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  By: Lucio  S.B. No. 1896
         (In the Senate - Filed March 9, 2007; March 22, 2007, read
  first time and referred to Committee on Health and Human Services;
  April 23, 2007, reported adversely, with favorable Committee
  Substitute by the following vote:  Yeas 9, Nays 0; April 23, 2007,
  sent to printer.)
 
  COMMITTEE SUBSTITUTE FOR S.B. No. 1896 By:  Patrick
 
 
A BILL TO BE ENTITLED
 
AN ACT
 
  relating to the distribution and redistribution of certain drugs.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subsections (a), (b), and (e), Section 562.1085,
  Occupations Code, are amended to read as follows:
         (a)  A pharmacist who practices in or serves as a consultant
  for a health care facility or a licensed health care professional
  responsible for administration of drugs in a penal institution, as
  defined by Section 1.07, Penal Code, in this state may return to a
  pharmacy certain unused drugs, other than a controlled substance as
  defined by Chapter 481, Health and Safety Code, purchased from the
  pharmacy as provided by board rule. The unused drugs must:
               (1)  be approved by the federal Food and Drug
  Administration and be:
                     (A)  sealed in unopened tamper-evident packaging
  and either individually packaged or packaged in unit-dose
  packaging;
                     (B)  oral or parenteral medication in sealed
  single-dose containers approved by the federal Food and Drug
  Administration;
                     (C)  topical or inhalant drugs in sealed
  units-of-use containers approved by the federal Food and Drug
  Administration; or
                     (D)  parenteral medications in sealed
  multiple-dose containers approved by the federal Food and Drug
  Administration from which doses have not been withdrawn; and
               (2)  not be the subject of a mandatory recall by a state
  or federal agency or a voluntary recall by a drug seller or
  manufacturer.
         (b)  A pharmacist for the pharmacy shall examine a drug
  returned under this section to ensure the integrity of the drug
  product. A health care facility or penal institution may not return
  a drug that:
               (1)  has been compounded;
               (2)  appears on inspection to be adulterated;
               (3)  requires refrigeration; or
               (4)  has less than 120 days until the expiration date or
  end of the shelf life.
         (e)  The board shall adopt the rules, policies, and
  procedures necessary to administer this section, including rules
  that require a health care facility or penal institution to inform
  the Health and Human Services Commission of medicines returned to a
  pharmacy under this section.
         SECTION 2.  Section 431.321, Health and Safety Code, is
  amended by amending Subsection (a) and adding Subsection (d-1) to
  read as follows:
         (a)  "Charitable medical clinic" means a clinic, including a
  licensed pharmacy that is a community pharmaceutical access program
  provider, that provides medical care or drugs without charge or for
  a substantially reduced charge, complies with the insurance
  requirements of Chapter 84, Civil Practice and Remedies Code, and
  is exempt from federal income tax under Section 501(a) of the
  Internal Revenue Code of 1986 by being listed as an exempt
  organization in Section 501(c)(3) or 501(c)(4) of the code and is
  operated exclusively for the promotion of social welfare by being
  primarily engaged in promoting the common good and general welfare
  of the people in a community.
         (d-1)  In this subchapter, "community pharmaceutical access
  program" means a program offered by a licensed pharmacy under which
  the pharmacy assists financially disadvantaged persons to access
  prescription drugs at no charge or at a substantially reduced
  charge.
         SECTION 3.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2007.
 
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