BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1071
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          ASSEMBLY THIRD READING
          AB 1071 (Emmerson)
          As Introduced  February 27, 2009
          Majority vote 

           BUSINESS & PROFESSIONS     11-0 APPROPRIATIONS      17-0        
           
           ----------------------------------------------------------------- 
          |Ayes:|Hayashi, Emmerson,        |Ayes:|De Leon, Nielsen,         |
          |     |Conway, Eng,              |     |Ammiano,                  |
          |     |Hernandez, Nava, Niello,  |     |Charles Calderon, Davis,  |
          |     |John A. Perez, Price,     |     |Duvall, Fuentes, Hall,    |
          |     |Ruskin, Smyth             |     |Harkey, Miller,           |
          |     |                          |     |John A. Perez, Price,     |
          |     |                          |     |Skinner, Solorio, Audra   |
          |     |                          |     |Strickland, Torlakson,    |
          |     |                          |     |Krekorian                 |
           ----------------------------------------------------------------- 
           
          SUMMARY  :  Increases the minimum and maximum fees that the  
          California State Board of Pharmacy (Board) may charge under its  
          license and fee schedule.  Specifically,  this bill  :  

          1)Establishes the amount of fees and penalties that are fixed by  
            the Board according to the following schedule: 

             a)   The fee for an initial nongovernmental pharmacy license  
               shall be $400 and may be increased to $520.  The fee for  
               the issuance of a temporary nongovernmental pharmacy permit  
               shall be $250 and may be increased to $325; 

             b)   The fee for a renewal nongovernmental pharmacy license  
               shall be $250 and may be increased to $325;

             c)   The fee for an initial pharmacist application and  
               examination shall be $200 and may be increased to $260; 

             d)   The fee for regrading an examination shall be $90 and  
               may be increased to $115.  If an error in grading is found  
               and the applicant passes the examination, the regrading fee  
               shall be refunded; 

             e)   The fee for a renewal pharmacist license shall be $150  
               and may be increased to $195; 








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             f)   The fee for an initial and renewal nongovernmental  
               wholesaler license shall be $600, and may be increased to  
               $780. The application fee for any additional location after  
               licensure of the first 20 locations shall be $225 and may  
               be increased to $300.  A temporary license fee shall be  
               $550 and may be increased to $715;  

             g)   The fee for an initial and renewal hypodermic license  
               shall be $125 and may be increased to $165; 

             h)   The fee for the initial application, investigation, and  
               license as a designated representative shall be $255 and  
               may be increased to $330.  The fee for a renewal license as  
               a designated representative shall be $150 and may be  
               increased to $195; 

             i)   The fee for the application, investigation, and license  
               as a designated representative for a veterinary food-animal  
               drug retailer shall be $255 and may be increased to $330.   
               The fee for a renewal license as a designated  
               representative for a veterinary food-animal drug retailer  
               shall be $150 and may be increased to $195; 

             j)   The application fee for an initial nonresident  
               wholesaler license shall be $600 and may be increased to  
               $780.  For nonresident wholesalers who have 21 or more  
               facilities operating nationwide, the application fees for  
               the first 20 locations shall be $600 and may be increased  
               to $780.  The application fee for any additional location  
               after licensure of the first 20 locations shall be $225 and  
               may be increased to $300.  A temporary license fee shall be  
               $550 and may be increased to $715.  The fee for a renewal  
               nonresident wholesaler's license shall be $600 and may be  
               increased to $780;

             aa)  The fee for an initial intern pharmacist license shall  
               be $90 and may be increased to $115.  The fee for transfer  
               of intern hours or verification of licensure to another  
               state shall be $25 and may be increased to $30; 

             bb)  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;








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             cc)  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 $35 and may be increased to $45; 

             dd)  The fee for the reissuance of any license, or renewal  
               thereof, that must be reissued because of a change in the  
               information, shall be $100 and may be increased to $130;

             ee)  The fee for an initial nongovernmental clinic license  
               shall be $400 and may be increased to $520.  The fee for a  
               renewal license shall be $250 and may be increased to $325;  


             ff)  The fee for an initial pharmacy technician license shall  
               be $80 and may be increased to $105.  The fee for a renewal  
               pharmacy technician license shall be $100 and may be  
               increased to $130; 

             gg)  The fee for an initial veterinary food-animal drug  
               retailer license shall be $405 and may be increased to  
               $425.  The renewal fee for a veterinary food-animal drug  
               retailer license shall be $250 and may be increased to  
               $325; 

             hh)  The fee for a retired license shall be $35 and may be  
               increased to $45; and,  

             ii)  The fee for an initial or renewal nongovernmental  
               license to compound sterile drug products shall be $600 and  
               may be increased to $780.  The fee for a temporary license  
               shall be $550 and may be increased to $715.

           EXISTING LAW  : 

          1)Provides for the licensure and regulation of pharmacies,  
            pharmacists, pharmacy technicians, wholesalers of dangerous  
            drugs or devices, and others by the Board. 

          2)Establishes the Pharmacy Board Contingent Fund (Fund) and  
            authorizes the Board to collect fees for its services.

          3)Imposes fees on persons and pharmacies for, among other  
            things, application, examination, licensure, and licensure  








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            renewal.  These fees are fixed by the Board based on a fee  
            schedule that sets forth the minimum and maximum fees. 

          4)Establishes the amount of fees and penalties that are fixed by  
            the Board according to the following schedule: 

             a)   The fee for an initial nongovernmental pharmacy license  
               shall be $340 and may be increased to $400; 

             b)   The fee for a renewal nongovernmental pharmacy license  
               shall be $175 and may be increased to $250; 

             c)   The fee for a pharmacist application and examination  
               shall be $155 and may be increased to $185;  

             d)   The fee for regrading an examination shall be $75 and  
               may be increased to $85.  If an error in grading is found  
               and the applicant passes the examination, the regrading fee  
               shall be refunded; 

             e)   The fee for an initial and renewal pharmacist license  
               shall be $115 and may be increased to $150; 

             f)   The fee for an initial and renewal nongovernmental  
               wholesaler license shall be $550 and may be increased to  
               $600;

             g)   The fee for an initial and renewal hypodermic license  
               shall be $90 and may be increased to $125; 

             h)   The fee for the initial application, investigation, and  
               license for a designated representative shall be $185 and  
               may be increased to $250.  If the applicant is not issued a  
               license as a designated representative, the Board shall  
               refund $110 of the fee.  The fee for the renewal license as  
               a designated representative shall be $110 and may be  
               increased to $150; 

             i)   The fee for the application, investigation, and issuance  
               of an initial license as a designated representative for a  
               veterinary food-animal drug retailer shall be $250.  If the  
               applicant is not issued a license as a designated  
               representative, the Board shall refund $150 of the fee.   
               The fee for the renewal license as a designated  








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               representative for a veterinary food-animal drug retailer  
               shall be $110;

             j)   The application fee for an initial nonresident  
               wholesaler's license shall be $550 and may be increased to  
               $600.  For nonresident wholesalers who have 21 or more  
               wholesaler facilities operating nationwide, the application  
               fees for the first 20 locations shall be $550 and may be  
               increased to $600.  The application fee for any additional  
               location after licensure of the first 20 locations shall be  
               $225 and may be increased to $300.  The fee for a renewal  
               nonresident wholesaler's license shall be $550 and may be  
               increased to $600; 

             aa)   The fee for evaluation of continuing education courses  
               for accreditation shall be set by the Board at an amount  
               not to exceed $40 per course hour;

             bb)   The fee for an initial intern pharmacist license shall  
               be $65 and may be increased to $75.  The fee for transfer  
               of intern hours or verification of licensure to another  
               state shall be fixed by the Board not to exceed $20; 

             cc)   The Board may waive or refund the additional fee for  
               the issuance of a certificate where the certificate is  
               issued less than 45 days before the next regular renewal  
               date; 

             dd)   The fee for the reissuance of any license, or renewal  
               thereof, that has been lost or destroyed or reissued due to  
               a name change is $30; 

             ee)   The fee for the reissuance of any license, or renewal  
               thereof, that must be reissued because of a change in the  
               information, is $60 and may be increased to $100; 

             ff)   It is the intent of the Legislature that the Board  
               shall seek to maintain a reserve in the Fund equal to  
               approximately one year's operating expenditures;

             gg)   The fee for an initial nongovernmental clinic permit is  
               $340 and may be increased to $400 for each permit.  The fee  
               for the renewal permit is $175 and may be increased to $250  
               for each permit; 








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             hh)   The Board shall charge a fee for the processing and  
               issuance of a pharmacy technician license and a separate  
               fee for a renewal license.  The initial license fee shall  
               be $25 and may be increased to $50.  The renewal fee shall  
               be $25 and may be increased to $50; 

             ii)   The fee for an initial veterinary food-animal drug  
               retailer license shall be $400.  The renewal fee for a  
               veterinary food-animal drug retailer shall be $250; and, 

             jj)   The fee for a retired license shall be $30.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee:

          1)Annual increased fee-supported special fund revenue to the  
            Board of $614,000 to $1.8 million.  This bill establishes new  
            minimums and maximums for the licensure-related fees charged  
            by the Board.  As a result of these changes, the range of the  
            Board's fee-supported revenues will increase from $586,000 to  
            $1.7 million (current law) to $1.2 million to $3.5 million (AB  
            1071).  The Board regulates 112,000 licensees and adds  
            approximately 4,500 licensees per year.  Fee revenues are used  
            to support a range of oversight activities. 

          2)This bill increases more than a dozen annual fees charges to  
            various licensees of the Board. For example, the current  
            Pharmacist license application fee is $115 to $150.  This bill  
            increases this fee to $150 to $195.  Under current law, the  
            initial application fee for a pharmacy is $340 to $400.  This  
            bill increases the pharmacy fee to $400 to $520.

           COMMENTS  :  According to the author's office, "AB 1071 adjusts  
          application and renewal fees to ensure that the Board of  
          Pharmacy has sufficient funds to fulfill all of its statutory  
          obligations as a consumer protection agency.  The Board has  
          waited as long as it could to increase its fees.  This bill also  
          builds in a cap to increase future fees by no more than 30  
          percent? The Board's licensee population has grown 20% over the  
          last five years, yet the size of the Board staff remains  
          constant.  The Board has aggressively reviewed its business  
          processes and streamlined where appropriate, yet is unable to  
          achieve any additional cost savings.  Currently, the Board  








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          regulates 112,000 licensees and adds approximately 4,500  
          licensees per year.  

          "The Board recently underwent an independent fee audit to  
          determine the real cost to process applications and license  
          renewals.  The audit found that the Board's expenditures were  
          exceeding its revenues resulting in draining [of] the contingent  
          fund balance.  Additionally, the current fee structure is  
          insufficient to maintain the 12 month reserve required by  
          statute.  Without a fee increase, the Board's contingent fund  
          will be reduced to an eight-month reserve by the end of fiscal  
          year 2009-10 and will only have a one-month reserve by the end  
          of fiscal year 2011-12."

          The Board was established in 1891 to protect consumers by  
          licensing and regulating all aspects of the pharmacy practice in  
          California, including pharmacists, pharmacy practice, and  
          prescription drugs and devices.  The Board also regulates  
          wholesalers, specialized facilities, and other practitioners  
          such as pharmacist technicians and interns.  The Board's  
          activities are financed through fees related to application and  
          license-processing services.  The Board oversees 112,000  
          licenses and has 60 staffers.  Licensee growth has grown in the  
          following manner from 1993 to 2008:  licensed pharmacists  
          increased from 26,159 to 36,171; licensed pharmacy technicians  
          increased from 8,229 to 55,305; and, all other types of  
          licensees have increased from 9,070 to 17,981. 


           Analysis Prepared by  :    Joanna Gin / B. & P. / (916) 319-3301 


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