Utah 2025 Regular Session

Utah House Bill HB0081 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	Enrolled Copy H.B. 81
	1	+	01-21 11:32 1st Sub. (Buff) H.B. 81
	2	+	Stephanie Gricius proposes the following substitute bill:
2	3		1
3	4		Fluoride Amendments
4	5		2025 GENERAL SESSION
5	6		STATE OF UTAH
6	7		Chief Sponsor: Stephanie Gricius
7		-	Senate Sponsor: Kirk A. Cullimore
8	8		2
9	9
10	10		3
11	11		LONG TITLE
12	12		4
13	13		General Description:
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15	15		This bill addresses provisions related to water fluoridation and prescription fluoride
16	16		6
17	17		supplements.
18	18		7
19	19		Highlighted Provisions:
20	20		8
21	21		This bill:
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23	23		▸ defines terms;
24	24		10
25	25		▸ prohibits adding fluoride to public water systems;
26	26		11
27	27		▸ allows a pharmacist to prescribe fluoride; and
28	28		12
29	29		▸ directs the Division of Professional Licensing to establish guidelines for prescribing
30	30		13
31	31		fluoride.
32	32		14
33	33		Money Appropriated in this Bill:
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35	35		None
36	36		16
37	37		Other Special Clauses:
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39	39		None
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41	41		Utah Code Sections Affected:
42	42		19
43	43		AMENDS:
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45	45		58-17b-627, as last amended by Laws of Utah 2022, Chapter 255
46	46		21
47	47		REPEALS AND REENACTS:
48	48		22
49	49		19-4-111, as last amended by Laws of Utah 2023, Chapter 16
50	50		23
51	51		REPEALS:
52	52		24
53	53		19-4-111.1, as last amended by Laws of Utah 2013, Chapter 321
54	54		25
55	55		19-4-111.2, as last amended by Laws of Utah 2013, Chapter 321
56	56		26
57	57
58	58		27
59		-	Be it enacted by the Legislature of the state of Utah: ~~H.B. 81 Enrolled Copy~~
	59	+	Be it enacted by the Legislature of the state of Utah:
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61	61		Section 1. Section 19-4-111 is repealed and reenacted to read:
62	62		29
63	63		19-4-111 . Prohibition of fluoride in public water systems.
64	64		30
65		-	(1) As used in this section, "fluoride" means a chemical compound that contains the
	65	+	(1) As used in this section, "fluoride" means a chemical compound that contains the 1st Sub. (Buff) H.B. 81 01-21 11:32
66	66		31
67	67		fluoride ion and is used to fluoridate drinking water, including:
68	68		32
69	69		(a) fluorosilicic acid;
70	70		33
71	71		(b) sodium fluorosilicate; or
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73	73		(c) sodium fluoride.
74	74		35
75	75		(2) A person may not add fluoride to water in, or water that will be introduced into, a public
76	76		36
77	77		water system.
78	78		37
79	79		(3) A political subdivision may not enact or enforce an ordinance that requires or permits
80	80		38
81	81		the addition of fluoride to water in, or water that will be introduced into, a public water
82	82		39
83	83		system.
84	84		40
85	85		Section 2. Section 58-17b-627 is amended to read:
86	86		41
87	87		58-17b-627 . Prescription of drugs or devices by a pharmacist.
88	88		42
89	89		(1) Beginning January 1, 2022, a pharmacist may prescribe a prescription drug or device if:
90	90		43
91	91		(a) prescribing the prescription drug or device is within the scope of the pharmacist's
92	92		44
93	93		training and experience;
94	94		45
95	95		(b) the prescription drug or device is designated by the division by rule under Subsection
96	96		46
97	97		(3)(a); and
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99	99		(c) the prescription drug or device is not a controlled substance that is included in
100	100		48
101	101		Schedules I, II, III, or IV of:
102	102		49
103	103		(i) Section 58-37-4; or
104	104		50
105	105		(ii) the federal Controlled Substances Act, Title II, P.L. 91-513.
106	106		51
107	107		(2) Nothing in this section requires a pharmacist to issue a prescription for a prescription
108	108		52
109	109		drug or device.
110	110		53
111	111		(3) The division shall make rules in accordance with Title 63G, Chapter 3, Utah
112	112		54
113	113		Administrative Rulemaking Act, to:
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115	115		(a) designate the prescription drugs or devices that may be prescribed by a pharmacist
116	116		56
117	117		under this section, beginning with prescription drugs or devices that address a public
118	118		57
119	119		health concern that is designated by the Department of Health and Human Services,
120	120		58
121	121		including:
122	122		59
123	123		(i) post-exposure HIV prophylaxis;
124	124		60
125	125		(ii) pre-exposure HIV prophylaxis;
126	126		61
127	127		(iii) self-administered hormonal contraceptives;
128		-	- 2 - Enrolled Copy H.B. 81
129	128		62
130	129		(iv) smoking cessation;[ and]
131	130		63
132	131		(v) naloxone; and
133	132		64
134	133		(vi) fluoride;
	134	+	- 2 - 01-21 11:32 1st Sub. (Buff) H.B. 81
135	135		65
136	136		(b) create guidelines that a pharmacist must follow when prescribing a prescription drug
137	137		66
138	138		or device, including guidelines:
139	139		67
140	140		(i) for notifying the patient's primary care or other health care provider about the
141	141		68
142	142		prescription; and
143	143		69
144	144		(ii) to prevent the over-prescription of drugs or devices including but not limited to
145	145		70
146	146		antibiotics;
147	147		71
148	148		(c) address when a pharmacist should refer the patient to an appropriate health care
149	149		72
150	150		provider or otherwise encourage the patient to seek further medical care; and
151	151		73
152	152		(d) implement the provisions of this section.
153	153		74
154	154		(4) The division shall make rules under Subsection (3) in collaboration with:
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156	156		(a) individuals representing pharmacies and pharmacists;
157	157		76
158	158		(b) individuals representing physicians and advanced practice clinicians; and
159	159		77
160	160		(c)(i) if the executive director of the Department of Health and Human Services is a
161	161		78
162	162		physician, the executive director of the Department of Health and Human Services;
163	163		79
164	164		(ii) if the executive director of the Department of Health and Human Services is not a
165	165		80
166	166		physician, a deputy director who is a physician in accordance with Subsection
167	167		81
168	168		26B-1-203(4); or
169	169		82
170	170		(iii) a designee of the individual described in Section 26B-1-203.
171	171		83
172	172		(5) Before November 1 of each year, the division, in consultation with the individuals
173	173		84
174	174		described in Subsection (4), shall:
175	175		85
176	176		(a) develop recommendations for statutory changes to improve patient access to
177	177		86
178	178		prescribed drugs in the state; and
179	179		87
180	180		(b) report the recommendations developed under Subsection (5)(a) to the Health and
181	181		88
182	182		Human Services Interim Committee.
183	183		89
184	184		Section 3. Repealer.
185	185		90
186	186		This bill repeals:
187	187		91
188	188		Section 19-4-111.1, Provision of fluoridated water -- Request of resident.
189	189		92
190	190		Section 19-4-111.2, Provision of fluoridated water -- Emergency circumstances.
191	191		93
192	192		Section 4. Effective Date.
193	193		94
194	194		This bill takes effect on May 7, 2025.
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