Legislature(2015 - 2016)CAPITOL 106
02/04/2016 03:00 PM House HEALTH & SOCIAL SERVICES
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| Audio | Topic |
|---|---|
| Start | |
| SB23 | |
| HB226 | |
| HB260 | |
| HB262 | |
| Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
| += | HB 226 | TELECONFERENCED | |
| += | HB 260 | TELECONFERENCED | |
| += | HB 262 | TELECONFERENCED | |
| += | SB 23 | TELECONFERENCED | |
| + | TELECONFERENCED |
SB 23-IMMUNITY FOR PROVIDING OPIOID OD DRUG
3:05:28 PM
CHAIR SEATON announced that the first order of business would be
CS FOR SENATE BILL NO. 23(JUD), "An Act relating to opioid
overdose drugs and to immunity for prescribing, providing, or
administering opioid overdose drugs."
3:07:15 PM
SENATOR JOHNNY ELLIS, Alaska State Legislature, reported that
there had been statewide support for the proposed bill, with no
known opposition.
3:08:17 PM
CHAIR SEATON moved to adopt Amendment 1, labeled 29-S0058\E.6,
Wallace, 2/3/16, which read:
Page 1, line 1, following "Act":
Insert "relating to the practice of pharmacy;
relating to the dispensing of opioid overdose drugs by
a pharmacist; and"
Page 1, following line 3:
Insert new bill sections to read:
"* Section 1. AS 08.80.030(b) is amended to read:
(b) In order to fulfill its responsibilities,
the board has the powers necessary for implementation
and enforcement of this chapter, including the power
to
(1) elect a president and secretary from
its membership and adopt rules for the conduct of its
business;
(2) license by examination or by license
transfer the applicants who are qualified to engage in
the practice of pharmacy;
(3) assist the department in inspections
and investigations for violations of this chapter, or
of any other state or federal statute relating to the
practice of pharmacy;
(4) adopt regulations to carry out the
purposes of this chapter;
(5) establish and enforce compliance with
professional standards and rules of conduct for
pharmacists engaged in the practice of pharmacy;
(6) determine standards for recognition and
approval of degree programs of schools and colleges of
pharmacy whose graduates shall be eligible for
licensure in this state, including the specification
and enforcement of requirements for practical
training, including internships;
(7) establish for pharmacists and
pharmacies minimum specifications for the physical
facilities, technical equipment, personnel, and
procedures for the storage, compounding, and
dispensing of drugs or related devices, and for the
monitoring of drug therapy;
(8) enforce the provisions of this chapter
relating to the conduct or competence of pharmacists
practicing in the state, and the suspension,
revocation, or restriction of licenses to engage in
the practice of pharmacy;
(9) license and regulate the training,
qualifications, and employment of pharmacy interns and
pharmacy technicians;
(10) issue licenses to persons engaged in
the manufacture and distribution of drugs and related
devices;
(11) establish and maintain a controlled
substance prescription database as provided in
AS 17.30.200;
(12) establish standards for the
independent administration by a pharmacist of vaccines
and related emergency medications under AS 08.80.168,
including the completion of an immunization training
program approved by the board;
(13) establish standards for the independent
dispensing by a pharmacist of an opioid overdose drug
under AS 17.20.085, including the completion of an
opioid overdose training program approved by the
board.
* Sec. 2. AS 08.80.168(b) is amended to read:
(b) In this section,
(1) "opioid overdose drug" has the meaning
given in AS 17.20.085;
(2) "related emergency medication" includes
an epinephrine injection or other medication for the
treatment of a severe allergic reaction to a vaccine.
* Sec. 3. AS 08.80.168 is amended by adding a new
subsection to read:
(c) A pharmacist may independently dispense an
opioid overdose drug if the pharmacist has completed
an opioid overdose drug training program approved by
the board and otherwise complies with the standards
established by the board under AS 08.80.030(b).
* Sec. 4. AS 08.80.480(27) is amended to read:
(27) "practice of pharmacy" means the
interpretation, evaluation, and dispensing of
prescription drug orders in the patient's best
interest; participation in drug and device selection,
drug administration, drug regimen reviews, and drug or
drug-related research; provision of patient counseling
and the provision of those acts or services necessary
to provide pharmaceutical care; the administration of
vaccines and related emergency medication; the
independent dispensing of opioid overdose drugs; and
the responsibility for compounding and labeling of
drugs and devices except labeling by a manufacturer,
repackager, or distributor of nonprescription drugs
and commercially packaged legend drugs and devices;
proper and safe storage of drugs and devices; and
maintenance of proper records for them;"
Page 1, line 4:
Delete "Section 1"
Insert "Sec. 5"
Renumber the following bill section accordingly.
REPRESENTATIVE VAZQUEZ objected for discussion.
CHAIR SEATON explained that the proposed amendment would allow a
pharmacist to dispense the opioid overdose drugs independent of
a prescription by adding to the responsibilities of the Board of
Pharmacy and to the definition of the practice of pharmacy. He
pointed out that this proposed amendment added to the title of
the proposed bill to include the practice of pharmacy, as well
as adding four new Sections, which contained: inclusion of
standards for independent dispensing of opioid drug overdose and
an opioid overdose training program as the responsibility of the
Board of Pharmacy; inclusion of opioid overdose drugs with the
definition of emergency medications; allowance for pharmacists
to independently dispense opioid overdose drugs if training has
been completed and standards of the Board of Pharmacy have been
fulfilled; and, inclusion of independent dispensing of opioid
overdose drugs in the practice of pharmacy. He reminded the
committee that the amendment included a title change for the
proposed bill.
SENATOR ELLIS noted that other states had already made these
changes, that the Fred Meyer stores in the Pacific Northwest
were ready to make this drug available, and there appeared to be
unanimous favor.
3:11:55 PM
REPRESENTATIVE VAZQUEZ removed her objection. There being no
further objection, Amendment 1 was adopted.
3:12:10 PM
CHAIR SEATON moved to adopt Amendment 2, labelled 29-LS0058\E.4,
Wallace, 1/29/16, which read:
Page 2, line 5, following "program":
Insert "; education and training under this
paragraph may be provided by any reasonable means,
including through the use of electronic, video, or
automated education or training resources"
Page 2, line 15, following "program":
Insert "; education and training under this
paragraph may be provided by any reasonable means,
including through the use of electronic, video, or
automated education or training resources"
REPRESENTATIVE VAZQUEZ objected for discussion.
CHAIR SEATON paraphrased from Amendment 2, stating that it was
intended to ensure that the training for administration of the
opioid overdose drug, required by the proposed bill, could be
provided by any reasonable means.
3:12:59 PM
REPRESENTATIVE VAZQUEZ removed her objection. There being no
further objection, Amendment 2 was adopted.
3:13:22 PM
SENATOR ELLIS reflected on the training component mentioned in
Amendment 2. He reported that, although the drug was safe and
there had not been any problems, he wanted to make sure that
people other than medical personnel also had reasonable access
to the training.
3:14:15 PM
CHAIR SEATON moved to adopt Amendment 3, labeled 29-LS0058\E.3,
Wallace, 1/28/16, which read:
Page 2, line 20, following "assistant,":
Insert "nurse,"
Page 3, line 15, following "assistant,":
Insert "nurse,"
REPRESENTATIVE VAZQUEZ objected for discussion.
CHAIR SEATON explained that Amendment 3 would allow a nurse to
provide the required training.
3:14:56 PM
REPRESENTATIVE VAZQUEZ removed her objection. There being no
further objection, Amendment 3 was adopted.
3:15:30 PM
REPRESENTATIVE VAZQUEZ moved to report CSSB 23(JUD), Version 29-
LS0058\E, as amended, out of committee with individual
recommendations and the accompanying fiscal notes. There being
no further objection, HCS CSSB 23(HSS) was moved from the House
Health and Social Services Standing Committee.
3:16:26 PM
The committee took an at-ease from 3:16 p.m. to 3:19 p.m.
3:19:19 PM
CHAIR SEATON brought the committee back to order, and noted
there was also a resolution in support of CSSB 23(JUD) from the
Kenai Peninsula Borough [included in members' packets].