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CSSB 196(L&C): "An Act relating to establishing a controlled substance prescription database."

00 CS FOR SENATE BILL NO. 196(L&C) 01 "An Act relating to establishing a controlled substance prescription database." 02 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 03 * Section 1. AS 08.80.030(b) is amended to read: 04 (b) In order to fulfill its responsibilities, the board has the powers necessary 05 for implementation and enforcement of this chapter, including the power to 06 (1) elect a president and secretary from its membership and adopt rules 07 for the conduct of its business; 08 (2) license by examination or by license transfer the applicants who are 09 qualified to engage in the practice of pharmacy; 10 (3) assist the department in inspections and investigations for 11 violations of this chapter, or of any other state or federal statute relating to the practice 12 of pharmacy; 13 (4) adopt regulations to carry out the purposes of this chapter; 14 (5) establish and enforce compliance with professional standards and 15 rules of conduct for pharmacists engaged in the practice of pharmacy;

01 (6) determine standards for recognition and approval of degree 02 programs of schools and colleges of pharmacy whose graduates shall be eligible for 03 licensure in this state, including the specification and enforcement of requirements for 04 practical training, including internships; 05 (7) establish for pharmacists and pharmacies minimum specifications 06 for the physical facilities, technical equipment, personnel, and procedures for the 07 storage, compounding, and dispensing of drugs or related devices, and for the 08 monitoring of drug therapy; 09 (8) enforce the provisions of this chapter relating to the conduct or 10 competence of pharmacists practicing in the state, and the suspension, revocation, or 11 restriction of licenses to engage in the practice of pharmacy; 12 (9) license and regulate the training, qualifications, and employment of 13 pharmacy interns and pharmacy technicians; 14 (10) issue licenses to persons engaged in the manufacture and 15 distribution of drugs and related devices; 16 (11) establish and maintain a controlled substance prescription 17 database as provided in AS 17.30.200. 18 * Sec. 2. AS 17.30 is amended by adding a new section to read: 19 Article 4A. Controlled Substance Prescription Database. 20 Sec. 17.30.200. Controlled substance prescription database. (a) The 21 controlled substance prescription database is established in the Board of Pharmacy. 22 The purpose of the database is to contain data as described in this section regarding 23 every prescription for a schedule IA, IIA, IIIA, IVA, or VA controlled substance under 24 state law or a schedule I, II, III, IV, or V controlled substance under federal law 25 dispensed in the state to a person other than an inpatient in a licensed health care 26 facility. The Department of Commerce, Community, and Economic Development 27 shall assist the board and provide necessary staff and equipment to implement this 28 section. 29 (b) The pharmacist-in-charge of each licensed or registered pharmacy, 30 regarding each schedule IA, IIA, IIIA, IVA, or VA controlled substance under state 31 law or a schedule I, II, III, IV, or V controlled substance under federal law dispensed

01 by a pharmacist under the supervision of the pharmacist-in-charge, and each 02 practitioner who directly dispenses a schedule IA, IIA, IIIA, IVA, or VA controlled 03 substance under state law or a schedule I, II, III, IV, or V controlled substance under 04 federal law other than those dispensed for an inpatient at a health care facility, shall 05 submit to the board, by a procedure and in a format established by the board, the 06 following information for inclusion in the database: 07 (1) the name of the prescribing practitioner and the practitioner's 08 federal Drug Enforcement Administration registration number or other appropriate 09 identifier; 10 (2) the date of the prescription; 11 (3) the date the prescription was filled and the method of payment; 12 (4) the name and address of the person for whom the prescription was 13 written; 14 (5) the name and national drug code of the controlled substance; 15 (6) the quantity and strength of the controlled substance prescribed or 16 dispensed; 17 (7) the name of the drug outlet dispensing the controlled substance; 18 (8) the name of the pharmacist or practitioner dispensing the controlled 19 substance and other appropriate identifying information; and 20 (9) other relevant information as required by the board. 21 (c) The board shall maintain the database in an electronic file or by other 22 means established by the board to facilitate use of the database for identification of 23 (1) prescribing practices and patterns of prescribing and dispensing 24 controlled substances; 25 (2) practitioners who prescribe controlled substances in an 26 unprofessional or unlawful manner; 27 (3) individuals who receive prescriptions for controlled substances 28 from licensed practitioners and who subsequently obtain dispensed controlled 29 substances from a drug outlet in quantities or with a frequency inconsistent with 30 generally recognized standards of dosage for that controlled substance; and 31 (4) individuals who present forged or otherwise false or altered

01 prescriptions for controlled substances to a pharmacy. 02 (d) The database and the information contained within the database are 03 confidential, are not public records, and are not subject to public disclosure. The board 04 shall undertake to ensure the security and confidentiality of the database and the 05 information contained within the database. The board may allow access to the 06 database only to the following persons, and in accordance with the limitations 07 provided and regulations of the board: 08 (1) personnel of the board regarding inquiries concerning licensees or 09 registrants of the board or personnel of another board or agency regarding license 10 inquiries concerning a practitioner; 11 (2) authorized board personnel or contractors as required for 12 operational and review purposes; 13 (3) a licensed practitioner having authority to prescribe controlled 14 substances, to the extent the information relates specifically to a current patient of the 15 practitioner to whom the practitioner is prescribing or considering prescribing a 16 controlled substance; 17 (4) a licensed or registered pharmacist having authority to dispense 18 controlled substances, to the extent the information relates specifically to a current 19 patient to whom the pharmacist is dispensing or considering dispensing a controlled 20 substance; 21 (5) federal, state, and local law enforcement authorities may receive 22 printouts of information contained in the database pursuant to a search warrant, 23 subpoena, or order issued by a court establishing probable cause for the access and use 24 of the information; and 25 (6) an individual who is the recipient of a controlled substance 26 prescription entered into the database may receive information contained in the 27 database concerning the individual on providing evidence satisfactory to the board that 28 the individual requesting the information is in fact the person about whom the data 29 entry was made and on payment of a fee set by the board under AS 37.10.050 that 30 does not exceed $10. 31 (e) The failure of a pharmacist-in-charge, pharmacist, or practitioner to submit

01 information to the database as required under this section is grounds for the board to 02 take disciplinary action against the license or registration of the pharmacy or 03 pharmacist or for another licensing board to take disciplinary action against a 04 practitioner. 05 (f) The board may enter into agreements with tribal and military dispensers 06 and practitioners in this state to submit information to and access information in the 07 database subject to this section and the regulations of the board. 08 (g) The board shall notify the president of the senate and the speaker of the 09 house of representatives if, at any time after the effective date of this Act, the federal 10 government fails to pay the costs of the controlled substance prescription database. 11 (h) An individual who has submitted information to the database in 12 accordance with this section may not be held civilly liable for having submitted the 13 information. Nothing in this section requires or obligates a dispenser or practitioner to 14 access or check the database before dispensing, prescribing, or administering a 15 medication, or providing medical care to a person. Dispensers or practitioners may not 16 be held civilly liable for damages for accessing or failing to access the information in 17 the database. 18 (i) A person who intentionally discloses information in the database without 19 authority or allows an unauthorized person access to the database commits a class A 20 misdemeanor. A person who intentionally obtains unauthorized access to the database 21 or alters or destroys information in the database without authority commits a class C 22 felony. 23 (j) In this section, 24 (1) "board" means the Board of Pharmacy; 25 (2) "database" means the controlled substance prescription database 26 established in this section; 27 (3) "pharmacist-in-charge" has the meaning given in AS 08.80.480.