Bill Text: CA SB1447 | 2017-2018 | Regular Session | Amended
Bill Title: Pharmacy: automated drug delivery systems.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Passed) 2018-09-21 - Chaptered by Secretary of State. Chapter 666, Statutes of 2018. [SB1447 Detail]
Download: California-2017-SB1447-Amended.html
Amended
IN
Senate
April 17, 2018 |
Senate Bill | No. 1447 |
Introduced by Senator Hernandez |
February 16, 2018 |
LEGISLATIVE COUNSEL'S DIGEST
Digest Key
Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YESBill Text
The people of the State of California do enact as follows:
SECTION 1.
Section 4008 of the Business and Professions Code is amended to read:4008.
(a) Except as provided by Section 159.5, the board may employ legal counsel and inspectors of pharmacy. The inspectors, whether the inspectors are employed by the board or the department’s Division of Investigation, may inspect during business hours all pharmacies, wholesalers, dispensaries, stores, or places where drugs or devices are compounded, prepared, furnished, dispensed, or stored.SEC. 2.
Section 4017.3 is added to the Business and Professions Code, to read:4017.3.
(a) “Automated Drug Delivery System” (ADDS)SEC. 3.
Section 4105.5 of the Business and Professions Code is repealed.SEC. 4.
Section 4119.1 of the Business and Professions Code is repealed.(a)A pharmacy may provide pharmacy services to a health facility licensed pursuant to subdivision (c), (d), or both, of Section 1250 of the Health and Safety Code, through the use of an automated drug delivery system that need not be located at the same location as the pharmacy.
(b)Drugs stored in an automated drug delivery system shall be part of the inventory of the pharmacy providing pharmacy services to that facility, and drugs dispensed from the pharmacy system shall be considered to have been dispensed by that pharmacy.
(c)(1)The pharmacy shall maintain records of the acquisition and
disposition of dangerous drugs and dangerous devices stored in the automated drug delivery system separate from other pharmacy records.
(2)The pharmacy shall own and operate the automated drug delivery system.
(3)The pharmacy shall provide training regarding the operation and use of the automated drug delivery system to both pharmacy and health facility personnel using the system.
(4)The pharmacy shall operate the automated drug delivery system in compliance with Section 1261.6 of the Health and Safety Code.
(d)The operation of the automated drug delivery system shall be under the supervision of a licensed pharmacist. To qualify as a supervisor for an automated drug delivery system, the pharmacist need not be physically present at the site of the
automated drug delivery system and may supervise the system electronically.
(e)This section shall not be construed to revise or limit the use of automated drug delivery systems as permitted by the board in any licensed health facility other than a facility defined in subdivision (c) or (d), or both, of Section 1250 of the Health and Safety Code.
SEC. 5.
Section 4186 of the Business and Professions Code is repealed.(a)Automated drug delivery systems, as defined in subdivision (h), may be located in any clinic licensed by the board pursuant to Section 4180. If an automated drug delivery system is located in a clinic, the clinic shall develop and implement written policies and procedures to ensure safety, accuracy, accountability, security, patient confidentiality, and maintenance of the quality, potency, and purity of drugs. All policies and procedures shall be maintained at the location where the automated drug system is being used.
(b)Drugs shall be removed from the automated drug delivery system only upon authorization by a pharmacist after the pharmacist has reviewed the prescription and the patient’s profile for potential contraindications and adverse drug reactions. Drugs removed from the automated drug delivery system shall be provided to the patient by a health professional licensed pursuant to this division.
(c)The stocking of an automated drug delivery system shall be performed by a pharmacist.
(d)Review of the drugs contained within, and the operation and maintenance of, the automated drug delivery system shall be the responsibility of the clinic. The review shall be conducted on a monthly basis by a pharmacist and shall include a physical inspection of the drugs in the automated drug delivery system, an inspection of the automated drug delivery system machine for cleanliness, and a review of all transaction records in order to verify the security and accountability of the system.
(e)The automated drug delivery system used at the clinic shall provide for patient consultation pursuant to Section 1707.2 of Title 16 of the California Code of Regulations with a pharmacist via a telecommunications link that has two-way audio and video.
(f)The pharmacist operating the automated drug delivery system shall be located in California.
(g)Drugs dispensed from the automated drug delivery system shall comply with the labeling requirements in Section 4076.
(h)For purposes of this section, an “automated drug delivery system” means a mechanical system controlled remotely by a pharmacist that performs operations or activities, other than compounding or administration, relative to the storage, dispensing, or distribution of prepackaged dangerous drugs or dangerous devices. An automated drug delivery system shall collect, control, and maintain all transaction information to accurately track the movement of drugs into and out of the system for security, accuracy, and accountability.
SEC. 4.SEC. 6.
Section 4400 of the Business and Professions Code is amended to read:4400.
The amount of fees and penalties prescribed by this chapter, except as otherwise provided, is that fixed by the board according to the following schedule:SEC. 5.SEC. 7.
Article 25 (commencing with Section 4427) is added to Chapter 9 of Division 2 of the Business and Professions Code, to read:
Article
25. Automated Drug Delivery System Units
4427.
An ADDS4427.1.
(a) An ADDS(d)A pharmacy may only obtain five simultaneous ADDS licenses.
4427.2.
(a) An ADDS(1)A pharmacy licensed by the board.
4427.3.
(a)(b)
(c)
4427.4.
Prior to installation, and annually thereafter, the pharmacy holding the ADDS license shall provide training on the operation and use of the ADDS to pharmacy personnel and to personnel using the ADDS at the location where the ADDS is placed pursuant to subdivision (b) of Section 4427.2.When an APDS unit is used to dispense drugs or devices directly to patients, the following conditions shall additionally apply:
4427.5.
In addition to any other requirements imposed by this article, an APDS shall additionally meet the following requirements:(a)
(b)
(c)
(d)