Bill Text: CA SB27 | 2015-2016 | Regular Session | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Livestock: use of antimicrobial drugs.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Passed) 2015-10-10 - Chaptered by Secretary of State. Chapter 758, Statutes of 2015. [SB27 Detail]

Download: California-2015-SB27-Amended.html
BILL NUMBER: SB 27	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  SEPTEMBER 4, 2015
	AMENDED IN ASSEMBLY  AUGUST 31, 2015
	AMENDED IN ASSEMBLY  AUGUST 17, 2015
	AMENDED IN ASSEMBLY  JULY 14, 2015
	AMENDED IN ASSEMBLY  JULY 8, 2015
	AMENDED IN ASSEMBLY  JUNE 25, 2015
	AMENDED IN SENATE  JUNE 1, 2015

INTRODUCED BY   Senator Hill

                        DECEMBER 1, 2014

   An act to add Chapter 4.5 (commencing with Section 14400) to
Division 7 of the Food and Agricultural Code, relating to livestock.


	LEGISLATIVE COUNSEL'S DIGEST


   SB 27, as amended, Hill. Livestock: use of antimicrobial drugs.
   (1) Existing law regulates the distribution and use of livestock
drugs, as defined, by the Secretary of Food and Agriculture. Existing
law also requires a person to obtain a license from the secretary to
manufacture, sell, distribute, or store commercial feed, including
commercial feed containing drugs.
   This bill would, beginning January 1, 2018, prohibit the
administration of medically important antimicrobial drugs, as
defined, to livestock unless ordered by a licensed veterinarian
through a prescription or veterinary feed directive pursuant to a
veterinarian-client-patient relationship, as specified, and would
prohibit the administration of a medically important antimicrobial
drug to livestock solely for purposes of promoting weight gain or
improving feed efficiency. The bill would require the Department of
Food and Agriculture, in consultation with the Veterinary Medical
Board, the State Department of Public Health, universities, and
cooperative extensions, to develop  antimicrobial stewardship
 guidelines and  training materials   best
management practices  on the proper use of medically important
antimicrobial drugs  and, in coordination with specified
national entities,   and  would require the
department to gather information on medically important antimicrobial
drug sales and usage, antimicrobial resistant bacteria, and
livestock management practice data. The bill would require
information provided pursuant to those provisions to be held
confidential, as specified.  The bill would authorize the
department to request and receive copies of veterinary feed
directives to implement the bill's provisions.  The bill would
make a first violation of the bill's provisions subject to a civil
penalty of $250 for each day a violation occurs, and would make
second and subsequent violations subject to an administrative fine of
$500 for each day a violation occurs, except as specified.
   (2) Existing constitutional provisions require that a statute that
limits the right of access to the meetings of public bodies or the
writings of public officials and agencies be adopted with findings
demonstrating the interest protected by the limitation and the need
for protecting that interest.
   This bill would make legislative findings to that effect.
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Chapter 4.5 (commencing with Section 14400) is added to
Division 7 of the Food and Agricultural Code, to read:
      CHAPTER 4.5.  LIVESTOCK: USE OF ANTIMICROBIAL DRUGS


   14400.  For purposes of this chapter, the following definitions
apply:
   (a) "Medically important antimicrobial drug" means an
antimicrobial drug listed in Appendix A of the federal Food and Drug
Administration's Guidance for Industry #152, including critically
important, highly important, and important antimicrobial drugs, as
that appendix may be amended.
   (b) "Livestock" means all animals and poultry, including aquatic
and amphibian species, that are raised, kept, or used for profit.
Livestock does not include bees or those species that are usually
kept as pets, such as dogs, cats, and pet birds.
   (c) "Veterinary feed directive" has the same definition as in
Section 558.3 of Title 21 of the Code of Federal Regulations.
   14401.  Beginning January 1, 2018, a medically important
antimicrobial drug shall not be administered to livestock unless
ordered by a licensed veterinarian through a prescription or
veterinary feed directive, pursuant to a veterinarian-client-patient
relationship that meets the requirements of Section 2032.1 of Title
16 of the California Code of Regulations.
   14402.  (a) Beginning January 1, 2018, a medically important
antimicrobial drug may be used when, in the professional judgment of
a licensed veterinarian, the medically important antimicrobial drug
is  necessary for  any of the following:
   (1)  To   Necessary to  treat a disease
or infection.
   (2)  To   Necessary   to 
control the spread of a disease or infection.
   (3)  In   Necessary   in 
relation to surgery or a medical procedure. 
   (4) For prophylaxis to prevent the contraction of a particular
disease or infection known or suspected to occur in a specific
situation if antimicrobial prophylaxis is considered by a licensed
veterinarian to be effective to prevent that infection or disease.
 
   (4) Needed for prophylaxis to address an elevated risk in the
contraction of a particular disease or infection. 
   (b) A person shall not administer a medically important
antimicrobial drug to livestock solely for purposes of promoting
weight gain or improving feed efficiency.
   (c) Unless the administration is consistent with subdivision (a),
a person shall not administer a medically important antimicrobial
drug in a  repeated or  regular pattern.
   14403.  (a) Notwithstanding Sections 14401 and 14402 of this code
and Article 15 (commencing with Section 4196) of Chapter 9 of
Division 2 of the Business and Professions Code, medically important
antimicrobial drugs may be sold by retailers licensed pursuant to
Article 5 (commencing with Section 14321) of Chapter 4 of Division 7
with a prescription or veterinary feed directive from a licensed
veterinarian.
   (b) This section shall not be construed to invalidate the
requirement to obtain a prescription or veterinary feed directive to
administer a medically important antimicrobial drug as required by
Section 14401.
   (c) The department may promulgate regulations to implement this
section.
   14404.  (a) The department, in consultation with the Veterinary
Medical Board, the State Department of Public Health, universities,
and cooperative extensions, shall develop antimicrobial stewardship
guidelines and  appropriate training materials  
best management practices  for veterinarians, as well as
livestock owners and their employees who are involved with
administering medically important antimicrobial drugs, on the proper
use of medically important antimicrobial drugs for disease treatment,
control, and prevention. The guidelines shall include scientifically
validated practical alternatives to the use of medically important
antimicrobial drugs, including, but not limited to, the introduction
of effective vaccines and good hygiene and management practices.
   (b) The department shall consult with livestock producers,
licensed veterinarians, and any other relevant stakeholders on
ensuring livestock timely access to treatment for producers in rural
areas with limited access to veterinary care.
   (c) For purposes of this section, "antimicrobial stewardship" is a
commitment to do all of the following:
   (1) To use medically important antimicrobial drugs only when
necessary to treat, control, and, in some cases, prevent, disease.
   (2) To select the appropriate medically important antimicrobial
 drug, and to administer the drug correctly each time.
  drug and the appropriate dose, duration, and route of
administration. 
   (3) To use medically important antimicrobial drugs for the
shortest duration necessary and to administer them to the fewest
animals necessary.
   14405.  (a) It is the intent of the Legislature that the
department coordinate with the United States Department of
Agriculture, the federal Food and Drug Administration, and the
federal Centers for Disease Control and Prevention to implement the
expanded antimicrobial resistance surveillance efforts included in
the National Action Plan for Combating Antibiotic-Resistant Bacteria,
and that the information gathered through this effort will help lead
to a better understanding of the links between antimicrobial use
patterns in livestock and the development of antimicrobial resistant
bacterial infections.
   (b) (1)  In coordination with the National Animal Health
Monitoring System and the National Antimicrobial Resistance
Monitoring System, the   The    department
shall gather information on medically important antimicrobial drug
sales and usage, as well as antimicrobial resistant bacteria and
livestock management practice data. Monitoring efforts shall be
compatible with, and not duplicative of, the  national
monitoring system.   National Animal Health Monitoring
System and the National Antimicrobial Resistance Monitoring System,
and, to the extent feasible, the department shall coordinate with the
United States Department of Agriculture, the federal Centers for
Disease Control and Prevention, and the federal Food and Drug
Administration in the development of these efforts. 
   (2) In coordinating with the National Animal Health Monitoring
System and the National Antimicrobial Resistant Monitoring System,
the department shall gather representative samples from all of the
following:
   (A) California's major livestock segments.
   (B) Regions with considerable livestock production.
   (C) Representative segments of the food production chain.
   (c) The department shall work with willing participants to gather
samples and shall consult with, and conduct outreach to, livestock
producers, licensed veterinarians, and any other relevant
stakeholders on the implementation of the monitoring efforts. 
Participation in this effort shall be done in a manner that does not
breach veterinary-client-patient   confidentiality laws.
 
   (d) In order to carry out this section, the department may request
copies of veterinary feed directives and prescriptions from the
livestock owner, veterinarian, or distributor. Participation in this
effort shall be done in a manner that does not breach
veterinary-patient confidentiality laws.  
   (e) 
    (d)  (1) The department shall report to the Legislature
by January 1, 2019, the results of its outreach activities and
monitoring efforts. The department shall advise the Legislature as to
whether or not participation is sufficient to provide statistically
relevant data. The report shall be submitted in compliance with
Section 9795 of the Government Code.
   (2) This subdivision is inoperative on January 1, 2023, pursuant
to Section 10231.5 of the Government Code. 
   (f) 
    (e)  The department shall seek funds from federal,
state, and other sources to implement this section. 
   (g) 
    (f)  The department may promulgate regulations to
implement this section. 
   14406.  The department may request and receive copies of
veterinary feed directives from the livestock owner, veterinarian, or
distributor to fully implement the provisions of this chapter. 

    14406.  14407.   Notwithstanding the
California Public Records Act (Chapter 3.5 (commencing with Section
6250) of Division 7 of Title 1 of the Government Code), any
information provided pursuant to this chapter  and Section
14902.5, if that section is added by Senate Bill 770 of the 2015-16
Regular Session of the Legislature,  shall be held confidential,
and shall not be disclosed to any person or governmental agency,
other than the department or the Veterinary Medical Board, for the
purposes of enforcing the Veterinary Medicine Practice Act (Chapter
11 (commencing with Section 4800) of Division 2 of the Business and
Professions Code), unless the data is aggregated to prevent the
identification of an individual farm or business. Information may be
shared with federal agencies so long as it is protected by the
federal Confidential Information Protection and Statistical
Efficiency Act of 2002 (Public Law 107-347).
    14407.   14408.   (a) A person who
violates this chapter shall be liable for a civil penalty of not more
than two hundred and fifty dollars ($250) for each day a violation
occurs.
   (b) (1) For a second or subsequent violation, a person who
violates this chapter shall be punishable by an administrative fine,
levied by the secretary, in the amount of five hundred dollars ($500)
for each day a violation occurs.
   (2) In addition to the administrative fine, the violator shall
attend an educational program on the judicious use of medically
important antimicrobial drugs that has been approved by the
secretary. The violator shall successfully complete the program and
provide proof to the secretary within 90 days from the occurrence of
the violation.
   (c) Subdivisions (a) and (b) do not apply to licensed
veterinarians. If the Veterinary Medical Board determines that a
veterinarian is in violation of the Veterinary Medicine Practice Act
(Chapter 11 (commencing with Section 4800) of Division 2 of the
Business and Professions Code), the veterinarian may be subject to
disciplinary sanctions pursuant to the act.
   (d) The moneys collected pursuant to this article shall be
deposited into the Department of Food and Agriculture Fund and shall
be available for expenditure upon appropriation by the Legislature.
  SEC. 2.  The Legislature finds and declares that Section 1 of this
act, which adds Section  14406   14407  to
the Food and Agricultural Code, imposes a limitation on the public's
right of access to the meetings of public bodies or the writings of
public officials and agencies within the meaning of Section 3 of
Article I of the California Constitution. Pursuant to that
constitutional provision, the Legislature makes the following
findings to demonstrate the interest protected by this limitation and
the need for protecting that interest:
   In order to ensure the confidentiality of the information
collected pursuant to this act and the integrity of that information
for regulatory and enforcement purposes, it is necessary that this
act take effect.           
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