House File 541 - Introduced



                                      HOUSE FILE       
                                      BY  COMMITTEE ON HUMAN RESOURCES

                                      (SUCCESSOR TO HSB 25)


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

                                      A BILL FOR

  1 An Act relating to the regulation and practice of pharmacy,
  2    including providing for the establishment of a limited drug
  3    and device distributor license.
  4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  5 TLSB 1092HV 82
  6 jr/es/88

PAG LIN



  1  1    Section 1.  Section 155A.3, subsection 5, Code 2007, is
  1  2 amended to read as follows:
  1  3    5.  "College of pharmacy" means a school, university, or
  1  4 college of pharmacy that satisfies the accreditation standards
  1  5 of the American accreditation council on pharmaceutical for
  1  6 pharmacy education as to the extent those standards are
  1  7 adopted by the board, or that has degree requirements which
  1  8 meet the standards of accreditation adopted by the board.
  1  9    Sec. 2.  Section 155A.3, Code 2007, is amended by adding
  1 10 the following new subsections:
  1 11    NEW SUBSECTION.  22A.  "Limited drug and device
  1 12 distributor" means a person operating or maintaining, either
  1 13 within or outside this state, a location at which limited
  1 14 noncontrolled prescription drugs, prescription devices, and
  1 15 medical gases, are distributed to patients in this state
  1 16 pursuant to a prescription drug order; or a person operating
  1 17 or maintaining a location at which limited quantities of
  1 18 drugs, devices, or medical gases are distributed at wholesale
  1 19 in this state.  A "limited drug and device distributor" does
  1 20 not include a pharmacy licensed pursuant to this chapter or a
  1 21 drug wholesaler providing prescription drugs to patients in
  1 22 this state pursuant to a drug manufacturer's prescription drug
  1 23 assistance program.
  1 24    NEW SUBSECTION.  23A.  "Medical gas" means a gas or liquid
  1 25 oxygen intended for human consumption.
  1 26    Sec. 3.  Section 155A.4, subsection 2, Code 2007, is
  1 27 amended by adding the following new paragraph:
  1 28    NEW PARAGRAPH.  h.  A limited drug and device distributor,
  1 29 licensed by the board, to distribute limited noncontrolled
  1 30 prescription drugs, prescription devices, and medical gases,
  1 31 to patients in this state pursuant to rules adopted by the
  1 32 board.
  1 33    Sec. 4.  Section 155A.9, subsection 1, Code 2007, is
  1 34 amended to read as follows:
  1 35    1.  A college of pharmacy shall not be approved by the
  2  1 board unless the college is accredited by the American
  2  2 accreditation council on pharmaceutical for pharmacy
  2  3 education.
  2  4    Sec. 5.  Section 155A.29, subsection 1, Code 2007, is
  2  5 amended to read as follows:
  2  6    1.  Except as specified in subsection 2, a prescription for
  2  7 any prescription drug or device which is not a controlled
  2  8 substance shall not be filled or refilled more than eighteen
  2  9 months after the date on which the prescription was issued and
  2 10 a prescription which is authorized to be refilled shall not be
  2 11 refilled more than eleven twelve times.
  2 12    Sec. 6.  NEW SECTION.  155A.42  LIMITED DRUG AND DEVICE
  2 13 DISTRIBUTOR LICENSE.
  2 14    1.  A person shall not act as a limited drug and device
  2 15 distributor without a license.  The license shall be
  2 16 identified as a limited drug and device distributor license.
  2 17    2.  The board shall establish, by rule, standards for
  2 18 limited drug and device distributors and may define specific
  2 19 types of limited drug and device distributors.  The board
  2 20 shall identify, by rule, specific prescription drugs or
  2 21 classes of noncontrolled prescription drugs, including
  2 22 quantities of such drugs, which may be distributed by a
  2 23 limited drug and device distributor.
  2 24    3.  The board shall adopt rules pursuant to chapter 17A
  2 25 relating to the issuance of a limited drug and device
  2 26 distributor license.  The rules shall provide for conditions
  2 27 of licensure, compliance standards, licensure fees,
  2 28 disciplinary action, and other relevant matters.
  2 29    4.  The board may deny, suspend, or revoke a limited drug
  2 30 and device distributor's license for failure to meet the
  2 31 applicable standards or for a violation of the laws of this
  2 32 state, another state, or the United States relating to
  2 33 prescription drugs or controlled substances, or for a
  2 34 violation of this chapter, chapter 124, 124A, 124B, 126, 205,
  2 35 or 272C, or a rule of the board.
  3  1                           EXPLANATION
  3  2    This bill defines a limited drug and device distributor and
  3  3 provides for the establishment of a limited drug and device
  3  4 distributor license, including the establishment of compliance
  3  5 standards and requirements unique to the operations of those
  3  6 businesses.  The board is required to identify, by rule,
  3  7 certain noncontrolled prescription drugs, including quantities
  3  8 of such drugs, that may be distributed by a limited drug and
  3  9 device distributor.
  3 10    Limited drug and device distributors would include home
  3 11 medical device suppliers, medical oxygen distributors, and
  3 12 other currently nonlicensed entities engaged in the
  3 13 distribution to consumers of limited noncontrolled
  3 14 prescription drugs, medical devices, and medical gases
  3 15 pursuant to a prescriber's authorization.  A limited drug and
  3 16 device distributor would also include a location that
  3 17 distributes limited quantities of drugs, devices, or medical
  3 18 gases at wholesale.
  3 19    The bill corrects references to the American council on
  3 20 pharmaceutical education pursuant to the council's recent name
  3 21 change to the accreditation council for pharmacy education.
  3 22    The bill also increases to 12 refills the number of times a
  3 23 prescription for a noncontrolled prescription drug may be
  3 24 refilled within an 18=month period.
  3 25 LSB 1092HV 82
  3 26 jr:rj/es/88