspension or restriction to determine whether the suspension or restriction should be continued. (c) Not later than the 90th day after the date of the temporary suspension or restriction, the board shall initiate a disciplinary action against the license holder, and a contested case [A second] hearing [on the suspended license or registration] shall be held by the State Office of Administrative Hearings [not later than the 60th day after the date of the suspension]. If the State Office of Administrative Hearings does not hold the [second] hearing in the time required by this subsection, the suspended or restricted license [or registration] is automatically reinstated. SECTION 9. Subsections (b), (c), (e), and (f), Section 568.0036, Occupations Code, are amended to read as follows: (b) In enforcing Section 568.003(a)(5) or (7), the board or an authorized agent of the board[,] on probable cause, as determined by the board or agent, may request a person subject to this section to submit to a mental or physical examination by a physician or other health care professional designated by the board. (c) If the person refuses to submit to the examination, the board or the executive director of the board shall: (1) issue an order requiring the person to show cause why the person will not submit to the examination; and (2) schedule a hearing before a panel of three members of the board appointed by the president of the board on the order not later than the 30th day after the date notice of the order is served on the person under Subsection (d). (e) At the hearing, the person and the person's counsel may present testimony or other evidence to show why the person should not be required to submit to the examination. The person has the burden of proof to show why the person should not be required to submit to the examination. (f) After the hearing, as applicable, the panel [board] shall, by order: (1) require the person to submit to the examination not later than the 60th day after the date of the order; or (2) withdraw the request for examination. SECTION 10. Chapter 568, Occupations Code, is amended by adding Section 568.0037 to read as follows: Sec. 568.0037. TEMPORARY SUSPENSION OR RESTRICTION OF REGISTRATION. (a) The president of the board shall appoint a disciplinary panel consisting of three board members to determine whether a registration under this chapter should be temporarily suspended or restricted. If a majority of the panel determines from evidence or information presented to the panel that the registrant by continuation in practice as a pharmacy technician would constitute a continuing threat to the public welfare, the panel shall temporarily suspend or restrict the registration as provided by Subsection (b). (b) A disciplinary panel may temporarily suspend or restrict the registration: (1) after a hearing conducted by the panel after the 10th day after the date notice of the hearing is provided to the registrant; or (2) without notice or hearing if, at the time the suspension or restriction is ordered, a hearing before the panel is scheduled to be held not later than the 14th day after the date of the temporary suspension or restriction to determine whether the suspension or restriction should be continued. (c) Not later than the 90th day after the date of the temporary suspension or restriction, the board shall initiate a disciplinary action under this chapter, and a contested case hearing shall be held by the State Office of Administrative Hearings. If the State Office of Administrative Hearings does not hold the hearing in the time required by this subsection, the suspended or restricted registration is automatically reinstated. (d) Notwithstanding Chapter 551, Government Code, the disciplinary panel may hold a meeting by telephone conference call if immediate action is required and convening the panel at one location is inconvenient for any member of the disciplinary panel. SECTION 11. The changes in law made by this Act relating to the Texas State Board of Pharmacy's disciplinary authority apply only to conduct that occurs on or after the effective date of this Act. Conduct that occurs before the effective date of this Act is governed by the law in effect on the date the conduct occurs, and the former law is continued in effect for that purpose. SECTION 12. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2011. * * * * *