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<ns0:Id>20250AB__150393CHP</ns0:Id>
<ns0:VersionNum>93</ns0:VersionNum>
<ns0:History>
<ns0:Action>
<ns0:ActionText>INTRODUCED</ns0:ActionText>
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<ns0:Action>
<ns0:ActionText>AMENDED_ASSEMBLY</ns0:ActionText>
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<ns0:ActionDate>2025-09-09</ns0:ActionDate>
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<ns0:Action>
<ns0:ActionText>ENROLLED</ns0:ActionText>
<ns0:ActionDate>2025-09-12</ns0:ActionDate>
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<ns0:Action>
<ns0:ActionText>CHAPTERED</ns0:ActionText>
<ns0:ActionDate>2025-10-01</ns0:ActionDate>
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<ns0:Action>
<ns0:ActionText>APPROVED</ns0:ActionText>
<ns0:ActionDate>2025-10-01</ns0:ActionDate>
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<ns0:Action>
<ns0:ActionText>FILED</ns0:ActionText>
<ns0:ActionDate>2025-10-01</ns0:ActionDate>
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<ns0:LegislativeInfo>
<ns0:SessionYear>2025</ns0:SessionYear>
<ns0:SessionNum>0</ns0:SessionNum>
<ns0:MeasureType>AB</ns0:MeasureType>
<ns0:MeasureNum>1503</ns0:MeasureNum>
<ns0:MeasureState>CHP</ns0:MeasureState>
<ns0:ChapterYear>2025</ns0:ChapterYear>
<ns0:ChapterType>CHP</ns0:ChapterType>
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<ns0:ChapterNum>196</ns0:ChapterNum>
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<ns0:AuthorText authorType="LEAD_AUTHOR">Introduced by Assembly Member Berman</ns0:AuthorText>
<ns0:AuthorText authorType="PRINCIPAL_COAUTHOR_ORIGINATING">(Principal coauthor: Assembly Member Bonta)</ns0:AuthorText>
<ns0:Authors>
<ns0:Legislator>
<ns0:Contribution>LEAD_AUTHOR</ns0:Contribution>
<ns0:House>ASSEMBLY</ns0:House>
<ns0:Name>Berman</ns0:Name>
</ns0:Legislator>
<ns0:Legislator>
<ns0:Contribution>PRINCIPAL_COAUTHOR</ns0:Contribution>
<ns0:House>ASSEMBLY</ns0:House>
<ns0:Name>Bonta</ns0:Name>
</ns0:Legislator>
</ns0:Authors>
<ns0:Title>An act to amend Sections 4001, 4003, 4016.5, 4036, 4037, 4038, 4040, 4050, 4051, 4052, 4052.04, 4052.6, 4064, 4064.5, 4067, 4076, 4081, 4105, 4111, 4113, 4113.1, 4113.6, 4115, 4115.5, 4118.5, 4174, 4200.5, 4202.6, 4210, 4211, 4233, 4303, 4317.5, and 4400 of, to amend and renumber Section 4052.7 of, to amend, repeal, and add Section 4112 of, to add Sections 4001.5, 4014, 4040.6, 4102, and 4317.6 to, and to repeal Sections 4052.01, 4052.02, 4052.03,
4052.3, 4052.8, 4052.9, and 4119.3 of, the Business and Professions Code, relating to healing arts. </ns0:Title>
<ns0:RelatingClause>healing arts</ns0:RelatingClause>
<ns0:GeneralSubject>
<ns0:Subject>Pharmacy.</ns0:Subject>
</ns0:GeneralSubject>
<ns0:DigestText>
<html:p>
(1)
<html:span class="EnSpace"/>
Existing law, the Pharmacy Law, requires the California State Board of Pharmacy within the Department of Consumer Affairs to license and regulate the practice of pharmacy, including pharmacists, pharmacy technicians, and pharmacies. Existing law authorizes the board, with the approval of the Director of Consumer Affairs, to appoint an executive officer to exercise certain powers and to perform certain duties delegated by the board, as specified. Existing law repeals the provisions establishing the board and authorizing the appointment of an executive officer on January 1, 2026, rendering the board subject to review by the appropriate policy committees of the Legislature.
</html:p>
<html:p>This bill would provide that the board has exclusive authority to administer and enforce the Pharmacy Law related to the practice of pharmacy and the
licensing of pharmacists and pharmacies, and would specify that its provisions do not prohibit the board from evaluating or acting regarding unlicensed activity, as provided. The bill would extend the repeal date of the above-described provisions to January 1, 2030. The bill would additionally require the board to establish a Pharmacy Technician Advisory Committee to advise and make recommendations to the board, as specified.</html:p>
<html:p>Existing law specifies the fees for issuance or renewal of licenses issued pursuant to the Pharmacy Law, including, among others, pharmacy licenses.</html:p>
<html:p>This bill would require the board to waive the application fee for a pharmacy operating a physical location in a medically underserved area,
as defined, and would authorize the board to waive the fee for the annual renewal of a license if the licensee provides the board with certification of continued operation in the medically underserved area.</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Existing law authorizes a pharmacist to perform various procedures and functions, including those related to dispensing or furnishing drugs or devices, as specified. Existing law generally requires a pharmacist’s dispensing or furnishing drugs to be done pursuant to a valid prescription, except as provided in specified circumstances. Those exceptions include furnishing an FDA-approved opioid antagonist, emergency contraception drug therapy, self-administered hormonal contraceptives, nicotine replacement products, certain medications for individuals traveling outside of the United States, and certain HIV medications, as specified. Existing law requires certain conditions to be met for a pharmacist to authorize the initiation of a
prescription under certain of those exceptions or to otherwise provide clinical advice, services, information, or patient consultation.
</html:p>
<html:p>This bill would revise and recast the above-described provisions to authorize a pharmacist to, among other things, furnish dangerous devices, to furnish FDA-approved or authorized medications as part of preventative health care services that do not require a diagnosis, as specified, and to complete missing information on a prescription for a noncontrolled medication if there is evidence to support the change. The bill would require that a pharmacist provide those and other specified services or activities consistent with the accepted standard of care, defined to mean the degree of care a prudent and reasonable pharmacist licensed under the Pharmacy Law, with similar education, training, experience, resources, and setting, would use in a similar situation. The bill would make nonsubstantive, conforming changes.</html:p>
<html:p>Existing law requires the clinical advice, services, information, or patient consultation that a pharmacist provides to be provided to a health care professional or to a patient.</html:p>
<html:p>This bill would authorize a pharmacist to provide the clinical advice, services, information, or patient consultation to a patient’s agent.</html:p>
<html:p>Existing law, until January 1, 2026, authorizes a pharmacist to furnish COVID-19 oral therapeutics, as defined, following a positive test for SARS-CoV-2, the virus that causes COVID-19, in accordance with specified requirements.</html:p>
<html:p>This bill would delete the January 1, 2026, repeal date, thereby extending this authorization indefinitely.</html:p>
<html:p>Existing law prohibits a dangerous drug from being refilled without the authorization of the prescriber, except under specified circumstances. Under those
circumstances, existing law requires a pharmacist to make every reasonable effort to contact the prescriber.</html:p>
<html:p>This bill would remove the above-described requirement that the pharmacist make every reasonable effort to contact the prescriber.</html:p>
<html:p>Existing law authorizes a pharmacist to dispense not more than a 90-day supply of a dangerous drug other than a controlled substance pursuant to a valid prescription that specifies an initial quantity of less than a 90-day supply followed by periodic refills of that amount if certain requirements are met. Existing law prohibits a pharmacist from dispensing a greater supply pursuant to that provision if the prescriber indicates that there is to be no change to the quantity of the refill, as specified.</html:p>
<html:p>This bill would remove that prohibition.</html:p>
<html:p>Existing law authorizes a pharmacy to dispense epinephrine
auto-injectors to a prehospital emergency medical care person or lay rescuer for the purpose of rendering emergency care, as specified.</html:p>
<html:p>This bill would remove the above-described authorization.</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Existing law authorizes a licensed pharmacist to perform additional functions if the licensee is recognized by the board as “an advanced practice pharmacist” by meeting certain requirements. Those additional functions include, among others, performing patient assessments, ordering and interpreting drug therapy-related tests, and initiating, adjusting, or discontinuing drug therapy, as specified. The requirements for recognition as an advanced practice pharmacist include having completed a combination of specified certifications, postgraduate residencies, or experience under a collaborative practice agreement or protocol with a physician. Existing law also requires an advanced practice pharmacist to complete
10 hours of continuing education in addition to the continuing education otherwise required at the time of a second or subsequent license renewal.
</html:p>
<html:p>This bill would revise those and other related provisions to refer to those licensees as “advanced pharmacist practitioners,” instead of as “advanced practice pharmacists.”</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
Existing law prohibits any person from furnishing or dispensing any dangerous drug or device on the internet for delivery to any person in California without a prescription issued pursuant to a “good faith prior examination,” as provided.
</html:p>
<html:p>This bill would instead refer to that examination as an “appropriate prior examination.”</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
Existing law authorizes the board to issue citations containing fines and orders of abatement for violations of specified law, as provided. Existing
law authorizes the board to bring an action against a chain community pharmacy under common ownership or management for fines for a violation of the Pharmacy Law that was expressly encouraged by the common owner or manager, as provided.
</html:p>
<html:p>This bill would instead apply those fines for a violation that was expressly encouraged by any owner or manager of the chain community pharmacy.</html:p>
<html:p>Existing law authorizes the board to bring an action for fines for repeated violations of materially similar provisions of the Pharmacy Law within 5 years by 3 or more pharmacies operating under common ownership or management within a chain community pharmacy, as specified. Existing law provides a pharmacy with a defense if it establishes that the violation was contrary to a written policy that was communicated by the common owner or manager to all employees where the violation occurred. Existing law also provides a defense if the pharmacy
establishes that, within 6 months after the violation, the common owner or manager corrected all unlawful policies, communicated the change in policies, and provided the board with proof of abatement of the violation, as specified.</html:p>
<html:p>This bill would, for the defense that the violation was contrary to a written policy, also require the entity to establish that it has complied with the policy. The bill would revise the above-described corrective-actions defense by allowing those actions to be undertaken by any owner or manager of the pharmacy. The bill would additionally authorize the board to bring an action for fines for repeated violations of materially similar provisions of the Pharmacy Law against a mail order pharmacy, defined as a nonresident pharmacy that dispenses medications and ships them to patients via the postal service or other mail delivery method, as provided. The bill would require the board, in determining the amount of the fine, to consider
mitigating and aggregating factors, as specified.</html:p>
<html:p>
(6)
<html:span class="EnSpace"/>
Existing law prohibits the board from issuing a pharmacy license to a person who has a shared community or financial interest with a person authorized to prescribe or write a prescription, as provided.
</html:p>
<html:p>This bill would establish an exception to the above-described prohibition under which the applicant and the prescriber would be required to provide statements that the prescriber disavows any community or financial interest in the license and to transmute any interest in the license that is shared community property into the separate property of the applicant, as provided. The bill would prohibit a pharmacy granted a license pursuant to this exception from filling any prescriptions issued or prescribed by a person who shares a community or other financial interest with the licensee or a prescriber at the same place of business as that person if the
prescriber owns an interest greater than 10% in the practice issuing the prescription.</html:p>
<html:p>Existing law authorizes the board to issue a retired license to a licensed pharmacist, as specified. Existing law authorizes the holder of a retired license to restore their license to active status by passing the examination that is required for initial licensure with the board.</html:p>
<html:p>This bill would instead authorize the holder of a retired license to request to restore their license to active status within 3 years of issuance of the retired license by paying a renewal fee and successfully completing certain continuing education within the 2 years preceding the request, as specified. If more than 3 years have elapsed since the issuance of the retired license, the bill would require the holder of the retired license to reapply for licensure as a pharmacist, as specified.</html:p>
<html:p>Existing law authorizes the
board to deny a license application if the applicant has been convicted of a crime or subjected to formal discipline that would be grounds for denial of a federal registration to distribute controlled substances.</html:p>
<html:p>This bill would also authorize the board to deny a license application if the applicant has been convicted of a crime involving fraud in violation of state or federal laws related to health care or involving financial identity theft.</html:p>
<html:p>Existing law requires certain licensed facilities to perform a self-assessment evaluating compliance with specified provisions of the Pharmacy Law, as provided.</html:p>
<html:p>This bill would require all licensed facilities to complete a self-assessment every odd-numbered year and within 30 days of certain changes to the license, management personnel, and location, as provided. The bill would require this self-assessment to be signed under penalty of
perjury, thereby imposing a state-mandated local program by expanding the crime of perjury.</html:p>
<html:p>
(7)
<html:span class="EnSpace"/>
Existing law requires a pharmacy to designate a pharmacist-in-charge and notify the board within 30 days of that designation, as specified. Existing law authorizes the pharmacist-in-charge to, among other things, make staffing decisions and notify store management of dangerous conditions, as specified.
</html:p>
<html:p>This bill would require the pharmacist-in-charge to determine the appropriate pharmacist-to-technician ratio, within prescribed limits, and prohibit anyone else from interfering with the exercise of the pharmacist-in-charge’s independent professional judgment in setting this ratio. The bill would additionally require the pharmacist-in-charge to notify the owner or hospital administrator of dangerous conditions, as specified.</html:p>
<html:p>Existing law provides for the licensing of
nonresident pharmacies, as specified. Existing law prohibits a pharmacist at a nonresident pharmacy whose license has been revoked from prescribing a dangerous drug or providing other pharmacy-related services, as specified.</html:p>
<html:p>This bill would, beginning July 1, 2026, require a nonresident pharmacy, as a prerequisite to registering with the board and ongoing licensure, to identify a California-licensed pharmacist employed and working at the nonresident pharmacy to be proposed to serve as the pharmacist-in-charge. The bill would also require the nonresident pharmacy, within 90 days of designating a pharmacist-in-charge, to notify the board of the identity and license number of that pharmacist and the date they were designated, as specified. The bill would require the
nonresident pharmacy, within 90 days, to notify the board of a pharmacist-in-charge ceasing to act as the pharmacist-in-charge and to propose another pharmacist to take over as the pharmacist-in-charge.</html:p>
<html:p> The bill would additionally, beginning July 1, 2026, prohibit a nonresident pharmacy from permitting a pharmacist-in-charge who is not licensed in California from working at a nonresident pharmacy. The bill would authorize the board to inspect a nonresident pharmacy. The bill would require a
nonresident pharmacy to deposit a reasonable amount, as determined by the board, necessary to cover the board’s estimated reasonable costs of performing the inspection, as specified.</html:p>
<html:p>
(8)
<html:span class="EnSpace"/>
Existing law limits a pharmacy with only one pharmacist to one pharmacy technician performing packaging, manipulative, repetitive, or other nondiscretionary tasks.
</html:p>
<html:p>This bill would increase this limit to 3 pharmacy technicians performing those tasks.</html:p>
<html:p>
(9)
<html:span class="EnSpace"/>
Existing law requires a pharmacy to preserve certain records, as provided.
</html:p>
<html:p>This bill would require a pharmacy to additionally maintain records related to prescribed policies and procedures in a
readily retrievable format. The bill would also impose requirements related to electronically maintained records.</html:p>
<html:p>
(10)
<html:span class="EnSpace"/>
This bill would incorporate additional changes to Section 4064.5 of the Business and Professions Code proposed by SB 418 to be operative only if this bill and SB 418 is enacted and this bill is enacted last.
</html:p>
<html:p>This bill would incorporate additional changes to Section 4076 of the Business and Professions Code proposed by AB 260 to be operative only if this bill and AB 260 are enacted and this bill is enacted last.</html:p>
<html:p>
(11)
<html:span class="EnSpace"/>
Because a violation of these provisions would be a crime, the bill would impose a state-mandated local program.
</html:p>
<html:p>The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.</html:p>
<html:p>This bill would provide that no reimbursement is required by this act for a specified reason.</html:p>
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<ns0:VoteRequired>MAJORITY</ns0:VoteRequired>
<ns0:Appropriation>NO</ns0:Appropriation>
<ns0:FiscalCommittee>YES</ns0:FiscalCommittee>
<ns0:LocalProgram>YES</ns0:LocalProgram>
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<ns0:ImmediateEffect>NO</ns0:ImmediateEffect>
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<ns0:Urgency>NO</ns0:Urgency>
<ns0:TaxLevy>NO</ns0:TaxLevy>
<ns0:Election>NO</ns0:Election>
<ns0:UsualCurrentExpenses>NO</ns0:UsualCurrentExpenses>
<ns0:BudgetBill>NO</ns0:BudgetBill>
<ns0:Prop25TrailerBill>NO</ns0:Prop25TrailerBill>
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<ns0:Bill id="bill">
<ns0:Preamble>The people of the State of California do enact as follows:</ns0:Preamble>
<ns0:BillSection id="id_FD5E0D42-52C5-43B8-8A30-561569F7F8B2">
<ns0:Num>SECTION 1.</ns0:Num>
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Section 4001 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Num>4001.</ns0:Num>
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<html:p>
(a)
<html:span class="EnSpace"/>
There is in the Department of Consumer Affairs the California State Board of Pharmacy in which the administration and enforcement of this chapter is vested. The board consists of 13 members.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
The Governor shall appoint seven pharmacists who are licensees in good standing and who reside in different parts of the state to serve as members of the board. The Governor shall appoint four public members, and the Senate Committee on Rules and the Speaker of the Assembly shall each appoint a public member who shall not be a licensee of the board, any other board under this division, or any board referred to in Section 1000 or 3600. Each appointing authority has power to remove from office at
any time any member of the board appointed by that authority pursuant to
Section 106.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
At least five of the seven pharmacist appointees to the board shall be pharmacists who are actively engaged in the practice of pharmacy. Additionally, the membership of the board shall include at least one pharmacist representative from each of the following practice settings: an acute care hospital, an independent community pharmacy, a chain community pharmacy, a compounding pharmacy specializing in human drug preparations, and a long-term health care or skilled nursing facility. The pharmacist appointees shall also include a pharmacist who is a member of a labor union that represents pharmacists. For the purposes of this subdivision, a “chain community pharmacy” means a chain of 75 or more stores in California under the same ownership, and an “independent community pharmacy” means a pharmacy owned by a
person or entity who owns no more than four pharmacies in California.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
Members of the board shall be appointed for a term of four years. No person shall serve as a member of the board for more than two consecutive terms. Each member shall hold office until the appointment and qualification of their successor or until one year shall have elapsed since the expiration of the term for which the member was appointed, whichever first occurs. Vacancies occurring shall be filled by appointment for the unexpired term.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
Each member of the board shall receive a per diem and expenses as provided in Section 103.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
This section shall remain in effect only until January 1, 2030, and as of that date is repealed. Notwithstanding any
other law, the repeal of this section renders the board subject to review by the appropriate policy committees of the Legislature.
</html:p>
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<ns0:Num>SEC. 2.</ns0:Num>
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Section 4001.5 is added to the
<ns0:DocName>Business and Professions Code</ns0:DocName>
, to read:
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<ns0:LawSection id="id_64D73638-77D2-43D6-9BE6-A631EC2DD232">
<ns0:Num>4001.5.</ns0:Num>
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<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
The board shall establish and appoint a Pharmacy Technician Advisory Committee to advise and make recommendations to the board on matters relating to pharmacy technicians.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
The committee shall serve only in an advisory capacity to the board and the objectives, duties, and actions of the committee shall not be a substitute for, nor conflict with, any of the powers, duties, and responsibilities of the board.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The committee shall consist of the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
Four licensed pharmacy technicians representing a range of practice settings
to provide a diversity of perspectives.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Two licensed pharmacists, of whom one shall be a member of the board and shall be appointed by the board president.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
One member of the public.
</html:p>
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<ns0:Num>SEC. 3.</ns0:Num>
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Section 4003 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:LawSection id="id_3FEB2CBB-0691-4973-A844-F68DC2B00241">
<ns0:Num>4003.</ns0:Num>
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<html:p>
(a)
<html:span class="EnSpace"/>
The board, with the approval of the director, may appoint a person exempt from civil service who shall be designated as an executive officer and who shall exercise the powers and perform the duties delegated by the board and vested in them by this chapter. The executive officer shall not be a member of the board.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
The executive officer shall receive the compensation as established by the board with the approval of the Director of Finance. The executive officer shall also be entitled to travel and other expenses necessary in the performance of their duties.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The executive officer shall maintain and update in a timely fashion
records containing the names, titles, qualifications, and places of business of all persons subject to this chapter.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
The executive officer shall give receipts for all money received by them and pay it to the department, taking its receipt therefor. Besides the duties required by this chapter, the executive officer shall perform other duties pertaining to the office as may be required of them by the board.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
This section shall remain in effect only until January 1, 2030, and as of that date is repealed.
</html:p>
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</ns0:LawSection>
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</ns0:BillSection>
<ns0:BillSection id="id_52712DD0-11C2-4FC5-B47F-4CB50D2C224F">
<ns0:Num>SEC. 4.</ns0:Num>
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Section 4014 is added to the
<ns0:DocName>Business and Professions Code</ns0:DocName>
, to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_7C93EE9F-CBD2-480F-A2DF-10FA69A48FC5">
<ns0:Num>4014.</ns0:Num>
<ns0:LawSectionVersion id="id_E9992AE0-E647-4891-ACBF-3B8C1E64359F">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
The board shall have exclusive authority to interpret and enforce the provisions of this chapter regarding the practice of pharmacy and the licensing of pharmacists and pharmacies.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
Any violation of this chapter by a licensee of the board shall be determined exclusively by the board.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The board shall have the sole authority to conduct investigations, hold hearings, and impose disciplinary actions for violations of this chapter by licensees of the board.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
Nothing in this
section shall be construed to prohibit the board from evaluating or acting regarding unlicensed activity.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_C865BB51-5ACD-4332-9D0E-D6DFCECA8A4C">
<ns0:Num>SEC. 5.</ns0:Num>
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Section 4016.5 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Fragment>
<ns0:LawSection id="id_66EB5FAA-CF34-43C2-8A95-5DC09F3C264B">
<ns0:Num>4016.5.</ns0:Num>
<ns0:LawSectionVersion id="id_52DB0541-8980-4235-A157-87566CD60B88">
<ns0:Content>
<html:p>“Advanced pharmacist practitioner” means a licensed pharmacist who has been recognized as an advanced pharmacist practitioner by the board, pursuant to Section 4210. A board-recognized advanced pharmacist practitioner is entitled to practice advanced practice pharmacy, as described in Section 4052.6, within or outside of a licensed pharmacy as authorized by this chapter.</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_66F45F70-EC78-4D4F-B59F-DFF9DAEF084C">
<ns0:Num>SEC. 6.</ns0:Num>
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Section 4036 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_7A3A4446-39A8-4BBB-8F8C-9628CF0310A0">
<ns0:Num>4036.</ns0:Num>
<ns0:LawSectionVersion id="id_B6391A09-C492-45B9-B96E-604D1CBA4171">
<ns0:Content>
<html:p>“Pharmacist” means a natural person to whom a license has been issued by the board, under Section 4200, except as specifically provided otherwise in this chapter. The holder of an unexpired and active pharmacist license issued by the board is entitled to practice pharmacy as defined by this chapter, within or outside of a licensed pharmacy.</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_59EC003E-6FA5-4B0D-B5F4-649511C127B9">
<ns0:Num>SEC. 7.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4037.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4037 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_1AAC5DC3-412B-4C1D-B142-FEFFB5AD4F66">
<ns0:Num>4037.</ns0:Num>
<ns0:LawSectionVersion id="id_ED6880D7-549D-4BA6-B43E-C2CEB14352F9">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
“Pharmacy” means an area, place, or premises licensed by the board in which the profession of pharmacist is practiced and where prescriptions are compounded. “Pharmacy” includes, but is not limited to, any area, place, or premises described in a license issued by the board wherein controlled substances, dangerous drugs, or dangerous devices are stored, possessed, prepared, manufactured, derived, compounded, or repackaged, and from which the controlled substances, dangerous drugs, or dangerous devices are furnished, sold, or dispensed at retail.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
“Pharmacy” shall not include any area in a facility licensed by the State Department of Public Health where floor supplies, ward
supplies, operating room supplies, or emergency room supplies of dangerous drugs or dangerous devices are stored or possessed solely for treatment of patients registered for treatment in the facility or for treatment of patients receiving emergency care in the facility.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_9F953A42-BE0F-4215-A315-3B59E436D430">
<ns0:Num>SEC. 8.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4038.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4038 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Fragment>
<ns0:LawSection id="id_8A05D810-D6FB-4854-96DB-833877FB2551">
<ns0:Num>4038.</ns0:Num>
<ns0:LawSectionVersion id="id_C681187D-5629-42A5-A7B3-0CC0356CE4FE">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
“Pharmacy technician” means an individual who assists a pharmacist in a pharmacy in the performance of their pharmacy related duties, as specified in Section 4115.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
A “pharmacy technician trainee” is a person who is enrolled in a pharmacy technician training program operated by a California public postsecondary education institution or by a private postsecondary vocational institution approved by the Bureau for Private Postsecondary and Vocational Education or an accredited employer-based pharmacy technician training program.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_91B53328-FD53-419E-B239-7CA8F4082A49">
<ns0:Num>SEC. 9.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4040.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4040 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_A621158C-C5CB-4495-870F-84FD289B9DB1">
<ns0:Num>4040.</ns0:Num>
<ns0:LawSectionVersion id="id_BEBEE15D-F337-41CF-B3E0-1CF2F0A2ED0E">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
“Prescription” means an oral, written, or electronic transmission order that is both of the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
Given individually for the person or persons for whom ordered that includes all of the following:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
The name or names and address of the patient or patients.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
The name and quantity of the drug or device prescribed and the directions for use.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
The date of issue.
</html:p>
<html:p>
(D)
<html:span class="EnSpace"/>
Either rubber stamped, typed, or printed by hand or typeset, the
name, address, and telephone number of the prescriber, the
prescriber’s license classification, and the prescriber’s federal registry number, if a controlled substance is prescribed.
</html:p>
<html:p>
(E)
<html:span class="EnSpace"/>
A legible, clear notice of the condition or purpose for which the drug is being prescribed, if requested by the patient or patients.
</html:p>
<html:p>
(F)
<html:span class="EnSpace"/>
If in writing, signed by the prescriber issuing the order, or the certified nurse-midwife, nurse practitioner, physician assistant, or naturopathic doctor who issues a drug order pursuant to Section 2746.51, 2836.1, 3502.1, or 3640.5, respectively, or the pharmacist who issues a drug order pursuant to Section 4052, 4052.1, 4052.2, or 4052.6.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Issued by a physician, dentist, optometrist, doctor of podiatric medicine, veterinarian, nurse practitioner
practicing pursuant to Section 2837.103 or 2837.104, or naturopathic doctor pursuant to Section 3640.7 or, if a drug order is issued pursuant to Section 2746.51, 2836.1, 3502.1, or 3460.5, by a certified nurse-midwife, nurse practitioner, physician assistant, or naturopathic doctor licensed in this state, or pursuant to Section 4052, 4052.1, 4052.2, or 4052.6 by a pharmacist licensed in this state.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
Notwithstanding subdivision (a), a written order of the prescriber for a dangerous drug, except for any Schedule II controlled substance, that contains at least the name and signature of the prescriber, the name and address of the patient in a manner consistent with paragraph (2) of subdivision (a) of Section 11164 of the Health and Safety Code, the name and quantity of the drug prescribed, directions for use, and the date of issue may be
treated as a prescription by the dispensing pharmacist as long as any additional information required by subdivision (a) is readily retrievable in the pharmacy. In the event of a conflict between this subdivision and Section 11164 of the Health and Safety Code, Section 11164 of the Health and Safety Code shall prevail.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
“Electronic transmission prescription” includes both image and data prescriptions. “Electronic image transmission prescription” means any prescription order for which a facsimile of the order is received by a pharmacy from a licensed prescriber. “Electronic data transmission prescription” means any prescription order, other than an electronic image transmission prescription, that is electronically transmitted from a licensed prescriber to a pharmacy.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
The use of commonly used abbreviations shall not invalidate an otherwise valid prescription.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_2BDC4381-0DA9-41D2-B33C-042B7E90A6CB">
<ns0:Num>SEC. 10.</ns0:Num>
<ns0:ActionLine action="IS_ADDED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2F%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4040.6'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4040.6 is added to the
<ns0:DocName>Business and Professions Code</ns0:DocName>
, to read:
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<ns0:Fragment>
<ns0:LawSection id="id_9D8719F2-2863-440C-BB7D-C8E60983F3F0">
<ns0:Num>4040.6.</ns0:Num>
<ns0:LawSectionVersion id="id_63D68CC6-1373-4B3C-B5AE-7BAC123CA12D">
<ns0:Content>
<html:p>“Self-assessment process” means the process of self-evaluation of a facility’s compliance with state and federal laws as a means to promote compliance through self-examination and education. The self-assessment process shall be performed on a form approved by the board in consultation with stakeholders and posted on its internet website.</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_EE40B113-A18B-4EAD-93BE-E4F498A836E6">
<ns0:Num>SEC. 11.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4050.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4050 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_319F80EC-B8BC-45EC-A074-A6C4A56D372B">
<ns0:Num>4050.</ns0:Num>
<ns0:LawSectionVersion id="id_43F8B477-60DD-4114-8D2C-41C58756D6B7">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
For the purposes of this section, “state agency” includes every state office, officer, department, division, bureau, board, authority, and commission.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
In recognition of and consistent with the decisions of the appellate courts of this state, the Legislature hereby declares the practice of pharmacy to be a profession.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
Pharmacist practice is a dynamic, patient-oriented health service that applies a scientific body of knowledge to improve and promote patient health by means of patient-care activities to optimize appropriate drug use, drug-related therapy, disease management and prevention, and communication for
clinical and consultative purposes. Pharmacist practice is continually evolving to include more sophisticated and comprehensive patient care activities.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
The Legislature further declares that pharmacists are health care providers who have the authority to provide health care services.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
No state agency other than the board may define or interpret this chapter and its regulations for those licensed pursuant to this chapter or develop standardized procedures or protocols pursuant to this chapter, unless so authorized by this chapter, or specifically required under state or federal law.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_74D0E8B3-ED4C-4942-A702-9764C016C6C9">
<ns0:Num>SEC. 12.</ns0:Num>
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Section 4051 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Fragment>
<ns0:LawSection id="id_8BEA4FCD-ABFD-4924-832D-45E0F4F1BD0E">
<ns0:Num>4051.</ns0:Num>
<ns0:LawSectionVersion id="id_4FD64439-F023-4DE0-A69C-68D73CEFEB14">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
For the purposes of this section, “accepted standard of care” means the degree of care a prudent and reasonable pharmacist licensed pursuant to this chapter, with similar education, training, experience, resources, and setting, would exercise in a similar situation.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
Except as otherwise provided in this chapter, it is unlawful for any person to manufacture, compound, furnish, sell, or dispense a dangerous drug or dangerous device, or to dispense or compound a prescription pursuant to Section 4040 of a prescriber unless they are a pharmacist under this chapter.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
Notwithstanding any other law, a pharmacist may authorize the
initiation of a prescription, pursuant to Section 4052, 4052.1, 4052.2, or 4052.6, and otherwise provide clinical advice, services, information, or patient consultation, as set forth in this chapter, if all of the following conditions are met:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The clinical advice, services, information, or patient consultation is provided to a health care professional or to a patient or a patient’s agent.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The pharmacist has access to prescription, patient profile, or other relevant medical information for purposes of patient and clinical consultation and advice.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Access to the information described in paragraph (2) is secure from unauthorized access and use.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
The pharmacist provides the service or activity consistent with the accepted standard of care.
</html:p>
</ns0:Content>
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</ns0:LawSection>
</ns0:Fragment>
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<ns0:BillSection id="id_E2E58F7D-39D4-48E5-9645-5C92FE9425E3">
<ns0:Num>SEC. 13.</ns0:Num>
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Section 4052 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:LawSection id="id_2F49491A-54F2-465D-A3F5-DFBE68AA1694">
<ns0:Num>4052.</ns0:Num>
<ns0:LawSectionVersion id="id_2B80C35A-EBE7-49D7-828B-68C928874391">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
Notwithstanding any other law, a pharmacist may do all of the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
Furnish a reasonable quantity of compounded drug product to a prescriber for office use by the prescriber.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Transmit a valid prescription to another pharmacist.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Administer drugs and biological products that have been ordered by a prescriber.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
Perform procedures or functions as authorized by
Sections 4052.1 and 4052.2.
</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
Furnish epinephrine.
</html:p>
<html:p>
(6)
<html:span class="EnSpace"/>
Perform procedures or functions as authorized by Section 4052.6.
</html:p>
<html:p>
(7)
<html:span class="EnSpace"/>
Furnish, manufacture, measure, fit to the patient, or sell and repair dangerous devices, or furnish instructions to the patient or the patient’s representative concerning the use of those devices.
</html:p>
<html:p>
(8)
<html:span class="EnSpace"/>
Provide consultation, training, and education to patients about drug therapy, disease management, and disease prevention, and furnish over-the-counter medications if requested.
</html:p>
<html:p>
(9)
<html:span class="EnSpace"/>
Provide professional information, including clinical or pharmacological information, advice, or consultation to patients and health care professionals, and participate in multidisciplinary review of patient progress, including appropriate access to medical records.
</html:p>
<html:p>
(10)
<html:span class="EnSpace"/>
(A)
<html:span class="EnSpace"/>
Furnish FDA-approved or authorized medications as part of preventative health care services that do not require a diagnosis, including any of the following:
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
Emergency contraception. A pharmacist shall not require a patient to provide individually identifiable medical information that is not specified in Section 1707.1 of Title 16 of the California Code of Regulations before initiating emergency contraception drug therapy pursuant to this subdivision.
</html:p>
<html:p>
(ii)
<html:span class="EnSpace"/>
Contraception.
</html:p>
<html:p>
(iii)
<html:span class="EnSpace"/>
Smoking cessation.
</html:p>
<html:p>
(iv)
<html:span class="EnSpace"/>
Travel medication.
</html:p>
<html:p>
(v)
<html:span class="EnSpace"/>
Anti-viral or anti-infective medications.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
The pharmacist shall notify the patient’s primary care provider of any drugs or devices furnished to the patient, or enter the appropriate information in a patient record system shared with the primary care provider, as permitted by that primary care provider. If the patient does not have a primary care provider, the pharmacist shall provide the patient with a written record of the drugs or devices furnished and advise the patient to consult a physician of the patient’s choice.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
Nothing in this section shall be construed as establishing an obligation on a pharmacist to report an over-the-counter medication sold to a patient that was not captured as a prescription.
</html:p>
<html:p>
(11)
<html:span class="EnSpace"/>
Order and interpret tests.
</html:p>
<html:p>
(12)
<html:span class="EnSpace"/>
Initiate, adjust, or discontinue drug therapy for a patient under either of the following:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
A collaborative practice agreement with any health care provider with prescriptive authority. The collaborative practice agreement may be between a single or multiple pharmacists and a single or multiple health care providers with prescriptive authority.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
An order or authorization made by the patient’s prescriber and in accordance with the policies, procedures, or protocols of the entity providing health care services, unless a patient’s treating prescriber otherwise prohibits the action.
</html:p>
<html:p>
(13)
<html:span class="EnSpace"/>
Furnish
medication used to reverse opioid overdose and medication used to treat substance use disorder to the extent authorized by federal law.
</html:p>
<html:p>
(14)
<html:span class="EnSpace"/>
Complete missing information on a prescription for a noncontrolled medication if there is evidence to support the change.
</html:p>
<html:p>
(15)
<html:span class="EnSpace"/>
Initiate and administer immunizations for persons three years of age and older pursuant to this article.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
A pharmacist who is authorized to issue an order to initiate or adjust a controlled substance therapy pursuant to this section shall personally register with the federal Drug Enforcement Administration.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
This section does not affect the applicable requirements of law relating to either of the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
Maintaining the confidentiality of medical records.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The licensing of a health care facility.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
Nothing in this section
shall be construed as establishing an obligation on a pharmacist to perform or provide a service or function authorized by subdivision (a) if the pharmacist has made a professional determination that any of the following apply:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The pharmacist lacks sufficient education, training, or expertise, or access to sufficient patient medical information, to perform the service or function properly or safely.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Performing or providing the service or function would place a patient at risk.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Pharmacist staffing at the pharmacy is insufficient to facilitate comprehensive patient care.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
A pharmacist shall notify a patient’s primary care provider of any drugs or devices
furnished to the patient, or enter the
appropriate information in a patient record system shared with the primary care provider, as permitted by that primary care provider. If the patient does not have a primary care provider or requests not to notify the primary care provider, the pharmacist shall provide the patient with a written or electronic record of the drugs or devices furnished and advise the patient to consult a physician of the patient’s choice.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
Nothing in this section shall be construed as establishing an obligation on a pharmacist to perform or provide authorized services without payment for the services, including payment directly by the patient, payment through a third-party payer, or payment of any required copayment by the patient.
</html:p>
</ns0:Content>
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</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_98C786C0-6A12-498C-8881-D9D05EC3799D">
<ns0:Num>SEC. 14.</ns0:Num>
<ns0:ActionLine action="IS_REPEALED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4052.01.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4052.01 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is repealed.
</ns0:ActionLine>
<ns0:Fragment/>
</ns0:BillSection>
<ns0:BillSection id="id_912FE5E0-16A3-4A94-ABB3-C688B1AC24FF">
<ns0:Num>SEC. 15.</ns0:Num>
<ns0:ActionLine action="IS_REPEALED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4052.02.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4052.02 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is repealed.
</ns0:ActionLine>
<ns0:Fragment/>
</ns0:BillSection>
<ns0:BillSection id="id_3E3D6DAB-B9E9-4E46-95A2-0239169B5CCE">
<ns0:Num>SEC. 16.</ns0:Num>
<ns0:ActionLine action="IS_REPEALED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4052.03.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4052.03 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is repealed.
</ns0:ActionLine>
<ns0:Fragment/>
</ns0:BillSection>
<ns0:BillSection id="id_16ABCE70-7C4E-4907-B02B-4D333366AEF9">
<ns0:Num>SEC. 17.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4052.04.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4052.04 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_91BEF9CB-3278-4F14-B782-9B4B839074C9">
<ns0:Num>4052.04.</ns0:Num>
<ns0:LawSectionVersion id="id_885B1F81-B5D6-4956-BF57-A315347960AB">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
In addition to the authority provided in Section 4052, a pharmacist may furnish COVID-19 oral therapeutics following a positive test for SARS-CoV-2, the virus that causes COVID-19.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
Prior to furnishing COVID-19 oral therapeutics pursuant to subdivision (a), a pharmacist shall utilize relevant and appropriate evidence-based clinical guidelines published by the federal Food and Drug Administration in providing these patient care services.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
A pharmacist who furnishes COVID-19 oral therapeutics shall notify the patient’s primary care provider, or enter the appropriate information in a patient record system shared
with the primary care provider, as permitted by that primary care provider. If the patient does not have a primary care provider, the pharmacist shall provide the patient with a written record of the drugs furnished and advise the patient to consult a physician of the patient’s choice.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
A pharmacist shall document, to the extent possible, the kind and amounts of COVID-19 oral therapeutics furnished pursuant to subdivision (a), as well as information regarding any testing services provided, in the patient’s record in the record system maintained by the pharmacy. The records shall be maintained for three years and shall be available for inspection by all properly authorized personnel of the board.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
For purposes of this section, “COVID-19 oral therapeutics” means drugs
that are approved or authorized by the United States Food and Drug Administration for the treatment of COVID-19 and administered orally.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_B366C64A-848A-48C2-BA03-587BD621D0CB">
<ns0:Num>SEC. 18.</ns0:Num>
<ns0:ActionLine action="IS_REPEALED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4052.3.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4052.3 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is repealed.
</ns0:ActionLine>
<ns0:Fragment/>
</ns0:BillSection>
<ns0:BillSection id="id_1D13009C-8623-4839-A47E-3C48AC5662D4">
<ns0:Num>SEC. 19.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4052.6.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4052.6 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_F562A908-B9A7-4883-9B07-C7D4C510D782">
<ns0:Num>4052.6.</ns0:Num>
<ns0:LawSectionVersion id="id_B7BF5CF8-E72A-4030-9233-4E5E1485FFB6">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A pharmacist recognized by the board as an advanced pharmacist practitioner may do all of the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
Perform patient assessments.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Order and interpret drug therapy-related tests.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Refer patients to other health care providers.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
Participate in the evaluation and management of diseases and health conditions in collaboration with other health care providers.
</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
Initiate, adjust, or discontinue drug therapy.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
A pharmacist who adjusts or discontinues drug therapy shall promptly transmit written notification to the patient’s diagnosing prescriber or enter the appropriate information in a patient record system shared with the prescriber, as permitted by that prescriber. A pharmacist who initiates drug therapy shall promptly transmit written notification to, or enter the appropriate information into, a patient record system shared with the patient’s primary care provider or diagnosing provider, as permitted by that provider.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
This section shall not interfere with a physician’s order to dispense a prescription drug as written, or other order of similar meaning.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
Prior to initiating or adjusting a controlled substance therapy pursuant
to this section, a pharmacist shall personally register with the federal Drug Enforcement Administration.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
A pharmacist who orders and interprets tests pursuant to paragraph (2) of subdivision (a) shall ensure that the ordering of those tests is done in coordination with the patient’s primary care provider or diagnosing prescriber, as appropriate, including promptly transmitting written notification to the patient’s diagnosing prescriber or entering the appropriate information in a patient record system shared with the prescriber, when available and as permitted by that prescriber.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_59571667-38AD-4BFD-9C51-0E93724366A3">
<ns0:Num>SEC. 20.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED_AND_RENUMBERED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4052.7.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4052.7 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended and renumbered to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_D74B3DD3-24AE-41BB-92B6-D0301EBE2DD8">
<ns0:Num>4119.3.</ns0:Num>
<ns0:LawSectionVersion id="id_9170E156-F53F-49BA-B847-39E67022CA9A">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A pharmacy may, at a patient’s request, repackage a drug previously dispensed to the patient or to the patient’s agent pursuant to a prescription.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
Any pharmacy providing repackaging services shall have in place policies and procedures for repackaging these drugs and shall label the repackaged prescription container with the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
All the information required by Section 4076.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The name and address of the pharmacy repackaging the drug and the name and address of the pharmacy that initially dispensed the drug to the patient.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The repackaging pharmacy and the pharmacy that initially dispensed the drug shall only be liable for its own actions in providing the drug to the patient or the patient’s agent.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_3D939C83-8F72-4893-AC45-ACE6EA13DB80">
<ns0:Num>SEC. 21.</ns0:Num>
<ns0:ActionLine action="IS_REPEALED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4052.8.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4052.8 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is repealed.
</ns0:ActionLine>
<ns0:Fragment/>
</ns0:BillSection>
<ns0:BillSection id="id_C21B1BC9-580C-4442-8449-72D95D532126">
<ns0:Num>SEC. 22.</ns0:Num>
<ns0:ActionLine action="IS_REPEALED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4052.9.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4052.9 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is repealed.
</ns0:ActionLine>
<ns0:Fragment/>
</ns0:BillSection>
<ns0:BillSection id="id_FC8C5ABE-65A0-4C04-AACA-7BB88D7F7D32">
<ns0:Num>SEC. 23.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4064.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4064 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_05C99666-F7BD-4A06-B3F2-73B6508456DA">
<ns0:Num>4064.</ns0:Num>
<ns0:LawSectionVersion id="id_063DF4A3-97CB-4358-8265-1093ED5C9133">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A prescription for a dangerous drug or dangerous device may be refilled without the prescriber’s authorization if the prescriber is unavailable to authorize the refill and if, in the pharmacist’s professional judgment, failure to refill the prescription might interrupt the patient’s ongoing care and have a significant adverse effect on the patient’s well-being.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
The pharmacist shall inform the patient that the prescription was refilled pursuant to this section.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The pharmacist shall inform the prescriber within a reasonable period of time of any refills dispensed pursuant to this section.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
The prescriber shall not incur any liability as the result of a refilling of a prescription pursuant to this section.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
Notwithstanding Section 4060 or any other law, a person may possess a dangerous drug or dangerous device furnished without prescription pursuant to this section.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_70A20170-AAC5-4F0D-86CB-A6414BED9413">
<ns0:Num>SEC. 24.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4064.5.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4064.5 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_693B6032-AFDA-4EDC-91F7-68B2192F4EAA">
<ns0:Num>4064.5.</ns0:Num>
<ns0:LawSectionVersion id="id_0C03B7FD-564E-4E64-AD98-24AD58BDD607">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A pharmacist may dispense not more than a 90-day supply of a dangerous drug other than a controlled substance pursuant to a valid prescription that specifies an initial quantity of less than a 90-day supply followed by periodic refills of that amount if all of the following requirements are satisfied:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The patient has completed an initial 30-day supply of the dangerous drug.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The total quantity of dosage units dispensed does not exceed the total quantity of dosage units authorized by the prescriber on the prescription, including refills.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
The
prescriber has not specified on the prescription that dispensing the prescription in an initial amount followed by periodic refills is medically necessary.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
The pharmacist is exercising their professional judgment.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
For purposes of this section, if the prescription continues the same medication as previously dispensed in a 90-day supply, the initial 30-day supply under paragraph (1) of subdivision (a) is not required.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
A pharmacist dispensing an increased supply of a dangerous drug pursuant to this section shall notify the prescriber of the increase in the quantity of dosage units dispensed.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
This section shall not apply to psychotropic medication or psychotropic
drugs as described in subdivision (d) of Section 369.5 of the Welfare and Institutions Code.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
This section does not apply to FDA-approved, self-administered hormonal contraceptives.
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
A pharmacist shall furnish or dispense, at a patient’s request, up to a 12-month supply of an FDA-approved, self-administered hormonal contraceptive pursuant to a valid prescription that specifies an initial quantity followed by periodic refills.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Nothing in this subdivision shall be construed to require a pharmacist to dispense or furnish a drug if it would result in a violation of Section 733.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
Nothing in this section shall be construed to require a health care
service plan, health insurer, workers’ compensation insurance plan, pharmacy benefits manager, or any other person or entity, including, but not limited to, a state program or state employer, to provide coverage for a dangerous drug in a manner inconsistent with a beneficiary’s plan benefit.
</html:p>
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<ns0:BillSection id="id_BC3F7478-3D82-4F6B-92BB-A035054847CD">
<ns0:Num>SEC. 24.5.</ns0:Num>
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Section 4064.5 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Fragment>
<ns0:LawSection id="id_B6EF7589-5C74-4AEF-B421-73442311ECC4">
<ns0:Num>4064.5.</ns0:Num>
<ns0:LawSectionVersion id="id_83861122-AD3C-40E1-BF76-7B7607D12B58">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A pharmacist may dispense not more than a 90-day supply of a dangerous drug other than a controlled substance pursuant to a valid prescription that specifies an initial quantity of less than a 90-day supply followed by periodic refills of that amount if all of the following requirements are satisfied:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The patient has completed an initial 30-day supply of the dangerous drug.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The total quantity of dosage units dispensed does not exceed the total quantity of dosage units authorized by the prescriber on the prescription, including refills.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
The prescriber has not specified on the prescription that dispensing the
prescription in an initial amount followed by periodic refills is medically necessary.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
The pharmacist is exercising
their professional judgment.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
For purposes of this section, if the prescription continues the same medication as previously dispensed in a 90-day supply, the initial 30-day supply under paragraph (1) of subdivision (a) is not required.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
A pharmacist dispensing an increased supply of a dangerous drug pursuant to this section shall notify the prescriber of the increase in the quantity of dosage units dispensed.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
This section shall not apply to psychotropic medication or psychotropic drugs as described in subdivision (d) of Section 369.5 of the Welfare and Institutions Code.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
This section does not apply to FDA-approved, self-administered hormonal contraceptives.
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
A pharmacist shall
furnish or dispense, at a patient’s request, up to a 12-month supply of an FDA-approved, self-administered hormonal contraceptive pursuant to a valid prescription that specifies an initial quantity followed by periodic refills.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
This subdivision does not require a pharmacist to dispense or furnish a drug if it would result in a violation of Section 733.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
Except for this subdivision, this section does not apply to an FDA-approved prescription hormone therapy.
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
A pharmacist shall dispense, at a patient’s request, up to a 12-month supply of an FDA-approved prescription hormone therapy pursuant to a valid prescription that specifies an initial quantity followed by periodic refills, unless any of the following is true:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
The patient requests a smaller supply.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
The prescribing provider instructs that the patient must have a smaller supply.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
The prescribing provider temporarily limits refills to a 90-day supply due to an acute dispensing shortage.
</html:p>
<html:p>
(D)
<html:span class="EnSpace"/>
The prescription hormone therapy is a controlled substance. If the prescription hormone therapy is a controlled substance, the pharmacist shall dispense the maximum supply allowed under state and federal law to be obtained at one time by the patient.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
This subdivision does not require a pharmacist to dispense or furnish a drug if it would result in a violation of Section 733.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
For purposes of this subdivision, “prescription hormone therapy” has the same meaning as in Section 1367.253 of the Health and Safety Code.
</html:p>
<html:p>
(g)
<html:span class="EnSpace"/>
This
section does not require a health care service plan, health insurer, workers’ compensation insurance plan, pharmacy benefits manager, or any other person or entity, including, but not limited to, a state program or state employer, to provide coverage for a dangerous drug in a manner inconsistent with a beneficiary’s plan benefit.
</html:p>
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</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_23C90B5E-53D3-4078-8332-62783995C725">
<ns0:Num>SEC. 25.</ns0:Num>
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Section 4067 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_E289350E-1A90-47F6-9E0E-2CE4B38F2F3A">
<ns0:Num>4067.</ns0:Num>
<ns0:LawSectionVersion id="id_75F243F8-90F2-4693-96B1-5361DC1C8219">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
No person or entity shall dispense or furnish, or cause to be dispensed or furnished, dangerous drugs or dangerous devices, as defined in Section 4022, on the internet for delivery to any person in this state without a prescription issued pursuant to an appropriate prior examination of the human or animal for whom the prescription is meant if the person or entity either knew or reasonably should have known that the prescription was not issued pursuant to an appropriate prior examination of the human or animal, or if the person or entity did not act in accordance with Section 1761 of Title 16 of the California Code of Regulations.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
Notwithstanding any other provision of law, a
violation of this section may subject the person or entity that has committed the violation to either a fine of up to twenty-five thousand dollars ($25,000) per occurrence pursuant to a citation issued by the board or a civil penalty of twenty-five thousand dollars ($25,000) per occurrence.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The Attorney General may bring an action to enforce this section and to collect the fines or civil penalties authorized by subdivision (b).
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
For notifications made on and after January 1, 2002, the Franchise Tax Board, upon notification by the Attorney General or the board of a final judgment in an action brought under this section, shall subtract the amount of the fine or awarded civil penalties from any tax refunds or lottery winnings due to the person who is a defendant in
the action using the offset authority under Section 12419.5 of the Government Code, as delegated by the Controller, and the processes as established by the Franchise Tax Board for this purpose. That amount shall be forwarded to the board for deposit in the Pharmacy Board Contingent Fund.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
Nothing in this section shall be construed to permit the unlicensed practice of pharmacy, or to limit the authority of the board to enforce any other provision of this chapter.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
For the purposes of this section, “appropriate prior examination” includes the requirements for a physician and surgeon in Section 2242 and the requirements for a veterinarian in Section 4826.6.
</html:p>
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</ns0:LawSection>
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<ns0:BillSection id="id_75754142-AAFA-445F-9936-7B86036491B0">
<ns0:Num>SEC. 26.</ns0:Num>
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Section 4076 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Fragment>
<ns0:LawSection id="id_678BA28C-973C-463D-9A2B-448675FDF4D0">
<ns0:Num>4076.</ns0:Num>
<ns0:LawSectionVersion id="id_A36371A8-CC99-46F5-A621-10AD66B09931">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A pharmacist shall not dispense a prescription except in a container that meets the requirements of state and federal law and is correctly labeled with all of the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
Except when the prescriber or the certified nurse-midwife who functions pursuant to a standardized procedure or protocol described in Section 2746.51, the nurse practitioner who functions pursuant to a standardized procedure described in Section 2836.1 or protocol, the physician assistant who functions pursuant to Section 3502.1, the naturopathic doctor who functions pursuant to a standardized procedure or protocol described in Section 3640.5, or the pharmacist who functions pursuant to Section 4052 or
pursuant to a policy, procedure, or protocol pursuant to Section 4052.1, 4052.2, or 4052.6 orders otherwise, either the manufacturer’s trade name of the drug or the generic name and the name of the manufacturer. Commonly used abbreviations may be used. Preparations containing two or more active ingredients may be identified by the manufacturer’s trade name or the commonly used name or the principal active ingredients.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The directions for the use of the drug.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
The name of the patient or patients.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
The name of the prescriber or, if applicable, the name of the certified nurse-midwife who functions pursuant to a standardized procedure or protocol described in Section 2746.51, the nurse practitioner who functions
pursuant to a standardized procedure described in Section 2836.1 or protocol, the physician assistant who functions pursuant to Section 3502.1, the naturopathic doctor who functions pursuant to a standardized procedure or protocol described in Section 3640.5, or the pharmacist who functions pursuant to Section 4052 or pursuant to a policy, procedure, or protocol pursuant to Section 4052.1, 4052.2, or 4052.6.
</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
The date of issue.
</html:p>
<html:p>
(6)
<html:span class="EnSpace"/>
The name and address of the pharmacy, and prescription number or other means of identifying the prescription.
</html:p>
<html:p>
(7)
<html:span class="EnSpace"/>
The strength of the drug or drugs dispensed.
</html:p>
<html:p>
(8)
<html:span class="EnSpace"/>
The quantity of the drug or drugs dispensed.
</html:p>
<html:p>
(9)
<html:span class="EnSpace"/>
The expiration date of the effectiveness of the drug dispensed.
</html:p>
<html:p>
(10)
<html:span class="EnSpace"/>
The condition or purpose for which the drug was prescribed if the condition or purpose is indicated on the prescription.
</html:p>
<html:p>
(11)
<html:span class="EnSpace"/>
(A)
<html:span class="EnSpace"/>
Commencing January 1, 2006, the physical description of the dispensed medication, including its color, shape, and any identification code that appears on the tablets or capsules, except as follows:
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
Prescriptions dispensed by a veterinarian.
</html:p>
<html:p>
(ii)
<html:span class="EnSpace"/>
An exemption from the requirements of this paragraph shall be granted to a new drug for the first 120 days that the drug is on the
market and for the 90 days during which the national reference file has no description on file.
</html:p>
<html:p>
(iii)
<html:span class="EnSpace"/>
Dispensed medications for which no physical description exists in a commercially available database.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
This paragraph applies to outpatient pharmacies only.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
The information required by this paragraph may be printed on an auxiliary label that is affixed to the prescription container.
</html:p>
<html:p>
(D)
<html:span class="EnSpace"/>
This paragraph shall not become operative if the board, prior to January 1, 2006, adopts regulations that mandate the same labeling requirements set forth in this paragraph.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
If a pharmacist dispenses a
prescribed drug by means of a unit dose medication system, as defined by administrative regulation, for a patient in a skilled nursing, intermediate care, or other health care facility, the requirements of this section will be satisfied if the unit dose medication system contains the aforementioned information or the information is otherwise readily available at the time of drug administration.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
If a pharmacist dispenses a dangerous drug or device in a facility licensed pursuant to Section 1250 of the Health and Safety Code, it is not necessary to include on individual unit dose containers for a specific patient, the name of the certified nurse-midwife who functions pursuant to a standardized procedure or protocol described in Section 2746.51, the nurse practitioner who functions pursuant to a standardized procedure described in Section
2836.1 or protocol, the physician assistant who functions pursuant to Section 3502.1, the naturopathic doctor who functions pursuant to a standardized procedure or protocol described in Section 3640.5, or the pharmacist who functions pursuant to Section 4052 or pursuant to a policy, procedure, or protocol pursuant to Section 4052.1, 4052.2, or 4052.6.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
If a pharmacist dispenses a prescription drug for use in a facility licensed pursuant to Section 1250 of the Health and Safety Code, it is not necessary to include the information required in paragraph (11) of subdivision (a) when the prescription drug is administered to a patient by a person licensed under the Medical Practice Act (Chapter 5 (commencing with Section 2000)), the Nursing Practice Act (Chapter 6 (commencing with Section 2700)), or the Vocational Nursing Practice Act (Chapter
6.5 (commencing with Section 2840)), who is acting within the scope of practice.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
A pharmacist shall use professional judgment to provide a patient with directions for use that enhance the patient’s understanding of those directions, consistent with the prescriber’s
instructions.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
Notwithstanding subdivision (a) or any other law, a pharmacist may dispense a drug prescribed pursuant to Section 120582 of the Health and Safety Code and label the drug without the name of an individual for whom the drug is intended if the prescription includes the words “expedited partner therapy” or the letters “EPT.”
</html:p>
<html:p>
(g)
<html:span class="EnSpace"/>
A pharmacist who prescribes, dispenses, furnishes, or otherwise renders EPT, as authorized in subdivision (f), shall not be liable in, and shall not be subject to, a civil, criminal, or administrative action, sanction, or penalty for rendering EPT, if the use of EPT is in compliance with this section, except in cases of intentional misconduct, gross negligence, or wanton or reckless activity.
</html:p>
<html:p>
(h)
<html:span class="EnSpace"/>
A pharmacist who provides EPT under this section shall provide written notification that describes the right of an individual who receives EPT to consult with a pharmacist about the medication dispensed and additional information regarding possible drug interactions.
</html:p>
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</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_8102907B-E709-4B8A-B745-76CA41EAF7B3">
<ns0:Num>SEC. 26.5.</ns0:Num>
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Section 4076 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Fragment>
<ns0:LawSection id="id_F6ED3B08-B1BD-4E0F-B679-A4C49ECE8AE7">
<ns0:Num>4076.</ns0:Num>
<ns0:LawSectionVersion id="id_833C3948-224F-4A2A-B47D-78D7F2B97BE4">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A pharmacist shall not dispense a prescription except in a container that meets the requirements of state and federal law and is correctly labeled with all of the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
Except when the prescriber or the certified nurse-midwife who functions pursuant to a standardized procedure or protocol described in Section 2746.51, the nurse practitioner who functions pursuant to a standardized procedure described in Section 2836.1 or protocol, the physician assistant who functions pursuant to Section 3502.1, the naturopathic doctor who functions pursuant to a standardized procedure or protocol described in Section 3640.5, or the pharmacist who functions pursuant to Section 4052 or
pursuant to a policy, procedure, or protocol pursuant to Section 4052.1, 4052.2, or 4052.6 orders otherwise, either the manufacturer’s trade name of the drug or the generic name and the name of the manufacturer. Commonly used abbreviations may be used. Preparations containing two or more active ingredients may be identified by the manufacturer’s trade name or the commonly used name or the principal active ingredients.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The directions for the use of the drug.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
The name of the patient or patients.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
The name of the prescriber or, if applicable, the name of the certified nurse-midwife who functions pursuant to a standardized procedure or protocol described in Section 2746.51, the nurse practitioner who functions pursuant to a standardized procedure described in Section 2836.1 or
protocol, the physician assistant who functions pursuant to Section 3502.1, the naturopathic doctor who functions pursuant to a standardized procedure or protocol described in Section 3640.5, or the pharmacist who functions pursuant to Section 4052 or pursuant to a policy, procedure, or protocol pursuant to Section 4052.1, 4052.2, or 4052.6.
</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
The date of issue.
</html:p>
<html:p>
(6)
<html:span class="EnSpace"/>
The name and address of the pharmacy, and prescription number or other means of identifying the prescription.
</html:p>
<html:p>
(7)
<html:span class="EnSpace"/>
The strength of the drug or drugs dispensed.
</html:p>
<html:p>
(8)
<html:span class="EnSpace"/>
The quantity of the drug or drugs dispensed.
</html:p>
<html:p>
(9)
<html:span class="EnSpace"/>
The
expiration date of the effectiveness of the drug dispensed.
</html:p>
<html:p>
(10)
<html:span class="EnSpace"/>
The condition or purpose for which the drug was prescribed if the condition or purpose is indicated on the prescription.
</html:p>
<html:p>
(11)
<html:span class="EnSpace"/>
(A)
<html:span class="EnSpace"/>
Commencing January 1, 2006, the physical description of the dispensed medication, including its color, shape, and any identification code that appears on the tablets or capsules, except as follows:
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
Prescriptions dispensed by a veterinarian.
</html:p>
<html:p>
(ii)
<html:span class="EnSpace"/>
An exemption from the requirements of this paragraph shall be granted to a new drug for the first 120 days that the drug is on the market and for the 90 days during which the national reference file has no description on file.
</html:p>
<html:p>
(iii)
<html:span class="EnSpace"/>
Dispensed medications for which no physical description exists in a commercially available database.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
This paragraph applies to outpatient pharmacies only.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
The information required by this paragraph may be printed on an auxiliary label that is affixed to the prescription container.
</html:p>
<html:p>
(D)
<html:span class="EnSpace"/>
This paragraph shall not become operative if the board, prior to January 1, 2006, adopts regulations that mandate the same labeling requirements set forth in this paragraph.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
If a pharmacist dispenses a prescribed drug by means of a unit dose medication system, as defined by administrative regulation, for a patient in a skilled nursing, intermediate care, or other health care facility, the requirements of this section will be satisfied if the
unit dose medication system contains the aforementioned information or the information is otherwise readily available at the time of drug administration.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
If a pharmacist dispenses a dangerous drug or device in a facility licensed pursuant to Section 1250 of the Health and Safety Code, it is not necessary to include on individual unit dose containers for a specific patient, the name of the certified nurse-midwife who functions pursuant to a standardized procedure or protocol described in Section 2746.51, the nurse practitioner who functions pursuant to a standardized procedure described in Section 2836.1 or protocol, the physician assistant who functions pursuant to Section 3502.1, the naturopathic doctor who functions pursuant to a standardized procedure or protocol described in Section 3640.5, or the pharmacist who functions pursuant to Section 4052 or
pursuant to a policy, procedure, or protocol pursuant to Section 4052.1, 4052.2, or 4052.6.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
If a pharmacist dispenses a prescription drug for use in a facility licensed pursuant to Section 1250 of the Health and Safety Code, it is not necessary to include the information required in paragraph (11) of subdivision (a) when the prescription drug is administered to a patient by a person licensed under the Medical Practice Act (Chapter 5 (commencing with Section 2000)), the Nursing Practice Act (Chapter 6 (commencing with Section 2700)), or the Vocational Nursing Practice Act (Chapter 6.5 (commencing with Section 2840)), who is acting within the scope of practice.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
A pharmacist shall use professional judgment to provide a patient with directions for use that enhance the patient’s understanding of those directions, consistent with the prescriber’s
instructions.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
Notwithstanding subdivision (a) or any other law, a pharmacist may dispense a drug prescribed pursuant to Section 120582 of the Health and Safety Code and label the drug without the name of an individual for whom the drug is intended if the prescription includes the words “expedited partner therapy” or the letters “EPT.”
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
A pharmacist who prescribes, dispenses, furnishes, or otherwise renders EPT, as authorized in subdivision (f), shall not be liable in,
and shall not be subject to, a civil, criminal, or administrative action, sanction, or penalty for rendering EPT, if the use of EPT is in compliance with this section, except in cases of intentional misconduct, gross negligence, or wanton or reckless activity.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
A pharmacist who provides EPT under this section shall provide written notification that describes the right of an individual who receives EPT to consult with a pharmacist about the medication dispensed and additional information regarding possible drug interactions.
</html:p>
<html:p>
(g)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
Notwithstanding subdivision (a) or any other law, a pharmacist may, at their discretion, dispense brand name or generic mifepristone or any drug used for medication abortion without the name of the patient as required in paragraph (3) of subdivision (a), the name of the prescriber as required in paragraph (4) of subdivision (a), or the name and address of the pharmacy as required in paragraph (6) of subdivision (a) if the prescription is labeled with a prescription number or other means of identifying the prescription.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
A pharmacist who dispenses, furnishes, or otherwise renders brand name or generic mifepristone or any drug used for medication abortion, as authorized in paragraph (1), shall maintain a log with the prescription numbers and the information required in paragraphs (1) to (10),
inclusive, of subdivision (a).
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Notwithstanding Section 4081, all records maintained under paragraph (2) shall not be open to inspection by law enforcement without a valid, court-issued subpoena.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
This subdivision does not prohibit the investigation of an activity that is punishable as a crime under the laws of this state, provided that records maintained under paragraph (2) are not shared with an individual or entity from another state.
</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
A pharmacist shall inform the patient that the pharmacist is dispensing brand name or generic mifepristone or any drug used for medication abortion as authorized by this subdivision.
</html:p>
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<ns0:BillSection id="id_1BE1D2B7-382A-45E2-B890-AE358EEE79FC">
<ns0:Num>SEC. 27.</ns0:Num>
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Section 4081 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Fragment>
<ns0:LawSection id="id_D877B077-5F26-401A-8C46-9CB60F07343C">
<ns0:Num>4081.</ns0:Num>
<ns0:LawSectionVersion id="id_971D9090-DDD6-4346-B803-06638D31AF84">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
All records of manufacture and of sale, acquisition, receipt, shipment, or disposition of dangerous drugs or dangerous devices shall be at all times during business hours open to inspection by authorized officers of the law, and shall be preserved for at least three years from the date of making. A current inventory shall be kept by every manufacturer, wholesaler, third-party logistics provider, pharmacy, veterinary food-animal drug retailer, outsourcing facility, physician, dentist, podiatrist, veterinarian, laboratory, licensed correctional clinic, as defined in Section 4187, clinic, hospital, institution, or establishment holding a currently valid and unrevoked certificate, license, permit, registration, or exemption under Division 2
(commencing with Section 1200) of the Health and Safety Code or under Part 4 (commencing with Section 16000) of Division 9 of the Welfare and Institutions Code who maintains a stock of dangerous drugs or dangerous devices.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
The owner, officer, and partner of a pharmacy, wholesaler, third-party logistics provider, or veterinary food-animal drug retailer shall be jointly responsible, with the pharmacist-in-charge, responsible manager, or designated representative-in-charge, for maintaining the records and inventory described in this section.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The pharmacist-in-charge, responsible manager, or designated representative-in-charge shall not be criminally responsible for acts of the owner, officer, partner, or employee that violate this section and of which the pharmacist-in-charge, responsible
manager, or designated representative-in-charge had no knowledge, or in which they did not knowingly participate.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
Pharmacies that dispense nonprescription diabetes test devices pursuant to prescriptions shall retain records of acquisition and sale of those nonprescription diabetes test devices for at least three years from the date of making. The records shall be at all times during business hours open to inspection by authorized officers of the law.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
In addition to the records described in subdivision (a), records that shall be maintained include policies and procedures related to pharmacy personnel and pharmacy operations. Such records shall be maintained in a readily retrievable format.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Records described in paragraph (1) that are maintained electronically shall provide an audit trail for revisions and updates of each record.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Prior versions of each electronically maintained record described in paragraph (2) shall be maintained in a readily retrievable format and include changes to the document, identification of the individual who made the change, and the date of each change.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_6849014B-C989-4C3E-BC33-C10829B737D3">
<ns0:Num>SEC. 28.</ns0:Num>
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Section 4102 is added to the
<ns0:DocName>Business and Professions Code</ns0:DocName>
, to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_3E1DC9AD-9C5E-4097-A644-CDB4C42EDE8F">
<ns0:Num>4102.</ns0:Num>
<ns0:LawSectionVersion id="id_A9B7F473-3FB6-4E53-A2C5-EA04AE544B01">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
As provided in this section, all facilities licensed by the board shall complete the self-assessment process by July 1 of every odd-numbered year, unless otherwise established in this section.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The self-assessment process shall be completed on a form provided by the board pursuant to this section.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
The form shall be completed to assess the facility’s compliance with federal and state laws identified on the form. For each “no” response, the facility shall undertake a written corrective action or action plan to come into compliance with the law.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
The form shall be signed under penalty of perjury by the designated individual, pursuant to this section, and cosigned by the owner or authorized officer of the facility acknowledging they have read, reviewed, and completed the self-assessment to the best of their professional ability and acknowledge that failure to correct any deficiency identified could result in action by the board.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The completed form shall be kept on file in the facility and made available to the board or its designee upon request.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
The facility shall use the appropriate designated form based on the type of license, as described in this subdivision and as posted on the board’s internet website.
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The Community Pharmacy Self-Assessment/Hospital Outpatient Self-Assessment form shall be completed by the pharmacist-in-charge. In addition to the requirements in subdivision (a), the form shall be completed within 30 days of any of the following:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
A new pharmacy license is issued.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
There is a change of pharmacist-in-charge, and they become the new pharmacist-in-charge of a pharmacy.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
There is a change in the location of a pharmacy to a new address.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The Hospital Pharmacy Self-Assessment form shall be completed by the pharmacist-in-charge. In addition to the requirements in
subdivision (a), the form shall be completed within 30 days of any of the following:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
A new pharmacy license is issued.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
There is a change of pharmacist-in-charge, and they become the new pharmacist-in-charge of a pharmacy.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
There is a change in the location of a pharmacy to a new address.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
The Automated Drug Delivery System Self-Assessment form shall be completed by the pharmacist-in-charge of the pharmacy operating the system. In addition to the requirements in subdivision (a), the form shall be completed within 30 days of any of the following:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
A new pharmacy license is
issued.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
There is a change of pharmacist-in-charge, and they become the new pharmacist-in-charge of a pharmacy.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
There is a change in the location of a pharmacy to a new address.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
The Compounding Self-Assessment form shall be completed by the pharmacist-in-charge of each pharmacy that compounds drug products. In addition to the requirements in subdivision (a), the form shall be completed within 30 days of any of the following:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
A new pharmacy license is issued.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
There is a change of pharmacist-in-charge, and they become the new pharmacist-in-charge of a pharmacy.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
There is a change in the location of a pharmacy to a new address.
</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
The Surgical Clinic Self-Assessment form shall be completed by the consulting pharmacist of the surgical clinic and cosigned by the professional director.
</html:p>
<html:p>
(6)
<html:span class="EnSpace"/>
The Wholesaler/Third-Party Logistics Provider Self-Assessment form shall be completed by the designated representative-in-charge or the wholesaler or responsible manager of the third-party logistics provider. In addition to the requirements in subdivision (a), the form shall be completed within 30 days of any of the following:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
A new license is issued.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
There is
a change of designated representative-in-charge or responsible manager, and they become the new designated representative-in-charge or responsible manager.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
There is a change in the location to a new address.
</html:p>
<html:p>
(7)
<html:span class="EnSpace"/>
The Outsourcing Facility Self-Assessment form shall be completed by the designated quality control personnel. In addition to the requirements in subdivision (a), the form shall be completed within 30 days of any of the following:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
A new license is issued.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
There is a change in the designated quality control personnel.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
There is a change in the location to a new
address.
</html:p>
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</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_E4EB2BBD-7A00-47A4-874E-623AFFBCC9F8">
<ns0:Num>SEC. 29.</ns0:Num>
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Section 4105 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Fragment>
<ns0:LawSection id="id_7111DC0D-EA31-4509-82A8-5AB4D93C2779">
<ns0:Num>4105.</ns0:Num>
<ns0:LawSectionVersion id="id_C14EC614-3FA7-4002-A3C9-5EFC8BB48814">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
All records or other documentation required to be maintained pursuant to this chapter by any entity licensed by the board shall be retained on the licensed premises in a readily retrievable form.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
The licensee may remove the original records or documentation from the licensed premises on a temporary basis for license-related purposes. However, a duplicate set of those records or other documentation shall be retained on the licensed premises.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The records required by this
chapter shall be retained on the licensed premises for a period of three years from the date of making. Paper records may be converted into a digital format and maintained only in a noneditable format. Certification that the digitized documents have not been altered may be required by the board.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
Any records that are maintained electronically shall be maintained so that the pharmacist-in-charge, or the pharmacist on duty if the pharmacist-in-charge is not on duty, shall, at all times during which the licensed premises are open for business, be able to produce a hardcopy, digitized copy, or electronic copy of all records required by this chapter to be maintained electronically.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
In the case of a veterinary
food-animal drug retailer, wholesaler, or third-party logistics provider, any records that are maintained electronically shall be maintained so that the designated representative-in-charge or the responsible manager, or the designated representative on duty or the designated representative-3PL on duty if the designated representative-in-charge or responsible manager is not on duty, shall, at all times during which the licensed place of business is open for business, be able to produce a hardcopy, digitized copy, or electronic copy of all records of acquisition or disposition or other drug or dispensing-related records maintained electronically.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
Notwithstanding subdivisions (a), (b), and (c), the board may, upon written request, grant to a licensee a waiver of the requirements that the records described in
subdivisions (a), (b), and (c) be kept on the licensed premises.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
A waiver granted pursuant to this subdivision shall not affect the board’s authority under this section or any other provision of this chapter.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
When requested by an authorized officer of the law or by an authorized representative of the board, the owner, corporate officer, or manager of an entity licensed by the board shall provide the board with the requested records within three business days of the time the request was made. The entity may request in writing an extension of this timeframe for a period not to exceed 14 calendar days from the date the records were requested. A request for an extension of time is subject to the approval of the board. An extension shall be deemed approved if the board fails
to deny the extension request within two business days of the time the extension request was made directly to the board.
</html:p>
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</ns0:LawSection>
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</ns0:BillSection>
<ns0:BillSection id="id_6185244D-CB7C-4B5B-A5F1-DB332DA9EB2E">
<ns0:Num>SEC. 30.</ns0:Num>
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Section 4111 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_27E7B7F9-996A-43A0-BDD9-DFAA44CB7DED">
<ns0:Num>4111.</ns0:Num>
<ns0:LawSectionVersion id="id_66947DF1-2628-4B74-96B4-51A03B02145E">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
Except as otherwise provided in paragraph (2), or in subdivision (b), (d), or (e), the board shall not issue or renew a license to conduct a pharmacy to any of the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
A person or persons authorized to prescribe or write a prescription, as specified in Section 4040, in the State of California.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
(A)
<html:span class="EnSpace"/>
Except as provided in subparagraph (B), a person or persons with whom a person or persons specified in paragraph (1) shares a community or other financial interest in the license sought.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
Subparagraph (A) shall not preclude the issuance of a new or
renewal license to conduct a pharmacy if both of the following conditions are met:
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
Both the person or persons specified in paragraph (1) and the person seeking the license provide statements that the person or persons specified in paragraph (1) disavow any community or financial interest in the license.
</html:p>
<html:p>
(ii)
<html:span class="EnSpace"/>
Any interest in the license that is shared community property, as defined in Section 65 of the Family Code, of a person specified in paragraph (1) and the person seeking the license is transmuted into the separate property of the person seeking the license.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
A pharmacy that is granted a license pursuant to the exception in subparagraph (B) shall not fill any prescriptions, emergency or otherwise, issued or
prescribed by either of the following persons:
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
A person specified in paragraph (1) who shares a community or other financial interest with the licensee.
</html:p>
<html:p>
(ii)
<html:span class="EnSpace"/>
A prescriber at the same place of business as a person specified in clause (i) if the prescriber owns an interest greater than 10 percent in the practice issuing the prescription.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Any corporation that is controlled by, or in which 10 percent or more of the stock is owned by a person or persons prohibited from pharmacy ownership by paragraph (1) or (2).
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
Subdivision (a) shall not preclude the issuance of a permit for an inpatient hospital pharmacy to the owner of the hospital in which it is
located.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The board may require any information the board deems is reasonably necessary for the enforcement of this section.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
Subdivision (a) shall not preclude the issuance of a new or renewal license for a pharmacy to be owned or owned and operated by a person licensed on or before August 1, 1981, under the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code) and qualified on or before August 1, 1981, under subsection (d) of Section 1310 of Title XIII of the federal Public Health Service Act, as amended, whose ownership includes persons defined pursuant to paragraphs (1) and (2) of subdivision (a).
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
Subdivision (a) shall not preclude the issuance of a new or renewal license for a pharmacy to be owned or owned and operated by a pharmacist.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
If the board issues a license pursuant to paragraph (1), the pharmacist owning or owning and operating the pharmacy shall do both of the following when issuing a drug order pursuant to Section 4052, 4052.1, 4052.2, or 4052.6:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
Offer to provide a prescription to the patient that the patient may elect to have filled by a pharmacy of the patient’s choice unless prohibited by the collaborative practice agreement.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
Provide a full patient consultation before issuing the drug order.
</html:p>
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</ns0:LawSection>
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</ns0:BillSection>
<ns0:BillSection id="id_22AD8B8B-2F57-4E3A-BFE5-C7C6E5CD9CF4">
<ns0:Num>SEC. 31.</ns0:Num>
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Section 4112 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_806F8B3F-E108-4142-86EB-B5270443C5CB">
<ns0:Num>4112.</ns0:Num>
<ns0:LawSectionVersion id="id_2B5C9B53-2C37-40DC-A335-CF32D5F8A336">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
Any pharmacy located outside this state that ships, mails, or delivers, in any manner, controlled substances, dangerous drugs, or dangerous devices into this state shall be considered a nonresident pharmacy.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
A person may not act as a nonresident pharmacy unless they have obtained a license from the board. The board may register a nonresident pharmacy that is organized as a limited liability company in the state in which it is licensed.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
A nonresident pharmacy shall disclose to the board the location, names, and titles of (1) its agent for service of process in this state, (2) all principal corporate officers, if
any, (3) all general partners, if any, and (4) all pharmacists who are dispensing controlled substances, dangerous drugs, or dangerous devices to residents of this state. A report containing this information shall be made on an annual basis and within 30 days after any change of office, corporate officer, partner, or pharmacist.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
All nonresident pharmacies shall comply with all lawful directions and requests for information from the regulatory or licensing agency of the state in which it is licensed as well as with all requests for information made by the board pursuant to this section. The nonresident pharmacy shall maintain, at all times, a valid unexpired license, permit, or registration to conduct the pharmacy in compliance with the laws of the state in which it is a resident. As a prerequisite to registering with the board, the nonresident
pharmacy shall submit a copy of the most recent inspection report resulting from an inspection conducted by the regulatory or licensing agency of the state in which it is located.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
All nonresident pharmacies shall maintain records of controlled substances, dangerous drugs, or dangerous devices dispensed to patients in this state so that the records are readily retrievable from the records of other drugs dispensed.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
Any pharmacy subject to this section shall, during its regular hours of operation, but not less than six days per week, and for a minimum of 40 hours per week, provide a toll-free telephone service to facilitate communication between patients in this state and a pharmacist at the pharmacy who has access to the patient’s records. This toll-free telephone number shall be
disclosed on a label affixed to each container of drugs dispensed to patients in this state.
</html:p>
<html:p>
(g)
<html:span class="EnSpace"/>
A nonresident pharmacy shall not permit a pharmacist whose license has been revoked by the board to manufacture, compound, furnish, sell, dispense, or initiate the prescription of a dangerous drug or dangerous device, or to provide any pharmacy-related service, to a person residing in California.
</html:p>
<html:p>
(h)
<html:span class="EnSpace"/>
The board shall adopt regulations that apply the same requirements or standards for oral consultation to a nonresident pharmacy that operates pursuant to this section and ships, mails, or delivers any controlled substances, dangerous drugs, or dangerous devices to residents of this state, as are applied to an in-state pharmacy that operates pursuant to Section 4037 when the pharmacy
ships, mails, or delivers any controlled substances, dangerous drugs, or dangerous devices to residents of this state. The board shall not adopt any regulations that require face-to-face consultation for a prescription that is shipped, mailed, or delivered to the patient. The regulations adopted pursuant to this subdivision shall not result in any unnecessary delay in patients receiving their medication.
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
The registration fee shall be the fee specified in subdivision (a) of Section 4400.
</html:p>
<html:p>
(j)
<html:span class="EnSpace"/>
The registration requirements of this section shall apply only to a nonresident pharmacy that ships, mails, or delivers controlled substances, dangerous drugs, and dangerous devices into this state pursuant to a prescription.
</html:p>
<html:p>
(k)
<html:span class="EnSpace"/>
Nothing in this section shall be construed to authorize the dispensing of contact lenses by nonresident pharmacists except as provided by Section 4124.
</html:p>
<html:p>
(l)
<html:span class="EnSpace"/>
This section shall remain in effect only until July 1, 2026, and as of that date is repealed.
</html:p>
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</ns0:LawSection>
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</ns0:BillSection>
<ns0:BillSection id="id_7732FA3B-9B5C-448A-B72B-DB3D0FD26836">
<ns0:Num>SEC. 32.</ns0:Num>
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Section 4112 is added to the
<ns0:DocName>Business and Professions Code</ns0:DocName>
, to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_A9C4A99E-1D94-4E6A-934F-1BAD46C34E76">
<ns0:Num>4112.</ns0:Num>
<ns0:LawSectionVersion id="id_9676B097-C1A5-40AA-862B-8BA81CBDBDC9">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
Any pharmacy located outside this state that is involved in the preparation, dispensing, shipping, mailing, or delivery, in any manner, of controlled substances, dangerous drugs, or dangerous devices into this state shall be considered a nonresident pharmacy.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
A person shall not act as a nonresident pharmacy unless the person has obtained a license from the board. The board may register a nonresident pharmacy that is organized as a limited liability company in the state in which it is licensed.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
A nonresident pharmacy shall disclose to the board the location, names, and titles of (1) its agent for
service of process in this state, (2) all principal corporate officers, if any, (3) all general partners, if any, and (4) all pharmacists who are dispensing controlled substances, dangerous drugs, or dangerous devices to residents of this state. The report shall be made on an annual basis and within 30 days after any change of office, corporate officer, partner, or pharmacist.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
All nonresident pharmacies shall comply with all lawful directions and requests for information from the regulatory or licensing agency of the state in which it is licensed as well as with all requests for information made by the board pursuant to this section. The nonresident pharmacy shall maintain, at all times, a valid unexpired license, permit, or registration to conduct the pharmacy in compliance with the laws of the state in which it is a resident.
As a prerequisite to registering with the board and ongoing licensure, the nonresident pharmacy shall identify a California-licensed pharmacist employed and working at the nonresident pharmacy to be proposed to serve as the pharmacist-in-charge, and submit a copy of the most recent inspection report resulting from an inspection conducted by the regulatory or licensing agency of the state in which it is located.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
All nonresident pharmacies shall maintain records of controlled substances, dangerous drugs, or dangerous devices dispensed to patients in this state so that the records are readily retrievable from the records of other drugs dispensed.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
Any pharmacy subject to this section shall, during its regular hours of operation, but not less than six days per week, and for a minimum
of 40 hours per week, provide a toll-free telephone service to facilitate communication between patients in this state and a pharmacist at the pharmacy who has access to the patient’s records. This toll-free telephone number shall be disclosed on a label affixed to each container of drugs dispensed to patients in this state.
</html:p>
<html:p>
(g)
<html:span class="EnSpace"/>
A nonresident pharmacy shall not permit a pharmacist to manufacture, compound, furnish, sell, dispense, or initiate the prescription of a dangerous drug or dangerous device, or to provide any pharmacy-related service, to California patients under either of the following conditions:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The pharmacist’s license has been revoked by the jurisdiction and has not been subsequently reinstated.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The pharmacist-in-charge of the pharmacy is not licensed in California.
</html:p>
<html:p>
(h)
<html:span class="EnSpace"/>
The board shall adopt regulations that apply the same requirements or standards for oral consultation to a nonresident
pharmacy that operates pursuant to this section and ships, mails, or delivers any controlled substances, dangerous drugs, or dangerous devices to residents of this state, as are applied to an in-state pharmacy that operates pursuant to Section 4037 when the pharmacy ships, mails, or delivers any controlled substances, dangerous drugs, or dangerous devices to residents of this state. The board shall not adopt any regulations that require face-to-face consultation for a prescription that is shipped, mailed, or delivered to the patient. The regulations adopted pursuant to this subdivision shall not result in any unnecessary delay in patients receiving their medication.
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
The registration fee shall be the fee specified in subdivision (a) of Section 4400.
</html:p>
<html:p>
(j)
<html:span class="EnSpace"/>
The registration requirements of this section shall apply only to a nonresident pharmacy that ships, mails, or delivers controlled substances, dangerous drugs, and dangerous devices into this state pursuant to a prescription.
</html:p>
<html:p>
(k)
<html:span class="EnSpace"/>
The board may inspect a nonresident pharmacy licensed pursuant to this section. In addition to paying the fees established in Section 4400, the nonresident pharmacy shall deposit, when notified by the board, a reasonable amount, as determined by the board, necessary to cover the board’s estimated reasonable costs of performing the inspection. If the required deposit is not received or if the actual costs of the inspection exceed the amount deposited, the board shall issue an invoice for the remaining amount and shall not take action on the renewal application until the full amount has been paid
to the board. If the amount deposited exceeds the amount of actual and necessary costs incurred, the board shall remit the difference to the applicant.
</html:p>
<html:p>
(
<html:i>l</html:i>
)
<html:span class="EnSpace"/>
Nothing in this section shall be construed to authorize the dispensing of contact lenses by nonresident pharmacists except as provided by Section 4124.
</html:p>
<html:p>
(m)
<html:span class="EnSpace"/>
This section shall become operative on July 1, 2026.
</html:p>
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</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_03444291-4982-466B-BD2D-3B8055D2EAD4">
<ns0:Num>SEC. 33.</ns0:Num>
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Section 4113 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_4D1DB1F8-EAA7-4850-9050-172A0B1C5A35">
<ns0:Num>4113.</ns0:Num>
<ns0:LawSectionVersion id="id_EE4AE03A-3D3B-4EDE-A6C7-D4F1955FF5C6">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
Every pharmacy shall designate a pharmacist-in-charge.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
A pharmacy licensed pursuant to Section 4110 shall, within
30 days of the designation in paragraph (1), notify the board in writing of the identity and license number of that pharmacist and the date they were designated.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
A pharmacy licensed pursuant to Section 4112 shall, within 90 days of the designation in paragraph (1), notify the board in writing of the identify and license number of that pharmacist and the date they were designated.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
The proposed pharmacist-in-charge shall be subject to approval by the board. The board shall not issue or renew a pharmacy license without identification of an approved pharmacist-in-charge for the pharmacy.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
The pharmacist-in-charge shall be responsible for a pharmacy’s compliance with all
state and federal laws and regulations pertaining to the practice of pharmacy.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The pharmacist-in-charge shall make staffing decisions to ensure sufficient personnel are present in the pharmacy to prevent fatigue, distraction, or other conditions that may interfere with a pharmacist’s ability to practice competently and safely. If the pharmacist-in-charge is not available, a pharmacist on duty may adjust staffing according to workload if needed. This paragraph does not apply to facilities of the Department of Corrections and Rehabilitation.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
The determination of the appropriate pharmacist-to-technician ratio shall be made by the pharmacist-in-charge, provided that the ratio does not exceed the maximum ratio established in subdivision (g) of Section 4115. No other
person, permittee, or licensee shall interfere with the exercise of the pharmacist-in-charge’s independent professional judgment in setting the pharmacist-to-technician ratio.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
The pharmacist-in-charge or pharmacist on duty shall immediately notify store management or the building owner or a similar entity of any conditions that present an immediate risk of death, illness, or irreparable harm to patients, personnel, or pharmacy staff. Store management shall take immediate and reasonable steps to address and resolve the conditions that present an immediate risk of death, illness, or irreparable harm to patients, personnel, or pharmacy staff. If the conditions are not resolved within 24 hours, the pharmacist-in-charge or pharmacist on duty shall ensure the board is timely notified.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Nothing in this subdivision shall be construed as presenting, limiting, or restraining a pharmacist-in-charge, pharmacy technician, or member of the public from communication with the board, including filing a complaint.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
The conditions that present an immediate risk of death, illness, or irreparable harm to patients, personnel, or pharmacy staff may include, but are not limited to, any of the following:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
Workplace safety and health hazards that present an immediate risk of death, illness, or irreparable harm to patients, personnel, or pharmacy staff.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
Sustained temperatures that could impact ambient temperature drug stability according to manufacturer
data on acceptable drug storage conditions.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
Vermin infestation that poses a risk to the safety or efficacy of medicine.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
If, after receipt of a notice described in paragraph (1) and an evaluation and assessment of the relevant evidence, the executive officer has a reasonable belief that conditions within a pharmacy exist that present an immediate risk of death, illness, or irreparable harm to patients, personnel, or pharmacy staff, the executive officer may, in conformance with the processes set forth in subdivisions (b) and (c) of Section 4127.3, issue an order to the pharmacy to immediately cease and desist those pharmacy operations that are affected by the conditions at issue. The cease and desist order shall remain in effect until either the executive officer
determines the conditions that presented an immediate risk of death, illness, or irreparable harm to patients, personnel, or pharmacy staff have been abated or for no more than 30 days, whichever is earlier. Evidence of corrective actions taken shall be submitted by the pharmacy to correct the conditions at issue. Failure to comply with a cease and desist order issued pursuant to this section shall be unprofessional conduct pursuant to Section 4156.
</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
Nothing in this paragraph shall prevent the owner of the licensed premises from closing a pharmacy to mitigate against a perceived immediate risk of death, illness, or irreparable harm to patients, personnel, or pharmacy staff.
</html:p>
<html:p>
(6)
<html:span class="EnSpace"/>
Facilities of the Department of Corrections and Rehabilitation shall be exempt from this
subdivision.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
Every pharmacy licensed pursuant to Section 4110 shall notify the board in writing, on a form designed by the board, within 30 days of the date when a pharmacist-in-charge ceases to act as the pharmacist-in-charge, and shall on the same form propose another pharmacist to take over as the pharmacist-in-charge.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Every pharmacy licensed pursuant to Section 4112 shall notify the board in writing, on a form designed by the board, within 90 days of the date when a pharmacist-in-charge ceases to act as the pharmacist-in-charge, and shall on the same form propose another pharmacist to take over as the pharmacist-in-charge.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
The proposed replacement pharmacist-in-charge shall be subject
to approval by the board. If disapproved, the pharmacy shall propose another replacement within 15 days of the date of disapproval and shall continue to name proposed replacements until a pharmacist-in-charge is approved by the board.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
If a pharmacy is unable, in the exercise of reasonable diligence, to identify within 30 days a permanent replacement pharmacist-in-charge to propose to the board on the notification form, the pharmacy may instead provide on that form the name of any pharmacist who is an employee, officer, or administrator of the pharmacy or the entity that owns the pharmacy and who is actively involved in the management of the pharmacy on a daily basis, to act as the interim pharmacist-in-charge for a period not to exceed 120 days. The pharmacy, or the entity that owns the pharmacy, shall be prepared during normal business
hours to provide a representative of the board with the name of the interim pharmacist-in-charge with documentation of the active involvement of the interim pharmacist-in-charge in the daily management of the pharmacy, and with documentation of the pharmacy’s good faith efforts prior to naming the interim pharmacist-in-charge to obtain a permanent pharmacist-in-charge. By no later than 120 days following the identification of the interim pharmacist-in-charge, the pharmacy shall propose to the board the name of a pharmacist to serve as the permanent pharmacist-in-charge. The proposed permanent pharmacist-in-charge shall be subject to approval by the board. If disapproved, the pharmacy shall propose another replacement within 15 days of the date of disapproval, and shall continue to name proposed replacements until a pharmacist-in-charge is approved by the
board.
</html:p>
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</ns0:BillSection>
<ns0:BillSection id="id_179923BF-D48D-45AF-93EB-2F4E76C8C2B9">
<ns0:Num>SEC. 34.</ns0:Num>
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Section 4113.1 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_10D94925-4FA1-472C-AC51-09DDF1BD7A36">
<ns0:Num>4113.1.</ns0:Num>
<ns0:LawSectionVersion id="id_6D5D8F55-9CA0-4EB1-9D3F-7A4D9E27A51A">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
Except as specified in subdivision (e), a community pharmacy licensed pursuant to this article shall report, either directly or through a designated third party, including a component patient safety organization as defined in Section 3.20 of Title 42 of the Code of Federal Regulations, all medication errors to an entity approved by the board. A community pharmacy shall submit the report no later than 14 days following the date of discovery of the error. These reports are deemed confidential and are not subject to discovery, subpoena, or disclosure pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), except that the board may publish deidentified case summary
information compiled from the data in the reports so long as deidentification is done in accordance with the requirements set forth in Section 164.514(b)(2) of Title 45 of the Code of Federal Regulations, and includes omitting the name of the reporting pharmacy. The community pharmacy shall maintain records demonstrating compliance with this requirement for three years and shall make these records immediately available at the request of an inspector. A medication error report made pursuant to this section shall not be subject to investigation, discipline, or other enforcement action by the board based solely on a report received pursuant to this section. However, if the board receives other information regarding the medication error independent of the medication error report, that information may serve as basis for discipline or other enforcement by the board.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
Any entity approved by the board shall have experience with the analysis of medication errors that occur in the outpatient setting.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
For purposes of this section, “community pharmacy” includes any pharmacy that dispenses medication to an outpatient, but does not include facilities of the Department of Corrections and Rehabilitation.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
For purposes of this section, “medication error” includes any variation from a prescription drug order not authorized by the prescriber, including, but not limited to, errors involving the wrong drug, the wrong dose, the wrong patient, the wrong directions, the wrong preparation, or the wrong route of administration. A medication error does not include any variation that is corrected prior
to dispensing to the patient or patient’s agent or any variation allowed by law.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
An outpatient hospital pharmacy shall not be required to report a medication error that meets the requirements of an adverse event, as specified in subdivision (a), that has been reported to the State Department of Public Health pursuant to Section 1279.1 of the Health and Safety Code. The State Department of Public Health may share a report with the California State Board of Pharmacy.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
A pharmacy licensed pursuant to Section 4112 shall only be required to report medication errors related to prescriptions dispensed to California residents.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_466BB05A-595C-4EAC-8941-5F1EC21436DB">
<ns0:Num>SEC. 35.</ns0:Num>
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Section 4113.6 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_B7C5F067-601F-482D-848C-BB4346FEFD0C">
<ns0:Num>4113.6.</ns0:Num>
<ns0:LawSectionVersion id="id_DF0F9707-FC33-42B5-990F-1E047DABEF11">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A chain community pharmacy subject to Section 4113.5 shall be staffed at all times with at least one clerk or pharmacy technician fully dedicated to performing pharmacy-related services. The board shall not take action against a pharmacy for a violation of this subdivision if any of the following conditions apply:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The pharmacist on duty waives the requirement in writing during specified hours based on workload need.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The pharmacy is open beyond normal business hours, which is before 8:00 a.m. and after 7:00 p.m. During the hours before 8:00 a.m. and after 7:00 p.m., the requirement shall not apply.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
The pharmacy’s prescription volume per day on average is less than 75 prescriptions per day based on the average daily prescription volume for the past calendar year. However, if the pharmacist is also expected to provide additional pharmacy services such as immunizations, tests classified as waived under the federal Clinical Laboratory Improvement Amendments of 1988 (42 U.S.C. Sec. 263a), or any other ancillary services provided by law, this paragraph does not apply.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
Where staffing of pharmacist hours within a chain community pharmacy does not overlap sufficiently, scheduled closures for lunch time for all pharmacy staff shall be established and publicly posted and included on the outgoing telephone message.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
A chain community pharmacy shall post, in a prominent place for pharmacy personnel, a notice that provides information on how to file a complaint with the board.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_6965B10E-CBE8-4B71-8136-EEC1A2C63429">
<ns0:Num>SEC. 36.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'7.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4115.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4115 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_57FA6EF2-C14A-4DAD-A027-9A09139BB504">
<ns0:Num>4115.</ns0:Num>
<ns0:LawSectionVersion id="id_3F00AFBC-201C-43C7-A60F-6AC84326CE13">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A pharmacy technician may perform packaging, manipulative, repetitive, or other nondiscretionary tasks only while assisting, and while under the direct supervision and control of, a pharmacist. The pharmacist shall be responsible for the duties performed under their supervision by a technician.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
In addition to the tasks specified in subdivision (a), and where the pharmacy has scheduled another pharmacy technician to assist the pharmacist by performing the tasks provided in subdivision (a), a certified pharmacy technician as defined in
Section 4202 may, under the direct supervision and control of a pharmacist, do any of the following:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
Prepare and administer influenza and COVID-19 vaccines via injection or intranasally, and prepare and administer epinephrine, provided that both of the following conditions are met:
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
The pharmacy technician has successfully completed at least six hours of practical training approved by the Accreditation Council for Pharmacy Education and includes hands-on injection technique, the recognition and treatment of emergency reactions to vaccines, and an assessment of the pharmacy technician’s injection technique prior to performing administration of vaccines.
</html:p>
<html:p>
(ii)
<html:span class="EnSpace"/>
The pharmacy technician is certified in
basic life support.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
(i)
<html:span class="EnSpace"/>
Perform specimen collection for tests that are classified as CLIA.
</html:p>
<html:p>
(ii)
<html:span class="EnSpace"/>
“CLIA” means the federal Clinical Laboratory Improvement Amendments of 1988 (42 U.S.C. Sec. 263a; Public Law 100-578).
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
Initiate and receive prescription transfers and accept clarification on prescriptions.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
This section does not authorize the performance of any tasks specified in subdivisions (a) and (b) by a pharmacy technician without a pharmacist on duty.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
This section does not authorize a pharmacy technician to perform any act requiring the exercise of professional
judgment by a pharmacist.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
The board shall adopt regulations to specify tasks pursuant to subdivision (a) that a pharmacy technician may perform under the supervision of a pharmacist. Any pharmacy that employs a pharmacy technician shall do so in conformity with the regulations adopted by the board.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
A person shall not act as a pharmacy technician without first being licensed by the board as a pharmacy technician.
</html:p>
<html:p>
(g)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
A pharmacy with only one pharmacist shall have no more than three pharmacy technicians performing the tasks specified in subdivision (a). A pharmacy with only one pharmacist shall have no more than one pharmacy technician performing the tasks specified in subdivision
(b). If a pharmacy technician is performing the tasks specified in subdivision (b), a second pharmacy technician shall be assisting a pharmacist with performing tasks specified in subdivision (a). The ratio of pharmacy technicians performing the tasks specified in subdivision (a) to any additional pharmacist shall not exceed 3 to 1 except that this ratio shall not apply to personnel performing clerical functions pursuant to Section 4116 or 4117. This ratio is applicable to all practice settings, except for an inpatient of a licensed health facility, a patient of a licensed home health agency, as specified in paragraph (2), an inmate of a correctional facility of the Department of Corrections and Rehabilitation, and for a person receiving treatment in a facility operated by the State Department of State Hospitals, the State Department of Developmental Services, or the Department of Veterans
Affairs.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The board may adopt regulations establishing the ratio of pharmacy technicians performing the tasks specified in subdivision (a) to pharmacists applicable to the filling of prescriptions of an inpatient of a licensed health facility and for a patient of a licensed home health agency. Any ratio established by the board pursuant to this subdivision shall allow, at a minimum, at least one pharmacy technician for a single pharmacist in a pharmacy and two pharmacy technicians for each additional pharmacist, except that this ratio shall not apply to personnel performing clerical functions pursuant to Section 4116 or 4117.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
A pharmacist scheduled to supervise a second pharmacy technician may refuse to supervise a second pharmacy technician if the pharmacist determines,
in the exercise of their professional judgment, that permitting the second pharmacy technician to be on duty would interfere with the effective performance of the pharmacist’s responsibilities under this chapter. A pharmacist assigned to supervise a second pharmacy technician shall notify the pharmacist-in-charge in writing of their determination, specifying the circumstances of concern with respect to the pharmacy or the pharmacy technician that have led to the determination, within a reasonable period, but not to exceed 24 hours, after the posting of the relevant schedule. An entity employing a pharmacist shall not discharge, discipline, or otherwise discriminate against any pharmacist in the terms and conditions of employment for exercising or attempting to exercise in good faith the right established pursuant to this paragraph.
</html:p>
<html:p>
(h)
<html:span class="EnSpace"/>
Notwithstanding subdivisions (a) to (c), inclusive, the board shall by regulation establish conditions to permit the temporary absence of a pharmacist for breaks and lunch periods pursuant to Section 512 of the Labor Code and the orders of the Industrial Welfare Commission without closing the pharmacy. During these temporary absences, a pharmacy technician may, at the discretion of the pharmacist, remain in the pharmacy but may only perform nondiscretionary tasks. The pharmacist shall be responsible for a pharmacy technician and shall review any task performed by a pharmacy technician during the pharmacist’s temporary absence. This subdivision shall not be construed to authorize a pharmacist to supervise pharmacy technicians in greater ratios than those described in subdivision (g).
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
The pharmacist on duty shall be
directly responsible for the conduct of a pharmacy technician supervised by that pharmacist.
</html:p>
<html:p>
(j)
<html:span class="EnSpace"/>
In a health care facility licensed under subdivision (a) of Section 1250 of the Health and Safety Code, a pharmacy technician’s duties may include any of the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
Packaging emergency supplies for use in the health care facility and the hospital’s emergency medical system or as authorized under Section 4119.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Sealing emergency containers for use in the health care facility.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Performing monthly checks of the drug supplies stored throughout the health care facility. Irregularities shall be reported within 24 hours to the pharmacist-in-charge and the
director or chief executive officer of the health care facility in accordance with the health care facility’s policies and procedures.
</html:p>
<html:p>
(k)
<html:span class="EnSpace"/>
Notwithstanding subdivision (a) of Section 4038, a pharmacy technician may, outside of a licensed pharmacy, do both of the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
Perform compounding activities only under the direct supervision and control of a pharmacist. The supervising pharmacist of the location where such compounding activities occur shall notify the board in writing.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Administer vaccinations only under the direct supervision and control of a pharmacist.
</html:p>
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<ns0:BillSection id="id_EBACDFE8-77E1-4407-96C2-DF534D450B3B">
<ns0:Num>SEC. 37.</ns0:Num>
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Section 4115.5 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Fragment>
<ns0:LawSection id="id_753E1866-A744-4524-9E8C-7AF6D0990814">
<ns0:Num>4115.5.</ns0:Num>
<ns0:LawSectionVersion id="id_C943F608-A851-4598-BE4F-37FCD5D6A145">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
Notwithstanding any other law, a pharmacy technician trainee may be placed in a pharmacy to complete an externship for the purpose of obtaining practical training required to become licensed as a pharmacy technician.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
A pharmacy technician trainee participating in an externship as described in subdivision (a) may perform the duties described in subdivision (a) of Section 4115 only under the direct supervision and control of a pharmacist.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
A pharmacist supervising a pharmacy technician trainee participating in an externship as described in subdivision (a) shall be directly responsible for
the conduct of the trainee.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
A pharmacist supervising a pharmacy technician trainee participating in an externship as described in subdivision (a) shall verify any prescription prepared by the trainee under supervision of the pharmacist by initialing the prescription label before the medication is disbursed to a patient or by engaging in other verification procedures that are specifically approved by board regulations.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
A pharmacist may only supervise one pharmacy technician trainee at any given time.
</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
A pharmacist supervising a pharmacy technician trainee participating in an externship as described in subdivision (a) shall certify attendance for the pharmacy technician trainee and certify that the pharmacy
technician trainee has met the educational objectives established by the training program.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
Except as described in paragraph (2), an externship in which a pharmacy technician trainee is participating as described in subdivision (a) shall be for a period of no fewer than 120 hours and no more than 140 hours.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
When an externship in which a pharmacy technician trainee is participating as described in subdivision (a) involves rotation between a community and hospital pharmacy for the purpose of training the student in distinct practice settings, the externship may be for a period of up to 340 hours.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
An externship in which a pharmacy technician trainee may participate as described in
subdivision (a) shall be for a period of no more than six consecutive months in a community pharmacy and for a total of no more than 12 months if the externship involves rotation between a community and hospital pharmacy. The externship shall be completed while the trainee is enrolled in the training program.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
A pharmacy technician trainee participating in an externship as described in subdivision (a) shall wear identification that indicates the pharmacy technician trainee’s status as a trainee.
</html:p>
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</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_3AD1ABD0-6331-4881-A6A5-416B6E21D76E">
<ns0:Num>SEC. 38.</ns0:Num>
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Section 4118.5 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Fragment>
<ns0:LawSection id="id_3FDAA04F-3A15-4C0E-81D8-3EB5AD3DC11A">
<ns0:Num>4118.5.</ns0:Num>
<ns0:LawSectionVersion id="id_C1049BF9-68EB-4ABE-9D3E-04AB0591E75D">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A pharmacist at a hospital pharmacy shall obtain an accurate medication profile or list for each high-risk patient upon admission and discharge of the high-risk patient under the following conditions:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The hospital has more than 100 beds.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The accurate medication profile or list may be acquired by the pharmacist during the hospital pharmacy’s hours of operation.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
Notwithstanding any other law, a pharmacy technician or an intern pharmacist may perform the task of obtaining an accurate medication profile or list for a high-risk patient if both of the following
conditions are satisfied:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The hospital pharmacy has a quality assurance program to monitor competency.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The hospital has established policies and procedures for training and proctoring pharmacy technicians or intern pharmacists by the hospital pharmacy department and the pharmacy technician or intern pharmacist has completed that training and proctoring.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The hospital shall establish criteria regarding who is a high-risk patient for purposes of this section, and shall determine the timeframe for completion of the medication profile or list, based on the patient populations served by the hospital.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
The board may adopt rules and regulations to carry out the purposes
and objectives of this section.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
This section shall not apply to the State Department of State Hospitals.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
Nothing in this section shall be construed to prohibit a healing arts licensee licensed pursuant to this division from obtaining an accurate medication profile or list.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_B24367CC-ED08-483B-8826-7F8495A41CA2">
<ns0:Num>SEC. 39.</ns0:Num>
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Section 4119.3 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is repealed.
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</ns0:BillSection>
<ns0:BillSection id="id_FBA45C5A-50C1-4C35-8F96-4181120D7B44">
<ns0:Num>SEC. 40.</ns0:Num>
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Section 4174 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:LawSection id="id_038E3D7F-2801-49E4-9BED-6FDE451EA31F">
<ns0:Num>4174.</ns0:Num>
<ns0:LawSectionVersion id="id_74557FD7-19AB-444F-83F4-302A08EFF326">
<ns0:Content>
<html:p>Notwithstanding any other law, a pharmacist may dispense drugs or devices upon the drug order of a nurse practitioner practicing pursuant to Section 2836.1, 2837.103, or 2837.104, or a certified nurse-midwife functioning pursuant to Section 2746.51, a drug order of a physician assistant functioning pursuant to Section 3502.1 or a naturopathic doctor functioning pursuant to Section 3640.5, or the order of a pharmacist acting under Section 4052, 4052.04, 4052.1, 4052.2, or 4052.6.</html:p>
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</ns0:LawSection>
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</ns0:BillSection>
<ns0:BillSection id="id_D5EBFC24-29D8-4E07-8812-72EE944F68DB">
<ns0:Num>SEC. 41.</ns0:Num>
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Section 4200.5 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Fragment>
<ns0:LawSection id="id_6C63B852-B4B8-481F-B67A-DB0D08B2E379">
<ns0:Num>4200.5.</ns0:Num>
<ns0:LawSectionVersion id="id_E83C28AF-D542-47F0-B64C-8DCCE3104939">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
The board shall issue, upon application and payment of the fee established by Section 4400, a retired license to a pharmacist who has been licensed by the board. The board shall not issue a retired license to a pharmacist whose license has been revoked.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
The holder of a retired license issued pursuant to this section shall not engage in any activity for which an active pharmacist’s license is required. A pharmacist holding a retired license shall be permitted to use the titles “retired pharmacist” or “pharmacist, retired.”
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The holder of a retired license shall not be required to renew that license.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
The holder of a retired license may request to restore their pharmacist license to active status within three years of issuance of the retired license.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
A request made pursuant to paragraph (1) shall be accompanied by the renewal fee established in subdivision (e) of Section 4400 and demonstration that, within the two years preceding the request for restoration, the pharmacist has successfully completed continuing education consistent with the requirements set forth in subdivision (b) of Section 4231.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
If more than three years have elapsed since the issuance of the retired license, in order for the holder of a retired license issued pursuant to this section to restore their license to
active status, they shall reapply for licensure as a pharmacist consistent with the provisions of Section 4200.
</html:p>
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<ns0:Num>SEC. 42.</ns0:Num>
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Section 4202.6 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:LawSection id="id_6BF3DD51-AA23-437F-8C3D-6401D8075360">
<ns0:Num>4202.6.</ns0:Num>
<ns0:LawSectionVersion id="id_E6A19473-8A2E-4131-B40C-9C2FB2BCF98F">
<ns0:Content>
<html:p>Notwithstanding Section 480, the board may deny an application for licensure under this chapter if any of the following conditions apply:</html:p>
<html:p>
(a)
<html:span class="EnSpace"/>
The applicant has been convicted of a crime or subjected to formal discipline that would be grounds for denial of a federal registration to distribute controlled substances.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
The applicant has been convicted of a crime involving fraud in violation of state or federal laws related to health care.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The applicant has been convicted of a crime involving financial identify theft.
</html:p>
</ns0:Content>
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<ns0:Num>SEC. 43.</ns0:Num>
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Section 4210 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:LawSection id="id_9D1E3D66-51D1-4512-8F8C-149B1E706D21">
<ns0:Num>4210.</ns0:Num>
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<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A person who seeks recognition as an advanced pharmacist practitioner shall meet all of the following requirements:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
Hold an active license to practice pharmacy issued pursuant to this chapter that is in good standing.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
(A)
<html:span class="EnSpace"/>
Satisfy any two of the following criteria:
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
Earn certification in a relevant area of practice, including, but not limited to, ambulatory care, critical care, geriatric pharmacy, nuclear pharmacy, nutrition support pharmacy, oncology pharmacy, pediatric pharmacy, pharmacotherapy, or psychiatric pharmacy, from an
organization recognized by the Accreditation Council for Pharmacy Education or another entity recognized by the board.
</html:p>
<html:p>
(ii)
<html:span class="EnSpace"/>
Complete a postgraduate residency through an accredited postgraduate institution where at least 50 percent of the experience includes the provision of direct patient care services with interdisciplinary teams.
</html:p>
<html:p>
(iii)
<html:span class="EnSpace"/>
Have provided clinical services to patients for at least one year under a collaborative practice agreement or protocol with a physician, advanced pharmacist practitioner, pharmacist practicing collaborative drug therapy management, or health system.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
For purposes of this paragraph, if, as a condition of completion of one of the required criteria fulfillment of a second criterion
is also required, that completion shall be deemed to satisfy this paragraph.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
File an application with the board for recognition as an advanced pharmacist practitioner.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
Pay the applicable fee to the board.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
An advanced pharmacist practitioner recognition issued pursuant to this section shall be valid for two years, coterminous with the certificate holder’s license to practice pharmacy.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The board shall adopt regulations establishing the means of documenting completion of the requirements in this section.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
This section shall become operative on January 1,
2025.
</html:p>
</ns0:Content>
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</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_865E8A90-0CD0-40AF-B15D-B099DE93BAA2">
<ns0:Num>SEC. 44.</ns0:Num>
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Section 4211 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Fragment>
<ns0:LawSection id="id_E11491A2-51C4-40CD-AD5A-606C25BA5C9D">
<ns0:Num>4211.</ns0:Num>
<ns0:LawSectionVersion id="id_5FA77D68-CA32-4E01-8E5B-DE56CECEC143">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
An applicant for renewal of an advanced pharmacist practitioner recognition shall maintain a current and active pharmacist license, and shall submit all of the following as part of the renewal:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
Application and payment of the renewal fees.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
(A)
<html:span class="EnSpace"/>
Proof satisfactory to the board that the licensee has completed 10 hours of continuing education pursuant to Section 4233.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
The 10 hours shall be in addition to the continuing education requirements necessary for a pharmacist license renewal pursuant to Section 4231.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
An advanced pharmacist practitioner shall retain documentation of completion of continuing education for four years.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
Notwithstanding subdivision (a), the board shall not require completion of continuing education for the first renewal cycle of an advanced pharmacist practitioner recognition.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The board may issue an inactive advanced pharmacist practitioner recognition under any of the following conditions:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
The pharmacist’s license becomes inactive.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The advanced pharmacist practitioner fails to provide documentation of the completion of the required continuing education.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
As part of an investigation or audit conducted by the board, the advanced pharmacist practitioner fails to provide documentation substantiating the completion of continuing education.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
The board shall reactivate an inactive advanced pharmacist practitioner recognition only if the advanced pharmacist practitioner pays the required renewal fees pursuant to Section 4210, submits satisfactory proof to the board of completion of the continuing education requirements under Section 4233, and meets all renewal requirements in this section.
</html:p>
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</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_28496413-4B0C-4A56-BC73-C2A8503C9A6F">
<ns0:Num>SEC. 45.</ns0:Num>
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Section 4233 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_4CCEE501-9747-4868-A8AB-26EDFF08DBA8">
<ns0:Num>4233.</ns0:Num>
<ns0:LawSectionVersion id="id_3DCBB469-7D0C-4F2C-B7FC-6724BBFCD5F2">
<ns0:Content>
<html:p>A pharmacist who is recognized as an advanced pharmacist practitioner shall complete 10 hours of continuing education each renewal cycle in addition to the requirements of Section 4231. The subject matter shall be in one or more areas of practice relevant to the pharmacist’s clinical practice.</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_3972EFCA-6B8A-420C-8EC9-304385FC475B">
<ns0:Num>SEC. 46.</ns0:Num>
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Section 4303 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_865E5E4A-68CB-4F58-9F56-CAF0AF3D0D01">
<ns0:Num>4303.</ns0:Num>
<ns0:LawSectionVersion id="id_6B4714B6-B332-4691-9CD6-A9B49158D35D">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
The board may report any violation by a nonresident pharmacy of the laws and regulations of this state, any other state, or of the United States, including, but not limited to, any violation of this chapter or of the regulations established by the board, to any appropriate state or federal regulatory or licensing agency, including, but not limited to, the regulatory or licensing agency of the state in which the nonresident pharmacy is a resident or in which the pharmacist is licensed.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
The board may cancel, deny, revoke, or suspend a nonresident pharmacy registration, issue a citation or letter of admonishment to a nonresident pharmacy, or take any other action against a
nonresident pharmacy that the board may take against a resident pharmacy license, on any of the same grounds upon which such action might be taken against a resident pharmacy.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
If the home state pharmacy license of a nonresident pharmacy is canceled, revoked, or suspended for any reason, any license issued pursuant to Section 4112 or 4127.2 shall be immediately canceled, revoked, or suspended by operation of law.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_92C5FF5D-412A-4343-9E4D-AD41955FF94C">
<ns0:Num>SEC. 47.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'19.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4317.5.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4317.5 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_B4C7F802-AD0A-4624-9AEF-600ACC443FF6">
<ns0:Num>4317.5.</ns0:Num>
<ns0:LawSectionVersion id="id_1A8E4119-A69B-49D3-8FCF-72ED664153D6">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
The board may bring an action for fines for repeated violations of materially similar provisions of this chapter within five years by three or more pharmacies operating under common ownership or management within a chain community pharmacy for a third or subsequent violation, which may be punished by an administrative fine not to exceed one hundred thousand dollars ($100,000) per violation.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
The board may bring an action against a chain community pharmacy operating under common ownership or management for fines not to exceed one hundred fifty thousand dollars ($150,000) for any violation of this chapter demonstrated to be the result of a written policy or that was expressly
encouraged by any owner or manager.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The board shall not bring an action for fines pursuant to subdivision (a) until at least six months have elapsed from the date the board determines that a violation has occurred unless the violation giving rise to the action resulted in actual harm to any consumer or serious potential harm to the public.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
In an action brought by the board pursuant to subdivision (a), it shall be a defense for any pharmacy to establish either of the following:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
That the violation was contrary to a written policy that was communicated by any owner or manager to all employees of the pharmacies where the violation occurred, and that the pharmacy has complied with the policy.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
That, within six months after the violation, any owner or manager corrected all unlawful policies, communicated the change in policy or policies in writing to all pharmacies under its ownership or management, and provided proof of abatement of the violation to the board, so long as the violation did not result in actual harm to any consumer or serious potential harm to the public.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
In determining the amount of the fine sought in an action brought pursuant to this section, the board shall consider relevant mitigating and aggravating factors, including, but not limited to, the good faith of the licensee, the communication of written changes to unlawful policies, the gravity of the violation, the potential harm to patients, whether the violation affects the professional
judgment or independence of pharmacists and pharmacy technicians, and the history of previous violations by the common owner or manager.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
The authority granted by this section is in addition to the authority of the board to institute any other administrative, civil, or criminal action.
</html:p>
<html:p>
(g)
<html:span class="EnSpace"/>
For purposes of this section, “chain community pharmacy” shall have the same meaning as defined in Section 4001.
</html:p>
<html:p>
(h)
<html:span class="EnSpace"/>
The fines in subdivisions (a) and (b) shall be imposed in accordance with Section 4314.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_D035C4BD-41E6-4F55-B9DB-4F197AEE746E">
<ns0:Num>SEC. 48.</ns0:Num>
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Section 4317.6 is added to the
<ns0:DocName>Business and Professions Code</ns0:DocName>
, to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_9F2B8A8C-D965-49D4-ABCB-B3D1BE47255C">
<ns0:Num>4317.6.</ns0:Num>
<ns0:LawSectionVersion id="id_B4917415-2C28-49CC-82FA-0E6B957C54F9">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
For the purposes of this section, “mail order pharmacy” is defined as a nonresident pharmacy that dispenses medications and ships them to patients via the postal service or other mail delivery method.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
The board may bring an action for fines for repeated violations of materially similar provisions of this chapter within five years for a single mail order pharmacy, or multiple mail order pharmacies operating under common ownership or management for a third or subsequent violation, which may be punished by an administrative fine not to exceed one hundred thousand dollars ($100,000) per violation.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The
board shall not bring an action for fines pursuant to subdivision (b) until at least six months have elapsed from the date the board determines that a violation has occurred unless the violation giving rise to the action resulted in actual harm to any consumer or serious potential harm to the public.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
In determining the amount of the fine sought in an action brought pursuant to this section, the board shall consider relevant mitigating and aggregating factors, including, but not limited to, the good faith of the licensee, the communication of written changes to unlawful policies, the gravity of the violation, the potential harm to a patient, whether the violation affects the professional judgment or independence of pharmacists, and the history of previous violations by the mail order pharmacy, or in the case of multiple mail order pharmacies
operating under common ownership or management, the history of the previous violations by the common ownership or control.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
The authority granted by this section is in addition to the authority of the board to institute any other administrative, civil, or criminal action.
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
The fines in subdivision (b) shall be imposed in accordance with Section 4314.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_ED11A1E1-6DAA-44B8-97CD-963569E27952">
<ns0:Num>SEC. 49.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'23.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'4400.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 4400 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_E7408EA9-D1BD-457D-8443-5CC9AFFD5ED8">
<ns0:Num>4400.</ns0:Num>
<ns0:LawSectionVersion id="id_DDD4ACBD-BE4C-4CCE-9979-B49428A155A7">
<ns0:Content>
<html:p>The amount of fees and penalties prescribed by this chapter, except as otherwise provided, is that fixed by the board according to the following schedule:</html:p>
<html:p>
(a)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
The fee for a pharmacy license shall be seven hundred fifty dollars ($750) and may be increased to two thousand dollars ($2,000). The fee for the issuance of a temporary pharmacy permit shall be one thousand six hundred dollars ($1,600) and may be increased to two thousand seven hundred forty dollars ($2,740).
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The fee for a nonresident pharmacy license shall be two thousand four hundred twenty-seven dollars ($2,427) and may be increased to three thousand four
hundred twenty-four dollars ($3,424). The fee for the issuance of a temporary nonresident pharmacy permit shall be two thousand dollars ($2,000) and may be increased to two thousand four hundred sixty-nine dollars ($2,469).
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
The fee for a pharmacy license annual renewal shall be one thousand twenty-five dollars ($1,025) and may be increased to two thousand dollars ($2,000).
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The fee for a nonresident pharmacy license annual renewal shall be one thousand twenty-five dollars ($1,025) and may be increased to two thousand dollars ($2,000).
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
The fee for the pharmacist application and examination shall be two hundred sixty dollars ($260) and may be increased to two hundred eighty-five
dollars ($285).
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
The fee for regrading an examination shall be one hundred fifteen dollars ($115) and may be increased to two hundred dollars ($200). If an error in grading is found and the applicant passes the examination, the regrading fee shall be refunded.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
The fee for a pharmacist license shall be one hundred ninety-five dollars ($195) and may be increased to two hundred fifteen dollars ($215). The fee for a pharmacist biennial renewal shall be four hundred fifty dollars ($450) and may be reduced to three hundred sixty dollars ($360).
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
The fee for a wholesaler or third-party logistics provider license and annual renewal shall be one thousand dollars ($1,000) and may be increased to one thousand four hundred
eleven dollars ($1,411). A temporary license fee shall be seven hundred fifteen dollars ($715) and may be increased to one thousand nine dollars ($1,009).
</html:p>
<html:p>
(g)
<html:span class="EnSpace"/>
The fee for a hypodermic license shall be five hundred fifty dollars ($550) and may be increased to seven hundred seventy-five dollars ($775). The fee for a hypodermic license renewal shall be four hundred dollars ($400) and may be increased to five hundred sixty-one dollars ($561).
</html:p>
<html:p>
(h)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
The fee for application, investigation, and issuance of a license as a designated representative pursuant to Section 4053, as a designated representative-3PL pursuant to Section 4053.1, or as a designated representative-reverse distributor pursuant to Section 4053.2 shall be three hundred forty-five dollars ($345) and
may be increased to four hundred eighty-five dollars ($485).
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The fee for the annual renewal of a license as a designated representative, designated representative-3PL, or designated representative-reverse distributor shall be three hundred eighty-eight dollars ($388) and may be increased to five hundred forty-seven dollars ($547).
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
The fee for the application, investigation, and issuance of a license as a designated representative for a veterinary food-animal drug retailer pursuant to Section 4053 shall be three hundred forty-five dollars ($345) and may be increased to four hundred eighty-five dollars ($485).
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The fee for the annual renewal of a license as a designated representative for
a veterinary food-animal drug retailer shall be three hundred eighty-eight dollars ($388) and may be increased to five hundred forty-seven dollars ($547).
</html:p>
<html:p>
(j)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
The application fee for a nonresident wholesaler or third-party logistics provider license issued pursuant to Section 4161 shall be one thousand dollars ($1,000) and may be increased to one thousand four hundred eleven dollars ($1,411).
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
A temporary license fee shall be seven hundred fifteen dollars ($715) and may be increased to one thousand nine dollars ($1,009).
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
The annual renewal fee for a nonresident wholesaler license or third-party logistics provider license issued pursuant to Section 4161 shall be one thousand dollars ($1,000)
and may be increased to one thousand four hundred eleven dollars ($1,411).
</html:p>
<html:p>
(k)
<html:span class="EnSpace"/>
The fee for evaluation of continuing education courses for accreditation shall be set by the board at an amount not to exceed forty dollars ($40) per course hour.
</html:p>
<html:p>
(
<html:i>l</html:i>
)
<html:span class="EnSpace"/>
The fee for an intern pharmacist license shall be one hundred seventy-five dollars ($175) and may be increased to two hundred forty-five dollars ($245). The fee for transfer of intern hours or verification of licensure to another state shall be one hundred twenty dollars ($120) and may be increased to one hundred sixty-eight dollars ($168).
</html:p>
<html:p>
(m)
<html:span class="EnSpace"/>
The board may waive or refund the additional fee for the issuance of a license where the license is issued less than 45 days before
the next regular renewal date.
</html:p>
<html:p>
(n)
<html:span class="EnSpace"/>
The fee for the reissuance of any license, or renewal thereof, that has been lost or destroyed or reissued due to a name change shall be seventy-five dollars ($75) and may be increased to one hundred dollars ($100).
</html:p>
<html:p>
(o)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
The fee for processing an application to change information on a premises license record shall be three hundred ninety-five dollars ($395) and may be increased to five hundred fifty-seven dollars ($557).
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The fee for processing an application to change a name or correct an address on a premises license record shall be two hundred six dollars ($206) and may be increased to two hundred eighty-two dollars ($282).
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
The fee for processing an application to change a pharmacist-in-charge, designated representative-in-charge, or responsible manager on a premises license record shall be two hundred fifty dollars ($250) and may be increased to three hundred fifty-three dollars ($353).
</html:p>
<html:p>
(p)
<html:span class="EnSpace"/>
It is the intent of the Legislature that, in setting fees pursuant to this section, the board shall seek to maintain a reserve in the Pharmacy Board Contingent Fund equal to approximately one year’s operating expenditures.
</html:p>
<html:p>
(q)
<html:span class="EnSpace"/>
The fee for any applicant for a clinic license shall be six hundred twenty dollars ($620) and may be increased to eight hundred seventy-three dollars ($873). The annual fee for renewal of the license shall be four hundred
dollars ($400) and may be increased to five hundred sixty-one dollars ($561).
</html:p>
<html:p>
(r)
<html:span class="EnSpace"/>
The fee for the issuance of a pharmacy technician license shall be one hundred twenty dollars ($120) and may be increased to one hundred sixty-five dollars ($165). The fee for renewal of a pharmacy technician license shall be one hundred eighty dollars ($180) and may be reduced to one hundred twenty-five dollars ($125).
</html:p>
<html:p>
(s)
<html:span class="EnSpace"/>
The fee for a veterinary food-animal drug retailer license shall be six hundred ten dollars ($610) and may be increased to eight hundred twenty-five dollars ($825). The annual renewal fee for a veterinary food-animal drug retailer license shall be four hundred sixty dollars ($460) and may be increased to five hundred sixty-one dollars ($561). The fee for the temporary license
shall be five hundred twenty dollars ($520) and may be increased to seven hundred thirty-two dollars ($732).
</html:p>
<html:p>
(t)
<html:span class="EnSpace"/>
The fee for issuance of a retired license pursuant to Section 4200.5 shall be fifty dollars ($50) and may be increased to one hundred dollars ($100).
</html:p>
<html:p>
(u)
<html:span class="EnSpace"/>
The fee for issuance of a sterile compounding pharmacy license or a hospital satellite compounding pharmacy shall be three thousand eight hundred seventy-five dollars ($3,875) and may be increased to five thousand four hundred sixty-six dollars ($5,466). The fee for a temporary license shall be one thousand sixty-five dollars ($1,065) and may be increased to one thousand five hundred three dollars ($1,503). The annual renewal fee of the license shall be four thousand eighty-five dollars ($4,085) and may be increased to
five thousand seven hundred sixty-two dollars ($5,762).
</html:p>
<html:p>
(v)
<html:span class="EnSpace"/>
The fee for the issuance of a nonresident sterile compounding pharmacy license shall be eight thousand five hundred dollars ($8,500) and may be increased to sixteen thousand five hundred two dollars ($16,502). The annual renewal of the license shall be eight thousand five hundred dollars ($8,500) and may be increased to seventeen thousand forty dollars ($17,040). In addition to paying that application fee, the nonresident sterile compounding pharmacy shall deposit, when submitting the application, a reasonable amount, as determined by the board, necessary to cover the board’s estimated cost of performing the inspection required by Section 4127.2. If the required deposit is not submitted with the application, the application shall be deemed to be incomplete. If the actual cost of the
inspection exceeds the amount deposited, the board shall provide to the applicant a written invoice for the remaining amount and shall not take action on the application until the full amount has been paid to the board. If the amount deposited exceeds the amount of actual and necessary costs incurred, the board shall remit the difference to the applicant. The fee for a temporary license shall be one thousand five hundred dollars ($1,500) and may be increased to two thousand dollars ($2,000).
</html:p>
<html:p>
(w)
<html:span class="EnSpace"/>
The fee for the issuance of an outsourcing facility license shall be twenty-five thousand dollars ($25,000) and may be increased to thirty-five thousand two hundred fifty-six dollars ($35,256). The fee for the renewal of an outsourcing facility license shall be twenty-five thousand dollars ($25,000) and may be increased to forty-one thousand three
hundred sixty-six dollars ($41,366). The fee for a temporary outsourcing facility license shall be four thousand dollars ($4,000) and may be increased to five thousand six hundred forty-two dollars ($5,642).
</html:p>
<html:p>
(x)
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The fee for the issuance of a nonresident outsourcing facility license shall be twenty-eight thousand five hundred dollars ($28,500) and may be increased to forty-two thousand three hundred eighteen dollars ($42,318). The fee for the renewal of a nonresident outsourcing facility license shall be twenty-eight thousand five hundred dollars ($28,500) and may be increased to forty-six thousand three hundred fifty-three dollars ($46,353). In addition to paying that application fee, the nonresident outsourcing facility shall deposit, when submitting the application, a reasonable amount, as determined by the board, necessary to cover the
board’s estimated cost of performing the inspection required by Section 4129.2. If the required deposit is not submitted with the application, the application shall be deemed to be incomplete. If the actual cost of the inspection exceeds the amount deposited, the board shall provide to the applicant a written invoice for the remaining amount and shall not take action on the application until the full amount has been paid to the board. If the amount deposited exceeds the amount of actual and necessary costs incurred, the board shall remit the difference to the applicant. The fee for a temporary nonresident outsourcing license shall be four thousand dollars ($4,000) and may be increased to five thousand six hundred forty-two dollars ($5,642).
</html:p>
<html:p>
(y)
<html:span class="EnSpace"/>
The fee for the issuance of a centralized hospital packaging license shall be three thousand
eight hundred fifteen dollars ($3,815) and may be increased to five thousand three hundred eighteen dollars ($5,318). The annual renewal of the license shall be two thousand nine hundred twelve dollars ($2,912) and may be increased to four thousand one hundred seven dollars ($4,107).
</html:p>
<html:p>
(z)
<html:span class="EnSpace"/>
(1)
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The fee for the issuance of a license to a correctional clinic pursuant to Article 13.5 (commencing with Section 4187) shall be six hundred twenty dollars ($620) and may be increased to eight hundred seventy-three dollars ($873). The annual renewal fee for that correctional clinic license shall be four hundred dollars ($400) and may be increased to five hundred sixty-one dollars ($561).
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The fee for the issuance of an ADDS license to a correctional clinic pursuant to
Article 13.5 (commencing with Section 4187) shall be five hundred dollars ($500) and may be increased to seven hundred five dollars ($705). The annual renewal fee for the correctional clinic ADDS shall be four hundred dollars ($400) and may be increased to five hundred sixty-one dollars ($561).
</html:p>
<html:p>
(aa)
<html:span class="EnSpace"/>
The fee for an ADDS license shall be five hundred twenty-five dollars ($525) and may be increased to seven hundred forty-one dollars ($741). The fee for the annual renewal of the license shall be four hundred fifty-three dollars ($453) and may be increased to six hundred thirty-nine dollars ($639).
</html:p>
<html:p>
(ab)
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The application and initial license fee for a remote dispensing site pharmacy application shall be one thousand seven hundred thirty dollars ($1,730) and may be increased to two thousand
four hundred forty dollars ($2,440). The fee for the annual renewal shall be one thousand twenty-five dollars ($1,025) and may be increased to two thousand dollars ($2,000). The fee for a temporary license shall be eight hundred ninety dollars ($890) and may be increased to one thousand one hundred ninety-nine dollars ($1,199).
</html:p>
<html:p>
(ac)
<html:span class="EnSpace"/>
The application and initial license fee to operate EMSADDS shall be one hundred fifty dollars ($150) and may be increased to three hundred eighty dollars ($380) per machine. The fee for the annual renewal shall be two hundred dollars ($200) and may be increased to two hundred seventy-three dollars ($273). The license fee may not be transferred to a different location if the EMSADDS is moved. The application and renewal fee for a licensed wholesaler that is also an emergency medical services provider agency shall be
eight hundred ten dollars ($810) and may be increased to one thousand one hundred forty-three dollars ($1,143).
</html:p>
<html:p>
(ad)
<html:span class="EnSpace"/>
The fee for application and issuance of an initial license as a designated paramedic shall be three hundred fifty dollars ($350) and may be increased to four hundred ninety-four dollars ($494). The fee of biennial renewal shall be two hundred dollars ($200) and may be increased to two hundred ninety-two dollars ($292).
</html:p>
<html:p>
(ae)
<html:span class="EnSpace"/>
The fee for an application for an advanced pharmacist practitioner license and renewal of advanced pharmacist practitioner license shall be three hundred dollars ($300) and may be increased to four hundred eighteen dollars ($418).
</html:p>
<html:p>
(af)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
For purposes of this subdivision,
“medically underserved area” means a geographic area that does not have within 50 road miles a physical pharmacy that provides in-person patient care services by a pharmacist and serves the general public.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The board shall waive the application fee for a pharmacy that opens a physical pharmacy operating and located in a medically underserved area.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
The board may waive the fee for the annual renewal of a license under this chapter if the licensee provides the board with certification of continued operation in the medically underserved area.
</html:p>
<html:p>
(ag)
<html:span class="EnSpace"/>
This section shall become operative on January 1, 2025.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_00D4A2D6-072B-4D68-B9CE-0BC403F849BC">
<ns0:Num>SEC. 50.</ns0:Num>
<ns0:Content>
<html:p>Section 24.5 of this bill incorporates amendments to Section 4064.5 of the Business and Professions Code proposed by this bill and Senate Bill 418. That section of this bill shall only become operative if (1) both bills are enacted and become effective on or before January 1, 2026, (2) each bill amends Section 4064.5 of the Business and Professions Code, and (3) this bill is enacted after Senate Bill 418, in which case Section 4064.5 of the Business and Professions Code, as amended by Senate Bill 418, shall remain operative only until the operative date of this bill, at which time Section 24.5
of this bill shall become operative, and Section 24 of this bill shall not become operative.</html:p>
</ns0:Content>
</ns0:BillSection>
<ns0:BillSection id="id_3A994B0E-455A-432C-AF13-6AE5A8285B4B">
<ns0:Num>SEC. 51.</ns0:Num>
<ns0:Content>
<html:p>Section 26.5 of this bill incorporates amendments to Section 4076 of the Business and Professions Code proposed by this bill and Assembly Bill 260. That section of this bill shall only become operative if (1) both bills are enacted and become effective on or before January 1, 2026, (2) each bill amends Section 4076 of the Business and Professions Code, and (3) this bill is enacted after Assembly Bill 260, in which case Section 4076 of the Business and Professions Code, as amended by Assembly Bill 260, shall remain operative only until the operative date of this bill, at which time Section 26.5
of this bill shall become operative, and Section 26 of this bill shall not become operative.</html:p>
</ns0:Content>
</ns0:BillSection>
<ns0:BillSection id="id_2F0E82BE-F3B1-4978-B813-FC2E7E207C0A">
<ns0:Num>SEC. 52.</ns0:Num>
<ns0:Content>
<html:p>
No reimbursement is required by this act pursuant to Section 6 of Article XIII
<html:span class="ThinSpace"/>
B of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIII
<html:span class="ThinSpace"/>
B of the California Constitution.
</html:p>
</ns0:Content>
</ns0:BillSection>
</ns0:Bill>
</ns0:MeasureDoc>
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