2015 CSHP Tracked Legislation
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AB 26 – Medical Cannabis

Would enact the Medical Cannabis Regulation and Control Act and would create the Division of Medical Cannabis Regulation and Enforcement within the Department of Alcoholic Beverage Control, to be administered by a person exempt from civil service who is appointed by the Director of Alcoholic Beverage Control. The bill would grant the department the power to register persons for the cultivation, manufacture, testing, transportation, storage, distribution, and sale of medical cannabis within the state.

AB 45 – Household Hazardous Waste

Would require each jurisdiction that provides for the residential collection and disposal of solid waste, on or before an unspecified date, to increase the collection and diversion of household hazardous waste in its service area by an unspecified percentage over a baseline amount, to be determined in accordance with Department of Resources Recycling and Recovery regulations. The bill would authorize the department to adopt a model ordinance for a door-to-door collection and diversion program to facilitate compliance with those provisions, and would require each jurisdiction to annually report to the department on progress achieved in complying with those provisions.

AB 49 – Livestock Drugs: Antibiotics

Would make various legislative findings and declarations relating to the nontherapeutic use of antibiotics in livestock, and would declare the intent of the Legislature to enact legislation that would address the overuse of antibiotics in livestock production.

AB 72 – Medi-Cal: Demonstration Project

Current law provides for a demonstration project under the Medi-Cal program until October 31, 2015, to implement specified objectives, including better care coordination for seniors and persons with disabilities and maximization of opportunities to reduce the number of uninsured individuals. This bill would require the State Department of Health Care Services to submit an application to the federal Centers for Medicare and Medicaid Services for a waiver to implement a demonstration project that, among other things, continues the state’s momentum and successes in innovation achieved under the demonstration project described above.

AB 73 – Prescriber Prevails Act

Would, to the extent permitted by federal law, provide that drugs in specified therapeutic drug classes that are prescribed by a Medi-Cal beneficiary’s treating provider are covered Medi-Cal benefits. The bill would require, except as specified, that a Medi-Cal managed care plan cover the drug upon demonstration by the provider that the drug is medically necessary and consistent with federal rules and regulations for labeling and use, as specified.

 

AB 159 – Investigational Drugs, Biological Products, and Devices

Would permit a manufacturer of an investigational drug, biological product, or device to make the product available to eligible patients with terminal illnesses, as specified. The bill would authorize, but not require, a health benefit plan, as defined, to provide coverage for any investigational drug, biological product, or device made available pursuant to these provisions. The bill would prohibit an official, employee, or agent of the state from blocking an eligible patient’s access to the investigational drug, biological product, or device pursuant to the bill’s provisions.

AB 172 – Emergency Departments: Assaults and Batteries

Would make an assault committed against a physician, nurse, or other health care worker of a hospital engaged in providing services within the emergency department punishable by imprisonment in a county jail not exceeding one year, by a fine not exceeding $2,000, or by both that fine and imprisonment. By expanding the scope of a crime, this bill would impose a state-mandated local program. This bill contains other related provisions and other existing laws.

AB 266 – Medical Marijuana

Would establish within the Department of Consumer Affairs a Bureau of Medical Marijuana Regulation, under the supervision and control of the Chief of the Bureau of Medical Marijuana Regulation, and would require the bureau to license and regulate dispensing facilities, cultivation sites, transporters, and manufacturers of medical marijuana and medical marijuana products, subject to local ordinances.

AB 339 – Health Care Coverage: Outpatient Prescription Drugs

Would require health care service plan contracts and policies of health insurance that are offered, renewed, or amended after January 1, 2016, and that provide coverage for outpatient prescription drugs, to provide coverage for medically necessary prescription drugs that do not have a therapeutic equivalent. This bill would require copayments, coinsurance, and other cost sharing for these drugs to be reasonable.

AB – 366 Medi-Cal Reimbursement: Provider Rates

Would require claims for payments pursuant to the inpatient hospital reimbursement methodology to be increased by ___ percent for the 2015-16 fiscal year, and would require, commencing July 1, 2016, and annually thereafter, the department to increase each diagnosis-related group payment claim amount based on increases in the medical component of the California Consumer Price Index.

AB 374:  Health Care Coverage: Prescription Drugs

Would prohibit a health care service plan or health insurer that provides medication pursuant to a step therapy or first-fail requirement from applying that requirement to a patient if, in the professional judgment of the prescribing physician, the step therapy or first-fail requirement would be medically inappropriate for that patient.

AB 383 – Public Health: Hepatitis C

Current law, the Hepatitis C Education, Screening, and Treatment Act, sets forth provisions pertaining to education and outreach related to hepatitis C, as specified. Current law sets forth the intent of the Legislature with regard to these provisions.

AB 463 – Pharmaceutical Cost Transparency Act of 2015

Would require each manufacturer of a prescription drug, made available in California, that has a wholesale acquisition cost of $10,000 or more annually or per course of treatment to file a report, no later than May 1 of each year, with the Office of Statewide Health Planning and Development on the costs for each qualifying drug, as specified. The bill would require the office to issue a report annually to the Legislature outlining the information submitted pursuant to this act, and the office would be required to post the report on its Internet Web site.

AB 496 – Centralized Hospital Packaging Pharmacies: Medication Labels

Current law authorizes a centralized hospital packaging pharmacy to prepare medications for administration to inpatients within its own general acute care hospital or certain other commonly owned hospitals. Current law requires that these medications be barcoded to be readable at the inpatient’s bedside in order to retrieve certain information, including, but not limited to, the date that the medication was prepared and the components used in the drug product. This bill would require that this information be displayed on a human-readable unit-dose label, and that the information be retrievable by the pharmacist using the medication lot number or control number.

AB 503 – Emergency Medical Services

Current law requires the Emergency Medical Services Authority to develop planning and implementation guidelines for emergency medical services (EMS) systems that address several components, including, but not limited to, manpower and training, communications, transportation, and assessment of hospitals and critical care centers. This bill would authorize a health facility, as defined, to release patient-identifiable medical inform a prehospital emergency medical services provider to the extent specific data elements are requested for quality assessment and improvement purposes.

AB 611 – Controlled Substances: Prescriptions Reporting

Current law requires the Department of Justice, upon approval of an application, to provide the approved health care practitioner or pharmacist the history of controlled substances dispensed to an individual under his or her care. This bill would also authorize an individual designated to investigate a holder of a professional license to apply to the Department of Justice to obtain approval to access information contained in the CURES PDMP regarding the controlled substance history of an applicant or a licensee for the purpose of investigating the alleged substance abuse of a licensee.

AB 614 – Health Care Standards of Practice

Would authorize the State Department of Public Health to use a streamlined administrative process to update regulatory references to health care standards of practice adopted by a state or national association when outdated standards are already referenced in the California Code of Regulations. The procedure created by this bill would, among other things, require the department to post the update on the department’s Internet Web site, notify stakeholders of the proposed change, accept comments, and consider those comments prior to the adoption of the new regulations.

AB 623 – Prescription Drugs

The Knox-Keene Health Care Service Plan Act of 1975 prohibits specified health care service plan contracts that cover prescription drug benefits from limiting or excluding coverage for a drug for an enrollee under specified conditions, including if the drug previously had been approved for coverage by the plan for a medical condition of the enrollee. This bill would make technical, nonsubstantive changes to that provision. This bill would also state the intent of the Legislature to enact legislation to address the problem of prescription opioid pain reliever abuse and would make related findings and declarations.

AB 627 – Audits of Pharmacy Benefits

Current law imposes specified requirements on an audit of pharmacy services provided to beneficiaries of a health benefit plan. Current law provides that those requirements do not apply to an audit conducted because a pharmacy benefit manager, carrier, health benefit plan sponsor, or other 3rd-party payer has indications that support a reasonable suspicion that criminal wrongdoing, willful misrepresentation, fraud, or abuse has occurred, or to an audit conducted by, or at the direction of, the California State Board of Pharmacy, the State Department of Health Care Services, the State Department of Public Health, or the Medicare program.

AB 637 – Physician Orders for Life Sustaining Treatment Forms

Current law requires a physician to treat a patient in accordance with the Physician Orders for Life Sustaining Treatment form (POLST form) and specifies the criteria for creation of a POLST form, including that the form be completed by a health care provider based on patient preferences and medical indications, and signed by a physician and the patient or his or her legally recognized health care decisionmaker. This bill would authorize the signature of a nurse practitioner or a physician assistant acting under the supervision of the physician and within the scope of practice authorized by law to create a valid POLST form.

AB 649 – Medical Waste: Law Enforcement Drug Takeback Programs

Would authorize a law enforcement agency that operates a prescription drug takeback program to utilize a prescription drug incinerator that does not comply with state law up to 4 times per year if the incinerator was purchased prior to January 1, 2018.

AB 684 – Pharmacy

Current law requires the California State Board of Pharmacy to report to the now obsolete Joint Committee on Boards, Commissions, and Consumer Protection and the Department of Consumer Affairs specified examination pass rate information. This bill would instead require the board to report that pass rate information to the appropriate policy committees of the Legislature and the department.

AB 788 – Pharmacy

Current law, the Pharmacy Law, requires an oral or an electronic data transmission prescription to be reduced to writing by the pharmacist and to be filled by, or under the direction of, the pharmacist. Under current law, the pharmacist does not need to reduce to writing the address, telephone number, license classification, federal registry number of the prescriber or the address of the patient or patients if the information is readily retrievable in the pharmacy. This bill would make nonsubstantive changes to those provisions.

AB 859 – Medi-Cal Obesity Treatment Plans

This bill would declare the intent of the Legislature to enact legislation to provide beneficiaries in the Medi-Cal program who have been diagnosed by a physician and surgeon as obese or morbidly obese with a comprehensive obesity treatment plan.

AB 1069 – Prescription Drugs: Collection and Distribution Program

Under current law, only medication that is donated in unopened, tamper-evident packaging or modified unit dose containers that meet the United States Pharmacopoeia standards is eligible for donation to the repository and distribution program for surplus unused medications. Current law also prohibits the donation of controlled substances to the repository and distribution program. Current law prohibits medication that does not meet the requirements for donation and distribution from being sold, dispensed, or otherwise transferred to any other entity. This bill would make a technical, nonsubstantive change to these provisions.

AB 1117 – Medi-Cal: Vaccination Rates

Would state the intent of the Legislature to enact legislation to improve vaccination rates for persons 2 years of age in Medi-Cal managed care.

AB 1124 – Workers’ Compensation: Formulary Prescription Medications

The Administrative Director of the Division of Workers’ Compensation is authorized to adopt, amend, or repeal, after public hearings, any rules and regulations that are reasonably necessary to enforce the state workers’ compensation provisions, except where that power is specifically reserved to the Workers’ Compensation Appeals Board. This bill would require the administrative director to establish a formulary for the purposes of prescribing prescription medications.

AB 1162 – Medi-Cal: Tobacco Cessation

Would provide that tobacco cessation services are covered benefits under the Medi-Cal program and would require that those services include, at a minimum, unlimited quit attempts, which would be defined to include at least 4 counseling sessions and a 90-day treatment regimen of any medication approved by the federal Food and Drug Administration for tobacco cessation.

AB 1337 – Medical Records: Electronic Delivery

Current law requires certain enumerated medical providers and medical employers to make a patient’s records available for inspection and copying by an attorney, or his or her representative, who presents a written authorization therefor, as specified. This bill would require a medical provider or employer, or an agent thereof, to provide an electronic copy of a medical record, when an electronic a copy is requested, if the medical record exists in digital or electronic format and the medical record can be delivered electronically.

AB 1394 – Prescription Drugs

Existing law establishes the California Discount Prescription Drug Program, which is administered by the State Department of Health Care Services, under which qualified individuals are provided with prescription drugs at reduced prices that result from rebate agreements between the department and drug manufacturers. This bill would make a technical, nonsubstantive change to a provision related to the program.

ACR 26 – Prescription Drug Abuse Awareness Month

This measure would proclaim the month of March 2015 as Prescription Drug Abuse Awareness Month and encourage all citizens to actively participate in prevention programs and activities, and to safely store and dispose of their medications on a continual basis.

HR 592 – Pharmacy and Medically Underserved Areas Enhancement Act

To amend title XVIII of the Social Security Act to provide for coverage under the Medicare program of pharmacist services.

S 31 – Pard D Non-Interference 

To amend part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate covered part D drug prices on behalf of Medicare beneficiaries.

S 314 – Pharmacy and Medically Underserved Areas Enhancement Act

To amend title XVIII of the Social Security Act to provide for coverage under the Medicare program of pharmacist services.

SB 4 – Health Care Coverage: Immigration Status

Current law creates the California Health Benefit Exchange for the purpose of facilitating the enrollment of qualified individuals and small employers in qualified health care plans. Current law also provides for the Medi-Cal program, under which qualified low-income individuals receive health care services. This bill would declare the intent of the Legislature all Californians, regardless of immigration status, have access to affordable health coverage and care.

SB 19 – Physician Orders of Life Sustaining Treatment Form: Statewide Registry

Would enact the California Physician Orders for Life Sustaining Treatment Registry Act. The bill would require the California Health and Human Services Agency to establish and operate a statewide registry system, to be known as the California POLST Registry, for the purpose of collecting POLST forms received from health care providers. Health care providers who complete a POLST form would be required to include the POLST form in the patient’s medical record and would be required to submit the form to the registry, unless a patient or his or her health care decisionmaker chooses not to participate in the registry.

SB 22 – Medical Residency Training Program Grants

Would create the Graduate Medical Education Trust Fund in the State Treasury, to consist of funds from public-private partnerships created to fund grants to graduate medical residency training programs and any interest that accrues on those moneys, and would require that moneys in the fund be used, upon appropriation by the Legislature, for those purposes, as specified. The bill would require the Office of Statewide Health Planning and Development, in consultation with the California Healthcare Workforce Policy Commission, to develop criteria, upon receipt of private donations of sufficient moneys to develop the criteria, for distribution of available funds.

SB 24 – STAKE Act: Electronic Cigarettes

Would extend the STAKE Act to sales of electronic cigarettes to minors. The bill would require the State Department of Public Health to enforce the STAKE Act’s provisions with regard to sales of electronic cigarettes commencing July 1, 2016. This bill contains other related provisions and other existing laws.

SB 26 – California Health Care Cost and Quality Database

Would state the intent of the Legislature to establish a system to provide valid, timely, and comprehensive health care performance information that is publicly available and can be used to improve the safety, appropriateness, and medical effectiveness of health care, and to provide care that is safe, medically effective, patient-centered, timely, affordable, and equitable. The bill would require the Secretary of California Health and Human Services to, no later than January 1, 2017, enter into a contract with one or more independent, nonprofit organizations to administer the California Health Care Cost and Quality Database.

SB 27 – Livestock: Use of Antibiotics

Would prohibit the administration of medically important antimicrobial drugs, as defined, to livestock unless prescribed by a veterinarian pursuant to a veterinarian-client-patient relationship, as specified. The bill would make it unlawful to administer a medically important antimicrobial drug to livestock solely to cause an increased rate of weight gain or improved feed efficiency. The bill would also require the Department of Food and Agriculture to develop a program to track the use of medically important antimicrobial drugs in livestock and to track antibiotic-resistant bacteria and patterns of emerging resistance.

SB 36 – Medi-Cal: Demonstration Project

Current law provides for a demonstration project under the Medi-Cal program until October 31, 2015, to implement specified objectives, including better care coordination for seniors and persons with disabilities and maximization of opportunities to reduce the number of uninsured individuals. This bill would require the State Department of Health Care Services to submit an application to the federal Centers for Medicare and Medicaid Services for a waiver to implement a demonstration project that, among other things, continues the state’s momentum and successes in innovation achieved under the demonstration project described above.

SB 43 – Health Care Coverage: Essential Health Benefits

Would authorize the Department of Managed Health Care and the Department of Insurance to adopt emergency regulations implementing amendments made to specified-described provisions during the 2015-16 Regular Session until July 1, 2018.

SB 115 – Valley Fever

Current law establishes the Valley Fever Vaccine Project, administered by the State Department of Public Health and provides for state support and funding of efforts by the project to conduct valley fever vaccine research. This bill would appropriate $1,000,000 from the General Fund to the department for the 2015-16 fiscal year, for purposes of extending the project.

SB 128 – End of Life

Would enact the End of Life Option Act authorizing an adult who meets certain qualifications, and who has been determined by his or her attending physician to be suffering from a terminal illness, as defined, to make a request for medication prescribed pursuant to these provisions for the purpose of ending his or her life. The bill would establish the procedures for making these requests. This bill contains other related provisions and other existing laws.

SB 140 – Electronic Cigarettes

Would change the STAKE Act’s definition of tobacco products to include electronic devices, such as electronic cigarettes, that deliver nicotine and make furnishing such a tobacco product to a minor a misdemeanor.

SB 145 – Health Facilities: Patient Transporting

Would prohibit a general acute care hospital, acute psychiatric hospital, or special hospital from causing a patient with a blood alcohol content of 0.8% percent or greater to be transported to another location except when the patient is either medically stabilized or appropriately transferred to another health facility pursuant to another provision of law. The bill would make the violation of that provision subject to civil penalties, as specified.

SB 149 – Investigational Drugs, Biological Products, or Devices: Right to Try

Current law requires the sponsor of a new drug to submit to the FDA an investigational new drug application and to then conduct a series of clinical trials to establish the safety and efficacy of the drug in human populations and submit the results to the FDA in a new drug application. This bill, among other things, would permit a manufacturer of an investigational drug, biological product, or device to make the product available to eligible patients with terminal illnesses, as specified.

SB 151 – Tobacco Products: Minimum Legal Age

The Stop Tobacco Access to Kids Enforcement (STAKE) Act, establishes various requirements for distributors and retailers relating to tobacco sales to minors. Current law requires the State Department of Public Health to conduct random, onsite sting inspections of tobacco product retailers with the assistance of persons under 18 years of age. This bill would extend the applicability of those provisions to persons under 21 years of age. The bill would authorize the State Department of Public Health to conduct random, onsite string inspections of tobacco product retailers with the assistance of persons under 21 years of age.

SB 202 – Controlled Substances: Unfair or Deceptive Practices

Current law makes it a misdemeanor to sell, dispense, distribute, furnish, administer, or give, or offer to sell, dispense, distribute, furnish, administer, or give, or possess for sale, any synthetic cannabinoid compound or any synthetic cannabinoid derivative. Current law, beginning January 1, 2016, makes it an infraction to use or possess those drugs. This bill would add to that list of unlawful acts the act of advertising or offering for sale products that contain synthetic cannabinoids or synthetic stimulants, as defined. This bill contains other existing laws.

SB 203 – Sugar-Sweetened Beverages: Safety Warnings

Would establish the Sugar-Sweetened Beverages Safety Warning Act, which would prohibit a person from distributing, selling, or offering for sale a sugar-sweetened beverage in a sealed beverage container, or a multipack of sugar-sweetened beverages, in this state unless the beverage container or multipack bears a safety warning, as prescribed.

SB 238 – Foster Care: Psychotropic Medication

Would state the intent of the Legislature to enact legislation that would improve the ability of the child welfare system to track and oversee the use of psychotropic medications for children in foster care by requiring, among other things, the development of a system that triggers an alert to medical practitioners treating children in foster care when there could be potentially dangerous interactions between psychotropic medications and other prescribed medications, or when psychotropic medications have been prescribed, or prescribed in dosages, that are unusual for a child or a child of that age.

SB 243 – Medi-Cal: Reimbursement: Provider Rates

Would require claims for payments pursuant to the inpatient hospital reimbursement methodology to be increased by ___ percent for the 2015-16 fiscal year, and would require, commencing July 1, 2016, and annually thereafter, the State Department of Health Care Services to increase each diagnosis-related group payment claim amount based on increases in the medical component of the California Consumer Price Index. This bill contains other related provisions and other existing laws.

SB 253 – Dependent Children: Psychotropic Medication

Current law authorizes only a juvenile court judicial officer to make orders regarding the administration of psychotropic medications for a dependent child who has been removed from the physical custody of his or her parent. This bill would require an order authorizing administration of psychotropic medications to only be granted on clear and convincing evidence of specified matters, and would prohibit the court from authorizing the administration of psychotropic medications for a child unless a 2nd independent medical opinion is obtained from a child psychiatrist or a psychopharmacologist if one or more specified circumstances exist.

SB 259 – Health Care Professionals

Current law, the Health Care Professional Disaster Response Act, states findings of the Legislature regarding the shortage of qualified health care practitioners during times of national or state disasters, and allows a physician and surgeon, whose license has been expired for less than 5 years and who meets specified criteria, to obtain a license without paying fees. This bill would make a nonsubstantive change to those provisions.

SB 275 – Health Facility Data 

Current law requires certain health facilities and freestanding ambulatory surgery clinics to file, with the Office of Statewide Health Planning and Development, specified reports containing various patient and health data information, including, among other things, the patient’s date of birth and source of admission. Current law also provides that the Office of Statewide Health Planning and Development shall make allowances to adopt regulations adding or deleting elements listed in the patient level data elements, as specified. This bill would require the office to adopt a regulation adding physician identifiers to the patient level data elements.

SB 277 – Public Health: Vaccinations

The governing authority of a school or other institution is prohibited from unconditionally admitting any person as a pupil of any public or private elementary or secondary school, child care center, day nursery, nursery school, family day care home, or development center, unless prior to his or her admission he or she has been fully immunized against various diseases, including measles, mumps, and pertussis, subject to any specific age criteria. Current law authorizes an exemption from those provisions for medical reasons or because of personal beliefs. This bill would eliminate the exemption from immunization based upon personal beliefs.

SB 282 – Health Care Coverage: Prescription Drugs

Current law requires every prescribing provider, as defined, when requesting prior authorization for prescription drug benefits, to submit a prior authorization form developed jointly by the Department of Managed Health Care and the Department of Insurance to the health care service plan or health insurer, and requires those plans and insurers to accept only those prior authorization forms for prescription drug benefits. This bill would authorize the prescribing provider to use an electronic process developed specifically for transmitting prior authorization information that is consistent with the standardized form and that meets the National Council for Prescription Drug Programs’ SCRIPT electronic prior authorization standards.

SB 299 – Medi-Cal: Provider Enrollment

Current law, under the Medi-Cal program, requires an applicant or provider, as defined, to submit a complete application package for enrollment, continuing enrollment, or enrollment at a new location or a change in location, and generally requires the application package for enrollment, the provider agreement, and all attachments or changes to either that are submitted by specified applicants or providers to be notarized. This bill would exempt from these notarization requirements any provider that chooses to enroll electronically.

SB 319 – Child Welfare Services: Public Health Nursing

This bill would require a county to provide the services of a foster care public health nurse to children in foster care by contracting with the community child health and disability prevention program established in that county. The bill would require a foster care public health nurse to monitor and oversee each child in foster care who is administered one or more psychotropic medications, as specified. The bill would give the foster care public health nurse access to the child’s medical, dental, and mental health care information in order to fulfill these duties. By imposing these additional duties on foster care public health nurses, this bill would impose a state-mandated local program.

SB 323 – Nurse Practioners

The Nursing Practice Act provides for the licensure and regulation of nurse practitioners by the Board of Registered Nursing. This bill would make legislative findings and declarations with respect to the importance of care provided by nurse practitioners.

SB 337 – Physician Assistants

Would require that the medical record for each episode of care for a patient, identify the physician and surgeon who is responsible for the supervision of the physician assistant. The bill would require a physician assistant who transmits an oral order to identify the name of the supervising physician and surgeon responsible for the patient. The bill would delete specified medical record review provisions, and, instead, require the supervising physician and surgeon to use one or more of described review mechanisms.

SB 361 – Skilled Nursing Facilities: Antimicrobial Stewardship Guidelines

Would require the State Department of Public Health, by no later than July 1, 2016, to develop guidelines in accordance with guidelines established by the federal government and professional organizations, extending the principles of antimicrobial stewardship in order to promote the judicious use of antimicrobials in all skilled nursing facilities, as defined.

SB 370 – Immunizations: Disclosure of Information: Tuberculosis Screening

Current law permits local health departments and the State Department of Public Health to share the name of a patient or client, or parent or guardian of a patient or client, with a state, local health department, health care provider, immunization information system, or any representative of an entity designated by federal or state law to receive this information. Under current law, the patient or client, or parent or guardian of the patient or client, has the right to examine shared immunization-related information and to correct errors in it. This bill would include the patient’s or client’s height, weight, and body mass index, and other patient or client information of public health importance as determined by the department, in consultation with the California Conference of Local Health Officers, in the list of information that may be shared.

SB 423 – Pharmaceutical Waste: Over-the-Counter Drugs and Nutritional Supplements

Would exclude from the definition of “pharmaceutical waste,” for purposes of regulation under the Medical Waste Management Act, any over-the-counter human or veterinary drug or dietary supplement that is, among other things, characterized and managed as a hazardous or solid waste and, with respect to an over-the-counter human or veterinary drug, is not disposed of on land within the state.

SB 435 – Medical Home: Health Care Delivery Model

Would declare the intent of the Legislature to enact legislation to establish the “patient centered medical home” health care delivery model.

SB 447 – Medi-Cal: Clinics: Drugs and Supplies

Current law requires reimbursement for drugs and supplies covered under the Medi-Cal program and Family PACT Program by a licensed community clinic or free clinic, or an intermittent clinic, to be the lesser of the amount billed or the Medi-Cal reimbursement rate and caps reimbursement at the net cost of the drugs or products as provided to retail pharmacies under the Medi-Cal program. This bill would revise this reimbursement formula, and would instead require the clinic dispensing fee to be the difference between the actual acquisition cost of a drug or supply, to be calculated not less than annually, and the Medi-Cal reimbursement rate.

SB 453 – Prisons – Involuntary Medication

Current law provides that the court shall order that a mentally incompetent defendant be delivered by the sheriff to a state hospital for the care and treatment of the mentally disordered, as directed by the State Department of State Hospitals, or to any other available public or private treatment facility approved by the community program director that will promote the defendant’s speedy restoration to mental competence, or placed on outpatient status as specified. This bill would authorize a psychiatrist designated by the facility medical director to make the determination and certification as to whether antipsychotic medication is medically necessary and appropriate and to administer that medication to the defendant for up to 21 days.

SB 482 – Controlled Substances: Reporting

Current law requires dispensing pharmacies and clinics to report specified information for each prescription of a Schedule II, Schedule III, or Schedule IV controlled substance to the Department of Justice, no more than 7 days after the controlled substance was dispensed. This bill would specify that the dispensing pharmacies and clinics are required to report the specified information to the department no more than 7 business days after the controlled substance was dispensed.

SB 484 – Juveniles

The California Community Care Facilities Act provides for the licensure and regulation of community care facilities, including foster family homes and group homes, by the State Department of Social Services. A violation of this act is a misdemeanor. This bill would require the department director to include in that list specified information regarding administering psychotropic medications to children in those facilities.

SB 538 – Naturopathic Doctors

Current law authorizes a naturopathic doctor to perform certain tasks, including physical and laboratory examinations for diagnostic purposes, and to order diagnostic imaging studies, as specified. This bill would revise and recast those provisions and would expressly authorize a naturopathic doctor to order, perform, review, and interpret the results of diagnostic procedures commonly used by physicians and surgeons in general practice and to dispense, administer, order, prescribe, provide, furnish, or perform parenteral therapy and minor procedures, among other duties.

SB 587 – Pharmacy: Compounding

Current law, the Pharmacy Law, provides for the licensure and regulation of pharmacists and pharmacy corporations in this state by the California State Board of Pharmacy. The law prohibits a pharmacy from compounding sterile drug products unless the pharmacy has obtained a sterile compounding pharmacy license from the board, and prohibits the board from issuing or renewing that license until the board has, among other things, reviewed a current copy of the pharmacy’s procedures and policies for sterile compounding. This bill would make a nonsubstantive change to that licensing provision.

SB 590 – Pharmacy: Intern Pharmacists

Current Law requires an intern pharmacist to complete 1,500 hours of pharmacy practice or intern experience before applying for the pharmacist licensure examination. Current law authorizes an applicant for examination who has been licensed as a pharmacist in any state for at least one year to submit certification to satisfy the required 1,500 hours or intern experience if that applicant has obtained a minimum of 900 hours of pharmacy practice experience in a pharmacy as a pharmacist. This bill would instead require, for all appicants, that 900 hours of the 1,500 required pharmacy practice experience include experience in a pharmacy, including experience in both a community and institutional pharmacy practice setting.

SB 619 – Medi-Cal: 503B Outsourcing Facilities

Specific provisions will be developed in the near future to establish licensure requirements for instate and out of state outsourcing facilities that will be added into SB 619. The guidance documents released by the FDA and scheduled for discussion under Section VIII of the agenda at this meeting will be possible sources of some components for the legislation. Additionally, the FDA’s national meeting in mid-March regarding compounding pharmacies and outsourcing facilities will likely be additional origins of components for the regulation.

SB 671 – Pharmacy: Biological Product

This bill would authorize a pharmacist, in his or her discretion, except as specified, to select an alternative biological product when filling a prescription order for a prescribed biological product if the alternative biological product is interchangeable, as defined, and the prescriber does not personally indicate “Do not substitute,” as specified. The bill would also require a pharmacist or his or her designee when dispensing a biological product to communicate to the prescriber the specific biological product provided to the patient, including the name of the product and the manufacturer, except as specified. The bill would prohibit a pharmacist from selecting an alternative biological product that meets the requirements of these provisions unless the cost to the patient of the alternative biological product selected is the same or less than the cost of the prescribed biological product. The bill would also require that the substitution of a biological product be communicated to the patient. Because a knowing violation of these requirements would be a misdemeanor, the bill would create new crimes, thereby imposing a state-mandated local program.

SB 715 – Investigational Drugs, Biological Products, or Devices: Right to Try

Would, among other things, permit a manufacturer of an investigational drug, biological product, or device to make the product available to eligible patients with terminal illnesses, as specified. The bill would authorize, but not require, a health benefit plan, as defined, or governmental agency to provide coverage for any investigational drug, biological product, or device made available pursuant to these provisions or the associated costs.

SB 738 – Pupul Health: Epinephrine Auto-Injectors: Liability Limitation

Current law requires a qualified supervisor of health or administrator at a school district, county office of education, or charter school to obtain the prescription for epinephrine auto-injectors from an authorizing physician and surgeon, as defined, and authorizes the prescription to be filled by local or mail order pharmacies or epinephrine auto-injector manufacturers. This bill would prohibit an authorizing physician and surgeon from being subject to professional review, being liable in a civil action, or being subject to criminal prosecution for any act in the issuing of a prescription or order, pursuant to these provisions, unless the act constitutes gross negligence or willful or malicious conduct.

SB 744 – Pupil Health: Epinephrine Auto-Injectors

Current law requires school districts, county offices of education, and charter schools to provide emergency epinephrine auto-injectors to school nurses and trained personnel who have volunteered, as specified, and would authorize school nurses and trained personnel to use epinephrine auto-injectors to provide emergency medical aid to persons suffering, or reasonably believed to be suffering, from an anaphylactic reaction. Current law defines terms to be used for purposes of these provisions. This bill would make nonsubstantive changes to these provisions.

SB 792 – Day Care Facilities: Immunizations

Would prohibit a day care center or a family day care home from employing any person who has not been immunized against influenza, pertussis, and measles. Because the bill would extend the application of a crime under the California Child Day Care Facilities Act, the bill would impose a state-mandated local program. This bill contains other related provisions and other existing laws.

Contacts

California Society of Health-System Pharmacists
1314 H Street, Suite 200
Sacramento, CA 95814
Office: (916) 447-1033
Fax: (916) 447-2396
Email: info@cshp.org
Hours: M-F 8:00am – 5:00pm

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