88R11942 SCP-F
 
  By: Bucy H.B. No. 2088
 
  Substitute the following for H.B. No. 2088:
 
  By:  Klick C.S.H.B. No. 2088
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the regulation of the practice of pharmacy.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 562.0541(d), Occupations Code, is
  amended to read as follows:
         (d)  The quantity of an emergency refill of insulin may not
  exceed a 30-day supply unless the smallest commercially available
  package exceeds a 30-day supply.  A pharmacist may dispense
  multiple packages of insulin for an emergency refill if the total
  quantity dispensed does not exceed a 30-day supply. The [quantity
  of an] emergency refill of insulin-related equipment or supplies
  may not exceed [the lesser of a 30-day supply or] the smallest
  commercially available package necessary for a 30-day supply.
         SECTION 2.  Section 565.003, Occupations Code, as amended by
  Chapters 1105 (H.B. 2174) and 1166 (H.B. 3284), Acts of the 86th
  Legislature, Regular Session, 2019, is reenacted to read as
  follows:
         Sec. 565.003.  ADDITIONAL GROUNDS FOR DISCIPLINE REGARDING
  APPLICANT FOR OR HOLDER OF NONRESIDENT PHARMACY LICENSE.  Unless
  compliance would violate the pharmacy or drug statutes or rules in
  the state in which the pharmacy is located, the board may discipline
  an applicant for or the holder of a nonresident pharmacy license if
  the board finds that the applicant or license holder has failed to
  comply with:
               (1)  Section 481.074, 481.075, 481.0755, 481.0756,
  481.076, 481.0761, 481.0762, 481.0763, 481.07635, 481.07636,
  481.0764, 481.0765, or 481.0766, Health and Safety Code;
               (2)  Texas substitution requirements regarding:
                     (A)  the practitioner's directions concerning
  generic substitution;
                     (B)  the patient's right to refuse generic
  substitution; or
                     (C)  notification to the patient of the patient's
  right to refuse substitution;
               (3)  any board rule relating to providing drug
  information to the patient or the patient's agent in written form or
  by telephone; or
               (4)  any board rule adopted under Section 554.051(a)
  and determined by the board to be applicable under Section
  554.051(b).
         SECTION 3.  Section 568.003(a), Occupations Code, is amended
  to read as follows:
         (a)  The board may take disciplinary action under Section
  568.0035 against an applicant for or the holder of a current or
  expired pharmacy technician or pharmacy technician trainee
  registration if the board determines that the applicant or
  registrant has:
               (1)  violated this subtitle or a rule adopted under
  this subtitle;
               (2)  engaged in gross immorality, as that term is
  defined by the rules of the board;
               (3)  engaged in any fraud, deceit, or
  misrepresentation, as those terms are defined by the rules of the
  board, in practicing as a pharmacy technician or pharmacy
  technician trainee or in seeking a registration to act as a pharmacy
  technician or pharmacy technician trainee;
               (4)  been convicted of or placed on deferred
  adjudication community supervision or deferred disposition or the
  applicable federal equivalent for:
                     (A)  a misdemeanor:
                           (i)  involving moral turpitude; or
                           (ii)  under Chapter 481 or 483, Health and
  Safety Code, or the Comprehensive Drug Abuse Prevention and Control
  Act of 1970 (21 U.S.C. Section 801 et seq.); or
                     (B)  a felony;
               (5)  developed an incapacity that prevents the
  applicant or registrant from practicing as a pharmacy technician or
  pharmacy technician trainee with reasonable skill, competence, and
  safety to the public;
               (6)  violated:
                     (A)  Chapter 481 or 483, Health and Safety Code,
  or rules relating to those chapters;
                     (B)  Sections 485.031-485.034 [485.031-485.035],
  Health and Safety Code; or
                     (C)  a rule adopted under Section 485.002 
  [485.011], Health and Safety Code;
               (7)  violated the pharmacy or drug laws or rules of this
  state, another state, or the United States;
               (8)  performed duties in a pharmacy that only a
  pharmacist may perform, as defined by the rules of the board;
               (9)  used alcohol or drugs in an intemperate manner
  that, in the board's opinion, could endanger a patient's life;
               (10)  engaged in negligent, unreasonable, or
  inappropriate conduct when working in a pharmacy;
               (11)  violated a disciplinary order;
               (12)  been convicted or adjudicated of a criminal
  offense that requires registration as a sex offender under Chapter
  62, Code of Criminal Procedure; or
               (13)  been disciplined by a pharmacy or other health
  regulatory board of this state or another state for conduct
  substantially equivalent to conduct described by this subsection.
         SECTION 4.  To the extent of any conflict, this Act prevails
  over another Act of the 88th Legislature, Regular Session, 2023,
  relating to nonsubstantive additions to and corrections in enacted
  codes.
         SECTION 5.  Section 568.003(a), Occupations Code, as amended
  by this Act, applies only to disciplinary action regarding conduct
  that occurs on or after the effective date of this Act. Conduct
  that occurs before the effective date of this Act is governed by the
  law in effect on the date the conduct occurred, and the former law
  is continued in effect for that purpose.
         SECTION 6.  This Act takes effect September 1, 2023.