Legislative Updates for CSHP Members
CSHP is excited to introduce a new feature to our AdvocacySource Newsletter and to our membership! CSHP's lobbying firm, the Weideman Group, will author a guest column, CSHP at the Capitol, twice monthly to give CSHP members a window into the Capitol and highlight CSHP's advocacy efforts in Sacramento.
CSHP has utilized the Weideman Group for several years now as part of the society's government affairs program. The principal of Weideman Group, Mark Weideman, was CSHP's lobbyist during the passage of SB 493 and played a pivotal role in the bill's ultimate success. Mark Weideman has also been CSHP's chief advocate for bills like SB 1039 and AB 486 and will continue to represent CSHP in the legislature in 2017.
Another key Weideman Group advocate for CSHP is Tim Valderrama, who was Senator Hernandez's Chief of Staff for more than six years, including the period when the senator authored and passed SB 493 in 2013. Valderrama has been at the center of California's healthcare policymaking for many years and brings a wealth of expertise to CSHP. This includes Valderrama working closely with Senator Hernandez on California's successful implementation of the Affordable Care Act, the startup of Covered California, and the expansion of Medi-Cal coverage.
We hope you'll enjoy these guest columns from Weideman Group, and join us in 2017 as CSHP continues to advance its mission of promoting "wellness, patient safety and the optimal use of medication" through advocacy efforts at the Capitol!
March 20, 2017
As discussed in the last column, CSHP’s Government Affairs Advisory Committee and the Weideman Group are working through many bills that have been introduced in the legislature to identify those that are pertinent to the pharmacy profession, and to recommend legislative positions and priorities to help guide CSHP advocacy this year. While this process is ongoing, here is a sneak peak at some of the many bills that have been introduced, and that CSHP will be analyzing and potentially engaging on in the coming weeks and months.
AB 401 (Aguiar-Curry): Requires the Board of Pharmacy to issue a remote dispensing site pharmacy license and authorizes the board to establish, by regulation, locations eligible for a remote dispensing site pharmacy. The bill would also authorize a pharmacy located in California to serve as a supervising pharmacy to provide telepharmacy services for up to 3 remote dispensing site pharmacies and would require a pharmacist from the supervising pharmacy to, among other things, be capable of being on site at the remote dispensing pharmacy within 6 hours.
AB 1589 (Salas): This bill, which is likely to be amended in the future to contain further potential changes to pharmacy law, would require the Board of Pharmacy to review California’s pharmacy technician ratio on a biennial basis and require the Board to provide a report to the Legislature with recommendations if it deems changes are necessary. There has been significant interest from a variety of stakeholders, including some retail pharmacy chains, about wanting to be able to expand the pharmacy technician ratio.
SB 351 (Roth): Establishes a “hospital satellite compounding pharmacy" licensure designation, which the bill currently defines as an area licensed by the Board to perform sterile compounding that is separately licensed by the Board to perform that compounding and located outside of the hospital in another physical plant that is regulated as a general acute care hospital.
SB 419 (Portantino): Prohibits the prescribing of oxycodone to patients under 21 years of age. According to the author’s office, the bill is in response to increasing levels of prescription drug abuse by minors and young adults.
A central benefit provided to members of CSHP is our advocacy efforts in Washington D.C. and Sacramento on policy issues that affect our profession. CSHP will be closely monitoring these issues and will be engaging with policy makers on your behalf throughout the year. Stay tuned!
February 28, 2017
Each year, the California Legislature introduces and acts on thousands of legislative bills touching practically every topic under the sun. A certain number of those each year impact, or have the potential to impact, the profession of pharmacy. Advancing and supporting legislation that empowers pharmacists and improves patient health is a core function of CSHP and its government affairs team. Conversely, educating lawmakers and pushing back on misguided or potentially harmful legislative proposals remains a core part of the work CSHP undertakes in Sacramento each year.
As of the bill introduction deadline on February 17, the Legislature had introduced a total of 2,623 bills this year, 1,751 in the Assembly and 872 in the Senate. A small but significant number of those have the ability to affect your profession.
In response, CSHP’s lobbying firm (the Weideman Group) and CSHP’s Government Affairs Advisory Committee (GAAC) have already started working through that mountain of legislation to identify proposals that have potential to impact the pharmacy profession. After identifying bills germane to the pharmacy profession, the GAAC and the Weideman Group recommend positions and priorities to CSHP’s Board of Directors to focus and prioritize CSHP’s legislative involvement. CSHP’s Board makes additional changes as necessary and then approves CSHP’s legislative agenda for the year, which helps guide CSHP engagement as we move forward through the year.
How can you get involved in the coming months? Many of you already have by supporting the federal provider status legislation, HR 592 and S 109. CSHP will call on its members to engage on additional priority legislation in the coming months. Additionally, CSHP is planning the 2017 California Pharmacy Legislative Day, to take place Tuesday, April 25th, in Sacramento. In addition to making a difference on behalf of your profession and patients, CSHP members who have participated in prior legislative days will tell you the experience is rewarding and incredibly educational. More information is coming soon, so stay tuned! Finally, consider getting involved in a CSHP committee or task force. Committees like the GAAC play a direct role in guiding CSHP engagement in the Legislature. A call for volunteers will occur in March. New members are added to the committees each year, so contact the CSHP office to learn more!
February 10, 2017
Did you know that CSHP advocates for policies that empower pharmacists and improve patient safety and the optimal use of medicine at both the state and federal levels?
In partnership with the American Society of Health-System Pharmacists (ASHP), CSHP is currently supporting House of Representatives bill HR 592 and Senate bill S 109. These bills will authorize pharmacists to provide Medicare beneficiaries the same services they are already empowered to provide through their state pharmacy practice acts.
In California, we have been very successful with legislation such as SB 493, but we need to continue to advocate for additional policies that help advance the practice of pharmacy and optimal use of medicine for our patients, at both the state and federal levels. And as always, you can play a direct role in making that happen by calling on your California Senators and local Congressional Representative.
CSHP has put together a template support letter to help facilitate making your voice heard – simply click visit our website, input your name and address information, and we will do the rest!
Thank you for being a part of the CSHP advocacy team.
January 17, 2017
Legislative policy committees are an integral component of how a bill becomes law. Each legislative committee (and there are many) focuses on a specific issue area, and then hears and votes on bills germane to their subject matter area of expertise. Each legislative committee may hear hundreds of bills during the legislative session. Last week, committee chairs in the Assembly and Senate were finalized by legislative leadership in the respective houses. Committee chairs preside over hearings with each chair wielding significant influence on bills passing through his or her committee.
Most legislative bills related to the profession of pharmacy pass through four committees: the Assembly and Senate Health Committees and the Assembly and Senate Business and Professions Committees. CSHP regularly engages on bills moving through these four committees, and as such works directly with the chairs of those committees and their staff. You will be hearing more about these four committees as we move through the year, so today we’d like to share some background information on the chairs of these important committees. CSHP looks forward to working with all four chairs in 2017.
Senator Ed Hernandez, Chair, Senate Health Committee
Senator Ed Hernandez is a familiar name for members of CSHP. Hernandez represents the 22nd Senate District in Los Angeles. Hernandez was first elected to the Assembly in 2006 before being elected to the Senate in 2010. Hernandez is an optometrist by trade and owns his private practice. Hernandez is currently running for Lieutenant Governor in 2018.
As CSHP members know, Hernandez was the author of SB 493 in 2013. Hernandez has been a champion of expanding access to healthcare for Californians and was a chief implementer of the Affordable Care Act in California. Hernandez has been a strong supporter of empowering pharmacists, nurse practitioners, optometrists and other healthcare professionals to be able to do more to provide needed primary care services. Hernandez remains a legislative champion for CSHP and a partner in improving access and care for our patients.
Assemblymember Jim Wood, Chair, Assembly Health Committee
Assemblymember Wood represents the 2nd Assembly District encompassing a stretch of California’s northern coast. Wood was first elected to the Assembly in 2014, is a dentist and owns his dental practice. He is also a forensic dentistry expert.
Wood was named chair of the Assembly Health Committee last year and has done a good job learning the issues in a short period. He has been a proponent of seeking innovative ways to expand access to care, which is a challenge in his largely rural district. In the coming year, we will work to educate Assemblyman Wood about the profession and explore ways to collaborate with him on issues of expanding access to care in rural portions of the state.
Senator Jerry Hill, Chair, Senate Business and Professions Committee
Senator Hill represents Senate District 13 in the Bay Area, which includes Silicon Valley. Hill was elected to the Assembly in 2008 and then to the Senate in 2012, and was chair of the Senate Business and Professions Committee last legislative session and he remains the chair in the new 2017-2018 legislative session.
One of the issues Senator Hill has championed is microbial stewardship in responding to rising rates of antibiotic resistance. CSHP has been supportive of efforts in the past, including those led by Senator Hill, to address microbial stewardship through efforts such as improving education about the usage of antibiotics in the livestock sector or requirements around microbial stewardship plans for hospitals. He is also very interested in policy related to diversion and has been an advocate of strengthening California’s CURES database.
Assemblymember Rudy Salas, Chair, Assembly Business and Professions Committee
Assemblymember Salas represents the 32nd Assembly District in the South San Joaquin Valley. Salas was elected to the Assembly in 2012 and has been chair of the Assembly Business and Professions Committee since 2016.
Kern County, which Salas represents, faces many severe challenges related to healthcare including provider shortages, high poverty and health morbidity rates. CSHP members from Kern County participated in the development of SB 493 and brought valuable perspectives about the benefits of empowering pharmacists in rural areas. CSHP lobbyists and GAAC members will be working with Assemblyman Salas this year to strengthen his understanding of the role pharmacists play in our healthcare delivery system.
December 20, 2016
California Democrats were successful in securing supermajorities in both the Assembly and the Senate. However, the diverse Democratic caucus and a large contingent of moderate Democrats may prove challenging to legislative leadership, particularly on issues related to taxes and climate. The new legislature was officially sworn in on December 5th. Numerous bills were also introduced that day, with multiple high-profile bills related to immigration, transportation and infrastructure leading the way.
In the world of healthcare, a flurry of activity will occur in the coming days to push back on President-elect Trump and Congress's desire to repeal the Affordable Care Act without a replacement plan in place. Drug pricing is expected to be an issue of concern for many members of the legislature - the effort will be led by Senator Hernandez's bill (SB 17) to bring greater transparency to drug pricing and to provide purchasers with advanced notification of price increases. Other hot topics include the implementation of the Medicaid Managed Care rule, how to spend revenue generated by Proposition 55 which is the tax extension to fund education and healthcare and Proposition 56; the cigarette tax to fund healthcare, as well as increased access to care monitoring required by the Medi-Cal waivers. A proposal to revisit the pharmacy technician supervising ratio is expected, which will be addressed in subsequent issues of this publication as details emerge.
Additional advocacy highlights and updates from the Government Affairs Advisory Committee (GAAC) will be shared with members in the New Year!