88R1980 KKR-D
 
  By: Alvarado S.B. No. 2173
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to a pilot program for the safe disposal of controlled
  substance prescription drugs.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subtitle A, Title 6, Health and Safety Code, is
  amended by adding Chapter 442A to read as follows:
  CHAPTER 442A. CONTROLLED SUBSTANCE PRESCRIPTION DRUG SAFE DISPOSAL
  PILOT PROGRAM
  SUBCHAPTER A. GENERAL PROVISIONS
         Sec. 442A.001.  DEFINITIONS. In this chapter:
               (1)  "Board" means the Texas State Board of Pharmacy.
               (2)  "Controlled substance" has the meaning assigned by
  Section 481.002.
               (3)  "Pharmacy" means a facility licensed under Chapter
  560, Occupations Code.
               (4)  "Pilot program" means the controlled substance
  prescription drug safe disposal pilot program established under
  this chapter.
               (5)  "Prescription drug" has the meaning assigned by
  Section 551.003, Occupations Code.
         Sec. 442A.002.  CONTROLLED SUBSTANCE PRESCRIPTION DRUG SAFE
  DISPOSAL PILOT PROGRAM. The board by rule shall develop and
  implement a controlled substance prescription drug safe disposal
  pilot program to increase the number of locations in this state in
  which unused controlled substance prescription drugs are collected
  from the public for safe disposal.
  SUBCHAPTER B. PHARMACY PARTICIPATION
         Sec. 442A.051.  PHARMACY ELIGIBILITY. A pharmacy operating
  in this state may apply to the board to participate in the pilot
  program if the pharmacy:
               (1)  is registered with the United States Drug
  Enforcement Administration;
               (2)  is not the subject of state or federal opioid
  litigation; and
               (3)  meets the eligibility requirements established by
  board rules.
         Sec. 442A.052.  APPLICATION AND SELECTION PROCESSES. (a)
  The board shall adopt rules prescribing:
               (1)  the form and manner for a pharmacy to apply for
  participation in the pilot program; and
               (2)  evaluation and selection criteria and processes.
         (b)  The board shall give priority to a pharmacy applicant
  that:
               (1)  does not collect unused controlled substance
  prescription drugs at the time the applicant submits the
  application; or
               (2)  is located in a rural or underserved area the board
  designates.
         (c)  A pharmacy that operates multiple locations must submit
  an application for each location.
         Sec. 442A.053.  COLLECTION RECEPTACLE REQUIREMENTS. A
  participating pharmacy that provides a collection receptacle for
  the safe disposal of controlled substance prescription drugs shall
  ensure the receptacle:
               (1)  meets the requirements of 21 C.F.R. Section
  1317.75;
               (2)  is accessible during the pharmacy's regular hours
  of operation;
               (3)  allows anonymous returns of unused controlled
  substance prescription drugs; and
               (4)  provides disposal of unused controlled substance
  prescription drugs at no cost to the person returning the drugs.
         Sec. 442A.054.  MAIL-BACK REQUIREMENTS. A participating
  pharmacy that provides a mail-back program for the safe disposal of
  controlled substance prescription drugs shall:
               (1)  ensure the program meets the requirements of 21
  C.F.R. Section 1317.70; and
               (2)  provide at the time the pharmacy dispenses a
  controlled substance prescription drug, at no cost to the person to
  whom the drug is prescribed, a mail-in pouch for the person to
  surrender any unused drugs by mail.
         Sec. 442A.055.  PHARMACY MANAGEMENT; RECORDS. A
  participating pharmacy is responsible for the daily management and
  recordkeeping of the pharmacy's controlled substance prescription
  drug safe disposal program in accordance with the pharmacy's United
  States Drug Enforcement Administration registration.
         Sec. 442A.056.  TEXAS PREMIER PHARMACY DESIGNATION. (a)
  The board shall designate each pharmacy participating in the pilot
  program as a Texas premier pharmacy provider committed to safe
  opioid disposal.
         (b)  A participating pharmacy may use the designation for
  marketing purposes.
  SUBCHAPTER C. BOARD DUTIES
         Sec. 442A.101.  PILOT PROGRAM INCENTIVES. (a) The board
  shall assist each pharmacy participating in the pilot program with
  establishing and operating a plan for the safe return of controlled
  substance prescription drugs under the pilot program, including by
  paying the costs of:
               (1)  one collection receptacle for each pharmacy
  location;
               (2)  supplies necessary for a mail-back program,
  including envelopes and shipping costs;
               (3)  destruction of collected drugs through
  incineration; and
               (4)  other operational needs as the board determines
  appropriate.
         (b)  The board may:
               (1)  provide reimbursement costs directly to a
  participating pharmacy for the costs the pharmacy incurs in
  establishing and operating the plan under Subsection (a); or
               (2)  contract with a vendor to provide directly to the
  participating pharmacy the supplies and services necessary to
  implement the plan and reimburse the vendor for providing the
  supplies and services.
         (c)  Subject to money available for purposes of this chapter,
  the board may provide financial incentives to a pharmacy that is
  providing drug collection services to continue providing those
  services or expand those services to accommodate controlled
  substance prescriptions. The board may provide incentives to a
  chain retail pharmacy for not more than 15 locations.
         Sec. 442A.102.  COMMUNITY OUTREACH. (a) The board shall:
               (1)  develop and distribute educational outreach
  materials for the public about the availability of safe controlled
  substance prescription drug disposal in this state;
               (2)  post the materials on the board's Internet
  website; and
               (3)  provide the materials to other state agencies for
  those agencies to conduct the community outreach.
         (b)  The educational outreach materials must be in English,
  Spanish, and, if applicable, another language spoken by a
  substantial portion of the residents in a specific area of this
  state.
         Sec. 442A.103.  REPORT. Not later than December 1 of each
  even-numbered year, the board shall submit to the governor, the
  lieutenant governor, and the legislature a report that:
               (1)  summarizes the results of the pilot program,
  including:
                     (A)  the number and geographic distribution of
  collection receptacles;
                     (B)  the amount of controlled substance
  prescription drugs disposed by pharmacies under the pilot program;
                     (C)  the amount and recipient of money distributed
  under the pilot program; and
                     (D)  a description of the board's educational
  efforts and outcomes; and
               (2)  recommends whether the pilot program should
  continue, be expanded, or terminate or whether the board should
  permanently implement a controlled substance prescription drug
  safe disposal program.
  SUBCHAPTER D. FUNDING
         Sec. 442A.151.  FUNDING. (a) Money contained in the opioid
  abatement account established under Section 403.505, Government
  Code, as added by Chapter 781 (S.B. 1827), Acts of the 87th
  Legislature, Regular Session, 2021, may be appropriated to the
  board to fund the pilot program established under this chapter.
         (b)  The board may collect gifts, grants, and donations to
  fund the program.
  SUBCHAPTER E. EXPIRATION
         Sec. 442A.201.  EXPIRATION. This chapter expires September
  1, 2029.
         SECTION 2.  As soon as practicable after the effective date
  of this Act, the Texas State Board of Pharmacy shall implement the
  controlled substance prescription drug safe disposal pilot program
  developed under Chapter 442A, Health and Safety Code, as added by
  this Act.
         SECTION 3.  This Act takes effect September 1, 2023.