1 | 1 | | 84R12117 GCB-D |
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2 | 2 | | By: Capriglione H.B. No. 3200 |
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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 limitations on filling prescriptions for certain opioid |
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8 | 8 | | pain medications; adding prohibitions subject to a criminal |
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9 | 9 | | penalty. |
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10 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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11 | 11 | | SECTION 1. Section 481.074, Health and Safety Code, is |
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12 | 12 | | amended by amending Subsection (a) and adding Subsections (a-1), |
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13 | 13 | | (r), and (s) to read as follows: |
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14 | 14 | | (a) A pharmacist may not: |
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15 | 15 | | (1) dispense or deliver a controlled substance or |
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16 | 16 | | cause a controlled substance to be dispensed or delivered under the |
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17 | 17 | | pharmacist's direction or supervision except under a valid |
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18 | 18 | | prescription and in the course of professional practice; |
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19 | 19 | | (2) dispense a controlled substance if the pharmacist |
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20 | 20 | | knows or should have known that the prescription was issued without |
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21 | 21 | | a valid patient-practitioner relationship; |
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22 | 22 | | (3) fill a prescription that is not prepared or issued |
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23 | 23 | | as prescribed by this chapter; |
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24 | 24 | | (4) permit or allow a person who is not a licensed |
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25 | 25 | | pharmacist or pharmacist intern to dispense, distribute, or in any |
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26 | 26 | | other manner deliver a controlled substance even if under the |
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27 | 27 | | supervision of a pharmacist, except that after the pharmacist or |
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28 | 28 | | pharmacist intern has fulfilled his professional and legal |
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29 | 29 | | responsibilities, a nonpharmacist may complete the actual cash or |
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30 | 30 | | credit transaction and delivery; [or] |
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31 | 31 | | (5) permit the delivery of a controlled substance to |
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32 | 32 | | any person not known to the pharmacist, the pharmacist intern, or |
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33 | 33 | | the person authorized by the pharmacist to deliver the controlled |
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34 | 34 | | substance without first requiring identification of the person |
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35 | 35 | | taking possession of the controlled substance, except as provided |
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36 | 36 | | by Subsection (n); or |
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37 | 37 | | (6) dispense or deliver an opioid pain medication, or |
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38 | 38 | | cause an opioid pain medication to be dispensed or delivered under |
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39 | 39 | | the pharmacist's direction or supervision, in a manner other than |
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40 | 40 | | as authorized under Subsection (r). |
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41 | 41 | | (a-1) In this section, "opioid pain medication" means a |
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42 | 42 | | controlled substance listed in Section 481.102 that is an opiate or |
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43 | 43 | | opium derivative and that a licensed physician has prescribed to a |
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44 | 44 | | patient for the treatment of pain. |
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45 | 45 | | (r) Notwithstanding Subsection (d-1) and except as |
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46 | 46 | | otherwise provided by this subsection, a pharmacist may not |
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47 | 47 | | dispense or deliver, or cause to be dispensed or delivered under the |
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48 | 48 | | pharmacist's direction or supervision, more than a 10-day supply of |
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49 | 49 | | an opioid pain medication for that patient in a 60-day period unless |
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50 | 50 | | the pharmacist receives a form adopted under Subsection (s) |
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51 | 51 | | indicating that the prescribing physician intends the patient to be |
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52 | 52 | | treated for pain for a period longer than 10 days or that the |
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53 | 53 | | patient requires treatment with opioid pain medication before the |
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54 | 54 | | expiration of the 60-day period beginning on the date the patient's |
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55 | 55 | | previous prescription for opioid pain medication was filled. A |
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56 | 56 | | pharmacist who receives a prescription for an amount of opioid pain |
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57 | 57 | | medication greater than a 10-day supply without receiving the |
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58 | 58 | | required form shall partially fill the prescription by dispensing |
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59 | 59 | | or delivering, or causing to be dispensed or delivered under the |
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60 | 60 | | pharmacist's direction or supervision, a 10-day supply for that |
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61 | 61 | | patient and shall inform the prescribing physician that the |
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62 | 62 | | remainder of the prescription is canceled in accordance with this |
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63 | 63 | | subsection. A pharmacist may not fill a prescription for opioid |
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64 | 64 | | pain medication for a patient before the expiration of the 60-day |
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65 | 65 | | period beginning on the date the patient's previous prescription |
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66 | 66 | | for opioid pain medication was filled without receiving the |
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67 | 67 | | required form. |
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68 | 68 | | (s) The director by rule shall adopt a form for purposes of |
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69 | 69 | | Subsection (r) and prescribe procedures governing the use of that |
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70 | 70 | | form by prescribing physicians and pharmacists. |
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71 | 71 | | SECTION 2. Not later than December 1, 2015, the public |
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72 | 72 | | safety director of the Department of Public Safety shall adopt the |
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73 | 73 | | form required under Section 481.074(s), Health and Safety Code, as |
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74 | 74 | | added by this Act. |
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75 | 75 | | SECTION 3. The change in law made by this Act applies only |
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76 | 76 | | to a prescription completely filled on or after January 1, 2016. A |
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77 | 77 | | prescription completely filled before January 1, 2016, is covered |
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78 | 78 | | by the law as it existed immediately before the effective date of |
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79 | 79 | | this Act, and the former law is continued in effect for that |
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80 | 80 | | purpose. |
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81 | 81 | | SECTION 4. This Act takes effect September 1, 2015. |
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