9 | 2 | | |
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10 | 3 | | |
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11 | 4 | | A BILL TO BE ENTITLED |
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12 | 5 | | AN ACT |
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13 | 6 | | relating to donation of unused prescription drugs; authorizing a |
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14 | 7 | | fee. |
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15 | 8 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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16 | 9 | | SECTION 1. Subtitle A, Title 6, Health and Safety Code, is |
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17 | 10 | | amended by adding Chapter 442 to read as follows: |
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18 | 11 | | CHAPTER 442. DONATION OF PRESCRIPTION DRUGS |
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19 | 12 | | SUBCHAPTER A. GENERAL PROVISIONS |
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20 | 13 | | Sec. 442.001. DEFINITIONS. In this chapter: |
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21 | 14 | | (1) "Donor" means an individual who donates unused |
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22 | 15 | | prescription drugs under this chapter to a participating provider. |
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23 | 16 | | (2) "Health care facility" means a facility that |
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24 | 17 | | provides health care services to patients and maintains a pharmacy |
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25 | 18 | | in the facility. The term includes the following facilities if a |
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26 | 19 | | pharmacy is maintained in the facility: |
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27 | 20 | | (A) a general or special hospital as defined by |
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28 | 21 | | Chapter 241; |
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29 | 22 | | (B) an ambulatory surgical center licensed under |
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30 | 23 | | Chapter 243; and |
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31 | 24 | | (C) an institution licensed under Chapter 242. |
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32 | 25 | | (3) "Health care professional" means an individual |
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33 | 26 | | licensed, certified, or otherwise authorized to administer health |
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34 | 27 | | care and prescribe prescription drugs, for profit or otherwise, in |
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35 | 28 | | the ordinary course of business or professional practice. The term |
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36 | 29 | | does not include a health care facility. |
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37 | 30 | | (4) "Participating provider" means a health care |
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38 | 31 | | facility or pharmacy, or a pharmacist who is an employee of the |
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39 | 32 | | facility or pharmacy, that elects to participate in the collection |
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40 | 33 | | and redistribution of donated prescription drugs under this |
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41 | 34 | | chapter. |
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42 | 35 | | (5) "Pharmacist" means a person licensed under Chapter |
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43 | 36 | | 558, Occupations Code. |
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44 | 37 | | (6) "Pharmacy" means an entity licensed under Chapter |
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45 | 38 | | 560, Occupations Code. |
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46 | 39 | | (7) "Prescription drug" has the meaning assigned by |
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47 | 40 | | Section 551.003, Occupations Code. |
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48 | 41 | | (8) "Recipient" means an individual who voluntarily |
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49 | 42 | | receives donated prescription drugs under this chapter. |
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50 | 43 | | (9) "Tamper-evident" means packaging that allows for |
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51 | 44 | | detection of unauthorized access to a prescription drug. |
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52 | 45 | | Sec. 442.002. RULEMAKING AUTHORITY. The executive |
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53 | 46 | | commissioner may adopt rules to implement this chapter. |
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54 | 47 | | Sec. 442.003. CONSTRUCTION WITH OTHER LAW. This chapter |
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55 | 48 | | does not limit the authority of this state or a political |
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56 | 49 | | subdivision of this state to regulate or prohibit a prescription |
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57 | 50 | | drug. |
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58 | 51 | | SUBCHAPTER B. DONATION AND REDISTRIBUTION OF UNUSED PRESCRIPTION |
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59 | 52 | | DRUGS |
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60 | 53 | | Sec. 442.051. DONATION AND REDISTRIBUTION OF PRESCRIPTION |
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61 | 54 | | DRUGS. (a) A donor may donate unused prescription drugs to a |
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62 | 55 | | participating provider in accordance with this chapter and rules |
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63 | 56 | | adopted under this chapter. |
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64 | 57 | | (b) A participating provider may dispense donated |
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65 | 58 | | prescription drugs to a recipient in accordance with this chapter |
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66 | 59 | | and rules adopted under this chapter. |
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67 | 60 | | Sec. 442.052. STANDARDS FOR DONATION AND REDISTRIBUTION. |
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68 | 61 | | (a) The executive commissioner by rule shall adopt standards and |
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69 | 62 | | procedures for: |
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70 | 63 | | (1) accepting, storing, labeling, and dispensing |
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71 | 64 | | donated prescription drugs; and |
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72 | 65 | | (2) inspecting donated prescription drugs to |
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73 | 66 | | determine whether the drugs are adulterated and whether the drugs |
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74 | 67 | | are safe and suitable for redistribution. |
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75 | 68 | | (b) In adopting standards and procedures under this |
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76 | 69 | | section, the executive commissioner shall ensure that the donation |
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77 | 70 | | and redistribution process is consistent with public health and |
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78 | 71 | | safety standards. |
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79 | 72 | | Sec. 442.053. REQUIREMENTS FOR DONATED PRESCRIPTION DRUGS. |
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80 | 73 | | (a) A donated prescription drug may be accepted or dispensed under |
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81 | 74 | | this chapter only if the drug is in its original, unopened, sealed, |
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82 | 75 | | and tamper-evident unit-dose packaging. A drug packaged in single |
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83 | 76 | | unit doses may be accepted and dispensed if the outside packaging is |
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84 | 77 | | opened but the single unit-dose packaging is unopened. |
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85 | 78 | | (b) A donated prescription drug may not be accepted or |
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86 | 79 | | dispensed under this chapter if: |
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87 | 80 | | (1) the drug is a controlled substance; |
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88 | 81 | | (2) the drug is adulterated or misbranded; |
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89 | 82 | | (3) the drug is not stored in compliance with the |
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90 | 83 | | drug's product label; or |
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91 | 84 | | (4) the United States Food and Drug Administration |
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92 | 85 | | requires the drug to have a risk evaluation or mitigation strategy. |
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93 | 86 | | (c) A participating provider shall comply with all |
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94 | 87 | | applicable provisions of state and federal law relating to the |
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95 | 88 | | inspection, storage, labeling, and dispensing of prescription |
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96 | 89 | | drugs. |
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97 | 90 | | Sec. 442.054. DONATION PROCESS. (a) Before being |
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98 | 91 | | dispensed to a recipient, a prescription drug donated under this |
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99 | 92 | | chapter must be inspected by the participating provider in |
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100 | 93 | | accordance with federal law, laws of this state, and department |
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101 | 94 | | rule to determine whether the drug is adulterated or misbranded and |
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102 | 95 | | whether the drug has been stored in compliance with the |
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103 | 96 | | requirements of the product label. |
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104 | 97 | | (b) A donated prescription drug dispensed to a recipient |
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105 | 98 | | under this chapter must be prescribed by a health care professional |
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106 | 99 | | for use by the recipient. |
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107 | 100 | | (c) A participating provider may charge a handling fee not |
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108 | 101 | | to exceed $20 to a recipient to cover the costs of inspecting, |
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109 | 102 | | storing, labeling, and dispensing the donated prescription drug. A |
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110 | 103 | | participating provider may not resell a prescription drug donated |
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111 | 104 | | under this chapter. A donor may not sell a prescription drug to a |
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112 | 105 | | participating provider. |
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113 | 106 | | (d) A participating provider may not submit a claim or |
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114 | 107 | | otherwise seek reimbursement from any public or private third-party |
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115 | 108 | | payor for donated prescription drugs dispensed to a recipient under |
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116 | 109 | | this chapter. A public or private third-party payor is not required |
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117 | 110 | | to provide reimbursement for donated drugs dispensed to a recipient |
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118 | 111 | | under this chapter. |
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119 | 112 | | Sec. 442.055. DONOR FORM. Before donating a prescription |
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120 | 113 | | drug under this chapter, a donor shall sign a form prescribed by the |
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121 | 114 | | department stating that: |
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122 | 115 | | (1) the donor is the owner of the donated prescription |
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123 | 116 | | drug; |
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124 | 117 | | (2) the donated prescription drug has been properly |
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125 | 118 | | stored and the container has not been opened or tampered with; |
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126 | 119 | | (3) the donated prescription drug has not been |
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127 | 120 | | adulterated or misbranded; and |
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128 | 121 | | (4) the donor is voluntarily donating the prescription |
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129 | 122 | | drug. |
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130 | 123 | | Sec. 442.056. RECIPIENT FORM. Before accepting a donated |
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131 | 124 | | prescription drug under this chapter, a recipient shall sign a form |
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132 | 125 | | prescribed by the department stating that: |
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133 | 126 | | (1) the recipient acknowledges that the donor is not a |
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134 | 127 | | pharmacist and the donor took ordinary care of the prescription |
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135 | 128 | | drug; |
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136 | 129 | | (2) the recipient acknowledges that the donor is known |
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137 | 130 | | to the participating provider and that there is no reason to believe |
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138 | 131 | | that the prescription drug was improperly handled or stored; |
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139 | 132 | | (3) by accepting the prescription drug, the recipient |
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140 | 133 | | accepts any risk that an accidental mishandling could create; and |
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141 | 134 | | (4) the recipient releases the donor, participating |
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142 | 135 | | provider, and manufacturer of the drug from liability related to |
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143 | 136 | | the prescription drug. |
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144 | 137 | | Sec. 442.057. LIMITATION OF LIABILITY. (a) A donor or |
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145 | 138 | | participating provider who acts in good faith in donating, |
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146 | 139 | | accepting, storing, labeling, distributing, or dispensing |
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147 | 140 | | prescription drugs under this chapter: |
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148 | 141 | | (1) is not criminally liable and is not subject to |
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149 | 142 | | professional disciplinary action for those activities; and |
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150 | 143 | | (2) is not civilly liable for damages for bodily |
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151 | 144 | | injury, death, or property damage that arises from those activities |
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152 | 145 | | unless the injury, death, or damage arises from the donor or |
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153 | 146 | | participating provider's recklessness or intentional conduct. |
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154 | 147 | | (b) A manufacturer of a prescription drug that donates a |
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155 | 148 | | drug under this chapter is not, in the absence of bad faith, |
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156 | 149 | | criminally or civilly liable for bodily injury, death, or property |
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157 | 150 | | damage arising from the donation, acceptance, or dispensing of the |
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158 | 151 | | drug, including the manufacturer's failure to communicate to a |
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159 | 152 | | donor or other person: |
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160 | 153 | | (1) product or consumer information about the donated |
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161 | 154 | | prescription drug; or |
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162 | 155 | | (2) the expiration date of the donated prescription |
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163 | 156 | | drug. |
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164 | 157 | | Sec. 442.058. DATABASE OF PARTICIPATING PROVIDERS. The |
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165 | 158 | | department shall establish and maintain an electronic database that |
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166 | 159 | | lists each participating provider. The department shall post the |
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167 | 160 | | database on its Internet website. |
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168 | 161 | | SECTION 2. Not later than December 1, 2017, the executive |
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169 | 162 | | commissioner of the Health and Human Services Commission shall |
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170 | 163 | | adopt the rules necessary for the implementation of Chapter 442, |
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171 | 164 | | Health and Safety Code, as added by this Act. |
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172 | 165 | | SECTION 3. If before implementing any provision of this Act |
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173 | 166 | | a state agency determines that a waiver or authorization from a |
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174 | 167 | | federal agency is necessary for implementation of that provision, |
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175 | 168 | | the agency affected by the provision shall request the waiver or |
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176 | 169 | | authorization and may delay implementing that provision until the |
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177 | 170 | | waiver or authorization is granted. |
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178 | 171 | | SECTION 4. This Act takes effect September 1, 2017. |
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