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Senate File 457

Partial Bill History

Bill Text

PAG LIN
  1  1                                           SENATE FILE 457
  1  2 
  1  3                             AN ACT
  1  4 RELATING TO THE IOWA PHARMACY PRACTICE ACT BY PERMITTING
  1  5    QUALIFIED INDIVIDUALS TO TRANSPORT EMERGENCY MEDICATIONS; 
  1  6    PERMITTING MORE THAN ONE EMERGENCY DRUG BOX IN A LICENSED
  1  7    HEALTH CARE FACILITY; PROVIDING FOR ELECTRONIC SIGNATURES
  1  8    ON PRESCRIPTIONS; ESTABLISHING PROGRAMS TO AID IMPAIRED
  1  9    PHARMACISTS, PHARMACIST INTERNS, AND PHARMACY TECHNICIANS; 
  1 10    AND ESTABLISHING A PENALTY.  
  1 11 
  1 12 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  1 13 
  1 14    Section 1.  Section 155A.4, subsection 2, Code 1997, is
  1 15 amended by adding the following new paragraph:
  1 16    NEW PARAGRAPH.  g.  A qualified individual authorized to
  1 17 administer prescription drugs and employed by a home health
  1 18 agency or hospice to obtain, possess, and transport emergency
  1 19 prescription drugs as provided by state or federal law or by
  1 20 rules of the board.
  1 21    Sec. 2.  Section 155A.15, subsection 2, paragraph d,
  1 22 unnumbered paragraph 2, Code 1997, is amended to read as
  1 23 follows:
  1 24    However, this chapter does not prohibit a pharmacy from
  1 25 furnishing a prescription drug or device to a licensed health
  1 26 care facility for storage in a secured emergency
  1 27 pharmaceutical supplies container containers maintained within
  1 28 the facility in accordance with rules of the department of
  1 29 inspections and appeals and rules of the board.
  1 30    Sec. 3.  Section 155A.27, subsection 1, unnumbered
  1 31 paragraph 1, Code 1997, is amended to read as follows:
  1 32    If written or electronic, shall contain:
  1 33    Sec. 4.  Section 155A.27, subsection 1, paragraph e, Code
  1 34 1997, is amended to read as follows:
  1 35    e.  The name, address, and written or electronic signature
  2  1 of the practitioner issuing the prescription.
  2  2    Sec. 5.  NEW SECTION.  155A.39  PROGRAMS TO AID IMPAIRED
  2  3 PHARMACISTS, PHARMACIST INTERNS, OR PHARMACY TECHNICIANS –
  2  4 REPORTING, CONFIDENTIALITY, IMMUNITY, FUNDING.
  2  5    1.  A person or pharmaceutical peer review committee may
  2  6 report relevant facts to the board relating to the acts of a
  2  7 pharmacist in this state, a pharmacist intern as defined in
  2  8 section 155A.3, subsection 23, or a pharmacy technician in
  2  9 this state if the person or peer review committee has
  2 10 knowledge relating to the pharmacist, pharmacist intern, or
  2 11 pharmacy technician which, in the opinion of the person or
  2 12 pharmaceutical peer review committee, might impair competency
  2 13 due to chemical abuse, chemical dependence, or mental or
  2 14 physical illness, or which might endanger the public health
  2 15 and safety, or which provide grounds for disciplinary action
  2 16 as specified in this chapter and in the rules of the board.
  2 17    2.  A committee of a professional pharmaceutical
  2 18 organization, its staff, or a district or local intervenor
  2 19 participating in a program established to aid pharmacists,
  2 20 pharmacist interns, or pharmacy technicians impaired by
  2 21 chemical abuse, chemical dependence, or mental or physical
  2 22 illness may report in writing to the board the name of the
  2 23 impaired pharmacist, pharmacist intern, or pharmacy technician
  2 24 together with pertinent information relating to the
  2 25 impairment.  The board may report to a committee of a
  2 26 professional pharmaceutical organization or the organization's
  2 27 designated staff information which the board receives with
  2 28 regard to a pharmacist, pharmacist intern, or pharmacy
  2 29 technician who may be impaired by chemical abuse, chemical
  2 30 dependence, or mental or physical illness.
  2 31    3.  Upon determination by the board that a report submitted
  2 32 by a peer review committee or a professional pharmaceutical
  2 33 organization committee is without merit, the report shall be
  2 34 expunged from the pharmacist's, pharmacist intern's, or
  2 35 pharmacy technician's individual record in the board's office.
  3  1 A pharmacist, pharmacist intern, pharmacy technician, or an
  3  2 authorized representative of the pharmacist, pharmacist
  3  3 intern, or pharmacy technician shall be entitled on request to
  3  4 examine the peer review committee report or the pharmaceutical
  3  5 organization committee report submitted to the board and to
  3  6 place into the record a statement of reasonable length of the
  3  7 pharmacist's, pharmacist intern's, or pharmacy technician's
  3  8 view with respect to any information existing in the report.
  3  9    4.  Notwithstanding other provisions of the Code, the
  3 10 records and proceedings of the board, its authorized agents, a
  3 11 peer review committee, or a pharmaceutical organization
  3 12 committee as set out in subsections 1 and 2 shall be
  3 13 privileged and confidential and shall not be considered public
  3 14 records or open records unless the affected pharmacist,
  3 15 pharmacist intern, or pharmacy technician so requests and
  3 16 shall not be subject to a subpoena or to a discovery
  3 17 proceeding.  The board may disclose the records and
  3 18 proceedings only as follows:
  3 19    a.  In a criminal proceeding.
  3 20    b.  In a disciplinary hearing before the board or in a
  3 21 subsequent trial or appeal of a board action or order.
  3 22    c.  To the pharmacist licensing or disciplinary authorities
  3 23 of other jurisdictions.
  3 24    d.  To the pharmacy technician registering, licensing, or
  3 25 disciplinary authorities of other jurisdictions.
  3 26    e.  Pursuant to an order of a court of competent
  3 27 jurisdiction.
  3 28    f.  Pursuant to subsection 11.
  3 29    g.  As otherwise provided by law.
  3 30    5.  An employee or a member of the board, a peer review
  3 31 committee member, a professional pharmaceutical organization
  3 32 committee member, a professional pharmaceutical organization
  3 33 district or local intervenor, or any other person who
  3 34 furnishes information, data, reports, or records in good faith
  3 35 for the purpose of aiding the impaired pharmacist, pharmacist
  4  1 intern, or pharmacy technician, shall be immune from civil
  4  2 liability.  This immunity from civil liability shall be
  4  3 liberally construed to accomplish the purpose of this section
  4  4 and is in addition to other immunity provided by law.
  4  5    6.  An employee or member of the board or a committee or
  4  6 intervenor program is presumed to have acted in good faith.  A
  4  7 person alleging a lack of good faith has the burden of proof
  4  8 on that issue.
  4  9    7.  The board may contract with professional pharmaceutical
  4 10 associations or societies to provide a program for
  4 11 pharmacists, pharmacist interns, and pharmacy technicians who
  4 12 are impaired by chemical abuse, chemical dependence, or mental
  4 13 or physical illness.  Such programs shall include, but not be
  4 14 limited to, education, intervention, and posttreatment
  4 15 monitoring.  A contract with a professional pharmaceutical
  4 16 association or society shall include the following
  4 17 requirements:
  4 18    a.  Periodic reports to the board regarding education,
  4 19 intervention, and treatment activities.
  4 20    b.  Immediate notification to the board's executive
  4 21 secretary or director or the executive secretary's or
  4 22 director's designee of the identity of the pharmacist,
  4 23 pharmacist intern, or pharmacy technician who is participating
  4 24 in a program to aid impaired pharmacists, pharmacist interns,
  4 25 or pharmacy technicians.
  4 26    c.  Release to the board's executive secretary or director
  4 27 or the executive secretary's or director's designee upon
  4 28 written request of all treatment records of a participant.
  4 29    d.  Quarterly reports to the board, by case number,
  4 30 regarding each participant's diagnosis, prognosis, and
  4 31 recommendations for continuing care, treatment, and
  4 32 supervision which maintain the anonymity of the participant.
  4 33    e.  Immediate reporting to the board of the name of an
  4 34 impaired pharmacist, pharmacist intern, or pharmacy technician
  4 35 who the treatment organization believes to be an imminent
  5  1 danger to either the public or to the pharmacist, pharmacist
  5  2 intern, or pharmacy technician.
  5  3    f.  Reporting to the board, as soon as possible, the name
  5  4 of a participant who refuses to cooperate with the program,
  5  5 who refuses to submit to treatment, or whose impairment is not
  5  6 substantially alleviated through intervention and treatment.
  5  7    g.  Immediate reporting to the board of the name of a
  5  8 participant where additional information is evident that known
  5  9 distribution of controlled substances or legend drugs to other
  5 10 individuals has taken place.
  5 11    8.  The board may add a surcharge of not more than ten
  5 12 percent of the applicable fee to a pharmacist license fee,
  5 13 pharmacist license renewal fee, pharmacist intern registration
  5 14 fee, pharmacy technician registration fee, or pharmacy
  5 15 technician registration renewal fee authorized under this
  5 16 chapter to fund programs to aid impaired pharmacists,
  5 17 pharmacist interns, or pharmacy technicians.
  5 18    9.  The board may accept, transfer, and expend funds made
  5 19 available by the federal or state government or by another
  5 20 public or private source to be used in programs authorized by
  5 21 this section.  The board may contract to provide funding on an
  5 22 annual basis to a professional pharmaceutical association or
  5 23 society for expenses incurred in management and operation of a
  5 24 program to aid impaired pharmacists, pharmacist interns, or
  5 25 pharmacy technicians.  Documentation of the use of these funds
  5 26 shall be provided to the board not less than annually for
  5 27 review and comment.
  5 28    10.  Funds and surcharges collected under this section
  5 29 shall be deposited in an account and may be used by the board
  5 30 to administer programs authorized by this section, including
  5 31 the provision of education, intervention, and posttreatment
  5 32 monitoring to an impaired pharmacist, pharmacist intern, or
  5 33 pharmacy technician and to pay the administrative costs
  5 34 incurred by the board in connection with that funding and
  5 35 appropriate oversight, but not for costs incurred for a
  6  1 participant's initial evaluation, referral services,
  6  2 treatment, or rehabilitation subsequent to intervention.
  6  3    11.  The board may disclose that the license of a
  6  4 pharmacist, the registration of a pharmacist intern, or the
  6  5 registration of a pharmacy technician who is the subject of an
  6  6 order of the board that is confidential pursuant to subsection
  6  7 4 is suspended, revoked, canceled, restricted, or retired; or
  6  8 that the pharmacist, pharmacist intern, or pharmacy technician
  6  9 is in any manner otherwise limited in the practice of
  6 10 pharmacy; or other relevant information pertaining to the
  6 11 pharmacist, pharmacist intern, or pharmacy technician which
  6 12 the board deems appropriate.
  6 13    12.  The board may adopt rules necessary for the
  6 14 implementation of this section.
  6 15    Sec. 6.  NEW SECTION.  155A.41  NITROUS OXIDE.
  6 16    1.  UNLAWFUL POSSESSION.  Any person who possesses nitrous
  6 17 oxide or any substance containing nitrous oxide, with the
  6 18 intent to breathe, inhale, or ingest for the purpose of
  6 19 causing a condition of intoxication, elation, euphoria,
  6 20 dizziness, stupefaction, or dulling of the senses, or who
  6 21 knowingly and with the intent to do so is under the influence
  6 22 of nitrous oxide or any material containing nitrous oxide, is
  6 23 guilty of a serious misdemeanor.  This subsection shall not
  6 24 apply to a person who is under the influence of nitrous oxide
  6 25 or any material containing nitrous oxide for the purpose of
  6 26 medical, surgical, or dental care by a person duly licensed to
  6 27 administer such an agent.
  6 28    2.  UNLAWFUL DISTRIBUTION.  Any person who distributes
  6 29 nitrous oxide, or possesses nitrous oxide with intent to
  6 30 distribute to any other person, if such distribution is with
  6 31 the intent to induce unlawful inhaling of the substance or is
  6 32 with the knowledge that the other person will unlawfully
  6 33 inhale the substance, is guilty of a serious misdemeanor.  
  6 34 
  6 35 
  7  1                                                             
  7  2                               MARY E. KRAMER
  7  3                               President of the Senate
  7  4 
  7  5 
  7  6                                                             
  7  7                               RON J. CORBETT
  7  8                               Speaker of the House
  7  9 
  7 10    I hereby certify that this bill originated in the Senate and
  7 11 is known as Senate File 457, Seventy-seventh General Assembly.
  7 12 
  7 13 
  7 14                                                             
  7 15                               MARY PAT GUNDERSON
  7 16                               Secretary of the Senate
  7 17 Approved                , 1997
  7 18 
  7 19 
  7 20                         
  7 21 TERRY E. BRANSTAD
  7 22 Governor
     

Text: SF00456                           Text: SF00458
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