Bill Text: NY A05512 | 2021-2022 | General Assembly | Amended


Bill Title: Relates to the automated storage and dispensing of controlled substances using an automated dispensing device at licensed nursing homes, residential health care facilities and hospices.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2022-01-05 - referred to higher education [A05512 Detail]

Download: New_York-2021-A05512-Amended.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                         5512--A

                               2021-2022 Regular Sessions

                   IN ASSEMBLY

                                    February 19, 2021
                                       ___________

        Introduced by M. of A. DINOWITZ -- read once and referred to the Commit-
          tee  on  Higher  Education  -- again reported from said committee with
          amendments, ordered reprinted  as  amended  and  recommitted  to  said
          committee

        AN  ACT to amend the education law, in relation to the automated storage
          and dispensing of controlled substances using an automated  dispensing
          device

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. Section 6802 of the education law is amended  by  adding  a
     2  new subdivision 29 to read as follows:
     3    29. "Automated dispensing device (ADD)" shall mean a mechanical system
     4  used  in  nursing  homes and residential health care facilities licensed
     5  pursuant to article twenty-eight of the public health law  and  hospices
     6  certified pursuant to article forty of the public health law, that pack-
     7  ages  and labels patient specific medication or multiple medications for
     8  the purposes of administration by a health care professional licensed to
     9  administer medications by the state of New York based on a  prescription
    10  or order that has completed final verification by a licensed pharmacist.
    11    § 2. The education law is amended by adding a new section 6809 to read
    12  as follows:
    13    §  6809.  Automated  storage  and  dispensing  of  medications. 1. For
    14  purposes of this section, "automated dispensing device (ADD)" shall have
    15  the same meaning  as  subdivision  twenty-nine  of  section  sixty-eight
    16  hundred two of this article.
    17    2.  The  ADD  and its contents shall remain the property of a pharmacy
    18  registered  under  this  article.    The  pharmacy  shall  maintain  all
    19  controls,  record keeping as required by all laws, rules and regulations
    20  of the state.  Pharmacies  utilizing  automated  dispensing  devices  as
    21  permitted  under  this  section  for  routine  medication  dispensing of
    22  controlled substances  shall  obtain  a  machine-specific  federal  Drug

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD05766-06-1

        A. 5512--A                          2

     1  Enforcement Administration (DEA-ADD) registration number, and the appro-
     2  priate New York state licensing.
     3    3.   The pharmacy shall maintain records on site at the pharmacy (hard
     4  copy or electronic) for not less than five years  as  required  by  part
     5  sixty-three  of  the  regulations of the commissioner, including but not
     6  limited to:
     7    a. documentation of the approval for use  and  placement  of  the  ADD
     8  received from the department and/or the board of pharmacy;
     9    b.  delivery  manifests or similar electronic documentation that moni-
    10  tors the transport of controlled substances  between  the  pharmacy  and
    11  ADD;
    12    c. ADD cleaning and maintenance logs or similar documentation;
    13    d.  records  and/or  electronic  data  of all events involving the ADD
    14  including but not limited to:
    15    (i) identity of all personnel who access the contents;
    16    (ii) location of the system accessed;
    17    (iii) type of transaction with date/time stamp;
    18    (iv) name, strength, dosage form, and quantity of the accessed medica-
    19  tion;
    20    (v) name or other identifier of the patient for  whom  the  medication
    21  was ordered;
    22    (vi)  reconciliation  of all controlled substance inventories at least
    23  monthly.
    24    4.  The prepackaged cartridges or containers may be sent to  a  remote
    25  site to be loaded into such machine by personnel designated by the phar-
    26  macist-in-charge provided:
    27    a.  the  individual  cartridges  or containers are transported to such
    28  remote site in a secure, tamper-evident container; and
    29    b. the automated pharmacy system uses bar-coding, microchip, or  other
    30  technologies  to ensure that the containers are accurately loaded in the
    31  automated pharmacy system.
    32    5. Access to an ADD shall be restricted  to  authorized  pharmacy  and
    33  facility  nursing  licensed  personnel, registered pharmacy technicians,
    34  and pharmacy aides as established  by  the  facility  administration  in
    35  conjunction  with  the pharmacist-in-charge.   A list of such authorized
    36  personnel shall be maintained at all times within the system  and  shall
    37  be reviewed and updated periodically.
    38    6. All medications, including controlled substances shall be dispensed
    39  from an automated dispensing device pursuant to a valid, patient-specif-
    40  ic prescription or order.
    41    7.    The  pharmacy  and  the  facility  shall  implement and maintain
    42  adequate and appropriate  policies,  procedures  and  quality  assurance
    43  programs  to  ensure safety, accuracy, security, accountability, patient
    44  confidentiality, and functionality with respect  to  administration  and
    45  usage of ADD.
    46    8. The ADD will be monitored at the facility continuously by video and
    47  under visual supervision by a pharmacist during the loading process.
    48    9.  Any  losses of medication shall be reported in accordance with the
    49  requirements of the servicing pharmacy's licensing body.
    50    § 3. This act shall take effect on the sixtieth  day  after  it  shall
    51  have become a law.
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