1 | 1 | | 85R5540 JSC-D |
---|
2 | 2 | | By: Coleman H.B. No. 2859 |
---|
3 | 3 | | |
---|
4 | 4 | | |
---|
5 | 5 | | A BILL TO BE ENTITLED |
---|
6 | 6 | | AN ACT |
---|
7 | 7 | | relating to prescriber and dispenser reporting and access to |
---|
8 | 8 | | patient prescription information under the Texas Controlled |
---|
9 | 9 | | Substances Act. |
---|
10 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
---|
11 | 11 | | SECTION 1. Sections 481.074(c) and (q), Health and Safety |
---|
12 | 12 | | Code, are amended to read as follows: |
---|
13 | 13 | | (c) Not later than the next business [seventh] day after the |
---|
14 | 14 | | date a prescribing practitioner authorizes an emergency oral or |
---|
15 | 15 | | telephonically communicated prescription, the prescribing |
---|
16 | 16 | | practitioner shall send the information to the board as required by |
---|
17 | 17 | | Section 481.075 and cause a written or electronic prescription, |
---|
18 | 18 | | completed in the manner required by that section [Section 481.075], |
---|
19 | 19 | | to be delivered to the dispensing pharmacist at the pharmacy where |
---|
20 | 20 | | the prescription was dispensed. A written prescription may be |
---|
21 | 21 | | delivered in person or by mail. The envelope of a prescription |
---|
22 | 22 | | delivered by mail must be postmarked not later than the next |
---|
23 | 23 | | business [seventh] day after the date the prescription was |
---|
24 | 24 | | authorized. On receipt of a written prescription, the dispensing |
---|
25 | 25 | | pharmacy shall file the transcription of the telephonically |
---|
26 | 26 | | communicated prescription and the pharmacy copy and shall send |
---|
27 | 27 | | information to the board as required by Section 481.075. On receipt |
---|
28 | 28 | | of an electronic prescription, the pharmacist shall annotate the |
---|
29 | 29 | | electronic prescription record with the original authorization and |
---|
30 | 30 | | date of the emergency oral or telephonically communicated |
---|
31 | 31 | | prescription. |
---|
32 | 32 | | (q) Each dispensing pharmacist shall send all required |
---|
33 | 33 | | information, including any information required to complete the |
---|
34 | 34 | | Schedule III through V prescription forms, to the board by |
---|
35 | 35 | | electronic transfer or another form approved by the board not later |
---|
36 | 36 | | than the next business [seventh] day after the date the |
---|
37 | 37 | | prescription is completely filled. |
---|
38 | 38 | | SECTION 2. Sections 481.075(g) and (i), Health and Safety |
---|
39 | 39 | | Code, are amended to read as follows: |
---|
40 | 40 | | (g) Except for an oral prescription prescribed under |
---|
41 | 41 | | Section 481.074(b), the prescribing practitioner shall: |
---|
42 | 42 | | (1) legibly fill in, or direct a designated agent to |
---|
43 | 43 | | legibly fill in, on the official prescription form or in the |
---|
44 | 44 | | electronic prescription, each item of information required to be |
---|
45 | 45 | | provided by the prescribing practitioner under Subsection (e)(1), |
---|
46 | 46 | | unless the practitioner determines that: |
---|
47 | 47 | | (A) under rule adopted by the board for this |
---|
48 | 48 | | purpose, it is unnecessary for the practitioner or the |
---|
49 | 49 | | practitioner's agent to provide the patient identification number; |
---|
50 | 50 | | or |
---|
51 | 51 | | (B) it is not in the best interest of the patient |
---|
52 | 52 | | for the practitioner or practitioner's agent to provide information |
---|
53 | 53 | | regarding the intended use of the controlled substance or the |
---|
54 | 54 | | diagnosis for which it is prescribed; [and] |
---|
55 | 55 | | (2) sign the official prescription form and give the |
---|
56 | 56 | | form to the person authorized to receive the prescription or, in the |
---|
57 | 57 | | case of an electronic prescription, electronically sign or validate |
---|
58 | 58 | | the electronic prescription as authorized by federal law and |
---|
59 | 59 | | transmit the prescription to the dispensing pharmacy; and |
---|
60 | 60 | | (3) send all required information, including any |
---|
61 | 61 | | information required to complete an official prescription form or |
---|
62 | 62 | | electronic prescription record, to the board by electronic transfer |
---|
63 | 63 | | or another form approved by the board not later than the next |
---|
64 | 64 | | business day after the date the prescription is issued. |
---|
65 | 65 | | (i) Each dispensing pharmacist shall: |
---|
66 | 66 | | (1) fill in on the official prescription form or note |
---|
67 | 67 | | in the electronic prescription record each item of information |
---|
68 | 68 | | given orally to the dispensing pharmacy under Subsection (h) and |
---|
69 | 69 | | the date the prescription is filled, and: |
---|
70 | 70 | | (A) for a written prescription, fill in the |
---|
71 | 71 | | dispensing pharmacist's signature; or |
---|
72 | 72 | | (B) for an electronic prescription, |
---|
73 | 73 | | appropriately record the identity of the dispensing pharmacist in |
---|
74 | 74 | | the electronic prescription record; |
---|
75 | 75 | | (2) retain with the records of the pharmacy for at |
---|
76 | 76 | | least two years: |
---|
77 | 77 | | (A) the official prescription form or the |
---|
78 | 78 | | electronic prescription record, as applicable; and |
---|
79 | 79 | | (B) the name or other patient identification |
---|
80 | 80 | | required by Section 481.074(m) or (n); and |
---|
81 | 81 | | (3) send all required information, including any |
---|
82 | 82 | | information required to complete an official prescription form or |
---|
83 | 83 | | electronic prescription record, to the board by electronic transfer |
---|
84 | 84 | | or another form approved by the board not later than the next |
---|
85 | 85 | | business [seventh] day after the date the prescription is |
---|
86 | 86 | | completely filled. |
---|
87 | 87 | | SECTION 3. Section 481.076, Health and Safety Code, is |
---|
88 | 88 | | amended by adding Subsection (c-1) to read as follows: |
---|
89 | 89 | | (c-1) To avoid duplicate entries, the system described by |
---|
90 | 90 | | Subsection (c) must be capable of associating a report by a |
---|
91 | 91 | | practitioner issuing a prescription with a report by a pharmacist |
---|
92 | 92 | | subsequently dispensing the substance under that same |
---|
93 | 93 | | prescription. |
---|
94 | 94 | | SECTION 4. Subchapter C, Chapter 481, Health and Safety |
---|
95 | 95 | | Code, is amended by adding Section 481.0762 to read as follows: |
---|
96 | 96 | | Sec. 481.0762. DUTIES OF PRESCRIBERS, PHARMACISTS, AND |
---|
97 | 97 | | RELATED HEALTH CARE PRACTITIONERS. (a) A person authorized to |
---|
98 | 98 | | receive information under Section 481.076(a)(5), before |
---|
99 | 99 | | prescribing or dispensing a controlled substance to a patient, |
---|
100 | 100 | | shall access that information with respect to the patient. |
---|
101 | 101 | | (b) A violation of this section is grounds for disciplinary |
---|
102 | 102 | | action by the regulatory agency that issued a license, |
---|
103 | 103 | | certification, or registration to the person who committed the |
---|
104 | 104 | | violation. |
---|
105 | 105 | | SECTION 5. The change in law made by this Act applies only |
---|
106 | 106 | | to a prescription issued or completely filled on or after January 1, |
---|
107 | 107 | | 2018. A prescription issued or completely filled before January 1, |
---|
108 | 108 | | 2018, is covered by the law as it existed immediately before the |
---|
109 | 109 | | effective date of this Act, and the former law is continued in |
---|
110 | 110 | | effect for that purpose. |
---|
111 | 111 | | SECTION 6. This Act takes effect September 1, 2017. |
---|