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          A BILL TO BE ENTITLED
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          AN ACT
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        relating to donation of unused prescription drugs. | 
      
      
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               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
      
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               SECTION 1.  Subtitle A, Title 6, Health and Safety Code, is  | 
      
      
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        amended by adding Chapter 442 to read as follows: | 
      
      
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        CHAPTER 442.  DONATION OF PRESCRIPTION DRUGS | 
      
      
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        SUBCHAPTER A.  GENERAL PROVISIONS | 
      
      
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               Sec. 442.001.  DEFINITIONS.  In this chapter: | 
      
      
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                     (1)  "Department" means the Department of State Health  | 
      
      
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        Services. | 
      
      
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                     (2)  "Donor" means an individual who donates unused  | 
      
      
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        prescription drugs under this chapter to a participating provider. | 
      
      
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                     (3)  "Executive commissioner" means the executive  | 
      
      
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        commissioner of the Health and Human Services Commission. | 
      
      
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                     (4)  "Health care facility" means: | 
      
      
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                           (A)  a general or special hospital as defined by  | 
      
      
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        Chapter 241; | 
      
      
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                           (B)  an ambulatory surgical center licensed under  | 
      
      
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        Chapter 243; | 
      
      
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                           (C)  an institution licensed under Chapter 242; or | 
      
      
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                           (D)  any other facility that provides health care  | 
      
      
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        services to patients and is authorized to maintain an inventory of  | 
      
      
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        prescription drugs for dispensing to the facility's patients or  | 
      
      
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        residents. | 
      
      
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                     (5)  "Health care professional" means an individual  | 
      
      
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        licensed, certified, or otherwise authorized to administer health  | 
      
      
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        care and prescribe prescription drugs, for profit or otherwise, in  | 
      
      
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        the ordinary course of business or professional practice.  The term  | 
      
      
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        does not include a health care facility. | 
      
      
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                     (6)  "Participating provider" means a health care  | 
      
      
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        facility, pharmacy, or health care professional who elects to  | 
      
      
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        participate in the collection and redistribution of donated  | 
      
      
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        prescription drugs under this chapter. | 
      
      
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                     (7)  "Pharmacy" means an entity licensed under Chapter  | 
      
      
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        560, Occupations Code. | 
      
      
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                     (8)  "Prescription drug" has the meaning assigned by  | 
      
      
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        Section 551.003, Occupations Code. | 
      
      
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                     (9)  "Recipient" means an individual who voluntarily  | 
      
      
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        receives donated prescription drugs under this chapter. | 
      
      
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                     (10)  "Tamper-evident" means packaging that allows for  | 
      
      
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        detection of unauthorized access to a prescription drug. | 
      
      
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               Sec. 442.002.  RULEMAKING AUTHORITY.  The executive  | 
      
      
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        commissioner may adopt rules to implement this chapter. | 
      
      
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               Sec. 442.003.  CONSTRUCTION WITH OTHER LAW.  This chapter  | 
      
      
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        does not limit the authority of this state or a political  | 
      
      
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        subdivision of this state to regulate or prohibit a prescription  | 
      
      
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        drug. | 
      
      
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        SUBCHAPTER B.  DONATION AND REDISTRIBUTION OF UNUSED PRESCRIPTION  | 
      
      
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        DRUGS | 
      
      
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               Sec. 442.051.  DONATION AND REDISTRIBUTION OF PRESCRIPTION  | 
      
      
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        DRUGS.  (a)  A donor may donate unused prescription drugs to a  | 
      
      
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        participating provider in accordance with this chapter and rules  | 
      
      
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        adopted under this chapter. | 
      
      
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               (b)  A participating provider may dispense donated  | 
      
      
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        prescription drugs to a recipient in accordance with this chapter  | 
      
      
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        and rules adopted under this chapter. | 
      
      
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               Sec. 442.052.  STANDARDS FOR DONATION AND REDISTRIBUTION.   | 
      
      
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        (a)  The executive commissioner by rule shall adopt standards and  | 
      
      
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        procedures for: | 
      
      
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                     (1)  accepting, storing, labeling, and dispensing  | 
      
      
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        donated prescription drugs; and | 
      
      
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                     (2)  inspecting donated prescription drugs to  | 
      
      
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        determine whether the drugs are adulterated and whether the drugs  | 
      
      
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        are safe and suitable for redistribution. | 
      
      
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               (b)  In adopting standards and procedures under this  | 
      
      
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        section, the executive commissioner shall ensure that the donation  | 
      
      
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        and redistribution process is consistent with public health and  | 
      
      
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        safety standards. | 
      
      
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               Sec. 442.053.  REQUIREMENTS FOR DONATED PRESCRIPTION DRUGS.   | 
      
      
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        (a)  A donated prescription drug may be accepted or dispensed under  | 
      
      
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        this chapter only if the drug is in its original, unopened, sealed,  | 
      
      
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        and tamper-evident unit-dose packaging.  A drug packaged in single  | 
      
      
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        unit doses may be accepted and dispensed if the outside packaging is  | 
      
      
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        opened but the single unit-dose packaging is unopened. | 
      
      
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               (b)  A donated prescription drug may not be accepted or  | 
      
      
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        dispensed under this chapter if the drug: | 
      
      
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                     (1)  is a controlled substance; | 
      
      
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                     (2)  is adulterated or misbranded; or | 
      
      
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                     (3)  is not stored in compliance with the drug's product  | 
      
      
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        label. | 
      
      
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               (c)  A participating provider shall comply with all  | 
      
      
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        applicable provisions of state and federal law relating to the  | 
      
      
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        inspection, storage, labeling, and dispensing of prescription  | 
      
      
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        drugs. | 
      
      
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               Sec. 442.054.  DONATION PROCESS.  (a)  Before being  | 
      
      
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        dispensed to a recipient, a prescription drug donated under this  | 
      
      
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        chapter must be inspected by a health care professional on behalf of  | 
      
      
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        the participating provider in accordance with federal law, laws of  | 
      
      
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        this state, and department rule to determine whether the drug is  | 
      
      
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        adulterated or misbranded and whether the drug has been stored in  | 
      
      
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        compliance with the requirements of the product label.  | 
      
      
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               (b)  A donated prescription drug dispensed to a recipient  | 
      
      
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        under this chapter must be prescribed by a health care professional  | 
      
      
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        for use by the recipient. | 
      
      
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               (c)  A participating provider may charge a handling fee not  | 
      
      
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        to exceed $20 to a recipient to cover the costs of inspecting,  | 
      
      
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        storing, labeling, and dispensing the donated prescription drug.  A  | 
      
      
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        participating provider may not resell a prescription drug donated  | 
      
      
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        under this chapter.  A donor may not sell a prescription drug to a  | 
      
      
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        participating provider. | 
      
      
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               (d)  A participating provider may not submit a claim or  | 
      
      
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        otherwise seek reimbursement from any public or private third-party  | 
      
      
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        payor for donated prescription drugs dispensed to a recipient under  | 
      
      
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        this chapter.  A public or private third-party payor is not required  | 
      
      
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        to provide reimbursement for donated drugs dispensed to a recipient  | 
      
      
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        under this chapter. | 
      
      
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               Sec. 442.055.  DONOR FORM.  Before donating a prescription  | 
      
      
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        drug under this chapter, a donor shall sign a form prescribed by the  | 
      
      
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        department stating that: | 
      
      
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                     (1)  the donor is the owner of the donated prescription  | 
      
      
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        drug; | 
      
      
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                     (2)  the donated prescription drug has been properly  | 
      
      
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        stored and the container has not been opened or tampered with; | 
      
      
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                     (3)  the donated prescription drug has not been  | 
      
      
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        adulterated or misbranded; and | 
      
      
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                     (4)  the donor is voluntarily donating the prescription  | 
      
      
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        drug. | 
      
      
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               Sec. 442.056.  RECIPIENT FORM.  Before accepting a donated  | 
      
      
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        prescription drug under this chapter, a recipient shall sign a form  | 
      
      
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        prescribed by the department stating that: | 
      
      
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                     (1)  the recipient acknowledges that the donor is not a  | 
      
      
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        pharmacist and the donor took ordinary care of the prescription  | 
      
      
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        drug; | 
      
      
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                     (2)  the recipient acknowledges that the donor is known  | 
      
      
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        to the participating provider and that there is no reason to believe  | 
      
      
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        that the prescription drug was improperly handled or stored; | 
      
      
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                     (3)  by accepting the prescription drug, the recipient  | 
      
      
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        accepts any risk that an accidental mishandling could create; and | 
      
      
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                     (4)  the recipient releases the donor, participating  | 
      
      
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        provider, and manufacturer of the drug from liability related to  | 
      
      
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        the prescription drug. | 
      
      
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               Sec. 442.057.  LIMITATION OF LIABILITY.  (a)  A donor or  | 
      
      
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        participating provider who acts in good faith in donating,  | 
      
      
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        accepting, storing, labeling, distributing, or dispensing  | 
      
      
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        prescription drugs under this chapter: | 
      
      
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                     (1)  is not criminally liable and is not subject to  | 
      
      
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        professional disciplinary action for those activities; and | 
      
      
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                     (2)  is not civilly liable for damages for bodily  | 
      
      
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        injury, death, or property damage that arises from those activities  | 
      
      
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        unless the injury, death, or damage arises from the donor or  | 
      
      
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        participating provider's recklessness or intentional conduct. | 
      
      
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               (b)  A manufacturer of a prescription drug donated under this  | 
      
      
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        chapter is not liable for bodily injury, death, or property damage  | 
      
      
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        arising from a donor or participating provider's failure to  | 
      
      
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        properly handle or store the drug.  This subsection does not limit  | 
      
      
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        the liability of the manufacturer for a dangerous or defective  | 
      
      
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        drug. | 
      
      
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               Sec. 442.058.  DATABASE OF PARTICIPATING PROVIDERS.  The  | 
      
      
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        department shall establish and maintain an electronic database that  | 
      
      
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        lists each participating provider.  The department shall post the  | 
      
      
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        database on its Internet website. | 
      
      
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               SECTION 2.  Not later than December 1, 2015, the executive  | 
      
      
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        commissioner of the Health and Human Services Commission shall  | 
      
      
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        adopt any necessary rules for the implementation of Chapter 442,  | 
      
      
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        Health and Safety Code, as added by this Act. | 
      
      
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               SECTION 3.  If before implementing any provision of this Act  | 
      
      
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        a state agency determines that a waiver or authorization from a  | 
      
      
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        federal agency is necessary for implementation of that provision,  | 
      
      
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        the agency affected by the provision shall request the waiver or  | 
      
      
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        authorization and may delay implementing that provision until the  | 
      
      
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        waiver or authorization is granted. | 
      
      
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               SECTION 4.  This Act takes effect September 1, 2015. | 
      
      
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        * * * * * |