LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION April 18, 2013 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1643 by Williams (Relating to the monitoring of prescriptions for certain controlled substances; providing penalties.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code to require pharmacists to include the method of payment used to pay for a prescription on the prescription form or note for Schedule II controlled substances. The bill would add pharmacy technicians acting at the direction of a pharmacist and nurses acting at the direction of a practitioner to those authorized to access prescription history. The bill would define a health information exchange and authorize certain individuals to access prescription information through a health information exchange. The bill would allow an authorized individual to access prescription information in the health information exchange for the purpose of inclusion in a patient's medical records as part of the patient's medical history. The bill would change the requirment that DPS destroy the record of the identity of the patient in the system from 12 months to 36 months. The bill would create an offense for individuals who obtain unauthorized access to prescription information while it is being submitted to DPS. The bill would create the Interagency Prescription Monitoring Work Group to evaluate the effectiveness of prescription monitoring and record-keeping relating to the regulation of dispensing controlled substances by prescription. The bill would require the Interagency Prescription Monitoring Work Group to meet at least quarterly for the purpose of providing the Legislature with recommendations by no later than December 1 of each even-numbered year on improving the regulation of dispensing controlled substances by prescription. The bill would require the Prescription Monitoring Work Group to engage proactively stakeholders, and solicit and take into account input from the public, while conducting its deliberations. It is assumed the costs associated with implementing the provisions of the bill could be absorbed within existing resources. The bill would take effect September 1, 2013. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies:405 Department of Public Safety, 503 Texas Medical Board, 515 Board of Pharmacy, 529 Health and Human Services Commission LBB Staff: UP, CL, AI, JAW, ES, ED, NV
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION
April 18, 2013
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1643 by Williams (Relating to the monitoring of prescriptions for certain controlled substances; providing penalties.), Committee Report 1st House, Substituted
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services
FROM: Ursula Parks, Director, Legislative Budget Board
IN RE: SB1643 by Williams (Relating to the monitoring of prescriptions for certain controlled substances; providing penalties.), Committee Report 1st House, Substituted
Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services
Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services
Ursula Parks, Director, Legislative Budget Board
Ursula Parks, Director, Legislative Budget Board
SB1643 by Williams (Relating to the monitoring of prescriptions for certain controlled substances; providing penalties.), Committee Report 1st House, Substituted
SB1643 by Williams (Relating to the monitoring of prescriptions for certain controlled substances; providing penalties.), Committee Report 1st House, Substituted
No significant fiscal implication to the State is anticipated.
No significant fiscal implication to the State is anticipated.
The bill would amend the Health and Safety Code to require pharmacists to include the method of payment used to pay for a prescription on the prescription form or note for Schedule II controlled substances. The bill would add pharmacy technicians acting at the direction of a pharmacist and nurses acting at the direction of a practitioner to those authorized to access prescription history. The bill would define a health information exchange and authorize certain individuals to access prescription information through a health information exchange. The bill would allow an authorized individual to access prescription information in the health information exchange for the purpose of inclusion in a patient's medical records as part of the patient's medical history. The bill would change the requirment that DPS destroy the record of the identity of the patient in the system from 12 months to 36 months. The bill would create an offense for individuals who obtain unauthorized access to prescription information while it is being submitted to DPS. The bill would create the Interagency Prescription Monitoring Work Group to evaluate the effectiveness of prescription monitoring and record-keeping relating to the regulation of dispensing controlled substances by prescription. The bill would require the Interagency Prescription Monitoring Work Group to meet at least quarterly for the purpose of providing the Legislature with recommendations by no later than December 1 of each even-numbered year on improving the regulation of dispensing controlled substances by prescription. The bill would require the Prescription Monitoring Work Group to engage proactively stakeholders, and solicit and take into account input from the public, while conducting its deliberations. It is assumed the costs associated with implementing the provisions of the bill could be absorbed within existing resources. The bill would take effect September 1, 2013.
The bill would amend the Health and Safety Code to require pharmacists to include the method of payment used to pay for a prescription on the prescription form or note for Schedule II controlled substances. The bill would add pharmacy technicians acting at the direction of a pharmacist and nurses acting at the direction of a practitioner to those authorized to access prescription history.
The bill would define a health information exchange and authorize certain individuals to access prescription information through a health information exchange. The bill would allow an authorized individual to access prescription information in the health information exchange for the purpose of inclusion in a patient's medical records as part of the patient's medical history. The bill would change the requirment that DPS destroy the record of the identity of the patient in the system from 12 months to 36 months. The bill would create an offense for individuals who obtain unauthorized access to prescription information while it is being submitted to DPS.
The bill would create the Interagency Prescription Monitoring Work Group to evaluate the effectiveness of prescription monitoring and record-keeping relating to the regulation of dispensing controlled substances by prescription. The bill would require the Interagency Prescription Monitoring Work Group to meet at least quarterly for the purpose of providing the Legislature with recommendations by no later than December 1 of each even-numbered year on improving the regulation of dispensing controlled substances by prescription. The bill would require the Prescription Monitoring Work Group to engage proactively stakeholders, and solicit and take into account input from the public, while conducting its deliberations.
It is assumed the costs associated with implementing the provisions of the bill could be absorbed within existing resources. The bill would take effect September 1, 2013.
Local Government Impact
No significant fiscal implication to units of local government is anticipated.
Source Agencies: 405 Department of Public Safety, 503 Texas Medical Board, 515 Board of Pharmacy, 529 Health and Human Services Commission
405 Department of Public Safety, 503 Texas Medical Board, 515 Board of Pharmacy, 529 Health and Human Services Commission
LBB Staff: UP, CL, AI, JAW, ES, ED, NV
UP, CL, AI, JAW, ES, ED, NV