1 | 1 | | 85R30089 JSC-D |
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2 | 2 | | By: Hinojosa, et al. S.B. No. 316 |
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3 | 3 | | (Gonzales of Williamson, Coleman) |
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4 | 4 | | Substitute the following for S.B. No. 316: No. |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to powers and duties of certain prescribers and dispensers |
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10 | 10 | | of controlled substances and the regulatory agencies that issue a |
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11 | 11 | | license, certification, or registration to the prescriber or |
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12 | 12 | | dispenser; following the recommendations of the Sunset Advisory |
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13 | 13 | | Commission. |
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14 | 14 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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15 | 15 | | SECTION 1. Section 481.003(a), Health and Safety Code, is |
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16 | 16 | | amended to read as follows: |
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17 | 17 | | (a) The director may adopt rules to administer and enforce |
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18 | 18 | | this chapter, other than Sections 481.073, 481.074, 481.075, |
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19 | 19 | | 481.0751, 481.076, [and] 481.0761, 481.0762, 481.0763, 481.0764, |
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20 | 20 | | and 481.0765. The board may adopt rules to administer Sections |
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21 | 21 | | 481.073, 481.074, 481.075, 481.0751, 481.076, [and] 481.0761, |
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22 | 22 | | 481.0762, 481.0763, 481.0764, and 481.0765. |
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23 | 23 | | SECTION 2. Sections 481.074(k) and (q), Health and Safety |
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24 | 24 | | Code, are amended to read as follows: |
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25 | 25 | | (k) A prescription for a controlled substance must show: |
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26 | 26 | | (1) the quantity of the substance prescribed: |
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27 | 27 | | (A) numerically, followed by the number written |
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28 | 28 | | as a word, if the prescription is written; |
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29 | 29 | | (B) numerically, if the prescription is |
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30 | 30 | | electronic; or |
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31 | 31 | | (C) 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: |
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40 | 40 | | (A) [,] if the controlled substance is prescribed |
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41 | 41 | | for an individual animal: |
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42 | 42 | | (i) [,] the name, species, and actual or |
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43 | 43 | | estimated date of birth of the animal; and |
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44 | 44 | | (ii) the name and address of the animal's |
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45 | 45 | | [its] owner; or |
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46 | 46 | | (B) if the controlled substance is prescribed for |
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47 | 47 | | a group or herd of animals: |
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48 | 48 | | (i) an identifier for the group or herd and |
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49 | 49 | | the species of the group or herd; and |
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50 | 50 | | (ii) the name and address of the owner of |
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51 | 51 | | the group or herd or, if the group or herd is not owned by a person, |
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52 | 52 | | the name and address of the client to whom the controlled substance |
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53 | 53 | | is to be dispensed; |
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54 | 54 | | (4) the name and strength of the controlled substance |
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55 | 55 | | prescribed; |
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56 | 56 | | (5) the directions for use of the controlled |
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57 | 57 | | substance; |
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58 | 58 | | (6) the intended use of the substance prescribed |
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59 | 59 | | unless the practitioner determines the furnishing of this |
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60 | 60 | | information is not in the best interest of the patient; |
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61 | 61 | | (7) the name, address, Federal Drug Enforcement |
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62 | 62 | | Administration number, and telephone number of the practitioner at |
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63 | 63 | | the practitioner's usual place of business, which must be legibly |
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64 | 64 | | printed or stamped on a written prescription; and |
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65 | 65 | | (8) if the prescription is handwritten, the signature |
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66 | 66 | | of the prescribing practitioner. |
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67 | 67 | | (q) Each dispensing pharmacist shall send all required |
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68 | 68 | | information, including any information required to complete the |
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69 | 69 | | Schedule III through V prescription forms, to the board by |
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70 | 70 | | electronic transfer or another form approved by the board not later |
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71 | 71 | | than the next business [seventh] day after the date the |
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72 | 72 | | prescription is completely filled. |
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73 | 73 | | SECTION 3. Section 481.075(i), Health and Safety Code, is |
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74 | 74 | | amended to read as follows: |
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75 | 75 | | (i) Each dispensing pharmacist shall: |
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76 | 76 | | (1) fill in on the official prescription form or note |
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77 | 77 | | in the electronic prescription record each item of information |
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78 | 78 | | given orally to the dispensing pharmacy under Subsection (h) and |
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79 | 79 | | the date the prescription is filled, and: |
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80 | 80 | | (A) for a written prescription, fill in the |
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81 | 81 | | dispensing pharmacist's signature; or |
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82 | 82 | | (B) for an electronic prescription, |
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83 | 83 | | appropriately record the identity of the dispensing pharmacist in |
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84 | 84 | | the electronic prescription record; |
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85 | 85 | | (2) retain with the records of the pharmacy for at |
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86 | 86 | | least two years: |
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87 | 87 | | (A) the official prescription form or the |
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88 | 88 | | electronic prescription record, as applicable; and |
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89 | 89 | | (B) the name or other patient identification |
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90 | 90 | | required by Section 481.074(m) or (n); and |
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91 | 91 | | (3) send all required information, including any |
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92 | 92 | | information required to complete an official prescription form or |
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93 | 93 | | electronic prescription record, to the board by electronic transfer |
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94 | 94 | | or another form approved by the board not later than the next |
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95 | 95 | | business [seventh] day after the date the prescription is |
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96 | 96 | | completely filled. |
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97 | 97 | | SECTION 4. Subchapter C, Chapter 481, Health and Safety |
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98 | 98 | | Code, is amended by adding Section 481.0751 to read as follows: |
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99 | 99 | | Sec. 481.0751. DISPENSING VETERINARIANS. (a) This section |
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100 | 100 | | applies to a veterinarian who holds a registration issued by the |
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101 | 101 | | Federal Drug Enforcement Administration and dispenses Schedule II, |
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102 | 102 | | III, IV, or V controlled substances directly to the owner or handler |
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103 | 103 | | of an animal. |
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104 | 104 | | (b) Not later than the seventh day after the date the |
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105 | 105 | | veterinarian dispenses a controlled substance, the veterinarian |
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106 | 106 | | shall submit to the board: |
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107 | 107 | | (1) the name, strength, and quantity of the substance |
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108 | 108 | | dispensed; |
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109 | 109 | | (2) the date the substance was dispensed; |
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110 | 110 | | (3) the name of the individual animal or if the |
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111 | 111 | | substance is dispensed for a group or herd of animals, an identifier |
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112 | 112 | | for the group or herd; |
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113 | 113 | | (4) the species of the animal or group or herd of |
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114 | 114 | | animals; |
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115 | 115 | | (5) if the controlled substance is dispensed for an |
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116 | 116 | | individual animal, the actual or estimated date of birth of the |
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117 | 117 | | animal; |
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118 | 118 | | (6) as applicable, the name and address of: |
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119 | 119 | | (A) the owner of the individual animal; |
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120 | 120 | | (B) the owner of the group or herd; or |
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121 | 121 | | (C) if the controlled substance is dispensed for |
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122 | 122 | | a group or herd that is not owned by a person, the name and address |
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123 | 123 | | of the client to whom the controlled substance is dispensed; and |
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124 | 124 | | (7) the name, address, Federal Drug Enforcement |
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125 | 125 | | Administration number, and telephone number of the veterinarian at |
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126 | 126 | | the veterinarian's usual place of business. |
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127 | 127 | | (c) A veterinarian shall retain a record of the information |
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128 | 128 | | submitted to the board under Subsection (b) for a period of not less |
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129 | 129 | | than two years after the date the substance is dispensed. |
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130 | 130 | | (d) Failure to comply with this section is grounds for |
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131 | 131 | | disciplinary action by the State Board of Veterinary Medical |
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132 | 132 | | Examiners. |
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133 | 133 | | SECTION 5. Sections 481.076(a), (a-3), (a-4), (c), (d), |
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134 | 134 | | (i), and (j), Health and Safety Code, are amended to read as |
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135 | 135 | | follows: |
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136 | 136 | | (a) The board may not permit any person to have access to |
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137 | 137 | | information submitted to the board under Section 481.074(q), [or] |
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138 | 138 | | 481.075, or 481.0751 except: |
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139 | 139 | | (1) [an investigator for] the board, the Texas Medical |
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140 | 140 | | Board, the Texas State Board of Podiatric Medical Examiners, the |
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141 | 141 | | State Board of Dental Examiners, the State Board of Veterinary |
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142 | 142 | | Medical Examiners, the Texas Board of Nursing, or the Texas |
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143 | 143 | | Optometry Board for the purpose of: |
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144 | 144 | | (A) investigating a specific license holder; or |
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145 | 145 | | (B) monitoring for potentially harmful |
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146 | 146 | | prescribing or dispensing patterns or practices under Section |
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147 | 147 | | 481.0762; |
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148 | 148 | | (2) an authorized officer or member of the department |
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149 | 149 | | or authorized employee of the board engaged in the administration, |
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150 | 150 | | investigation, or enforcement of this chapter or another law |
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151 | 151 | | governing illicit drugs in this state or another state; |
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152 | 152 | | (3) the department on behalf of a law enforcement or |
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153 | 153 | | prosecutorial official engaged in the administration, |
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154 | 154 | | investigation, or enforcement of this chapter or another law |
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155 | 155 | | governing illicit drugs in this state or another state; |
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156 | 156 | | (4) a medical examiner conducting an investigation; |
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157 | 157 | | (5) provided that accessing the information is |
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158 | 158 | | authorized under the Health Insurance Portability and |
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159 | 159 | | Accountability Act of 1996 (Pub. L. No. 104-191) and regulations |
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160 | 160 | | adopted under that Act: |
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161 | 161 | | (A) a pharmacist or a pharmacy technician, as |
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162 | 162 | | defined by Section 551.003, Occupations Code, acting at the |
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163 | 163 | | direction of a pharmacist; or |
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164 | 164 | | (B) a practitioner who: |
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165 | 165 | | (i) is a physician, dentist, veterinarian, |
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166 | 166 | | podiatrist, optometrist, or advanced practice nurse or is a |
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167 | 167 | | physician assistant described by Section 481.002(39)(D) or an |
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168 | 168 | | employee or other agent of a practitioner acting at the direction of |
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169 | 169 | | a practitioner; and |
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170 | 170 | | (ii) is inquiring about a recent Schedule II, |
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171 | 171 | | III, IV, or V prescription history of a particular patient of the |
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172 | 172 | | practitioner[, provided that the person accessing the information |
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173 | 173 | | is authorized to do so under the Health Insurance Portability and |
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174 | 174 | | Accountability Act of 1996 (Pub. L. No. 104-191) and rules adopted |
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175 | 175 | | under that Act]; |
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176 | 176 | | (6) a pharmacist or practitioner who is inquiring |
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177 | 177 | | about the person's own dispensing or prescribing activity; or |
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178 | 178 | | (7) one or more states or an association of states with |
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179 | 179 | | which the board has an interoperability agreement, as provided by |
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180 | 180 | | Subsection (j). |
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181 | 181 | | (a-3) The board shall ensure that the department has |
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182 | 182 | | unrestricted access at all times to information submitted to the |
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183 | 183 | | board under Sections 481.074(q), [and] 481.075, and 481.0751. The |
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184 | 184 | | department's access to the information shall be provided through a |
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185 | 185 | | secure electronic portal under the exclusive control of the |
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186 | 186 | | department. The department shall pay all expenses associated with |
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187 | 187 | | the electronic portal. |
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188 | 188 | | (a-4) A law enforcement or prosecutorial official described |
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189 | 189 | | by Subsection (a)(3) may obtain information submitted to the board |
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190 | 190 | | under Section 481.074(q), [or] 481.075, or 481.0751 only if the |
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191 | 191 | | official submits a request to the department. If the department |
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192 | 192 | | finds that the official has shown proper need for the information, |
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193 | 193 | | the department shall provide access to the relevant information. |
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194 | 194 | | (c) The board by rule shall design and implement a system |
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195 | 195 | | for submission of information to the board by electronic or other |
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196 | 196 | | means and for retrieval of information submitted to the board under |
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197 | 197 | | this section and Sections 481.074, [and] 481.075, and 481.0751. |
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198 | 198 | | The board shall use automated information security techniques and |
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199 | 199 | | devices to preclude improper access to the information. The board |
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200 | 200 | | shall submit the system design to the director and the Texas Medical |
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201 | 201 | | Board for review and comment a reasonable time before |
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202 | 202 | | implementation of the system and shall comply with the comments of |
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203 | 203 | | those agencies unless it is unreasonable to do so. |
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204 | 204 | | (d) Information submitted to the board under this section |
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205 | 205 | | may be used only for: |
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206 | 206 | | (1) the administration, investigation, or enforcement |
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207 | 207 | | of this chapter or another law governing illicit drugs in this state |
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208 | 208 | | or another state; |
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209 | 209 | | (2) investigatory, [or] evidentiary, or monitoring |
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210 | 210 | | purposes in connection with the functions of an agency listed in |
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211 | 211 | | Subsection (a)(1); |
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212 | 212 | | (3) the prescribing and dispensing of controlled |
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213 | 213 | | substances by a person listed in Subsection (a)(5); or |
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214 | 214 | | (4) [(3)] dissemination by the board to the public in |
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215 | 215 | | the form of a statistical tabulation or report if all information |
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216 | 216 | | reasonably likely to reveal the identity of each patient, |
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217 | 217 | | practitioner, or other person who is a subject of the information |
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218 | 218 | | has been removed. |
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219 | 219 | | (i) Information submitted to the board under Section |
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220 | 220 | | 481.074(q), [or] 481.075, or 481.0751 is confidential and remains |
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221 | 221 | | confidential regardless of whether the board permits access to the |
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222 | 222 | | information under this section. |
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223 | 223 | | (j) The board may enter into an interoperability agreement |
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224 | 224 | | with one or more states or an association of states authorizing the |
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225 | 225 | | board to access prescription monitoring information maintained or |
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226 | 226 | | collected by the other state or states or the association, |
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227 | 227 | | including information maintained on a central database such as the |
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228 | 228 | | National Association of Boards of Pharmacy Prescription Monitoring |
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229 | 229 | | Program InterConnect. Pursuant to an interoperability agreement, |
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230 | 230 | | the board may authorize the prescription monitoring program of one |
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231 | 231 | | or more states or an association of states to access information |
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232 | 232 | | submitted to the board under Sections 481.074(q), [and] 481.075, |
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233 | 233 | | and 481.0751, including by submitting or sharing information |
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234 | 234 | | through a central database such as the National Association of |
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235 | 235 | | Boards of Pharmacy Prescription Monitoring Program InterConnect. |
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236 | 236 | | SECTION 6. Section 481.0761, Health and Safety Code, is |
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237 | 237 | | amended by amending Subsections (a) and (c) and adding Subsections |
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238 | 238 | | (h), (i), (j), (k), and (l) to read as follows: |
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239 | 239 | | (a) The board shall by rule establish and revise as |
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240 | 240 | | necessary a standardized database format that may be used by a |
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241 | 241 | | pharmacy to transmit the information required by Sections |
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242 | 242 | | 481.074(q), [and] 481.075(i), and 481.0751 to the board |
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243 | 243 | | electronically or to deliver the information on storage media, |
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244 | 244 | | including disks, tapes, and cassettes. |
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245 | 245 | | (c) The board by rule may: |
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246 | 246 | | (1) permit more than one prescription to be |
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247 | 247 | | administered or dispensed and recorded on one prescription form for |
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248 | 248 | | a Schedule III through V controlled substance; |
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249 | 249 | | (1-a) establish a procedure for the issuance of |
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250 | 250 | | multiple prescriptions of a Schedule II controlled substance under |
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251 | 251 | | Section 481.074(d-1); |
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252 | 252 | | (2) remove from or return to the official prescription |
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253 | 253 | | program any aspect of a practitioner's or pharmacist's hospital |
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254 | 254 | | practice, including administering or dispensing; |
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255 | 255 | | (3) waive or delay any requirement relating to the |
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256 | 256 | | time or manner of reporting; |
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257 | 257 | | (4) establish compatibility protocols for electronic |
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258 | 258 | | data transfer hardware, software, or format, including any |
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259 | 259 | | necessary modifications for participation in a database described |
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260 | 260 | | by Section 481.076(j); |
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261 | 261 | | (5) establish a procedure to control the release of |
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262 | 262 | | information under Sections 481.074, 481.075, 481.0751, and |
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263 | 263 | | 481.076; and |
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264 | 264 | | (6) establish a minimum level of prescription activity |
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265 | 265 | | below which a reporting activity may be modified or deleted. |
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266 | 266 | | (h) The board, in consultation with the department and the |
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267 | 267 | | regulatory agencies listed in Section 481.076(a)(1) shall identify |
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268 | 268 | | potentially harmful prescribing or dispensing patterns or |
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269 | 269 | | practices that may suggest drug diversion or drug abuse. The board |
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270 | 270 | | shall develop indicators for levels of prescriber or patient |
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271 | 271 | | activity that suggest that a potentially harmful prescribing or |
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272 | 272 | | dispensing pattern or practice may be occurring or that drug |
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273 | 273 | | diversion or drug abuse may be occurring. |
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274 | 274 | | (i) The board may, based on the indicators developed under |
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275 | 275 | | Subsection (h), send a prescriber or dispenser an electronic |
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276 | 276 | | notification if the information submitted under Sections |
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277 | 277 | | 481.074(q), 481.075, and 481.0751 indicates that a potentially |
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278 | 278 | | harmful prescribing or dispensing pattern or practice may be |
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279 | 279 | | occurring or that drug diversion or drug abuse may be occurring. |
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280 | 280 | | (j) The board by rule may develop guidelines identifying |
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281 | 281 | | patterns that may indicate that a particular patient to whom a |
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282 | 282 | | controlled substance is prescribed or dispensed is engaging in drug |
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283 | 283 | | diversion or drug abuse. These guidelines may be based on the |
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284 | 284 | | frequency of prescriptions issued to and filled by the patient, the |
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285 | 285 | | types of controlled substances prescribed, and the number of |
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286 | 286 | | prescribers who prescribe controlled substances to the patient. |
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287 | 287 | | The board may, based on the guidelines developed under this |
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288 | 288 | | subsection, send a prescriber or dispenser an electronic |
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289 | 289 | | notification if there is reason to believe that a particular |
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290 | 290 | | patient is engaging in drug diversion or drug abuse. |
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291 | 291 | | (k) The board by rule may develop guidelines identifying |
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292 | 292 | | additional behavior that would suggest that drug diversion or drug |
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293 | 293 | | abuse is occurring. A person described by Section 481.076(a)(5)(A) |
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294 | 294 | | who observes that behavior by a person to whom a controlled |
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295 | 295 | | substance is to be dispensed shall access the information under |
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296 | 296 | | Section 481.076(a)(5) regarding the patient for whom the |
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297 | 297 | | prescription for the controlled substance was issued. |
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298 | 298 | | (l) If the board finds that the electronic system used by |
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299 | 299 | | the board in maintaining the information under Section 481.076 |
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300 | 300 | | requires data elements that cannot be provided for a prescription |
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301 | 301 | | or dispensation of a controlled substance to a group or herd of |
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302 | 302 | | animals, the board, in consultation with the State Board of |
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303 | 303 | | Veterinary Medical Examiners, shall adopt rules relating to the |
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304 | 304 | | specific format in which a person may enter or submit those data |
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305 | 305 | | elements with respect to the group or herd. |
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306 | 306 | | SECTION 7. Subchapter C, Chapter 481, Health and Safety |
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307 | 307 | | Code, is amended by adding Sections 481.0762, 481.0763, 481.0764, |
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308 | 308 | | and 481.0765 to read as follows: |
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309 | 309 | | Sec. 481.0762. MONITORING BY REGULATORY AGENCY. (a) Each |
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310 | 310 | | regulatory agency that issues a license, certification, or |
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311 | 311 | | registration to a prescriber shall promulgate specific guidelines |
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312 | 312 | | for prescribers regulated by that agency for the responsible |
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313 | 313 | | prescribing of opioids, benzodiazepines, barbiturates, or |
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314 | 314 | | carisoprodol. |
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315 | 315 | | (b) A regulatory agency that issues a license, |
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316 | 316 | | certification, or registration to a prescriber shall periodically |
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317 | 317 | | access the information submitted to the board under Sections |
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318 | 318 | | 481.074(q), 481.075, and 481.0751 to determine whether a prescriber |
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319 | 319 | | is engaging in potentially harmful prescribing patterns or |
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320 | 320 | | practices. |
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321 | 321 | | (c) The State Board of Veterinary Medical Examiners shall |
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322 | 322 | | periodically access the information submitted to the board under |
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323 | 323 | | Sections 481.074(q), 481.075, and 481.0751 to determine whether a |
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324 | 324 | | veterinarian is engaging in potentially harmful prescribing or |
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325 | 325 | | dispensing patterns or practices. |
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326 | 326 | | (d) If the board sends a prescriber or dispensing |
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327 | 327 | | veterinarian an electronic notification authorized under Section |
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328 | 328 | | 481.0761(i), the board shall immediately send an electronic |
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329 | 329 | | notification to the appropriate regulatory agency. |
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330 | 330 | | (e) In determining whether a potentially harmful |
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331 | 331 | | prescribing or dispensing pattern or practice is occurring, the |
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332 | 332 | | appropriate regulatory agency, at a minimum, shall consider: |
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333 | 333 | | (1) the number of times a prescriber prescribes or a |
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334 | 334 | | veterinarian dispenses opioids, benzodiazepines, barbiturates, or |
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335 | 335 | | carisoprodol; and |
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336 | 336 | | (2) for prescriptions and dispensations described by |
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337 | 337 | | Subdivision (1), patterns of prescribing or dispensing |
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338 | 338 | | combinations of those drugs and other dangerous combinations of |
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339 | 339 | | drugs identified by the board. |
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340 | 340 | | (f) If, during a periodic check under this section, the |
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341 | 341 | | regulatory agency finds evidence that a prescriber may be engaging |
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342 | 342 | | in potentially harmful prescribing or dispensing patterns or |
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343 | 343 | | practices, the regulatory agency may notify that prescriber. |
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344 | 344 | | (g) A regulatory agency may open a complaint against a |
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345 | 345 | | prescriber if the agency finds evidence during a periodic check |
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346 | 346 | | under this section that the prescriber is engaging in conduct that |
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347 | 347 | | violates this subchapter or any other statute or rule. |
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348 | 348 | | Sec. 481.0763. REGISTRATION BY REGULATORY AGENCY. A |
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349 | 349 | | regulatory agency that issues a license, certification, or |
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350 | 350 | | registration to a prescriber or dispenser shall provide the board |
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351 | 351 | | with any necessary information for each prescriber or dispenser, |
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352 | 352 | | including contact information for the notifications described by |
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353 | 353 | | Sections 481.0761(i) and (j), to register the prescriber or |
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354 | 354 | | dispenser with the system by which the prescriber or dispenser |
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355 | 355 | | receives information as authorized under Section 481.076(a)(5). |
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356 | 356 | | Sec. 481.0764. DUTIES OF PRESCRIBERS, PHARMACISTS, AND |
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357 | 357 | | RELATED HEALTH CARE PRACTITIONERS. (a) A person authorized to |
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358 | 358 | | receive information under Section 481.076(a)(5) shall access that |
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359 | 359 | | information with respect to the patient before prescribing or |
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360 | 360 | | dispensing opioids, benzodiazepines, barbiturates, or |
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361 | 361 | | carisoprodol. |
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362 | 362 | | (b) A person authorized to receive information under |
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363 | 363 | | Section 481.076(a)(5) may access that information with respect to |
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364 | 364 | | the patient before prescribing or dispensing any controlled |
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365 | 365 | | substance. |
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366 | 366 | | (c) A veterinarian subject to this section is required to |
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367 | 367 | | access the information for prescriptions dispensed only for the |
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368 | 368 | | animals of an owner and may not consider the personal prescription |
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369 | 369 | | history of the owner. |
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370 | 370 | | (d) A violation of Subsection (a) is grounds for |
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371 | 371 | | disciplinary action by the regulatory agency that issued a license, |
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372 | 372 | | certification, or registration to the person who committed the |
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373 | 373 | | violation. |
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374 | 374 | | (e) This section does not grant a person the authority to |
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375 | 375 | | issue prescriptions for or dispense controlled substances. |
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376 | 376 | | Sec. 481.0765. EXCEPTIONS. (a) A prescriber is not subject |
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377 | 377 | | to the requirements of Section 481.0764(a) if: |
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378 | 378 | | (1) the patient has been diagnosed with cancer or the |
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379 | 379 | | patient is receiving hospice care; and |
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380 | 380 | | (2) the prescriber clearly notes in the prescription |
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381 | 381 | | record that the patient was diagnosed with cancer or is receiving |
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382 | 382 | | hospice care, as applicable. |
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383 | 383 | | (b) A dispenser is not subject to the requirements of |
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384 | 384 | | Section 481.0764(a) if it is clearly noted in the prescription |
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385 | 385 | | record that the patient has been diagnosed with cancer or is |
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386 | 386 | | receiving hospice care. |
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387 | 387 | | (c) A prescriber is not subject to the requirements of |
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388 | 388 | | Section 481.0764(a) if: |
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389 | 389 | | (1) the prescription is for a controlled substance in |
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390 | 390 | | a quantity not to exceed a five-day supply; |
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391 | 391 | | (2) the prescription does not authorize any refills; |
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392 | 392 | | (3) the prescription is issued: |
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393 | 393 | | (A) pursuant to a patient's emergency medical |
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394 | 394 | | condition; or |
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395 | 395 | | (B) following the patient's surgical procedure; |
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396 | 396 | | and |
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397 | 397 | | (4) the prescriber clearly notes in the prescription |
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398 | 398 | | record that the prescription was issued pursuant to the patient's |
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399 | 399 | | emergency medical condition or following the patient's surgical |
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400 | 400 | | procedure, as applicable. |
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401 | 401 | | (d) A dispenser is not subject to the requirements of |
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402 | 402 | | Section 481.0764(a) if: |
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403 | 403 | | (1) the prescription is for a controlled substance in |
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404 | 404 | | a quantity not to exceed a five-day supply; |
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405 | 405 | | (2) the prescription does not authorize any refills; |
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406 | 406 | | and |
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407 | 407 | | (3) it is clearly noted in the prescription record |
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408 | 408 | | that the prescription was issued pursuant to a patient's emergency |
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409 | 409 | | medical condition or following a patient's surgical procedure, as |
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410 | 410 | | applicable. |
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411 | 411 | | (e) A prescriber or dispenser is not subject to the |
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412 | 412 | | requirements of Section 481.0764(a) and a dispenser is not subject |
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413 | 413 | | to a rule adopted under Section 481.0761(k) if the prescriber or |
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414 | 414 | | dispenser makes a good faith attempt to comply but is unable to |
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415 | 415 | | access the information under Section 481.076(a)(5) because of |
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416 | 416 | | circumstances outside the control of the prescriber or dispenser. |
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417 | 417 | | SECTION 8. Section 481.127(a), Health and Safety Code, is |
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418 | 418 | | amended to read as follows: |
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419 | 419 | | (a) A person commits an offense if the person knowingly |
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420 | 420 | | gives, permits, or obtains unauthorized access to information |
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421 | 421 | | submitted to the board under Section 481.074(q), [or] 481.075, or |
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422 | 422 | | 481.0751. |
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423 | 423 | | SECTION 9. Section 554.051(a-1), Occupations Code, is |
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424 | 424 | | amended to read as follows: |
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425 | 425 | | (a-1) The board may adopt rules to administer Sections |
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426 | 426 | | 481.073, 481.074, 481.075, 481.0751, 481.076, [and] 481.0761, |
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427 | 427 | | 481.0762, 481.0763, 481.0764, and 481.0765, Health and Safety Code. |
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428 | 428 | | SECTION 10. (a) A joint interim committee is created to |
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429 | 429 | | conduct an interim study on the monitoring of the prescribing and |
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430 | 430 | | dispensing of controlled substances in this state. |
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431 | 431 | | (b) The joint interim committee shall be composed of three |
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432 | 432 | | senators appointed by the lieutenant governor and three members of |
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433 | 433 | | the house of representatives appointed by the speaker of the house |
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434 | 434 | | of representatives. |
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435 | 435 | | (c) The lieutenant governor and speaker of the house of |
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436 | 436 | | representatives shall each designate a co-chair from among the |
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437 | 437 | | joint interim committee members. |
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438 | 438 | | (d) The joint interim committee shall convene at the joint |
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439 | 439 | | call of the co-chairs. |
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440 | 440 | | (e) The joint interim committee has all other powers and |
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441 | 441 | | duties provided to a special or select committee by the rules of the |
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442 | 442 | | senate and house of representatives, by Subchapter B, Chapter 301, |
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443 | 443 | | Government Code, and by policies of the senate and house committees |
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444 | 444 | | on administration. |
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445 | 445 | | (f) The interim study conducted by the joint interim |
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446 | 446 | | committee must: |
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447 | 447 | | (1) include the number of prescribers and dispensers |
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448 | 448 | | registered to receive information electronically under Section |
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449 | 449 | | 481.076, Health and Safety Code, as amended by this Act; |
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450 | 450 | | (2) evaluate the accessing of information under |
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451 | 451 | | Section 481.076, Health and Safety Code, as amended by this Act, by |
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452 | 452 | | regulatory agencies to monitor persons issued a license, |
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453 | 453 | | certification, or registration by those agencies; |
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454 | 454 | | (3) address any complaints, technical difficulties, |
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455 | 455 | | or other issues with electronically accessing and receiving |
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456 | 456 | | information under Section 481.076, Health and Safety Code, as |
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457 | 457 | | amended by this Act; |
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458 | 458 | | (4) examine controlled substance prescribing and |
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459 | 459 | | dispensing trends that may be affected by the passage and |
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460 | 460 | | implementation of this Act; |
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461 | 461 | | (5) evaluate the use and effectiveness of electronic |
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462 | 462 | | notifications sent to prescribers and dispensers under Sections |
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463 | 463 | | 481.0761(i) and (j), Health and Safety Code, as added by this Act; |
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464 | 464 | | (6) evaluate the use and effectiveness of identifying |
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465 | 465 | | geographic anomalies in comparing delivery and dispensing data; |
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466 | 466 | | (7) evaluate the integration of any new data elements |
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467 | 467 | | required to be reported under this Act, including information from |
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468 | 468 | | veterinarians regarding controlled substances prescribed or |
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469 | 469 | | dispensed for animals; |
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470 | 470 | | (8) evaluate the existence and scope of diversion of |
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471 | 471 | | controlled substances by animal owners to whom the substances are |
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472 | 472 | | dispensed by veterinarians; |
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473 | 473 | | (9) explore the best methods for preventing the |
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474 | 474 | | diversion of controlled substances by animal owners, including |
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475 | 475 | | veterinary reporting under Section 481.0751, Health and Safety |
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476 | 476 | | Code, as added by this Act; and |
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477 | 477 | | (10) determine how mandated reporting by |
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478 | 478 | | veterinarians under Section 481.0751, Health and Safety Code, as |
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479 | 479 | | added by this Act, might best be tailored to fit the practice of |
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480 | 480 | | veterinary medicine. |
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481 | 481 | | (g) The committee shall solicit feedback from regulatory |
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482 | 482 | | agencies, prescribers, dispensers, and patients affected by the |
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483 | 483 | | passage of this Act. |
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484 | 484 | | (h) The committee shall submit a report to the legislature |
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485 | 485 | | on the results of the interim study, including any legislative |
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486 | 486 | | recommendations for improvements to information access and |
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487 | 487 | | controlled substance prescription monitoring, not later than |
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488 | 488 | | January 1, 2019. |
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489 | 489 | | (i) Subject to available resources, the Texas Legislative |
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490 | 490 | | Council shall provide legal and policy research, drafts of proposed |
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491 | 491 | | legislation, and statistical analysis services to the joint interim |
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492 | 492 | | committee for the purpose of the study required under this section. |
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493 | 493 | | (j) Notwithstanding Section 481.076, Health and Safety |
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494 | 494 | | Code, as amended by this Act, or any other law relating to access to |
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495 | 495 | | or disclosure of prescription drug information maintained by the |
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496 | 496 | | Texas State Board of Pharmacy, the Texas State Board of Pharmacy |
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497 | 497 | | shall disclose any information maintained by the board under |
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498 | 498 | | Section 481.076, Health and Safety Code, to the Texas Legislative |
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499 | 499 | | Council on request of the council for the purpose of assisting with |
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500 | 500 | | the study required under this section. |
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501 | 501 | | (k) Not later than November 1, 2017, the lieutenant governor |
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502 | 502 | | and speaker of the house of representatives shall appoint the |
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503 | 503 | | members of the joint interim committee in accordance with this |
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504 | 504 | | section. |
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505 | 505 | | (l) The joint interim committee created under this section |
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506 | 506 | | is abolished and this section expires January 2, 2019. |
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507 | 507 | | SECTION 11. (a) Notwithstanding Section 481.0751(b), |
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508 | 508 | | Health and Safety Code, as added by this Act: |
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509 | 509 | | (1) a veterinarian who dispenses a controlled |
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510 | 510 | | substance before January 1, 2018, is not required to submit the |
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511 | 511 | | information under that subsection to the Texas State Board of |
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512 | 512 | | Pharmacy; and |
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513 | 513 | | (2) a veterinarian who dispenses a controlled |
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514 | 514 | | substance on or after January 1, 2018, but before September 1, 2019, |
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515 | 515 | | is required to submit the information under that subsection to the |
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516 | 516 | | Texas State Board of Pharmacy not later than the 30th day after the |
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517 | 517 | | date the veterinarian dispenses the controlled substance. |
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518 | 518 | | (b) A veterinarian who dispenses a controlled substance on |
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519 | 519 | | or after September 1, 2019, is required to comply with Section |
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520 | 520 | | 481.0751(b), Health and Safety Code, as added by this Act. |
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521 | 521 | | SECTION 12. A person is not required to comply with Section |
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522 | 522 | | 481.0761(k), Health and Safety Code, as added by this Act, before |
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523 | 523 | | September 1, 2019. |
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524 | 524 | | SECTION 13. Section 481.0764(a), Health and Safety Code, as |
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525 | 525 | | added by this Act, applies only to: |
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526 | 526 | | (1) a prescriber who issues a prescription for a |
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527 | 527 | | controlled substance on or after September 1, 2019; or |
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528 | 528 | | (2) a person authorized by law to dispense a |
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529 | 529 | | controlled substance who dispenses a controlled substance on or |
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530 | 530 | | after September 1, 2019. |
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531 | 531 | | SECTION 14. This Act takes effect September 1, 2017. |
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