1 | 1 | | 89R5197 LRM-F |
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2 | 2 | | By: Alvarado S.B. No. 1263 |
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3 | 3 | | |
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4 | 4 | | |
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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 a pilot program for the safe disposal of prescription |
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10 | 10 | | drugs, including controlled substance prescription drugs. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. Section 442A.001, Health and Safety Code, is |
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13 | 13 | | amended to read as follows: |
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14 | 14 | | Sec. 442A.001. DEFINITIONS. In this chapter: |
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15 | 15 | | (1) "Collection receptacle" means a receptacle as |
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16 | 16 | | described by 21 C.F.R. Section 1317.75 ["Board" means the Texas |
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17 | 17 | | State Board of Pharmacy]. |
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18 | 18 | | (2) "Commission" means the Texas Commission on |
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19 | 19 | | Environmental Quality. |
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20 | 20 | | (3) "Controlled substance" has the meaning assigned by |
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21 | 21 | | Section 481.002. |
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22 | 22 | | (4) [(3)] "Pharmacy" means a facility licensed under |
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23 | 23 | | Chapter 560, Occupations Code. |
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24 | 24 | | (5) [(4)] "Pilot program" means the prescription drug |
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25 | 25 | | safe disposal pilot program established under this chapter. |
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26 | 26 | | (6) [(5)] "Prescription drug" has the meaning |
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27 | 27 | | assigned by Section 551.003, Occupations Code. |
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28 | 28 | | (7) [(6)] "Ultimate user" has the meaning assigned by |
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29 | 29 | | 21 U.S.C. Section 802. |
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30 | 30 | | SECTION 2. Section 442A.002, Health and Safety Code, is |
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31 | 31 | | amended to read as follows: |
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32 | 32 | | Sec. 442A.002. PRESCRIPTION DRUG SAFE DISPOSAL PILOT |
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33 | 33 | | PROGRAM. The commission [board] by rule shall develop and |
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34 | 34 | | implement a prescription drug safe disposal pilot program to |
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35 | 35 | | increase the number of collection receptacles [locations] in this |
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36 | 36 | | state where unused, unwanted, or expired prescription drugs are |
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37 | 37 | | collected from the public for safe disposal. |
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38 | 38 | | SECTION 3. Section 442A.051, Health and Safety Code, is |
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39 | 39 | | amended to read as follows: |
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40 | 40 | | Sec. 442A.051. PHARMACY ELIGIBILITY. A pharmacy operating |
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41 | 41 | | in this state may apply to the commission [board] to participate in |
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42 | 42 | | the pilot program if the pharmacy: |
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43 | 43 | | (1) is eligible to register [registered] as an |
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44 | 44 | | authorized drug collection site with the United States Drug |
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45 | 45 | | Enforcement Administration; and |
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46 | 46 | | (2) [is not the subject of state or federal opioid |
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47 | 47 | | litigation; and |
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48 | 48 | | [(3)] meets the eligibility requirements established |
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49 | 49 | | by 21 C.F.R. Section 1317.40 [and board rules]. |
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50 | 50 | | SECTION 4. Section 442A.052, Health and Safety Code, is |
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51 | 51 | | amended to read as follows: |
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52 | 52 | | Sec. 442A.052. APPLICATION AND SELECTION PROCESSES. (a) |
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53 | 53 | | The commission [board] shall prescribe [adopt rules prescribing: |
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54 | 54 | | [(1)] the form and manner for a pharmacy to apply for |
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55 | 55 | | participation in the pilot program[; and |
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56 | 56 | | [(2) evaluation and selection criteria and |
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57 | 57 | | processes]. |
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58 | 58 | | [(b)] The commission [board] shall give priority for |
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59 | 59 | | participation in the pilot program to a pharmacy applicant that: |
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60 | 60 | | (1) does not collect unused ultimate user prescription |
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61 | 61 | | drugs under 21 C.F.R. Part 1317 at the time the applicant submits |
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62 | 62 | | the application; or |
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63 | 63 | | (2) is located in a rural or underserved area the |
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64 | 64 | | commission [board] designates. |
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65 | 65 | | (c) A pharmacy that operates multiple locations may [must] |
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66 | 66 | | submit one [an] application to apply for the program for all of the |
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67 | 67 | | locations, provided the application includes information specific |
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68 | 68 | | to each location, including the physical address, phone number, |
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69 | 69 | | location name, and pharmacy manager's name [for each location]. |
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70 | 70 | | Each location is separately evaluated for prioritization under |
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71 | 71 | | Subsection (a). |
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72 | 72 | | SECTION 5. Section 442A.053(b), Health and Safety Code, is |
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73 | 73 | | amended to read as follows: |
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74 | 74 | | (b) Controlled substance prescription drugs, [and] |
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75 | 75 | | noncontrolled substance prescription drugs, and over-the-counter |
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76 | 76 | | drugs may be collected together and comingled. |
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77 | 77 | | SECTION 6. Section 442A.055, Health and Safety Code, is |
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78 | 78 | | amended to read as follows: |
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79 | 79 | | Sec. 442A.055. PHARMACY MANAGEMENT; RECORDS. A |
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80 | 80 | | participating pharmacy is responsible for the daily management and |
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81 | 81 | | recordkeeping of the pharmacy's prescription drug safe disposal |
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82 | 82 | | program in accordance with the pharmacy's United States Drug |
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83 | 83 | | Enforcement Administration registration [and board rules]. |
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84 | 84 | | SECTION 7. The heading to Subchapter C, Chapter 442A, |
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85 | 85 | | Health and Safety Code, is amended to read as follows: |
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86 | 86 | | SUBCHAPTER C. COMMISSION [BOARD] DUTIES |
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87 | 87 | | SECTION 8. Section 442A.101, Health and Safety Code, is |
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88 | 88 | | amended to read as follows: |
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89 | 89 | | Sec. 442A.101. PILOT PROGRAM INCENTIVES. (a) The |
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90 | 90 | | commission [board] shall assist each pharmacy participating in the |
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91 | 91 | | pilot program, including by paying [the costs of]: |
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92 | 92 | | (1) the costs of maintaining one collection receptacle |
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93 | 93 | | at each participating pharmacy location and destroying through |
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94 | 94 | | incineration of the receptacle's full inner liner the prescription |
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95 | 95 | | drugs deposited in the receptacle; and |
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96 | 96 | | (2) a one-time fee to offset the initial costs of |
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97 | 97 | | program participation [ordering and distributing pre-addressed, |
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98 | 98 | | return postage paid mail-back envelopes from a third-party |
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99 | 99 | | mail-back program and destroying through incineration the returned |
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100 | 100 | | mail-back envelopes containing the collected prescription drugs; |
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101 | 101 | | and |
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102 | 102 | | [(3) other operational needs the board determines |
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103 | 103 | | appropriate]. |
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104 | 104 | | (b) The commission may contract with a United States Drug |
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105 | 105 | | Enforcement Administration reverse distributor to install the |
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106 | 106 | | collection receptacles at participating pharmacy locations and to |
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107 | 107 | | treat at an incineration facility registered with the United States |
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108 | 108 | | Drug Enforcement Administration the waste collected through the |
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109 | 109 | | receptacles [board: |
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110 | 110 | | [(1) shall directly reimburse a participating |
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111 | 111 | | pharmacy for costs the pharmacy incurs under Subsection (a); and |
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112 | 112 | | [(2) may not reimburse a participating pharmacy for |
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113 | 113 | | the cost of using a third-party incineration facility unless the |
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114 | 114 | | facility is appropriately registered with the United States Drug |
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115 | 115 | | Enforcement Administration]. |
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116 | 116 | | (c) [Subject to money available for purposes of this |
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117 | 117 | | chapter, the board may provide financial incentives to a pharmacy |
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118 | 118 | | to continue providing prescription drug collection services or |
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119 | 119 | | expand those services to accommodate controlled substance |
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120 | 120 | | prescriptions.] The commission [board] may provide financial |
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121 | 121 | | incentives to a chain retail pharmacy for not more than 15 |
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122 | 122 | | locations. |
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123 | 123 | | SECTION 9. Section 442A.102, Health and Safety Code, is |
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124 | 124 | | amended to read as follows: |
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125 | 125 | | Sec. 442A.102. COMMUNITY OUTREACH. (a) The commission |
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126 | 126 | | [board] shall: |
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127 | 127 | | (1) develop and distribute educational outreach |
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128 | 128 | | materials for the public about the availability of safe |
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129 | 129 | | prescription drug disposal in this state; |
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130 | 130 | | (2) post the materials on the commission's [board's] |
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131 | 131 | | Internet website; [and] |
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132 | 132 | | (3) provide the materials to other state agencies, |
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133 | 133 | | including the Texas State Board of Pharmacy, for those agencies to |
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134 | 134 | | conduct the community outreach; and |
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135 | 135 | | (4) create education materials for voluntary use by a |
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136 | 136 | | participating pharmacy. |
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137 | 137 | | (b) The educational outreach materials must be in English, |
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138 | 138 | | Spanish, and for specific areas of this state as the commission |
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139 | 139 | | [board] determines appropriate, another language spoken by a |
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140 | 140 | | substantial portion of the area's residents. |
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141 | 141 | | SECTION 10. Section 442A.103, Health and Safety Code, is |
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142 | 142 | | amended to read as follows: |
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143 | 143 | | Sec. 442A.103. REPORT. Not later than December 1 of each |
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144 | 144 | | even-numbered year, the commission [board] shall submit to the |
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145 | 145 | | governor and the legislature a report that: |
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146 | 146 | | (1) summarizes the results of the pilot program, |
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147 | 147 | | including: |
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148 | 148 | | (A) the number and geographic distribution of |
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149 | 149 | | collection receptacles at participating pharmacies; |
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150 | 150 | | (B) the estimated amount of prescription drugs |
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151 | 151 | | collected by participating pharmacies under the program, measured |
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152 | 152 | | by: |
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153 | 153 | | (i) the number of inner liners fully filled |
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154 | 154 | | with collected prescription drugs and sent for incineration by the |
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155 | 155 | | pharmacies; and |
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156 | 156 | | (ii) [the number of mail-back envelopes |
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157 | 157 | | distributed by the pharmacies; and |
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158 | 158 | | [(iii)] the weight, measured in pounds, of |
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159 | 159 | | the[: |
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160 | 160 | | [(a)] inner liners described by |
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161 | 161 | | Subparagraph (i)[; and |
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162 | 162 | | [(b) returned mail-back envelopes |
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163 | 163 | | filled with collected prescription drugs]; |
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164 | 164 | | (C) the cost of the pilot program; |
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165 | 165 | | (D) [amount of money distributed under the pilot |
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166 | 166 | | program and] the identity of each participating pharmacy to which |
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167 | 167 | | money is distributed; and |
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168 | 168 | | (E) [(D)] a description of the commission's |
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169 | 169 | | [board's] educational efforts and outcomes; and |
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170 | 170 | | (2) recommends whether the pilot program should |
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171 | 171 | | continue, be expanded, or terminate or whether the commission |
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172 | 172 | | [board] should permanently implement a prescription drug safe |
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173 | 173 | | disposal program. |
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174 | 174 | | SECTION 11. Section 442A.151, Health and Safety Code, is |
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175 | 175 | | amended to read as follows: |
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176 | 176 | | Sec. 442A.151. FUNDING. (a) Money contained in the opioid |
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177 | 177 | | abatement account established under Section 403.505, Government |
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178 | 178 | | Code[, as added by Chapter 781 (S.B. 1827), Acts of the 87th |
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179 | 179 | | Legislature, Regular Session, 2021], shall [may] be appropriated to |
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180 | 180 | | the commission [board] to fund the pilot program established under |
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181 | 181 | | this chapter. |
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182 | 182 | | (b) The commission [board] may collect gifts, grants, and |
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183 | 183 | | donations to fund the program. |
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184 | 184 | | SECTION 12. Section 442A.056, Health and Safety Code, is |
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185 | 185 | | repealed. |
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186 | 186 | | SECTION 13. As soon as practicable after the effective date |
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187 | 187 | | of this Act, the Texas Commission on Environmental Quality shall |
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188 | 188 | | implement the prescription drug safe disposal program developed |
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189 | 189 | | under Chapter 442A, Health and Safety Code, as required by this Act. |
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190 | 190 | | SECTION 14. This Act takes effect September 1, 2025. |
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