Senate
Study
Bill
1074
-
Introduced
SENATE/HOUSE
FILE
_____
BY
(PROPOSED
BOARD
OF
PHARMACY
BILL)
A
BILL
FOR
An
Act
relating
to
pharmacy
regulation,
including
alternate
1
board
of
pharmacy
members,
drug
disposal
program
funding,
an
2
impaired
professionals
program,
and
pharmacy
internet
sites.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
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Section
1.
NEW
SECTION
.
155A.2A
Board
of
pharmacy
——
1
alternate
members.
2
1.
Notwithstanding
sections
17A.11,
69.16,
69.16A,
147.12,
3
147.14,
and
147.19,
the
board
may
have
a
pool
of
up
to
seven
4
alternate
members,
including
members
licensed
to
practice
under
5
this
chapter
and
members
not
licensed
to
practice
under
this
6
chapter,
to
substitute
for
board
members
who
are
disqualified
7
or
become
unavailable
for
any
reason
for
contested
case
8
hearings.
9
a.
The
board
may
recommend,
subject
to
approval
by
the
10
governor,
up
to
seven
people
to
serve
in
a
pool
of
alternate
11
members.
12
b.
A
person
serves
in
the
pool
of
alternate
members
at
13
the
discretion
of
the
board;
however,
the
length
of
time
an
14
alternate
member
may
serve
in
the
pool
shall
not
exceed
nine
15
years.
A
person
who
serves
as
an
alternate
member
may
later
be
16
appointed
to
the
board
and
may
serve
nine
years,
in
accordance
17
with
sections
147.12
and
147.19.
A
former
board
member
may
18
serve
in
the
pool
of
alternate
members.
19
c.
An
alternate
member
licensed
under
this
chapter
shall
20
hold
an
active
license
and
shall
have
been
actively
engaged
in
21
the
practice
of
pharmacy
in
the
preceding
three
years,
with
the
22
two
most
recent
years
of
practice
being
in
Iowa.
23
d.
When
a
sufficient
number
of
board
members
are
unavailable
24
to
hear
a
contested
case,
the
board
may
request
alternate
25
members
to
serve.
26
e.
Notwithstanding
section
17A.11,
section
147.14,
27
subsection
2,
and
section
272C.6,
subsection
5:
28
(1)
An
alternate
member
is
deemed
a
member
of
the
board
only
29
for
the
hearing
panel
for
which
the
alternate
member
serves.
30
(2)
A
hearing
panel
containing
alternate
members
must
31
include
at
least
five
people.
32
(3)
The
majority
of
a
hearing
panel
containing
alternate
33
members
shall
be
members
of
the
board.
34
(4)
The
majority
of
a
hearing
panel
containing
alternate
35
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members
shall
be
licensed
to
practice
under
this
chapter.
1
(5)
A
decision
of
a
hearing
panel
containing
alternate
2
members
is
considered
a
final
decision
of
the
board.
3
f.
An
alternate
member
shall
not
receive
compensation
in
4
excess
of
that
authorized
by
law
for
a
board
member.
5
Sec.
2.
Section
155A.3,
subsection
36,
Code
2017,
is
amended
6
to
read
as
follows:
7
36.
“Practitioner”
means
a
physician,
dentist,
podiatric
8
physician,
prescribing
psychologist,
veterinarian,
optometrist,
9
physician
assistant,
advanced
registered
nurse
practitioner,
or
10
other
person
licensed
or
registered
to
prescribe,
distribute
,
11
or
dispense
a
prescription
drug
or
device
in
the
course
of
12
professional
practice
in
this
state
or
a
person
licensed
by
13
another
state
in
a
health
field
in
which,
under
Iowa
law,
14
licensees
in
this
state
may
legally
prescribe
drugs.
15
Sec.
3.
Section
155A.39,
Code
2017,
is
amended
to
read
as
16
follows:
17
155A.39
Programs
Program
to
aid
monitor
impaired
pharmacists,
18
pharmacist-interns,
or
pharmacy
technicians
——
reporting,
19
confidentiality,
immunity
,
and
funding.
20
1.
A
person
or
pharmaceutical
peer
review
committee
may
21
report
relevant
facts
to
the
board
relating
to
the
acts
of
22
a
pharmacist
in
this
state,
a
pharmacist-intern
as
defined
23
in
section
155A.3,
subsection
31
,
or
a
pharmacy
technician
24
in
this
state
if
the
person
or
peer
review
committee
has
25
knowledge
relating
to
the
pharmacist,
pharmacist-intern,
or
26
pharmacy
technician
which,
in
the
opinion
of
the
person
or
27
pharmaceutical
peer
review
committee,
might
impair
competency
28
due
to
chemical
abuse,
chemical
dependence,
or
mental
or
29
physical
illness,
or
which
might
endanger
the
public
health
30
and
safety,
or
which
provide
grounds
for
disciplinary
action
31
as
specified
in
this
chapter
and
in
the
rules
of
the
board.
32
The
board
may
establish
a
review
committee
and
may
implement
a
33
program
to
monitor
impaired
pharmacists,
pharmacist-interns,
34
and
pharmacy
technicians
pursuant
to
section
272C.3,
subsection
35
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1,
paragraph
“k”
.
1
2.
A
committee
of
a
professional
pharmaceutical
2
organization,
its
staff,
or
a
district
or
local
intervenor
3
participating
in
a
program
established
to
aid
pharmacists,
4
pharmacist-interns,
or
pharmacy
technicians
impaired
by
5
chemical
abuse,
chemical
dependence,
or
mental
or
physical
6
illness
may
report
in
writing
to
the
board
the
name
of
the
7
impaired
pharmacist,
pharmacist-intern,
or
pharmacy
technician
8
together
with
pertinent
information
relating
to
the
impairment.
9
The
board
may
report
to
a
committee
of
a
professional
10
pharmaceutical
organization
or
the
organization’s
designated
11
staff
information
which
the
board
receives
with
regard
to
a
12
pharmacist,
pharmacist-intern,
or
pharmacy
technician
who
may
13
be
impaired
by
chemical
abuse,
chemical
dependence,
or
mental
14
or
physical
illness.
15
3.
Upon
determination
by
the
board
that
a
report
submitted
16
by
a
peer
review
committee
or
a
professional
pharmaceutical
17
organization
committee
is
without
merit,
the
report
shall
18
be
expunged
from
the
pharmacist’s,
pharmacist-intern’s,
or
19
pharmacy
technician’s
individual
record
in
the
board’s
office.
20
A
pharmacist,
pharmacist-intern,
pharmacy
technician,
or
an
21
authorized
representative
of
the
pharmacist,
pharmacist-intern,
22
or
pharmacy
technician
shall
be
entitled
on
request
to
examine
23
the
peer
review
committee
report
or
the
pharmaceutical
24
organization
committee
report
submitted
to
the
board
and
to
25
place
into
the
record
a
statement
of
reasonable
length
of
the
26
pharmacist’s,
pharmacist-intern’s,
or
pharmacy
technician’s
27
view
with
respect
to
any
information
existing
in
the
report.
28
4.
Notwithstanding
other
provisions
of
the
Code,
the
29
records
and
proceedings
of
the
board,
its
authorized
agents,
30
a
peer
review
committee,
or
a
pharmaceutical
organization
31
committee
as
set
out
in
subsections
1
and
2
shall
be
privileged
32
and
confidential
and
shall
not
be
considered
public
records
or
33
open
records
unless
the
affected
pharmacist,
pharmacist-intern,
34
or
pharmacy
technician
so
requests
and
shall
not
be
subject
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to
a
subpoena
or
to
a
discovery
proceeding.
The
board
may
1
disclose
the
records
and
proceedings
only
as
follows:
2
a.
In
a
criminal
proceeding.
3
b.
In
a
disciplinary
hearing
before
the
board
or
in
a
4
subsequent
trial
or
appeal
of
a
board
action
or
order.
5
c.
To
the
pharmacist
licensing
or
disciplinary
authorities
6
of
other
jurisdictions.
7
d.
To
the
pharmacy
technician
registering,
licensing,
or
8
disciplinary
authorities
of
other
jurisdictions.
9
e.
Pursuant
to
an
order
of
a
court
of
competent
10
jurisdiction.
11
f.
Pursuant
to
subsection
11
.
12
g.
As
otherwise
provided
by
law.
13
5.
2.
An
employee
or
a
member
of
the
board,
a
peer
14
review
committee
member,
a
professional
pharmaceutical
15
organization
committee
member,
a
professional
pharmaceutical
16
organization
district
or
local
intervenor,
or
any
other
person
17
who
furnishes
information,
data,
reports,
or
records
in
good
18
faith
for
the
purpose
of
aiding
the
an
impaired
pharmacist,
19
pharmacist-intern,
or
pharmacy
technician,
shall
be
immune
from
20
civil
liability.
This
immunity
from
civil
liability
shall
be
21
liberally
construed
to
accomplish
the
purpose
of
this
section
22
and
is
in
addition
to
other
immunity
provided
by
law.
23
6.
3.
An
employee
or
member
of
the
board
or
a
review
24
committee
or
intervenor
program
member
is
presumed
to
have
25
acted
in
good
faith.
A
person
alleging
a
lack
of
good
faith
has
26
the
burden
of
proof
on
that
issue.
27
7.
The
board
may
contract
with
professional
pharmaceutical
28
associations
or
societies
to
provide
a
program
for
pharmacists,
29
pharmacist-interns,
and
pharmacy
technicians
who
are
impaired
30
by
chemical
abuse,
chemical
dependence,
or
mental
or
physical
31
illness.
Such
programs
shall
include,
but
not
be
limited
to,
32
education,
intervention,
and
posttreatment
monitoring.
A
33
contract
with
a
professional
pharmaceutical
association
or
34
society
shall
include
the
following
requirements:
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a.
Periodic
reports
to
the
board
regarding
education,
1
intervention,
and
treatment
activities.
2
b.
Immediate
notification
to
the
board’s
executive
secretary
3
or
director
or
the
executive
secretary’s
or
director’s
designee
4
of
the
identity
of
the
pharmacist,
pharmacist-intern,
or
5
pharmacy
technician
who
is
participating
in
a
program
to
6
aid
impaired
pharmacists,
pharmacist-interns,
or
pharmacy
7
technicians.
8
c.
Release
to
the
board’s
executive
secretary
or
director
or
9
the
executive
secretary’s
or
director’s
designee
upon
written
10
request
of
all
treatment
records
of
a
participant.
11
d.
Quarterly
reports
to
the
board,
by
case
number,
regarding
12
each
participant’s
diagnosis,
prognosis,
and
recommendations
13
for
continuing
care,
treatment,
and
supervision
which
maintain
14
the
anonymity
of
the
participant.
15
e.
Immediate
reporting
to
the
board
of
the
name
of
16
an
impaired
pharmacist,
pharmacist-intern,
or
pharmacy
17
technician
who
the
treatment
organization
believes
to
be
an
18
imminent
danger
to
either
the
public
or
to
the
pharmacist,
19
pharmacist-intern,
or
pharmacy
technician.
20
f.
Reporting
to
the
board,
as
soon
as
possible,
the
name
21
of
a
participant
who
refuses
to
cooperate
with
the
program,
22
who
refuses
to
submit
to
treatment,
or
whose
impairment
is
not
23
substantially
alleviated
through
intervention
and
treatment.
24
g.
Immediate
reporting
to
the
board
of
the
name
of
a
25
participant
where
additional
information
is
evident
that
known
26
distribution
of
controlled
substances
or
legend
drugs
to
other
27
individuals
has
taken
place.
28
8.
4.
The
board
may
add
a
surcharge
of
not
more
than
ten
29
percent
of
the
applicable
fee
to
a
pharmacist
license
fee,
30
pharmacist
license
renewal
fee,
pharmacist-intern
registration
31
fee,
pharmacy
technician
registration
fee,
or
pharmacy
32
technician
registration
renewal
fee
authorized
under
this
33
chapter
to
fund
programs
a
program
to
aid
monitor
impaired
34
pharmacists,
pharmacist-interns,
or
pharmacy
technicians.
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9.
5.
The
board
may
accept,
transfer,
and
expend
funds
1
made
available
by
the
federal
or
state
government
or
by
another
2
public
or
private
source
to
be
used
in
programs
a
program
3
authorized
by
this
section
.
The
board
may
contract
to
provide
4
funding
on
an
annual
basis
to
a
professional
pharmaceutical
5
association
or
society
for
expenses
incurred
in
management
6
and
operation
of
a
program
to
aid
impaired
pharmacists,
7
pharmacist-interns,
or
pharmacy
technicians.
Documentation
of
8
the
use
of
these
funds
shall
be
provided
to
the
board
not
less
9
than
annually
for
review
and
comment.
10
10.
6.
Funds
and
surcharges
collected
under
this
section
11
shall
be
deposited
in
an
account
and
may
be
used
by
the
12
board
to
administer
programs
a
program
authorized
by
this
13
section
,
including
the
provision
of
education,
intervention,
14
and
posttreatment
monitoring
to
an
impaired
pharmacist,
15
pharmacist-intern,
or
pharmacy
technician
and
to
pay
the
16
administrative
costs
incurred
by
the
board
in
connection
with
17
that
funding
and
appropriate
oversight,
but
shall
not
be
used
18
for
costs
incurred
for
a
participant’s
initial
evaluation,
19
referral
services,
treatment,
or
rehabilitation
subsequent
to
20
intervention.
21
11.
7.
The
board
may
disclose
that
the
license
of
a
22
pharmacist,
the
registration
of
a
pharmacist-intern,
or
the
23
registration
of
a
pharmacy
technician
who
is
the
subject
of
an
24
order
of
the
board
that
is
confidential
pursuant
to
subsection
25
4
section
272C.6
is
suspended,
revoked,
canceled,
restricted,
26
or
retired;
or
that
the
pharmacist,
pharmacist-intern,
or
27
pharmacy
technician
is
in
any
manner
otherwise
limited
in
the
28
practice
of
pharmacy;
or
other
relevant
information
pertaining
29
to
the
pharmacist,
pharmacist-intern,
or
pharmacy
technician
30
which
the
board
deems
appropriate.
31
12.
8.
The
board
may
adopt
rules
necessary
for
the
32
implementation
of
this
section
.
33
Sec.
4.
Section
155A.43,
Code
2017,
is
amended
to
read
as
34
follows:
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155A.43
Pharmaceutical
collection
and
disposal
program
——
1
annual
allocation.
2
Of
the
fees
collected
by
the
board
pursuant
to
sections
3
124.301
and
147.80
and
this
chapter
155A
by
the
board
of
4
pharmacy
,
and
retained
by
the
board
pursuant
to
section
147.82
,
5
not
more
than
one
hundred
seventy-five
thousand
dollars
may
6
be
allocated
the
board
may
annually
allocate
a
sum
deemed
by
7
the
board
to
be
adequate
for
administering
the
pharmaceutical
8
collection
and
disposal
program
originally
established
9
pursuant
to
2009
Iowa
Acts,
ch.
175,
§9
.
The
program
shall
10
provide
for
the
management
and
disposal
of
unused,
excess,
11
and
expired
pharmaceuticals
,
including
the
management
and
12
disposal
of
controlled
substances
pursuant
to
state
and
federal
13
regulations
.
The
board
of
pharmacy
may
cooperate
contract
14
with
the
Iowa
pharmacy
association
and
may
consult
with
the
15
department
and
sanitary
landfill
operators
in
administering
one
16
or
more
vendors
for
the
provision
of
supplies
and
services
to
17
manage
and
maintain
the
program
and
to
safely
and
appropriately
18
dispose
of
pharmaceuticals
collected
through
the
program
.
19
Sec.
5.
REPEAL.
Section
155A.13B,
Code
2017,
is
repealed.
20
EXPLANATION
21
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
22
the
explanation’s
substance
by
the
members
of
the
general
assembly.
23
This
bill
permits
the
board
of
pharmacy
(“board”)
to
24
recommend,
subject
to
approval
by
the
governor,
a
pool
of
up
to
25
seven
qualified
individuals
to
serve
as
alternate
board
members
26
to
ensure
the
availability
of
a
quorum
of
board
members
to
27
hear
a
contested
case.
The
bill
identifies
the
maximum
term
28
for
an
alternate
board
member,
provides
that
an
individual
29
who
previously
served
on
the
board
may
serve
as
an
alternate
30
board
member,
provides
for
compensation
when
the
alternate
31
member
serves
on
a
hearing
panel,
establishes
requirements
32
for
the
composition
of
a
hearing
panel
containing
alternate
33
board
members,
and
provides
that
the
decision
of
a
hearing
34
panel
containing
alternate
board
members
is
considered
a
final
35
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S.F.
_____
H.F.
_____
decision
of
the
board.
1
The
bill
amends
the
definition
of
“practitioner”
to
2
identify
the
licensed
health
care
practitioners
that
are
3
authorized
under
Iowa
law
to
prescribe,
distribute,
or
dispense
4
prescription
drugs
and
devices
to
patients
in
the
course
of
5
professional
practice
in
this
state.
6
The
bill
amends
provisions
regarding
the
program
to
7
aid
impaired
pharmacists,
pharmacist-interns,
or
pharmacy
8
technicians
by
eliminating
specific
provisions
relating
to
9
reporting
and
establishment
of
the
program
and
directing
10
that
the
program
be
implemented
pursuant
to
Code
section
11
272C.3(1)(k),
relating
generally
to
the
authority
of
licensing
12
boards
to
establish
licensee
review
committees.
The
bill
13
identifies
the
limited
information
that
may
be
disclosed
14
regarding
the
license
or
registration
of
any
individual
subject
15
to
monitoring
under
the
program
and
authorizes
the
board
to
16
adopt
rules
to
implement
the
Code
section.
17
The
bill
amends
provisions
relating
to
the
pharmaceutical
18
collection
and
disposal
program
to
authorize
the
board
to
19
allocate
a
sum
from
fees
retained
by
the
board
to
support
20
board
activities
that
the
board
has
determined
to
be
adequate
21
for
administering
the
pharmaceutical
collection
and
disposal
22
program.
The
bill
authorizes
the
board
to
contract
with
one
or
23
more
vendors
to
manage
and
maintain
the
program
in
compliance
24
with
federal
and
state
regulations.
25
The
bill
repeals
all
provisions
regarding
the
registration
26
and
regulation
of
internet
pharmacy
sites
and
pharmacies
27
associated
or
aligned
with
internet
pharmacy
sites.
28
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