Bill Text: TX HB1706 | 2019-2020 | 86th Legislature | Introduced
Bill Title: Relating to the provision of pharmacy services through a telepharmacy system.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2019-04-24 - Committee report sent to Calendars [HB1706 Detail]
Download: Texas-2019-HB1706-Introduced.html
86R3016 KKR-D | ||
By: Oliverson | H.B. No. 1706 |
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relating to the provision of pharmacy services through a | ||
telepharmacy system. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 562.110(e), Occupations Code, is amended | ||
to read as follows: | ||
(e) The board shall adopt rules regarding the use of a | ||
telepharmacy system under this section, including: | ||
(1) the types of health care facilities at which a | ||
telepharmacy system may be located under Subsection (d)(1), which | ||
must include the following facilities: | ||
(A) a clinic designated as a rural health clinic | ||
regulated under 42 U.S.C. Section 1395x(aa); [ |
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(B) a health center as defined by 42 U.S.C. | ||
Section 254b; | ||
(C) a federally qualified health center as | ||
defined by 42 U.S.C. Section 1396d(l)(2)(B); | ||
(D) an ambulatory surgical center; | ||
(E) a birthing center; | ||
(F) a community health center; | ||
(G) a hospital; | ||
(H) an outpatient clinic; and | ||
(I) a public health clinic; | ||
(2) the locations eligible to be licensed as remote | ||
dispensing sites, which must include locations in medically | ||
underserved areas, areas with a medically underserved population, | ||
and health professional shortage areas determined by the United | ||
States Department of Health and Human Services; | ||
(3) licensing and operating requirements for remote | ||
dispensing sites, including: | ||
(A) a requirement that a remote dispensing site | ||
license identify the provider pharmacy that will provide pharmacy | ||
services at the remote dispensing site; | ||
(B) a requirement that a provider pharmacy be | ||
allowed to provide pharmacy services at not more than two remote | ||
dispensing sites; | ||
(C) a requirement that a pharmacist employed by a | ||
provider pharmacy make at least monthly on-site visits to a remote | ||
dispensing site or more frequent visits if specified by board rule; | ||
(D) a requirement that each month the perpetual | ||
inventory of controlled substances at the remote dispensing site be | ||
reconciled to the on-hand count of those controlled substances at | ||
the site by a pharmacist employed by the provider pharmacy; | ||
(E) a requirement that a pharmacist employed by a | ||
provider pharmacy be physically present at a remote dispensing site | ||
when the pharmacist is providing services requiring the physical | ||
presence of the pharmacist, including immunizations; | ||
(F) a requirement that a remote dispensing site | ||
be staffed by an on-site pharmacy technician who is under the | ||
continuous supervision of a pharmacist employed by the provider | ||
pharmacy; | ||
(G) a requirement that all pharmacy technicians | ||
at a remote dispensing site be counted for the purpose of | ||
establishing the pharmacist-pharmacy technician ratio of the | ||
provider pharmacy, which, notwithstanding Section 568.006, may not | ||
exceed three pharmacy technicians for each pharmacist providing | ||
supervision; | ||
(H) a requirement that, before working at a | ||
remote dispensing site, a pharmacy technician must: | ||
(i) have worked at least one year at a | ||
retail pharmacy during the three years preceding the date the | ||
pharmacy technician begins working at the remote dispensing site; | ||
and | ||
(ii) have completed a board-approved | ||
training program on the proper use of a telepharmacy system; | ||
(I) a requirement that pharmacy technicians at a | ||
remote dispensing site may not perform extemporaneous sterile or | ||
nonsterile compounding but may prepare commercially available | ||
medications for dispensing, including the reconstitution of orally | ||
administered powder antibiotics; and | ||
(J) any additional training or practice | ||
experience requirements for pharmacy technicians at a remote | ||
dispensing site; | ||
(4) the areas that qualify under Subsection (f); | ||
(5) recordkeeping requirements; and | ||
(6) security requirements. | ||
SECTION 2. Sections 562.110(g), (h), and (i) Occupations | ||
Code, as added by Chapter 485 (H.B. 2561), Acts of the 85th | ||
Legislature, Regular Session, 2017, are repealed. | ||
SECTION 3. This Act takes effect September 1, 2019. |