1 | 1 | | By: Nelson S.R. No. 852 |
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2 | 2 | | |
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3 | 3 | | |
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4 | 4 | | SENATE RESOLUTION |
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5 | 5 | | BE IT RESOLVED by the Senate of the State of Texas, 86th |
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6 | 6 | | Legislature, Regular Session, 2019, That Senate Rule 12.03 be |
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7 | 7 | | suspended in part as provided by Senate Rule 12.08 to enable the |
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8 | 8 | | conference committee appointed to resolve the differences on |
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9 | 9 | | House Bill 3284 (the prescribing and dispensing of controlled |
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10 | 10 | | substances under the Texas Controlled Substances Act; |
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11 | 11 | | authorizing a fee; providing for administrative penalties; |
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12 | 12 | | creating criminal offenses) to consider and take action on the |
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13 | 13 | | following matters: |
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14 | 14 | | (1) Senate Rule 12.03(2) is suspended to permit the |
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15 | 15 | | committee to omit text not in disagreement by omitting SECTION 1 |
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16 | 16 | | of the house engrossment of House Bill 3284 and the corresponding |
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17 | 17 | | SECTION of the bill as the bill was amended by the senate adding |
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18 | 18 | | Section 481.0755, Health and Safety Code, which reads as follows: |
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19 | 19 | | SECTION 1. Subchapter C, Chapter 481, Health and Safety |
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20 | 20 | | Code, is amended by adding Section 481.0755 to read as follows: |
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21 | 21 | | Sec. 481.0755. WRITTEN, ORAL, AND TELEPHONICALLY |
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22 | 22 | | COMMUNICATED PRESCRIPTIONS. (a) Notwithstanding Sections |
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23 | 23 | | 481.073, 481.074, and 481.075, a person prescribing or |
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24 | 24 | | dispensing a controlled substance must use the electronic |
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25 | 25 | | prescription record and may not use a written, oral, or |
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26 | 26 | | telephonically communicated prescription. |
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27 | 27 | | (b) A prescriber may issue a written, oral, or |
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28 | 28 | | telephonically communicated prescription for a controlled |
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29 | 29 | | substance as authorized under this subchapter only if the |
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30 | 30 | | prescription is issued: |
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31 | 31 | | (1) by a veterinarian; |
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32 | 32 | | (2) in circumstances in which electronic |
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33 | 33 | | prescribing is not available due to temporary technological or |
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34 | 34 | | electronic failure, as prescribed by board rule; |
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35 | 35 | | (3) by a practitioner to be dispensed by a pharmacy |
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36 | 36 | | located outside this state, as prescribed by board rule; |
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37 | 37 | | (4) when the prescriber and dispenser are the same |
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38 | 38 | | entity; |
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39 | 39 | | (5) in circumstances in which necessary elements |
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40 | 40 | | are not supported by the most recent electronic prescription drug |
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41 | 41 | | software; |
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42 | 42 | | (6) for a drug for which the United States Food and |
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43 | 43 | | Drug Administration requires additional information in the |
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44 | 44 | | prescription that is not possible with electronic prescribing; |
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45 | 45 | | (7) for a non-patient-specific prescription |
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46 | 46 | | pursuant to a standing order, approved protocol for drug therapy, |
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47 | 47 | | collaborative drug management, or comprehensive medication |
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48 | 48 | | management, in response to a public health emergency or in other |
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49 | 49 | | circumstances in which the practitioner may issue a |
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50 | 50 | | non-patient-specific prescription; |
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51 | 51 | | (8) for a drug under a research protocol; |
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52 | 52 | | (9) by a prescriber who is employed by or is |
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53 | 53 | | practicing a health care profession at a health-related |
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54 | 54 | | institution, as defined by Section 62.161, Education Code, as |
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55 | 55 | | added by Chapter 448 (H.B. 7), Acts of the 84th Legislature, |
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56 | 56 | | 2015; |
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57 | 57 | | (10) by a practitioner who has received a waiver |
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58 | 58 | | under Subsection (c) from the requirement to use electronic |
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59 | 59 | | prescribing; or |
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60 | 60 | | (11) under circumstances in which the practitioner |
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61 | 61 | | has the present ability to submit an electronic prescription but |
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62 | 62 | | reasonably determines that it would be impractical for the |
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63 | 63 | | patient to obtain the drugs prescribed under the electronic |
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64 | 64 | | prescription in a timely manner and that a delay would adversely |
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65 | 65 | | impact the patient's medical condition. |
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66 | 66 | | (c) The board shall adopt rules establishing a process by |
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67 | 67 | | which a practitioner may request and receive a waiver under |
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68 | 68 | | Subsection (b)(10), not to exceed one year, from the requirement |
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69 | 69 | | to use electronic prescribing. The board shall adopt rules |
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70 | 70 | | establishing the eligibility for a waiver, including: |
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71 | 71 | | (1) economic hardship; |
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72 | 72 | | (2) technological limitations not reasonably within |
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73 | 73 | | the control of the practitioner; or |
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74 | 74 | | (3) other exceptional circumstances demonstrated by |
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75 | 75 | | the practitioner. |
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76 | 76 | | (d) A written, oral, or telephonically communicated |
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77 | 77 | | prescription must comply with the applicable requirements |
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78 | 78 | | prescribed by Sections 481.074 and 481.075. |
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79 | 79 | | (e) A dispensing pharmacist who receives a controlled |
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80 | 80 | | substance prescription in a manner other than electronically is |
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81 | 81 | | not required to verify that the prescription is exempt from the |
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82 | 82 | | requirement that it be submitted electronically. |
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83 | 83 | | (f) The board shall enforce this section. |
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88 | 88 | | (2) Senate Rules 12.03 (1) and (2) are suspended to |
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89 | 89 | | permit the committee to change and omit text not in disagreement |
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90 | 90 | | in SECTIONS 6 and 9 of the house engrossment of House Bill 3284 |
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91 | 91 | | and the corresponding SECTIONS of the bill as the bill was |
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92 | 92 | | amended by the senate, to strike references to Section 481.0755, |
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93 | 93 | | Health and Safety Code. |
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94 | 94 | | Explanation: This change is necessary to conform |
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95 | 95 | | cross-references to the omission of proposed Section 481.0755, |
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96 | 96 | | Health and Safety Code. |
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97 | 97 | | (3) Senate Rule 12.03(2) is suspended to permit the |
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98 | 98 | | committee to omit text not in disagreement by omitting SECTION 13 |
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99 | 99 | | of the house engrossment of House Bill 3284 and the corresponding |
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100 | 100 | | SECTION of the bill as the bill was amended by the senate, which |
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101 | 101 | | reads as follows: |
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102 | 102 | | SECTION 13. Section 481.0755, Health and Safety Code, as |
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103 | 103 | | added by this Act, applies only to a prescription issued on or |
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104 | 104 | | after the effective date of this Act. |
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105 | 105 | | Explanation: This change is necessary to conform to the |
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106 | 106 | | omission of proposed Section 481.0755, Health and Safety Code. |
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