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        |  | A BILL TO BE ENTITLED | 
      
        |  | AN ACT | 
      
        |  | relating to the licensing and regulation of pharmacies, | 
      
        |  | pharmacists, and pharmacy technicians. | 
      
        |  | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
        |  | SECTION 1.  Section 551.003(9), Occupations Code, is amended | 
      
        |  | to read as follows: | 
      
        |  | (9)  "Compounding" means the preparation, mixing, | 
      
        |  | assembling, packaging, and [ or] labeling of a drug or device: | 
      
        |  | (A)  as the result of a practitioner's | 
      
        |  | prescription drug order based on the | 
      
        |  | practitioner-patient-pharmacist relationship in the course of | 
      
        |  | professional practice; | 
      
        |  | (B)  for administration to a patient by a | 
      
        |  | practitioner as the result of a practitioner's initiative based on | 
      
        |  | the practitioner-patient-pharmacist relationship in the course of | 
      
        |  | professional practice; | 
      
        |  | (C)  in anticipation of a prescription drug order | 
      
        |  | based on a routine, regularly observed prescribing pattern; or | 
      
        |  | (D)  for or as an incident to research, teaching, | 
      
        |  | or chemical analysis and not for selling or dispensing, except as | 
      
        |  | allowed under Section 562.154 or Chapter 563. | 
      
        |  | SECTION 2.  Subchapter C, Chapter 560, Occupations Code, is | 
      
        |  | amended by adding Section 560.1025 to read as follows: | 
      
        |  | Sec. 560.1025.  PHARMACY OPERATIONS REQUIRED.  The board | 
      
        |  | shall revoke a pharmacy license issued under this chapter if the | 
      
        |  | pharmacy has not begun operations as a pharmacy within six months | 
      
        |  | after the date the pharmacy license is issued. | 
      
        |  | SECTION 3.  Chapter 561, Occupations Code, is amended by | 
      
        |  | adding Section 561.006 to read as follows: | 
      
        |  | Sec. 561.006.  PROHIBITED ISSUANCE OF CERTAIN RENEWAL | 
      
        |  | CERTIFICATES.  The board may not issue a license renewal | 
      
        |  | certificate for a pharmacy that the board determines, on inspection | 
      
        |  | of the address of the pharmacy on file with the board, is not | 
      
        |  | operating at that location. | 
      
        |  | SECTION 4.  Section 565.002(a), Occupations Code, is amended | 
      
        |  | to read as follows: | 
      
        |  | (a)  The board may discipline an applicant for or the holder | 
      
        |  | of a pharmacy license, including a Class E pharmacy license subject | 
      
        |  | to Section 565.003, if the board finds that the applicant or license | 
      
        |  | holder has: | 
      
        |  | (1)  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, 482, [ or] 483, or | 
      
        |  | 486, 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; | 
      
        |  | (2)  advertised a prescription drug or device in a | 
      
        |  | deceitful, misleading, or fraudulent manner; | 
      
        |  | (3)  violated any provision of this subtitle or any | 
      
        |  | rule adopted under this subtitle or that an owner or employee of a | 
      
        |  | pharmacy has violated any provision of this subtitle or any rule | 
      
        |  | adopted under this subtitle; | 
      
        |  | (4)  sold without legal authorization a prescription | 
      
        |  | drug or device to a person other than: | 
      
        |  | (A)  a pharmacy licensed by the board; | 
      
        |  | (B)  a practitioner; | 
      
        |  | (C)  a person who procures a prescription drug or | 
      
        |  | device for lawful research, teaching, or testing, and not for | 
      
        |  | resale; | 
      
        |  | (D)  a manufacturer or wholesaler licensed by the | 
      
        |  | commissioner of public health as required by Chapter 431, Health | 
      
        |  | and Safety Code; or | 
      
        |  | (E)  a carrier or warehouseman; | 
      
        |  | (5)  allowed an employee who is not a pharmacist to | 
      
        |  | practice pharmacy; | 
      
        |  | (6)  sold an adulterated or misbranded prescription or | 
      
        |  | nonprescription drug; | 
      
        |  | (7)  failed to engage in or ceased to engage in the | 
      
        |  | business described in the application for a license; | 
      
        |  | (8)  failed to maintain records as required by this | 
      
        |  | subtitle, Chapter 481 or 483, Health and Safety Code, the | 
      
        |  | Comprehensive Drug Abuse Prevention and Control Act of 1970 (21 | 
      
        |  | U.S.C. Section 801 et seq.), or any rule adopted under this subtitle | 
      
        |  | or Chapter 483, Health and Safety Code; | 
      
        |  | (9)  failed to establish and maintain effective | 
      
        |  | controls against diversion of prescription drugs into other than a | 
      
        |  | legitimate medical, scientific, or industrial channel as provided | 
      
        |  | by this subtitle, another state statute or rule, or a federal | 
      
        |  | statute or rule; | 
      
        |  | (10)  engaged in fraud, deceit, or misrepresentation as | 
      
        |  | defined by board rule in operating a pharmacy or in applying for a | 
      
        |  | license to operate a pharmacy; | 
      
        |  | (11)  violated a disciplinary order; | 
      
        |  | (12)  had [ been responsible for] a drug audit shortage; | 
      
        |  | (13)  been disciplined by the regulatory board of | 
      
        |  | another state for conduct substantially equivalent to conduct | 
      
        |  | described under this subsection; or | 
      
        |  | (14)  waived, discounted, or reduced, or offered to | 
      
        |  | waive, discount, or reduce, a patient copayment or deductible for a | 
      
        |  | compounded drug in the absence of: | 
      
        |  | (A)  a legitimate, documented financial hardship | 
      
        |  | of the patient; or | 
      
        |  | (B)  evidence of a good faith effort to collect | 
      
        |  | the copayment or deductible from the patient. | 
      
        |  | SECTION 5.  Section 568.001(a), Occupations Code, is amended | 
      
        |  | to read as follows: | 
      
        |  | (a)  In establishing rules under Section 554.053(c), the | 
      
        |  | board shall require that: | 
      
        |  | (1)  a pharmacy technician: | 
      
        |  | (A)  have a high school diploma or a high school | 
      
        |  | equivalency certificate or be working to achieve an equivalent | 
      
        |  | diploma or certificate; [ and] | 
      
        |  | (B)  have passed a board-approved pharmacy | 
      
        |  | technician certification examination; and | 
      
        |  | (C)  have completed a training program that meets | 
      
        |  | criteria established by board rule; and | 
      
        |  | (2)  a pharmacy technician trainee have a high school | 
      
        |  | diploma or a high school equivalency certificate or be working to | 
      
        |  | achieve an equivalent diploma or certificate. | 
      
        |  | SECTION 6.  Subchapter C, Chapter 481, Health and Safety | 
      
        |  | Code, is amended by adding Section 481.0751 to read as follows: | 
      
        |  | Sec. 481.0751.  SUBMISSION OF CERTAIN INFORMATION TO BOARD. | 
      
        |  | (a)  If any pharmacist who is an owner or employee of a pharmacy is | 
      
        |  | not required to submit information to the board under Section | 
      
        |  | 481.074(q) or 481.075 for a seven-day period, the pharmacy shall | 
      
        |  | notify the board that the pharmacy did not fill a prescription that | 
      
        |  | required the submission of information under those sections during | 
      
        |  | that period.  The pharmacy shall send the notice not later than the | 
      
        |  | seventh day after the last day of the period. | 
      
        |  | (b)  The board by rule shall establish a standardized process | 
      
        |  | for a pharmacy to transmit electronically the notification required | 
      
        |  | by this section. | 
      
        |  | SECTION 7.  Section 481.353(a), Health and Safety Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The work group shall meet as necessary at the call of the | 
      
        |  | chair [ at least quarterly]. | 
      
        |  | SECTION 8.  (a)  Sections 554.016, 556.0555, 560.001(c), | 
      
        |  | 560.0525, and 562.111, Occupations Code, are repealed. | 
      
        |  | (b)  Subchapter E, Chapter 562, Occupations Code, is | 
      
        |  | repealed. | 
      
        |  | SECTION 9.  Section 565.002(a), Occupations Code, as amended | 
      
        |  | by this Act, applies only to conduct that occurs on or after the | 
      
        |  | effective date of this Act.  Conduct that occurred 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.  For purposes of this section, conduct occurred | 
      
        |  | before the effective date of this Act if any part of the conduct | 
      
        |  | occurred before that date. | 
      
        |  | SECTION 10.  This Act takes effect September 1, 2017. |