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                                                      PRINTER'S NO. 4526

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 2907 Session of 2004


        INTRODUCED BY MANN, PISTELLA, RUBLEY, BELARDI, TANGRETTI,
           FAIRCHILD, FABRIZIO, SOLOBAY, TIGUE, CAPPELLI, LAUGHLIN,
           GINGRICH, CAWLEY, YUDICHAK, GEIST, STABACK, BELFANTI,
           GOODMAN, SAYLOR, PETRARCA, FRANKEL, DENLINGER, HENNESSEY,
           KOTIK, WALKO, MANDERINO, BEBKO-JONES, BOYD, FREEMAN, SHANER,
           BASTIAN, HARPER, BROWNE, WASHINGTON, GOOD, LEACH, SCRIMENTI,
           YOUNGBLOOD, DALLY, J. TAYLOR, ARMSTRONG, KELLER AND SAINATO,
           OCTOBER 18, 2004

        REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
           OCTOBER 18, 2004

                                     AN ACT

     1  Amending the act of September 27, 1961 (P.L.1700, No.699),
     2     entitled "An act relating to the regulation of the practice
     3     of pharmacy, including the sales, use and distribution of
     4     drugs and devices at retail; and amending, revising,
     5     consolidating and repealing certain laws relating thereto,"
     6     further providing for refusal to grant and revocation and
     7     suspension of licenses; and providing for the donation of
     8     unused prescription drugs.

     9     The General Assembly of the Commonwealth of Pennsylvania
    10  hereby enacts as follows:
    11     Section 1.  Section 5(a)(9) of the act of September 27, 1961
    12  (P.L.1700, No.699), known as the Pharmacy Act, amended December
    13  20, 1985 (P.L.433, No.111), is amended to read:
    14     Section 5.  Refusal to Grant, Revocation and Suspension.--(a)
    15  The board shall have the power to refuse, revoke or suspend the
    16  license of any pharmacist upon proof satisfactory to it that the
    17  pharmacist:


     1     * * *
     2     (9)  Is guilty of grossly unprofessional conduct. The
     3  following acts on the part of a pharmacist are hereby declared
     4  to constitute grossly unprofessional conduct of a pharmacist:
     5     (i)  Willfully deceiving or attempting to deceive the State
     6  Board of Pharmacy or its agents with respect to any material
     7  matter under investigation by the board;
     8     (ii)  Advertising of prices for drugs and pharmaceutical
     9  services to the public which does not conform to Federal laws or
    10  regulations;
    11     (iii)  The public assertion or implication of professional
    12  superiority in the practice of pharmacy;
    13     (iv)  The engaging by any means in untrue, false, misleading
    14  or deceptive advertising of drugs or devices;
    15     (v)  Paying rebates to physicians or any other persons, or
    16  the entering into any agreement with a medical practitioner or
    17  any other person for the payment or acceptance of compensation
    18  in any form for the recommending of the professional services of
    19  either party;
    20     (vi)  The entering into of any agreement with a licensed
    21  medical practitioner for the compounding or dispensing of secret
    22  formula (coded), prescriptions;
    23     (vii)  The misbranding or adulteration of any drug or device
    24  and the sale, distribution or dispensing of any misbranded or
    25  adulterated drug or device as defined in the act of April 14,
    26  1972 (P.L.233, No.64), known as "The Controlled Substance, Drug,
    27  Device and Cosmetic Act";
    28     (viii)  Engaging in the sale or purchase of drugs or devices
    29  whose package bears the inscription "sample" or "not for
    30  resale;"
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     1     (ix)  Displaying or permitting the display of his certificate
     2  of licensure and biennial registration document in a pharmacy of
     3  which he is not the proprietor or in which he is not employed;
     4     (x)  Any holder of a biennial pocket registration card who
     5  fails to have the card available for inspection by an authorized
     6  agent when he is practicing;
     7     (xi)  The acceptance back and redistribution of any unused
     8  drug, or a part thereof, except as authorized under section 9.3
     9  of this act, after it has left the premises of any pharmacy,
    10  whether issued by mistake or otherwise, unless it is in the
    11  original sealed container with the name, lot number and
    12  expiration date on the original intact manufacturer's label. The
    13  pharmacy shall maintain records of all such returns, and a full
    14  refund shall be given to the original purchaser, including a
    15  third-party payor;
    16     (xii)  To accept employment as a pharmacist, or share or
    17  receive compensation in any form arising out of, or incidental
    18  to, his professional activities from any medical practitioner or
    19  any other person or corporation in which one or more medical
    20  practitioners have a proprietary or beneficial interest
    21  sufficient to permit them to exercise supervision or control
    22  over the pharmacist in his professional responsibilities and
    23  duties;
    24     (xiii)  To accept employment as a pharmacist, or share or
    25  receive compensation in any form arising out of, or incidental
    26  to, his professional activities from any person who orders said
    27  pharmacist, directly or indirectly, to engage in any aspect of
    28  the practice of pharmacy in contravention of any provision of
    29  this act.
    30     * * *
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     1     Section 2.  The act is amended by adding a section to read:
     2     Section 9.3.  Donation of Unused Prescription Drugs.--(a)
     3  The Department of Health, the board and the Health Care Cost
     4  Containment Council shall jointly develop and implement a pilot
     5  program consistent with public health and safety through which
     6  unused prescription drugs, other than drugs that are controlled
     7  dangerous substances, may be transferred from nursing facilities
     8  to pharmacies operated by the Commonwealth for the purpose of
     9  distributing the prescription drugs to residents who are
    10  medically indigent.
    11     (b)  The Department of Health, the board, the Health Care
    12  Cost Containment Council, the State Board of Medicine and the
    13  State Board of Osteopathic Medicine shall review and evaluate
    14  the program no later than eighteen months after its
    15  implementation and shall submit a report and any recommendations
    16  to the Governor, the President pro tempore of the Senate, the
    17  Speaker of the House of Representatives and the chairmen of the
    18  appropriate legislative committees.
    19     (c)  The Department of Health, the board and the Health Care
    20  Cost Containment Council shall promulgate rules and establish
    21  procedures necessary to implement the program established by
    22  this section. The rules and procedures shall provide:
    23     (1)  For a formulary for the medications to be distributed
    24  pursuant to the program.
    25     (2)  For the protection of the privacy of the individual for
    26  whom the medication was originally prescribed.
    27     (3)  For the integrity and safe storage and safe transfer of
    28  the medication, which may include, but shall not be limited to,
    29  limiting the drugs made available through the program to those
    30  that were originally dispensed by unit dose or an individually
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     1  sealed dose or which remain in intact packaging.
     2     (4)  For the tracking of and accountability for the
     3  medications.
     4     (5)  For other matters necessary for the implementation of
     5  the program.
     6     (d)  In accordance with the rules and procedures of a program
     7  established pursuant to this section, the resident of a nursing
     8  facility or the representative or guardian of a resident may
     9  donate unused prescription drugs, other than prescription drugs
    10  that are controlled dangerous substances, for dispensation to
    11  residents who are medically indigent.
    12     (e)  No physician, pharmacist and other health care
    13  professional shall be subject to liability for participation in
    14  the program established by this section when acting within the
    15  scope of practice of his license and in good faith compliance
    16  with the rules promulgated pursuant to this section.
    17     (f)  For purposes of this section, "persons who are medically
    18  indigent" means persons who have no health insurance or who
    19  otherwise lack reasonable means to purchase prescribed
    20  medications.
    21     Section 3.  This act shall take effect in 60 days.






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