House File 515 - Introduced



                                       HOUSE FILE       
                                       BY  HUNTER


    Passed House, Date               Passed Senate, Date             
    Vote:  Ayes        Nays           Vote:  Ayes        Nays         
                 Approved                            

                                      A BILL FOR

  1 An Act relating to drugs and vaccines containing mercury and
  2    providing a penalty and an effective date.
  3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  4 TLSB 2297HH 82
  5 nh/gg/14

PAG LIN



  1  1    Section 1.  NEW SECTION.  135.39D  DRUG AND VACCINE MERCURY
  1  2 CONTENT TESTING == REPORTING.
  1  3    The department shall randomly test drugs and vaccines
  1  4 administered in this state to determine the amount of mercury
  1  5 contained in the drug or vaccine.  The department shall
  1  6 semiannually publish a report of its findings by product name,
  1  7 manufacturer, lot number, lot expiration date, and in
  1  8 micrograms of mercury per milliliter or gram of drug or
  1  9 vaccine.  The report shall be posted on the department's
  1 10 internet website.
  1 11    Sec. 2.  NEW SECTION.  135.39E  ADMINISTRATION OF DRUGS AND
  1 12 VACCINES CONTAINING MERCURY == PENALTY == CIVIL ACTION.
  1 13    1.  For purposes of this section:
  1 14    a.  (1)  "Drug" means all of the following:
  1 15    (a)  Substances recognized as drugs in the official United
  1 16 States pharmacopoeia, official homeopathic pharmacopoeia of
  1 17 the United States, or official national formulary, or any
  1 18 supplement to any of them.
  1 19    (b)  Substances intended for use in the diagnosis, cure,
  1 20 mitigation, treatment, or prevention of disease in humans.
  1 21    (c)  Substances, other than food, intended to affect the
  1 22 structure or any function of the human body.
  1 23    (d)  Substances intended for use as a component of any
  1 24 article specified in subparagraph subdivision (a), (b), or
  1 25 (c).
  1 26    (2)  "Drug" does not include devices or their components,
  1 27 parts, or accessories.
  1 28    b.  "Trace amounts" means trace amounts as defined by the
  1 29 United States food and drug administration.
  1 30    2.  Except as provided in subsections 3 and 4:
  1 31    a.  Beginning July 1, 2008, a drug or vaccine administered
  1 32 in this state shall not contain more than trace amounts of
  1 33 mercury.
  1 34    b.  Beginning July 1, 2010, a drug or vaccine administered
  1 35 in this state shall not contain any amount of mercury.
  2  1    3.  a.  Subsection 2 shall not apply if the recipient of
  2  2 the drug or vaccine, or the recipient's parent or legal
  2  3 guardian if the recipient is a minor, has signed a consent
  2  4 form as provided in paragraph "b", prior to receiving such
  2  5 drug or vaccine.  The person administering such drug or
  2  6 vaccine shall retain the signed consent form, or a copy
  2  7 thereof, in the recipient's permanent medical record.
  2  8    b.  The department shall develop and make available for use
  2  9 a standardized consent form providing that the recipient or
  2 10 the recipient's parent or legal guardian:
  2 11    (1)  Has been informed that the drug or vaccine to be
  2 12 administered to the recipient contains mercury.
  2 13    (2)  Has been advised of all of the following:
  2 14    (a)  That all forms of mercury are dangerous toxins.
  2 15    (b)  That exposure to even low levels of mercury may result
  2 16 in irreversible systemic damage to the brain, nervous system,
  2 17 or other organ or system of the body.
  2 18    (c)  That mercury ingestion may cause adverse behavioral
  2 19 and other changes.
  2 20    (3)  Consents to the administration of the drug or vaccine.
  2 21    4.  a.  The director may exempt a drug or vaccine that
  2 22 contains mercury from the prohibitions in subsection 2 if the
  2 23 director finds that an actual or potential incident or public
  2 24 health emergency, including an epidemic or medical supply
  2 25 shortage, makes necessary the administration of such drug or
  2 26 vaccine.
  2 27    b.  The conditions of an exemption issued pursuant to
  2 28 paragraph "a" include all of the following:
  2 29    (1)  The exemption shall not be issued for a period
  2 30 exceeding twelve months.
  2 31    (2)  Within forty=eight hours after the issuance of the
  2 32 exemption, the director shall notify the state board of
  2 33 health, the governor, and the general assembly or the
  2 34 legislative council, and shall notify the public upon request.
  2 35    (3)  The administration of the drug or vaccine which is the
  3  1 subject of the exemption is subject to the requirements of
  3  2 subsection 3.
  3  3    c.  Subsequent exemptions for the same drug or vaccine for
  3  4 the same incident or public health emergency may be issued for
  3  5 periods not exceeding twelve months if the director determines
  3  6 that such incident or emergency requires an extension or
  3  7 renewal of the prior exemption.  The extended or renewed
  3  8 exemption shall meet all of the requirements of this
  3  9 subsection.
  3 10    5.  A person who knowingly administers a drug or vaccine in
  3 11 violation of this section is guilty of a simple misdemeanor.
  3 12 Such person may also be civilly liable for such
  3 13 administration.  A person awarded damages in a civil action
  3 14 arising from a violation of this section is entitled to
  3 15 reimbursement for reasonable attorney fees and court costs.
  3 16    Sec. 3.  Section 135.39B, Code 2007, is repealed.
  3 17    Sec. 4.  EFFECTIVE DATE.  The sections of this Act enacting
  3 18 section 135.39E and repealing section 135.39B, Code 2007, take
  3 19 effect July 1, 2008.
  3 20                           EXPLANATION
  3 21    This bill relates to the administration of drugs and
  3 22 vaccines containing mercury.
  3 23    The bill requires the department of public health to
  3 24 randomly test drugs and vaccines administered in this state
  3 25 for mercury content and to publish its findings.
  3 26    The bill prohibits the administration of a drug or vaccine
  3 27 containing more than trace amounts of mercury on or after July
  3 28 1, 2008, and prohibits the administration of a drug or vaccine
  3 29 containing any amount of mercury on or after July 1, 2010.
  3 30 However, the bill allows such administration with the informed
  3 31 consent of the recipient or the recipient's parent or legal
  3 32 guardian.
  3 33    The bill also allows the director of public health to issue
  3 34 an exemption from the prohibitions if the director finds that
  3 35 an actual or potential incident or public health emergency
  4  1 makes necessary the administration of such drug or vaccine.
  4  2    A person who knowingly administers a drug or vaccine in
  4  3 violation of the bill is guilty of a simple misdemeanor.  Such
  4  4 person may also be civilly liable for such administration and
  4  5 entitled to attorney fees and court costs.
  4  6    The bill repeals the current provisions prohibiting early
  4  7 childhood immunizations from containing more than trace
  4  8 amounts of mercury, effective July 1, 2008, when the bill's
  4  9 provisions restricting all drugs and vaccines go into effect.
  4 10 LSB 2297HH 82
  4 11 nh:rj/gg/14