Bill Text: FL S0710 | 2018 | Regular Session | Comm Sub

NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Prescription Drug Donation Repository Program

Spectrum: Slight Partisan Bill (? 2-1)

Status: (Failed) 2018-03-10 - Died in Messages [S0710 Detail]

Download: Florida-2018-S0710-Comm_Sub.html
       Florida Senate - 2018                              CS for SB 710
       
       
        
       By the Committee on Health Policy; and Senator Book
       
       
       
       
       
       588-01792-18                                           2018710c1
    1                        A bill to be entitled                      
    2         An act relating to the Prescription Drug Donation
    3         Program; amending s. 499.029, F.S.; renaming the
    4         Cancer Drug Donation Program as the Prescription Drug
    5         Donation Program; authorizing the donation of
    6         prescription drugs, including cancer drugs, and
    7         supplies to eligible patients; revising definitions;
    8         authorizing nursing home facilities to participate in
    9         the program; providing an effective date.
   10          
   11  Be It Enacted by the Legislature of the State of Florida:
   12  
   13         Section 1. Section 499.029, Florida Statutes, is amended to
   14  read:
   15         499.029 Prescription Cancer Drug Donation Program.—
   16         (1) This section may be cited as the “Prescription Cancer
   17  Drug Donation Program Act.”
   18         (2) There is created a Prescription Cancer Drug Donation
   19  Program within the department for the purpose of authorizing and
   20  facilitating the donation of prescription cancer drugs and
   21  supplies to eligible patients.
   22         (3) As used in this section:
   23         (a) “Cancer drug” means a prescription drug that has been
   24  approved under s. 505 of the Federal Food, Drug, and Cosmetic
   25  Act and is used to treat cancer or its side effects or is used
   26  to treat the side effects of a prescription drug used to treat
   27  cancer or its side effects. The term “Cancer drug” does not
   28  include a substance listed in Schedule II, Schedule III,
   29  Schedule IV, or Schedule V of s. 893.03.
   30         (b) “Closed drug delivery system” means a system in which
   31  the actual control of the unit-dose medication package is
   32  maintained by the facility rather than by the individual
   33  patient.
   34         (c) “Donor” means a patient or patient representative who
   35  donates prescription cancer drugs or supplies needed to
   36  administer prescription cancer drugs that have been maintained
   37  within a closed drug delivery system; health care facilities,
   38  nursing home facilities homes, hospices, or hospitals with
   39  closed drug delivery systems; or pharmacies, drug manufacturers,
   40  medical device manufacturers or suppliers, or wholesalers of
   41  drugs or supplies, in accordance with this section. The term
   42  “Donor” includes a physician licensed under chapter 458 or
   43  chapter 459 who receives prescription cancer drugs or supplies
   44  directly from a drug manufacturer, wholesale distributor, or
   45  pharmacy.
   46         (d) “Eligible patient” means a person who the department
   47  determines is eligible to receive prescription cancer drugs from
   48  the program.
   49         (e) “Participant facility” means a hospital that operates a
   50  class II institutional hospital pharmacy or a nursing home
   51  facility licensed under part II of chapter 400 with a closed
   52  drug delivery system that has elected to participate in the
   53  program and that accepts donated prescription cancer drugs and
   54  supplies under the rules adopted by the department for the
   55  program.
   56         (f) “Prescribing practitioner” means a physician licensed
   57  under chapter 458 or chapter 459 or any other medical
   58  professional with authority under state law to prescribe
   59  prescription drugs cancer medication.
   60         (g)“Prescription drug” has the same meaning as provided in
   61  s. 499.003, and includes cancer drugs. The term does not include
   62  a substance listed in Schedule II, Schedule III, Schedule IV, or
   63  Schedule V of s. 893.03.
   64         (h)(g) “Program” means the Prescription Cancer Drug
   65  Donation Program created by this section.
   66         (i)(h) “Supplies” means any supplies used in the
   67  administration of a prescription cancer drug.
   68         (4) Any donor may donate prescription cancer drugs or
   69  supplies to a participant facility that elects to participate in
   70  the program and meets criteria established by the department for
   71  such participation. Prescription Cancer drugs or supplies may
   72  not be donated to a specific cancer patient, and donated drugs
   73  or supplies may not be resold by the program. Prescription
   74  Cancer drugs billed to and paid for by Medicaid in long-term
   75  care facilities that are eligible for return to stock under
   76  federal Medicaid regulations shall be credited to Medicaid and
   77  are not eligible for donation under the program. A participant
   78  facility may provide dispensing and consulting services to
   79  individuals who are not patients of the hospital or nursing home
   80  facility.
   81         (5) The prescription cancer drugs or supplies donated to
   82  the program may be prescribed only by a prescribing practitioner
   83  for use by an eligible patient and may be dispensed only by a
   84  pharmacist.
   85         (6)(a) A prescription cancer drug may only be accepted or
   86  dispensed under the program if the drug is in its original,
   87  unopened, sealed container, or in a tamper-evident unit-dose
   88  packaging, except that a prescription cancer drug packaged in
   89  single-unit doses may be accepted and dispensed if the outside
   90  packaging is opened but the single-unit-dose packaging is
   91  unopened with tamper-resistant packaging intact.
   92         (b) A prescription cancer drug may not be accepted or
   93  dispensed under the program if the drug bears an expiration date
   94  that is less than 6 months after the date the drug was donated
   95  or if the drug appears to have been tampered with or mislabeled
   96  as determined in paragraph (c).
   97         (c) Prior to being dispensed to an eligible patient, the
   98  prescription cancer drug or supplies donated under the program
   99  shall be inspected by a pharmacist to determine that the drug
  100  and supplies do not appear to have been tampered with or
  101  mislabeled.
  102         (d) A dispenser of donated prescription cancer drugs or
  103  supplies may not submit a claim or otherwise seek reimbursement
  104  from any public or private third-party payor for donated
  105  prescription cancer drugs or supplies dispensed to any patient
  106  under the program, and a public or private third-party payor is
  107  not required to provide reimbursement to a dispenser for donated
  108  prescription cancer drugs or supplies dispensed to any patient
  109  under the program.
  110         (7)(a) A donation of prescription cancer drugs or supplies
  111  shall be made only at a participant facility. A participant
  112  facility may decline to accept a donation. A participant
  113  facility that accepts donated prescription cancer drugs or
  114  supplies under the program shall comply with all applicable
  115  provisions of state and federal law relating to the storage and
  116  dispensing of the donated prescription cancer drugs or supplies.
  117         (b) A participant facility that voluntarily takes part in
  118  the program may charge a handling fee sufficient to cover the
  119  cost of preparation and dispensing of prescription cancer drugs
  120  or supplies under the program. The fee shall be established in
  121  rules adopted by the department.
  122         (8) The department, upon the recommendation of the Board of
  123  Pharmacy, shall adopt rules to carry out the provisions of this
  124  section. Initial rules under this section shall be adopted no
  125  later than 90 days after the effective date of this act. The
  126  rules shall include, but not be limited to:
  127         (a) Eligibility criteria, including a method to determine
  128  priority of eligible patients under the program.
  129         (b) Standards and procedures for participant facilities
  130  that accept, store, distribute, or dispense donated prescription
  131  cancer drugs or supplies.
  132         (c) Necessary forms for administration of the program,
  133  including, but not limited to, forms for use by entities that
  134  donate, accept, distribute, or dispense prescription cancer
  135  drugs or supplies under the program.
  136         (d) The maximum handling fee that may be charged by a
  137  participant facility that accepts and distributes or dispenses
  138  donated prescription cancer drugs or supplies.
  139         (e) Categories of prescription cancer drugs and supplies
  140  that the program will accept for dispensing; however, the
  141  department may exclude any drug based on its therapeutic
  142  effectiveness or high potential for abuse or diversion.
  143         (f) Maintenance and distribution of the participant
  144  facility registry established in subsection (10).
  145         (9) A person who is eligible to receive prescription cancer
  146  drugs or supplies under the state Medicaid program or under any
  147  other prescription drug program funded in whole or in part by
  148  the state, by any other prescription drug program funded in
  149  whole or in part by the Federal Government, or by any other
  150  prescription drug program offered by a third-party insurer,
  151  unless benefits have been exhausted, or a certain prescription
  152  cancer drug or supply is not covered by the prescription drug
  153  program, is ineligible to participate in the program created
  154  under this section.
  155         (10) The department shall establish and maintain a
  156  participant facility registry for the program. The participant
  157  facility registry shall include the participant facility’s name,
  158  address, and telephone number. The department shall make the
  159  participant facility registry available on the department’s
  160  website to any donor wishing to donate prescription cancer drugs
  161  or supplies to the program. The department’s website shall also
  162  contain links to prescription cancer drug manufacturers that
  163  offer drug assistance programs or free medication.
  164         (11) Any donor of prescription cancer drugs or supplies, or
  165  any participant in the program, who exercises reasonable care in
  166  donating, accepting, distributing, or dispensing prescription
  167  cancer drugs or supplies under the program and the rules adopted
  168  under this section shall be immune from civil or criminal
  169  liability and from professional disciplinary action of any kind
  170  for any injury, death, or loss to person or property relating to
  171  such activities.
  172         (12) A pharmaceutical manufacturer is not liable for any
  173  claim or injury arising from the transfer of any prescription
  174  cancer drug under this section, including, but not limited to,
  175  liability for failure to transfer or communicate product or
  176  consumer information regarding the transferred drug, as well as
  177  the expiration date of the transferred drug.
  178         (13) If any conflict exists between the provisions in this
  179  section and the provisions in this chapter or chapter 465, the
  180  provisions in this section shall control the operation of the
  181  Prescription Cancer Drug Donation Program.
  182         Section 2. This act shall take effect July 1, 2018.

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