Tuesday, January 29, 2013

Michigan Introduces Bill Dealing With Pharmacies


SENATE BILL No. 92



January 29, 2013, Introduced by Senators GREEN, JONES, PROOS and HANSEN and referred to the Committee on Health Policy

  A bill to amend 1978 PA 368, entitled

"Public health code,"

by amending sections 16333, 17705, 17707, 17711, 17721, and 17731

(MCL 333.16333, 333.17705, 333.17707, 333.17711, 333.17721, and

333.17731), section 16333 as added by 1993 PA 80, section 17705

as amended by 1986 PA 304, section 17707 as amended by 1990 PA

333, sections 17711 and 17721 as amended by 2006 PA 390, and

section 17731 as amended by 1994 PA 234, and by adding sections

17735, 17736, and 17744a.

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1        Sec. 16333. Fees for a person licensed or seeking licensure

 2  to engage in the practice of pharmacy or other practices

 3  regulated under part 177 are as follows:

 

1

(a)
Application processing fees:
2

(i)
Pharmacist.................................  $ 20.00
3

(ii)
Pharmacy...................................    35.00
4

(iii)
Drug control...............................    20.00
5

(iv)
Manufacturer or wholesaler.................    50.00
6

(v)
Clinical thermometer.......................    50.00
7

(vi)
PHARMACY TECHNICIAN........................    20.00
8

(b)
Examination fees:
9


Jurisprudence examination..................    30.00
10

(c)
License fees, per year:
11

(i)
Pharmacist.................................    30.00
12

(ii)
Pharmacy...................................    50.00
13

(iii)
Drug control...............................    15.00
14

(iv)
Manufacturer or wholesaler.................    25.00
15

(v)
Clinical thermometer.......................    25.00
16

(vi)
PHARMACY TECHNICIAN........................    15.00
17

(d)
Temporary license for pharmacist...........    25.00
18

(e)
Limited license for pharmacist, per year...    15.00


19        Sec. 17705. (1) "Label" means a display of written, printed,

20  or graphic matter on the immediate container of a drug or device,

21  but does not include package liners. A requirement made by or

22  under authority of this part that a word, statement, or other

23  information appear on the label is not complied with unless the

24  word, statement, or other information appears on the outside

25  container or wrapper of the retail package of the drug or device

26  as displayed for sale or is easily legible through an outside

27  container or wrapper.

28        (2) "Labeling" means the labels and other written, printed,

29  or graphic matter on a drug or device or its container or


 1  wrapper, or accompanying the drug or device.

 2        (3) "License" in addition to the definition in section 16106

 3  means a pharmacy license, PHARMACY TECHNICIAN LICENSE, drug

 4  control license, or a manufacturer or wholesale distributor of

 5  drugs or devices license.

 6        Sec. 17707. (1) "Personal charge" means the immediate

 7  physical presence of a pharmacist or dispensing prescriber.

 8        (2) "Pharmacist" means an individual licensed under this

 9  article to engage in the practice of pharmacy.

10        (3) "Pharmacist intern" or "intern" means an individual who

11  satisfactorily completes the requirements set forth in rules

12  promulgated by the board and is licensed by the board for the

13  purpose of obtaining instruction in the practice of pharmacy from

14  a preceptor approved by the board.

15        (4) "Pharmacy" means a building or part of a building in

16  which the practice of pharmacy is conducted.

17        (5) "PHARMACY TECHNICIAN" MEANS AN INDIVIDUAL WHO IS

18  REQUIRED TO HOLD A HEALTH PROFESSION SUBFIELD LICENSE UNDER THIS

19  PART TO SERVE AS A PHARMACY TECHNICIAN.

20        (6) (5) "Practice of pharmacy" means a health service, the

21  clinical application of which includes the encouragement of

22  safety and efficacy in the prescribing, dispensing,

23  administering, and use of drugs and related articles for the

24  prevention of illness, and the maintenance and management of

25  health. PRACTICE OF PHARMACY INCLUDES THE DIRECT OR INDIRECT

26  PROVISION OF PROFESSIONAL FUNCTIONS ASSOCIATED WITH THE PRACTICE

27  OF PHARMACY. Professional functions associated with the practice


 1  of pharmacy include:

 2        (a) The interpretation and evaluation of the prescription.

 3        (b) Drug product selection.

 4        (c) The compounding, dispensing, safe storage, and

 5  distribution of drugs and devices.

 6        (d) The maintenance of legally required records.

 7        (e) Advising the prescriber and the patient as required as

 8  to contents, therapeutic action, utilization, and possible

 9  adverse reactions or interactions of drugs.

10        Sec. 17711. (1) A person shall not engage in the practice of

11  pharmacy OR SERVE AS A PHARMACY TECHNICIAN unless licensed or

12  otherwise authorized by this article.

13        (2) The following words, titles, or letters or a combination

14  thereof, with or without qualifying words or phrases, are

15  restricted in use only to those persons authorized under this

16  part to use the terms and in a way prescribed in this part:

17  "pharmacy", "pharmacist", "PHARM.D", "DOCTOR OF PHARMACY",

18  "PHARMACY TECHNICIAN", "LICENSED PHARMACY TECHNICIAN", "CERTIFIED

19  PHARMACY TECHNICIAN", "CPHT", "apothecary", "DISPENSARY",

20  "drugstore", "druggist", "medicine store", "prescriptions", and

21  "r.ph.".

22        Sec. 17721. (1) The Michigan board of pharmacy is created in

23  the department and shall consist of the following 11 voting

24  members who shall meet the requirements of part 161: 6

25        (A) SIX pharmacistsand 5

26        (B) ONE PHARMACY TECHNICIAN.

27        (C) FOUR public members.


 1        (2) The terms of office of the individual members of the

 2  board created under this section, except those appointed to fill

 3  vacancies, expire 4 years after appointment on June 30 of the

 4  year in which the term expires.

 5        Sec. 17731. (1) Notwithstanding the requirements of part

 6  161, the board may require EITHER OF THE FOLLOWING:

 7        (A) THAT a licensee seeking renewal of a pharmacist's

 8  license to furnish the board with satisfactory evidence that

 9  during the 2 years immediately preceding application for renewal,

10  the applicant has HE OR SHE attended continuing education courses

11  or programs, approved by the board, totaling not less than 30

12  hours or the satisfactory completion of SATISFACTORILY COMPLETED

13  a proficiency examination according to rules promulgated by the

14  board.

15        (B) THAT A LICENSEE SEEKING RENEWAL OF A PHARMACY

16  TECHNICIAN'S LICENSE FURNISH THE BOARD WITH SATISFACTORY EVIDENCE

17  THAT DURING THE 2 YEARS IMMEDIATELY PRECEDING APPLICATION FOR

18  RENEWAL, HE OR SHE HAS ATTENDED AT LEAST 20 HOURS OF CONTINUING

19  EDUCATION COURSES OR PROGRAMS, APPROVED BY THE BOARD, OR

20  SATISFACTORILY COMPLETED A PROFICIENCY EXAMINATION ACCORDING TO

21  RULES PROMULGATED BY THE BOARD.

22        (2) As required under section 16204, the board shall

23  promulgate rules requiring each applicant for license renewal to

24  complete as part of the continuing education or proficiency

25  examination requirement of subsection (1) an appropriate number

26  of hours or courses in pain and symptom management.

27        SEC. 17735. (1) AN INDIVIDUAL WHO ASSISTS IN A PHARMACY AND


 1  PERFORMS ANY OF THE FOLLOWING FUNCTIONS IS CONSIDERED TO BE

 2  SERVING AS A PHARMACY TECHNICIAN AND, EXCEPT AS OTHERWISE

 3  PROVIDED IN THIS PART, IS REQUIRED TO BE LICENSED UNDER THIS PART

 4  AS A PHARMACY TECHNICIAN:

 5        (A) ASSISTING IN THE DISPENSING PROCESS.

 6        (B) HANDLING TRANSFER OF PRESCRIPTIONS, EXCEPT CONTROLLED

 7  SUBSTANCES PRESCRIPTIONS.

 8        (C) ORDERING AND STOCKING MEDICATIONS.

 9        (D) COMPOUNDING DRUGS.

10        (E) PREPARING OR MIXING INTRAVENOUS DRUGS FOR INJECTION INTO

11  A HUMAN OR VETERINARY PATIENT.

12        (F) CONTACTING PRESCRIBERS CONCERNING PRESCRIPTION DRUG

13  ORDER CLARIFICATION, WHICH DOES NOT INCLUDE DRUG REGIMEN REVIEW

14  OR CLINICAL OR THERAPEUTIC INTERPRETATION.

15        (G) RECEIVING VERBAL ORDERS FOR PRESCRIPTION DRUGS, EXCEPT

16  ORDERS FOR CONTROLLED SUBSTANCES.

17        (H) SUBJECT TO SECTION 16215, ANY OTHER FUNCTIONS AUTHORIZED

18  UNDER RULES PROMULGATED UNDER THIS PART.

19        (2) A PHARMACY THAT UTILIZES THE SERVICES OF A PHARMACY

20  TECHNICIAN SHALL ENSURE THAT ALL OF THE FOLLOWING REQUIREMENTS,

21  AS APPLICABLE, ARE MET:

22        (A) THE PHARMACY TECHNICIAN IS LICENSED OR OTHERWISE

23  AUTHORIZED TO SERVE AS A PHARMACY TECHNICIAN UNDER THIS PART.

24        (B) THE PHARMACY TECHNICIAN ONLY PERFORMS THE ACTIVITIES OR

25  FUNCTIONS THAT HE OR SHE IS LICENSED OR OTHERWISE AUTHORIZED TO

26  PERFORM UNDER THIS PART OR RULES PROMULGATED UNDER THIS PART.

27        (C) EXCEPT AS PROVIDED BY RULE PROMULGATED UNDER THIS PART,


 1  THE PHARMACY TECHNICIAN ONLY PERFORMS THE ACTIVITIES OR FUNCTIONS

 2  DESCRIBED IN SUBDIVISION (B) UNDER THE SUPERVISION AND PERSONAL

 3  CHARGE OF THE PHARMACIST.

 4        SEC. 17736. (1) SUBJECT TO SUBSECTION (2), THE DEPARTMENT

 5  MAY LICENSE AN INDIVIDUAL WHO MEETS ALL OF THE FOLLOWING

 6  REQUIREMENTS AS A PHARMACY TECHNICIAN UNDER THIS PART:

 7        (A) SUBMITS A COMPLETE WRITTEN APPLICATION TO THE DEPARTMENT

 8  ON A FORM PRESCRIBED BY THE DEPARTMENT.

 9        (B) GRADUATED FROM AN ACCREDITED HIGH SCHOOL OR COMPARABLE

10  SCHOOL OR EDUCATIONAL INSTITUTION OR PASSED THE GENERAL

11  EDUCATIONAL DEVELOPMENT TEST OR OTHER GRADUATE EQUIVALENCY

12  EXAMINATION.

13        (C) SATISFIES THE REQUIREMENTS OF SECTION 16174.

14        (D) PASSES AND SUBMITS PROOF OF PASSAGE OF THE CERTIFIED

15  PHARMACY TECHNICIAN EXAMINATION GIVEN BY THE PHARMACY TECHNICIAN

16  CERTIFICATION BOARD TO THE DEPARTMENT. HOWEVER, THIS SUBDIVISION

17  DOES NOT APPLY TO AN INDIVIDUAL DESCRIBED IN SUBSECTION (5).

18        (2) IF AN INDIVIDUAL HOLDS A HEALTH PROFESSION LICENSE UNDER

19  THIS ARTICLE THAT HAS BEEN DENIED, REVOKED, SUSPENDED, OR

20  RESTRICTED FOR DISCIPLINARY PURPOSES, HE OR SHE IS NOT ELIGIBLE

21  FOR A LICENSE AS A PHARMACY TECHNICIAN UNDER THIS PART.

22        (3) AN INDIVIDUAL WHO IS NOT A PHARMACIST, PHARMACIST

23  INTERN, OR PHARMACY TECHNICIAN SHALL NOT PERFORM ANY OF THE

24  FUNCTIONS DESCRIBED IN SECTION 17735(1) FOR A PHARMACY.

25        (4) A PHARMACIST SHALL NOT ALLOW ANY INDIVIDUAL EMPLOYED OR

26  OTHERWISE UNDER THE PERSONAL CHARGE OF THE PHARMACIST TO VIOLATE

27  SUBSECTION (3). A PERSON THAT OWNS, MANAGES, OPERATES, OR


 1  CONDUCTS A PHARMACY SHALL NOT ALLOW ANY INDIVIDUAL EMPLOYED OR

 2  OTHERWISE UNDER THE CONTROL OF THAT PERSON TO VIOLATE SUBSECTION

 3  (3).

 4        (5) AN INDIVIDUAL WHO MEETS ANY OF THE FOLLOWING IS NOT

 5  REQUIRED TO MEET THE EXAMINATION REQUIREMENTS DESCRIBED IN

 6  SUBSECTION (1)(D) TO BE ELIGIBLE FOR A LICENSE UNDER SUBSECTION

 7  (1).

 8        (A) AS PROVIDED IN SECTION 16171(A), IS A STUDENT IN A

 9  PHARMACY TECHNICIAN PROGRAM APPROVED BY THE BOARD.

10        (B) GRADUATED FROM A PHARMACY TECHNICIAN PROGRAM, BUT ONLY

11  DURING THE 210-DAY PERIOD FOLLOWING HIS OR HER GRADUATION FROM

12  THE PROGRAM.

13        (C) WAS EMPLOYED BY A PHARMACY TO PERFORM 1 OR MORE OF THE

14  FUNCTIONS DESCRIBED IN SECTION 17735(1), BUT ONLY UNTIL ANY OF

15  THE FOLLOWING OCCUR:

16        (i) HE OR SHE IS NO LONGER EMPLOYED BY THAT PHARMACY TO

17  PERFORM THOSE FUNCTIONS.

18        (ii) THE OWNERSHIP OF THAT PHARMACY CHANGES.

19        (iii) THE NAME OF THAT PHARMACY OR THE BUSINESS OF WHICH THAT

20  PHARMACY IS A PART CHANGES.

21        (iv) HE OR SHE PERFORMS ANY OF THOSE FUNCTIONS FOR ANOTHER

22  PHARMACY.

23        (D) HOLDS A TEMPORARY LICENSE UNDER SECTION 17744A.

24        SEC. 17744A. (1) THE DEPARTMENT MAY ISSUE A TEMPORARY

25  PHARMACY TECHNICIAN LICENSE TO AN INDIVIDUAL WHO DOES NOT MEET

26  ALL OF THE REQUIREMENTS OF SECTION 17736(1), IF THE APPLICANT

27  DOES ALL OF THE FOLLOWING:


 1        (A) APPLIES TO THE DEPARTMENT FOR A TEMPORARY LICENSE AFTER

 2  THE EFFECTIVE DATE OF THE AMENDATORY ACT THAT ADDED THIS SECTION.

 3        (B) PROVIDES SATISFACTORY PROOF TO THE DEPARTMENT THAT HE OR

 4  SHE HAS BEEN EMPLOYED AS A PHARMACY TECHNICIAN IN A LICENSED

 5  PHARMACY FOR THE 2-YEAR PERIOD IMMEDIATELY PRECEDING THE DATE OF

 6  APPLICATION.

 7        (C) PROVIDES THE DEPARTMENT WITH A LETTER OF RECOMMENDATION

 8  FROM THE PHARMACIST WHO IS HIS OR HER DIRECT SUPERVISOR AT THE

 9  TIME OF APPLICATION ATTESTING TO HIS OR HER CLINICAL COMPETENCE

10  AS A PHARMACY TECHNICIAN.

11        (D) PAYS THE APPLICABLE FEES REQUIRED UNDER SECTION 16633.

12        (2) THE TERM OF A TEMPORARY PHARMACY TECHNICIAN LICENSE

13  ISSUED BY THE DEPARTMENT UNDER THIS SECTION IS THE SAME AS A

14  PHARMACY TECHNICIAN LICENSE ISSUED BY THE DEPARTMENT UNDER

15  SECTION 17736. HOWEVER, AN INDIVIDUAL MAY NOT HOLD A TEMPORARY

16  LICENSE UNDER THIS SECTION FOR MORE THAN 2 YEARS.

17        (3) AN INDIVIDUAL WHO HOLDS A TEMPORARY PHARMACY TECHNICIAN

18  LICENSE ISSUED UNDER THIS SECTION IS SUBJECT TO ALL OF THE

19  REQUIREMENTS OF THIS PART AND THE RULES PROMULGATED UNDER THIS

20  PART, EXCEPT FOR THE REQUIREMENTS FOR LICENSURE.

21        Enacting section 1. This amendatory act takes effect June

22  

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