BILL ANALYSIS Public Health Committee H.B. 1507 By: Van de Putte 03-28-95 Committee Report (Amended) BACKGROUND The health-care community and health-care payers are continually searching for methods to improve the quality and cost-effectiveness of services delivered. As a part of this trend, pharmaceutical care providers seek innovative methods to enhance the provision of drug therapy and other pharmaceutical services to assist in the cure or prevention of a disease, elimination or reduction of symptoms, or the delaying of the disease process. Some innovations are not possible under current rules, and the Board of Pharmacy may be reluctant to amend the rules to allow all pharmacists to engage in innovative practices. However, if the Board is given the authority to sanction pilot or demonstration research projects, ideas for innovative practices could be tested in a controlled environment. PURPOSE This bill would allow the Texas State Board of Pharmacy to approve pilot and demonstration research projects for innovative applications in the practice of pharmacy. RULEMAKING AUTHORITY It is the committee's opinion that this bill does not expressly delegate any additional rulemaking authority to a state officer, department, agency or institution. SECTION BY SECTION ANALYSIS SECTION 1. Adds Subsection (v) to Section 17 of the Texas Pharmacy Act (Article 4542a-1, Vernon's Texas Civil Statutes), allowing the Texas State Board of Pharmacy to authorize pilot or demonstration research projects for innovative applications in the practice of pharmacy. The Board must specify the procedures to be followed in applying for approval of such a project, and it may grant exceptions to rules adopted under the Texas Pharmacy Act. Also, the Board may grant exception to rules adopted under the Pharmacy Act and condition the approval of a project in compliance with this subsection and rules adopted under its provisions. The bill, as amended, states that the bill does not expand the definition of pharmacy and that demonstration projects cannot include therapeutic substitution or substitution of medical devices used in patient care. SECTION 2. Emergency clause. Effective upon passage. EXPLANATION OF AMENDMENT Committee Amendment No. 1 clarifies the intention of the bill, stating that it should not be construed to expand the definition of pharmacy as provided in the Texas Pharmacy Act and states that demonstration projects cannot include therapeutic substitution or substitution of medical devices used in patient care. SUMMARY OF COMMITTEE ACTION H.B. 1507 was considered by the Public Health Committee in a public hearing on March 28, 1995. The following person testified in favor of the bill: Representative Van de Putte, author of the bill. The bill was reported favorably as amended, with the recommendation that it do pass and be printed and be sent to the Committee on Local and Consent Calendars, by a record vote of 6 Ayes, 0 Nays, 0 PNV, and 3 Absent.