By Hopson                                             H.B. No. 2128
         77R5248 JMM-F                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to the regulation of the practice of pharmacy and the
 1-3     dispensing of certain drugs.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1.  Sections 551.003(12), (30), and (36), Occupations
 1-6     Code, are amended to read as follows:
 1-7                 (12)  "Dangerous drug" means a drug or device that:
 1-8                       (A)  is not included in Penalty Group 1, 2, 3, or
 1-9     4, Chapter 481, Health and Safety Code, and is unsafe for
1-10     self-medication; or
1-11                       (B)  bears or is required to bear the legend:
1-12                             (i)  "Caution:  federal law prohibits
1-13     dispensing without prescription" or another legend that complies
1-14     with federal law and is adopted by board rule; or
1-15                             (ii)  "Caution:  federal law restricts this
1-16     drug to use by or on the order of a licensed veterinarian."
1-17                 (30)  "Pharmacist-intern" means:
1-18                       (A)  an undergraduate student who is enrolled in
1-19     the professional sequence of a college of pharmacy approved by the
1-20     board and who is participating in a [school-based] board-approved
1-21     internship program; or
1-22                       (B)  a graduate of a college of pharmacy who is
1-23     participating in a board-approved internship.
1-24                 (36)  "Prescription drug" means:
 2-1                       (A)  a substance for which federal or state law
 2-2     requires a prescription before the substance may be legally
 2-3     dispensed to the public;
 2-4                       (B)  a drug or device that under federal law is
 2-5     required, before being dispensed or delivered, to be labeled with
 2-6     either of the following statements:
 2-7                             (i)  "Caution:  federal law prohibits
 2-8     dispensing without prescription" or another legend that complies
 2-9     with federal law and is adopted by board rule; or
2-10                             (ii)  "Caution:  federal law restricts this
2-11     drug to use by or on the order of a licensed veterinarian"; or
2-12                       (C)  a drug or device that is required by federal
2-13     or state statute or regulation to be dispensed on prescription or
2-14     that is restricted to use by a practitioner only.
2-15           SECTION 2.  Section 552.004(b), Occupations Code, is amended
2-16     to read as follows:
2-17           (b)  A pharmacist member of the board may not be[:]
2-18                 [(1)  a salaried faculty member at a college of
2-19     pharmacy; or]
2-20                 [(2)]  an officer, employee, or paid consultant of a
2-21     Texas trade association in the field of health care or the spouse
2-22     of an officer, employee, or paid consultant.
2-23           SECTION 3.  Section 559.003(d), Occupations Code, is amended
2-24     to read as follows:
2-25           (d)  If a person's license has been expired for one year or
2-26     more, the person's license is considered to have been canceled and,
2-27     unless the license is the subject of a pending investigation or
 3-1     disciplinary action, the person may not renew the license.
 3-2           SECTION 4.  Section 559.053, Occupations Code, is amended to
 3-3     read as follows:
 3-4           Sec. 559.053.  PROGRAM HOURS REQUIRED.  A license holder
 3-5     satisfies the continuing education requirement by presenting
 3-6     evidence satisfactory to the board of completion of at least 30
 3-7     [24] hours of continuing education during the preceding 24 months
 3-8     of the person's license period.
 3-9           SECTION 5.  Section 560.002(a), Occupations Code, is amended
3-10     to read as follows:
3-11           (a)  A person may not display in or on a place of business
3-12     the word "pharmacy" or "apothecary" in any language, any word or
3-13     combination of words of the same or similar meaning, or a graphic
3-14     representation that would lead or tend to lead the public to
3-15     believe that the business is a pharmacy unless the facility is a
3-16     pharmacy licensed under this chapter.
3-17           SECTION 6.  Section 561.005, Occupations Code, is amended to
3-18     read as follows:
3-19           Sec. 561.005.  SUSPENSION OF PHARMACY LICENSE FOR NONRENEWAL.
3-20     (a)  The board shall suspend the license and remove from the
3-21     register of licensed pharmacies the name of a pharmacy that does
3-22     not file a completed application and pay the renewal fee on or
3-23     before the date the license expires.
3-24           (b)  Subsection (a) does not apply if the license is the
3-25     subject of a pending investigation or disciplinary action.
3-26           SECTION 7.  Section 564.002, Occupations Code, is amended to
3-27     read as follows:
 4-1           Sec. 564.002.  CONFIDENTIALITY.  (a)  The records and
 4-2     proceedings of the board, an authorized agent of the board, or a
 4-3     pharmaceutical organization committee described under Section
 4-4     564.001(a) or (b), in connection with a report under Section
 4-5     564.001(a) or (b), are confidential and are not considered public
 4-6     information for purposes of Chapter 552, Government Code.
 4-7           (b)  Subsection (a) does not apply to a disciplinary order of
 4-8     the board if the license holder has been the subject of a previous
 4-9     disciplinary order that was confidential under Subsection (a).
4-10           SECTION 8.  Section 481.074(a), Health and Safety Code, is
4-11     amended to read as follows:
4-12           (a)  A pharmacist may not:
4-13                 (1)  dispense or deliver a controlled substance or
4-14     cause a controlled substance to be dispensed or delivered under the
4-15     pharmacist's direction or supervision except under a valid
4-16     prescription and in the course of professional practice, including
4-17     a determination by the pharmacist that, in the pharmacist's
4-18     professional judgement:
4-19                       (A)  the prescription is authentic;
4-20                       (B)  the prescription was issued under a valid
4-21     patient-physician relationship; and
4-22                       (C)  the prescribed drug is considered necessary
4-23     for the treatment of illness;
4-24                 (2)  fill a prescription that is not prepared or issued
4-25     as prescribed by this chapter;
4-26                 (3)  permit or allow a person who is not a licensed
4-27     pharmacist or pharmacist intern to dispense, distribute, or in any
 5-1     other manner deliver a controlled substance even if under the
 5-2     supervision of a pharmacist, except that after the pharmacist or
 5-3     pharmacist intern has fulfilled his professional and legal
 5-4     responsibilities, a nonpharmacist may complete the actual cash or
 5-5     credit transaction and delivery; or
 5-6                 (4)  permit the delivery of a controlled substance to
 5-7     any person not known to the pharmacist, the pharmacist intern, or
 5-8     the person authorized by the pharmacist to deliver the controlled
 5-9     substance without first requiring identification of the person
5-10     taking possession of the controlled substance, except as provided
5-11     by Subsection (n).
5-12           SECTION 9.  Section 483.001(2), Health and Safety Code, is
5-13     amended to read as follows:
5-14                 (2)  "Dangerous drug" means a device or a drug that is
5-15     unsafe for self-medication and that is not included in Schedules I
5-16     through V or Penalty Groups 1 through 4 of Chapter 481 (Texas
5-17     Controlled Substances Act).  The term includes a device or a drug
5-18     that bears or is required to bear the legend:
5-19                       (A)  "Caution:  federal law prohibits dispensing
5-20     without prescription" or another legend that complies with federal
5-21     law and is adopted by board rule; or
5-22                       (B)  "Caution:  federal law restricts this drug
5-23     to use by or on the order of a licensed veterinarian."
5-24           SECTION 10.  Section 483.021(a), Health and Safety Code, is
5-25     amended to read as follows:
5-26           (a)  A pharmacist who is requested to dispense a dangerous
5-27     drug under a prescription issued by a practitioner [described by
 6-1     Section 483.001(12)(C)] shall determine, in the exercise of the
 6-2     pharmacist's professional judgment, that:
 6-3                 (1)  the prescription is authentic;
 6-4                 (2)  the prescription was issued under a valid
 6-5     patient-physician relationship; and
 6-6                 (3)  the prescribed drug is considered necessary for
 6-7     the treatment of illness.
 6-8           SECTION 11.  (a)  In accordance with Section 311.031(c),
 6-9     Government Code, which gives effect to a substantive amendment
6-10     enacted by the same legislature that codifies the amended statute,
6-11     the text of Sections 559.053 and 561.005, Occupations Code, as set
6-12     out in Sections 4 and 6 of this Act, give effect to changes made by
6-13     Chapter 1518, Acts of the 76th Legislature, Regular Session, 1999.
6-14           (b)  To the extent of any conflict, this Act prevails over
6-15     another Act of the 77th Legislature, Regular Session, 2001,
6-16     relating to nonsubstantive additions to and corrections in enacted
6-17     codes.
6-18           SECTION 12.  (a)  This Act takes effect September 1, 2001.
6-19           (b)  The change in law made by this Act to Section
6-20     552.004(b), Occupations Code, applies only to the qualifications of
6-21     the member of the Texas State Board of Pharmacy appointed on or
6-22     after the effective date of this Act.  A member appointed before
6-23     the effective date of this Act is governed by the law in effect
6-24     immediately before the effective date of this Act, and the former
6-25     law is continued in effect for that purpose.