Legislature(2023 - 2024)BELTZ 105 (TSBldg)

04/03/2023 01:30 PM Senate LABOR & COMMERCE

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ SB 94 PROFESSION OF PHARMACY TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
+= SB 89 AGE FOR TOBACCO/NICOTINE/E-CIG; TAX E-CIG TELECONFERENCED
Heard & Held
-- Public Testimony <Time Limit May Be Set> --
+ Bills Previously Heard/Scheduled TELECONFERENCED
**Streamed live on AKL.tv**
                    SB 94-PROFESSION OF PHARMACY                                                                            
                                                                                                                                
  1:32:56 PM                                                                                                                  
  CHAIR BJORKMAN announced the consideration of  SENATE BILL NO. 94                                                             
  "An  Act relating  to  the Board  of  Pharmacy; relating  to  the                                                             
  practice  of  pharmacy;  relating  to   pharmacies;  relating  to                                                             
  prescription drug  manufacturers; relating  to prescriptions  for                                                             
  epinephrine; relating to  the administration of  epinephrine; and                                                             
  providing for an effective date."                                                                                             
                                                                                                                                
  He asked the sponsor to introduce the bill.                                                                                   
                                                                                                                                
  1:33:17 PM                                                                                                                  
  SENATOR  CATHY GIESSEL,  District  E, Alaska  State  Legislature,                                                             
  Juneau, Alaska,  sponsor of SB  94, stated that  the goal  of the                                                             
  bill is to  protect the public  by ensuring the safe  practice of                                                             
  Alaskan pharmacists. This  bill updates obsolete statutes.  It is                                                             
  a  multi-year   collaboration  between  multiple   organizations,                                                             
  multiple  chairs  of  the  Board  of  Pharmacy,  and  the  Alaska                                                             
  Pharmacist's Association.  Pharmacology  students, retirees,  and                                                             
  individuals from the  Alaska Tribal Health System all  support SB
  94. She explained  that the practice of pharmacology  has evolved                                                             
  over  the  last  couple  of  decades  and  through  the  COVID-19                                                             
  pandemic, at  which  time pharmacists  fulfilled critical  public                                                             
  service roles. She described the changes SB 94 would make.                                                                    
                                                                                                                                
  SENATOR GIESSEL spoke to the following sponsor statement:                                                                     
                                                                                                                                
  [Original punctuation provided.]                                                                                              
                                                                                                                                
       Pharmacists  and pharmacies  are  an integral  part  of                                                                  
       Alaska' healthcare  system.  It is  important that  the                                                                  
       Alaska  statutes  that  guide  them   are  updated  and                                                                  
       reflect   the    services   provided   by    modern-day                                                                  
       pharmacies.                                                                                                              
                                                                                                                                
       Senate  Bill   94   clarifies  the   Alaska  Board   of                                                                  
       Pharmacy's powers and duties to  align with the federal                                                                  
       Drug Supply Chain  and Security Act (DSCSA)  related to                                                                  
       licensing and oversight of  manufacturers, out-of-state                                                                  
       pharmacies,   outsourcing  facilities,   and   internet                                                                  
       pharmacies who  conduct  business in  Alaska. In  doing                                                                  
       so, these  out-of-state entities  will be  held to  the                                                                  
       same high standard  as those operating in the  state of                                                                  
       Alaska,  helping  to ensure  Alaskans  have  access  to                                                                  
       medications  that  are  safe,  no   matter  where  they                                                                  
       originate.                                                                                                               
                                                                                                                                
       SB  94 aligns  Alaska's  pharmacy board  statutes  with                                                                  
       similar boards  in other  states. It  allows for it  to                                                                  
       meaningfully recognize  retired  pharmacists and  their                                                                  
       contributions.  Stressing  the  importance   of  public                                                                  
       safety,  SB94 would  allow  the  board to  institute  a                                                                  
       national   criminal   background   check   for   Alaska                                                                  
       pharmacists and pharmacy technicians.  This would align                                                                  
       the  Alaska  Board   of  Pharmacy  with   the  National                                                                  
       Association  of   Boards  and   Pharmacy  Model   State                                                                  
       Pharmacy Act.                                                                                                            
                                                                                                                                
       The Executive  Administrator plays  a critical role  in                                                                  
       the  smooth functioning  of the  board  and requires  a                                                                  
       high  degree of  competency  and understanding  of  the                                                                  
       complexities   of  pharmacy-related   regulations   and                                                                  
       issues.   This   bill  gives   Alaska's   Division   of                                                                  
       Professional Licensing flexibility to  hire a qualified                                                                  
       pharmacist  for  this administrative  role  should  one                                                                  
       apply.                                                                                                                   
                                                                                                                                
       The  changes  proposed  in Senate  Bill  94  reflect  a                                                                  
       dedicated  collaboration between  the  Alaska Board  of                                                                  
       Pharmacy  and   the   Alaska  Pharmacists   Association                                                                  
       (AKPhA) to modernize pharmacy practice statutes.                                                                         
                                                                                                                                
  1:35:43 PM                                                                                                                  
  REPRESENTATIVE  JUSTIN   RUFFRIDGE,  District  7,   Alaska  State                                                             
  Legislature, Juneau, Alaska, sponsor of  the House companion bill                                                             
  to SB  94, testified in  support of SB  94. He announced  that he                                                             
  could answer  questions as  a pharmacist  and former chairman  of                                                             
  the Board of Pharmacy.  This bill and its companion  in the other                                                             
  body are the result of a collaboration  of multiple chairs of the                                                             
  Board  of Pharmacy  for  right-touch regulations.  This  included                                                             
  modernizing pharmacy regulations, repealing those  that were out-                                                             
  of-date,  and implementing  updates  in compliance  with  federal                                                             
  law. Many  changes in the  bill are a  result of the  Drug Supply                                                             
  Chain and Security  Act as well  as the need to  update licensing                                                             
  requirements,  especially   for  licensees   of  pharmacist   and                                                             
  pharmacist technician  practices. Additionally, this  bill allows                                                             
  for  changes to  the  Board of  Pharmacy,  such as  allowing  for                                                             
  pharmacy technicians  to be seated  in lieu  of a public  member.                                                             
  Finally, to increase access to the  life-saving drug epinephrine,                                                             
  SB 94 includes the prescribing of  auto-injectors, or EpiPens, by                                                             
  pharmacists trained in their use.                                                                                             
                                                                                                                                
  1:40:24 PM                                                                                                                  
  JANE CONWAY, Staff, Senator Cathy Giessel, Alaska State                                                                       
  Legislature, Juneau, Alaska, paraphrased the following sectional                                                              
  analysis for SB 94:                                                                                                           
                                                                                                                                
  [Original punctuation provided.]                                                                                              
                                                                                                                                
     Section 1. Amends AS 08.08.010(a) Creation and membership                                                              
     of board; officers                                                                                                     
       Alters composition of the seven-member Board of Pharmacy                                                                 
       by  designating one  member  to be  a licensed  pharmacy                                                                 
       technician,  and   one  being  an  individual   with  no                                                                 
       financial interest in the healthcare industry                                                                            
                                                                                                                                
   Section 2. Amends AS 08.80.030 Powers and Duties of Board                                                                
       (b)(10) Separates out  the licensing/regulating entities                                                                 
       relating to manufacturing and  distributing of drugs and                                                                 
       devices by use of the word "or"                                                                                          
       (b)(12)  adds  an   epinephrine  auto-injector  training                                                                 
       program                                                                                                                  
       (b)(14)  Clarifies that  only  pharmacists who  dispense                                                                 
       federally scheduled controlled substances be required to                                                                 
       register with  the Prescription Drug  Monitoring Program                                                                 
       (PDMP)                                                                                                                   
       (b)(16) Adds pharmacies and manufacturers from out-of-                                                                   
       state to list of entities to be licensed and inspected                                                                   
       (b)(17)  Adds  internet-based   pharmacies  to  list  of                                                                 
       entities to be licensed if they are servicing Alaskans                                                                   
       (b)(18)  adds  language  allowing  the  board  to  adopt                                                                 
      regulations pertaining to retired pharmacist status                                                                       
                                                                                                                                
   Section 3. Amends 08.80.145 Reciprocity; license transfer                                                                
       (3)  removes  character  requirement -  "of  good  moral                                                                 
       character"                                                                                                               
       (4)  removes internship  details    this  is a  national                                                                 
       standard among schools of pharmacy                                                                                       
       Renumbering of statute items                                                                                             
                                                                                                                                
     Section 4. Amends AS 08.80.157 Licensing of facilities                                                                 
       (k) this adds out-of-state  pharmacies and manufacturers                                                                 
       to the list of entities that must be licensed                                                                            
                                                                                                                                
     Section 5. Amends AS 08.80.159 Licensing and inspection of                                                             
     facilities outside the state                                                                                           
       (a) Adds "distributor,  pharmacy, manufacturer" to those                                                                 
       out-of-state  entities   that   must  be   licensed  and                                                                 
       inspected, under the Drug Supply Chain and Security Act                                                                  
                                                                                                                                
     Section 6. Amends AS 08.80.159 Licensing and inspection of                                                             
     facilities outside the state                                                                                           
       (c) adds "pharmacy and manufacturer" to list that may be                                                                 
       inspected if located outside the state                                                                                   
                                                                                                                                
1:42:31 PM                                                                                                                    
     Section 7. Amends AS 08.80.160 Fees                                                                                    
       (10)  Removes the  word  "registration"  since the  bill                                                                 
       mandates licensure of a facility                                                                                         
                                                                                                                                
     Section 8. Amends 08.80.168 and adds a new subsection                                                                  
     Administration of vaccines and related emergencies                                                                     
       (e) Allows a  pharmacist to administer  epinephrine to a                                                                 
       person  or  prescribe  an epinephrine  auto-injector  to                                                                 
       someone who has  completed the epinephrine auto-injector                                                                 
       training                                                                                                                 
                                                                                                                                
     Section 9. Amends AS 08.80.270 Executive administrator of                                                              
     the board                                                                                                              
       (a)  Adds an  additional  salary  range  option for  the                                                                 
       executive  administrator, allowing  flexibility for  the                                                                 
       Division to select a pharmacist for the role                                                                             
                                                                                                                                
     Section 10. Amends AS 08.80.420 Certain advertising                                                                    
     prohibited                                                                                                             
       (a) adds  the term  "apothecary" to  list of  those that                                                                 
       cannot be used in media  or advertising unless the store                                                                 
       employs a licensed pharmacist with regular hours                                                                         
                                                                                                                                
     Section 11. Amends AS 12.62.400 National criminal history                                                              
     record check                                                                                                           
       (a)(23) adds  pharmacist and  pharmacy  tech to  list of                                                                 
       professions where a background check is required. Aligns                                                                 
       with State of Alaska's nursing requirements and pharmacy                                                                 
       requirements  typical  in  other  states.  This  adds  a                                                                 
       national level background check                                                                                          
                                                                                                                                
     Section 12. Amends AS 17.22.010 Prescription, purchase,                                                                
     administration of epinephrine by a trained individual                                                                  
       Allows anyone  over 18 to  purchase or be  prescribed an                                                                 
       epinephrine autoinjector, and  to administer epinephrine                                                                 
       shot in  an  emergency to  another person  if  they have                                                                 
       completed an epinephrine  auto-injector training program                                                                 
       approved by the board. It removes very outdated language                                                                 
       from this section                                                                                                        
                                                                                                                                
     Section 13. Amends AS 17.22.020(a) Approval of training                                                                  
     programs                                                                                                                 
       (a) Allows  the board,  rather  than the  department, to                                                                 
       adopt  standards   for  the   epinephrine  auto-injector                                                                 
       training program and deletes outdated language                                                                           
                                                                                                                                
     Section 14. Amends AS 17.22.020(b) Approval of training                                                                
     programs                                                                                                               
       (b) Allows  the board,  rather  than the  department, to                                                                 
       approve  an epinephrine  auto-injector training  program                                                                 
       that meets the board's standards                                                                                         
                                                                                                                                
     Section 15. Amends AS 17.22.030 Applicability                                                                          
       States  that this  chapter  does  not  apply to  someone                                                                 
       currently  authorized under  another  law to  administer                                                                 
       epinephrine, such  as a nurse  or doctor, or  some other                                                                 
       authorized professional                                                                                                  
                                                                                                                                
1:44:37 PM                                                                                                                    
     Section 16. Amends AS 17.22.040 Liability of certified                                                                 
     individual                                                                                                             
       Outlines that a  person may not be  sued who administers                                                                 
       epinephrine  to another  in  an emergency,  and in  good                                                                 
       faith, if he or she  has completed the epinephrine auto-                                                                 
       injector training program approved by the board                                                                          
                                                                                                                                
     Section 17. Amends AS 17.22.090 Definitions                                                                            
       (3) defines the "board" as the Board of Pharmacy                                                                         
                                                                                                                                
     Section 18. Repeals AS 08.80.110(2) Qualifications for                                                                 
     licensure by examination                                                                                               
         • Repeals (2) furnish the board with at least two                                                                      
            affidavits   from  reputable   citizens  that   the                                                                 
            applicant has known for at least one year attesting                                                                 
            to the  applicant's good  moral character.  This is                                                                 
            not  required  in  medical, dentistry,  or  nursing                                                                 
            statutes.                                                                                                           
         • Repeals 08.80.158 Registration of pharmacies                                                                         
            located outside the state since this bill would now                                                                 
            require licensure                                                                                                   
         • Repeals AS 17.22.020(c) which is the Department's                                                                    
           epinephrine auto-injector training program                                                                           
         • Repeals AS 17.22.090(1) that defines the department                                                                  
            as the Dept of Health, since it will no longer be                                                                   
            the approving entity of the epinephrine auto-                                                                       
            injector training program                                                                                           
                                                                                                                                
1:45:37 PM                                                                                                                    
     Section 19. TRANSITION LANGUAGE for currently registered                                                               
     pharmacies                                                                                                             
       A new  section  that would  allow  pharmacies previously                                                                 
       registered  to   continue  to  ship,   mail  or  deliver                                                                 
       prescription  drugs to  its  customers  in Alaska  until                                                                 
       their registration expires. At that time, they will then                                                                 
       have to apply for licensure.                                                                                             
                                                                                                                                
     Section 20. TRANSITION: REGULATIONS Allows the Board of                                                                
     Pharmacy and DCCED to adopt regulations to carry out the                                                                   
     changes laid out in this legislation.                                                                                      
                                                                                                                                
     Section 21. Section 20 has an immediate effective date                                                                 
     under AS 01.10.070(c)                                                                                                      
                                                                                                                                
     Section 22: Effective date is set to coincide with the                                                                 
     Drug Supply Chain and Security Act that will go into                                                                       
     effect on November 26, 2023.                                                                                               
                                                                                                                                
  1:47:04 PM                                                                                                                  
  BRANDY SEIGNEMARTIN, Executive Director, Alaska Pharmacists                                                                   
  Association, Eagle River, Alaska, stated support for SB 94 and                                                                
  Senator Giessel and offered to answer questions.                                                                              
                                                                                                                                
  1:48:03 PM                                                                                                                  
  ASHLEY SCHABER, Chair, Board of Pharmacy, Anchorage, Alaska,                                                                  
  gave a presentation on SB 94. She began on slide 3, and spoke to                                                              
  the following points:                                                                                                         
                                                                                                                                
       Background of SB 94                                                                                                      
                                                                                                                                
         • Result of multi-year, multi-chair review of                                                                          
            statutes and regulations to ensure the Alaska                                                                       
            Board of Pharmacy can continue to meet its                                                                          
            mission                                                                                                             
         • SB 94 addresses changes by:                                                                                          
              o Streamlining     licensure    process    while                                                                  
                 improving public safety                                                                                        
              o Compliance with the Drug Supply Chain and                                                                       
                 Security Act                                                                                                   
              o Alignment with other professional boards in                                                                     
                 Alaska and pharmacy boards in other states                                                                     
              o Clarification of pharmacists' roles in                                                                          
                 epinephrine access                                                                                             
         • Collaborative effort between the Alaska Board of                                                                     
            Pharmacy and the Alaska Pharmacists Association                                                                     
                                                                                                                                
  1:49:47 PM                                                                                                                  
  SENATOR BISHOP joined the meeting.                                                                                            
                                                                                                                                
  1:50:23 PM                                                                                                                  
  MS. SCHABER advanced to slide 4, and spoke to the following                                                                   
  points:                                                                                                                       
                                                                                                                                
       Goal: Streamline licensure process while improving                                                                       
       public safety                                                                                                            
                                                                                                                                
         • Eliminates unnecessary forms currently required                                                                      
            in statute                                                                                                          
         • Clarifies that only pharmacists who dispense                                                                         
            controlled  substances are  required  to  register                                                                  
            with  the  Prescription  Drug  Monitoring  Program                                                                  
            (PDMP)                                                                                                              
         • Adds national criminal background check                                                                              
                                                                                                                                
  1:51:23 PM                                                                                                                  
  MS. SCHABER advanced to slide 5, and spoke to the following                                                                   
  points:                                                                                                                       
                                                                                                                                
       Goal: Compliance with Drug Supply Chain and Security                                                                     
       Act                                                                                                                      
                                                                                                                                
         • The federal Drug Supply Chain and Security Act                                                                       
            (DSCSA)  further  secures  the  U.S.  drug  supply                                                                  
            through a  system  to prevent  harmful drugs  from                                                                  
            entering the  supply chain,  detect harmful  drugs                                                                  
            if they do  enter, and enable rapid  response when                                                                  
            such drugs are found                                                                                                
              o Boards of Pharmacy play a key role in this                                                                      
                 process through appropriate licensing of                                                                       
                drug distributors and pharmacies                                                                                
         • SB 94 ensures the AK Board of Pharmacy powers and                                                                    
            duties    support    the    DSCSA    related    to                                                                  
            manufacturers,   out-of-state    pharmacies,   and                                                                  
            internet  pharmacies to  ensure  Alaskans  receive                                                                  
            safe medications                                                                                                    
                                                                                                                                
  1:52:15 PM                                                                                                                  
  MS. SCHABER advanced to slide 6, and spoke to the following                                                                   
  points:                                                                                                                       
                                                                                                                                
       Goal: Alignment                                                                                                          
                                                                                                                                
         •  Replaces one of  the two public member  seats with                                                                  
            a pharmacy technician seat                                                                                          
         •  Allows the  board  to adopt  language for  retired                                                                  
            pharmacist status                                                                                                   
         •  Clarifies  the  board   executive  administrator's                                                                  
            salary, allowing  flexibility for a  pharmacist to                                                                  
            serve in this role in the future                                                                                    
                                                                                                                                
  1:53:42 PM                                                                                                                  
  MS. SCHABER advanced to slide 7, and spoke to the following                                                                   
  points:                                                                                                                       
                                                                                                                                
       Goal: Epinephrine Access                                                                                                 
                                                                                                                                
         •  Moves epinephrine training program  under Board of                                                                  
            Pharmacy oversight                                                                                                  
         •  Clarifies  that   a   pharmacist  can   administer                                                                  
            epinephrine to  a person or  prescribe epinephrine                                                                  
            auto-injectors to  someone who  has completed  the                                                                  
            training program                                                                                                    
         •  Increases  epinephrine access  for  Alaskans  with                                                                  
            anaphylactic emergencies                                                                                            
                                                                                                                                
  1:54:11 PM                                                                                                                  
  MS. SCHABER advanced to slide 8, and spoke to the following                                                                   
  points:                                                                                                                       
                                                                                                                                
       Support                                                                                                                  
                                                                                                                                
         •  The Board  of Pharmacy respectfully  requests your                                                                  
            support of SB 94, allowing  us to further promote,                                                                  
            preserve, and  protect the public  health, safety,                                                                  
            and  welfare  of  Alaskans  by   and  through  the                                                                  
            effective control  and regulation of  the practice                                                                  
            of pharmacy.                                                                                                        
         • Thank you for your time!                                                                                             
                                                                                                                                
  1:54:40 PM                                                                                                                  
  CHAIR BJORKMAN thanked the presenter and held SB 94 in                                                                        
  committee.                                                                                                                    

Document Name Date/Time Subjects
SB 94 ver U.PDF SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Sponsor Statement 03.21.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Sectional Analysis 03.21.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Fiscal Note-DCCED-CBPL-03.31.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Presentation to L&C 04.03.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Supporting Document-Letter_White's Pharmacy 03.08.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Supporting Document-Title II Drug Quality and Security Act of 2013.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Public Testimony-Letter_AK Board of Pharmacy 03.20.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Public Testimony-Letter_AK Pharm Assoc 03.08.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Supporting Document-Letter_AKPhA 03.09.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Supporting Document-Letter_Island Pharmacy 03.20.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Supporting Document-Emails as of 03.21.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94