Legislature(2003 - 2004)

02/13/2003 03:07 PM House HES

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
HB  51-LABELING OF PRESCRIBED DRUGS                                                                                           
                                                                                                                                
Number 2127                                                                                                                     
                                                                                                                                
CHAIR  WILSON announced  that the  next bill  the committee  will                                                               
hear  is HOUSE  BILL NO.  51,  "An Act  requiring pharmacists  to                                                               
include generic drug information on containers in which brand-                                                                  
name prescription drug orders are dispensed."                                                                                   
                                                                                                                                
Number 2148                                                                                                                     
                                                                                                                                
REPRESENTATIVE SEATON, sponsor of HB  51, explained that the bill                                                               
was generated  from a public  health and safety concern  for many                                                               
people across Alaska, especially  senior citizens, who are having                                                               
trouble with  medications labeling.   Representative  Seaton told                                                               
the members that prescription medications  can be a brand name or                                                               
generic name,  and while  the medication itself  is the  same, it                                                               
does not  have labeling which reflects  that.  He said  that when                                                               
an individual  gets medication filled  from a pharmacy and  it is                                                               
filled with  a generic  medication, the generic  name will  be on                                                               
the label.   However, most  often, if the prescription  is filled                                                               
with a brand name, only the  brand name will appear on the label.                                                               
Representative Seaton  told the committee that  often individuals                                                               
are double filling the medication  because they do not notice the                                                               
medications are  the same.   He said  if an individual  were only                                                               
taking one pill  with chronic illnesses it would not  be as great                                                               
a problem,  but what  has happened now  is medicines  have become                                                               
much  more  prolific to  treat  specific  parts of  diseases,  so                                                               
people end  up taking six,  seven, eight, or more  medications to                                                               
treat their conditions.                                                                                                         
                                                                                                                                
Number 2230                                                                                                                     
                                                                                                                                
REPRESENTATIVE SEATON said that he  has talked to people who have                                                               
double dosed their children who  have chronic illnesses.  He said                                                               
the bill  requires that  any prescription that  has a  brand name                                                               
must  also  have  the  generic  name  on  the  label  to  protect                                                               
consumers by ensuring they can tell  it is the same medicine.  He                                                               
said  any brand  name would  also have  the generic  name on  the                                                               
label.                                                                                                                          
                                                                                                                                
Number 2250                                                                                                                     
                                                                                                                                
REPRESENTATIVE SEATON asked the members  to review the letters of                                                               
support  in the  bill packet  from groups  such as  AARP, Pioneer                                                               
Homes'  pharmacists,  Aetna  Insurance  Company,  senior  citizen                                                               
centers, and many more.                                                                                                         
                                                                                                                                
Number 2267                                                                                                                     
                                                                                                                                
REPRESENTATIVE   SEATON  pointed   out  research   done  by   the                                                               
Legislative Research  Services, which  found under  the Institute                                                               
for Safe  Medicine Practices (ISMP)  that 15 percent  of reported                                                               
medication  errors are  due to  confusion because  of drug  names                                                               
[found  in the  Joint Commission  on Accreditation  of Healthcare                                                               
Organizations].   Representative  Seaton said  that according  to                                                               
the U.S.  Food and Drug  Administration the number  of medication                                                               
errors can  be greatly  reduced by  doing 15  things, and  one of                                                               
those is  to provide  brand and generic  names on  all medication                                                               
labels.                                                                                                                         
                                                                                                                                
Number 2290                                                                                                                     
                                                                                                                                
REPRESENTATIVE GATTO asked about the drug labeling print size.                                                                  
                                                                                                                                
REPRESENTATIVE  SEATON  said  the  size   of  the  label  is  not                                                               
addressed in the  bill.  He said the labels  used as examples are                                                               
actual  copies of  prescription  labels.   He  said whenever  the                                                               
brand name of  a medication is used, the generic  name would also                                                               
appear on the label.                                                                                                            
                                                                                                                                
TAPE 03-13, SIDE B                                                                                                            
Number 2335                                                                                                                     
                                                                                                                                
REPRESENTATIVE  GATTO  asked  Representative  Seaton  what  "W/F"                                                               
means?                                                                                                                          
                                                                                                                                
Number 2328                                                                                                                     
                                                                                                                                
REPRESENTATIVE SEATON said he does not know.                                                                                    
                                                                                                                                
Number 2321                                                                                                                     
                                                                                                                                
CHAIR  WILSON  told  the   committee  Representative  Seaton  has                                                               
requested a friendly  amendment, to his bill.   Chair Wilson read                                                               
the requested amendment, which said:                                                                                            
                                                                                                                                
      on page 1, line 11, delete the word "below", and add                                                                      
     the word "near."                                                                                                           
                                                                                                                                
REPRESENTATIVE  SEATON  spoke  to  the amendment  by  saying  the                                                               
reason  for  this  friendly  amendment  is  to  accommodate  some                                                               
computer programs  that already have  a space designated  for the                                                               
generic name when using a  brand-name medication.  That space may                                                               
be above,  below, or beside  the brand name.   The intent  in the                                                               
bill is to  make sure the consumers have the  information, and it                                                               
is not necessary that it conform to a particular format.                                                                        
                                                                                                                                
Number 2259                                                                                                                     
                                                                                                                                
REPRESENTATIVE GATTO  moved to adopt  the foregoing  as Amendment                                                               
1.  There being no objection, it was so ordered.                                                                                
                                                                                                                                
Number 2234                                                                                                                     
                                                                                                                                
REPRESENTATIVE HEINZE moved  to report HB 51, as  amended, out of                                                               
committee  with  individual  recommendations and  a  zero  fiscal                                                               
note.  There being no objection,  CSHB 51 (HES) was reported from                                                               
the  House   Health,  Education  and  Social   Services  Standing                                                               
Committee.                                                                                                                      

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