BILL ANALYSIS SENATE JUDICIARY COMMITTEE Senator Ellen M. Corbett, Chair 2009-2010 Regular Session AB 1455 (Hill) As Amended June 14, 2010 Hearing Date: June 29, 2010 Fiscal: Yes Urgency: No SK/BCP:jd SUBJECT Ephedrine: Retail Sale DESCRIPTION This bill, co-sponsored by the Consumer Healthcare Products Association and the California State Sheriffs' Association, would repeal existing statutory provisions for over-the-counter sales of pseudoephedrine and related products and replace them with new sales limits consistent with federal law. This bill would impose additional restrictions on the sale of pseudoephedrine products in accordance with federal law, including that retail distributors must store those products in a locked cabinet or behind the counter. This bill would require the Department of Justice to enter into a memorandum of understanding with the National Association of Drug Diversion Investigators to provide pseudoephedrine retailers with access to an electronic authorization and monitoring system. That system shall provide retail distributors with an immediate real-time alert if a person attempts to purchase pseudoephedrine in violation of the sales limits. This bill would require the retail distributor to transmit information regarding the consumer to the database, including the consumer's name, date of birth, and address and the product sold, the quantity of packages, and the total gram amount of pseudoephedrine involved in the sale. BACKGROUND Despite limits on purchases of pseudoephedrine, laboratory (more) AB 1455 (Hill) PageB of? incidents in California rose in 2008 to 346. Many law enforcement agencies, including the Drug Enforcement Administration, have concluded that the rise in laboratories in 2008 resulted from an increase in "smurfing" of pseudoephedrine. Smurfing involves purchases of small amounts of pseudoephedrine from numerous drug stores. While smurfers may violate federal law in purchasing more than 9 grams in a month - although each purchase would not be over the 3.6 gram limit - the lack of adequate law enforcement personnel and resources to manually review purchase logs allows smurfing to continue. In 2006, the federal Combat Methamphetamine Epidemic Act (CMEA) was enacted to restrict the retail sale of ephedrine, pseudoephedrine, norpseudoephedrine, or phenylpropanolamine. States have enacted limits on purchases of pseudoephedrine, imposed point-of-sale restrictions, or enacted pseudoephedrine tracking laws. Oregon has required a prescription for pseudoephedrine purchases since 2006. Mississippi will require a prescription in July, 2010. According to the sponsor, the following states have electronic tracking of pseudoephedrine sales: Alabama, Arkansas, Florida, Illinois, Iowa, Kansas, Kentucky, Louisiana, Missouri, Oklahoma, South Carolina, and Washington. Ten of these 12 states use the National Precursor Log Exchange (NPLEx), funded by the manufacturers of pseudoephedrine products, to electronically track pseudoephedrine sales. This bill would add California to this list of states and would direct the Department of Justice to enter into a memorandum of understanding with the National Association of Drug Diversion Investigators to provide an electronic database used by retailers and law enforcement to attempt to halt sales of illegal amounts of pseudoephedrine. CHANGES TO EXISTING LAW Existing law , with specified and detailed exceptions, prohibits disclosure of medical information without the authorization of the patient. Medical information shall be disclosed pursuant to a court order or a warrant issued to a law enforcement agency. Other specific exceptions are enumerated. (Civ. Code Sec. 56.10.) Existing law provides that medical information can be disclosed AB 1455 (Hill) PageC of? "when otherwise specifically required by law." (Civ. Code Sec. 56.10, subd. (b)(9).) Existing law, the California Constitution, provides that all people have inalienable rights, including the right to pursue and obtain privacy. (Cal. Const. Art. I, Sec. 1.) Existing federal law includes the Health Insurance Portability and Accountability Act of 1996 (HIPAA) which, subject to specified exceptions and procedures, provides that medical information shall be confidential. (Pub. Law 104-191; 45 CFR 160, 164.) Existing law classifies controlled substances in five schedules according to their dangerousness and potential for abuse. (Health & Saf. Code Secs. 11054-11058.) Existing law includes the CURES (Controlled Substance Utilization Review and Evaluation System) system to provide for the electronic monitoring of the prescribing and dispensing of Schedule II, III and IV controlled substances. CURES provides for the electronic transmission of Schedule II, III and IV prescription data to the Department of Justice (DOJ) at the time prescriptions are dispensed. (Health & Saf. Code Sec. 11165.) Existing law provides that pharmacists, in filling a controlled substance prescription, shall provide to DOJ the patient's name, date of birth, the name, form, strength, and quantity of the drug, and the pharmacy name, pharmacy number, and the prescribing physician information. (Health & Saf. Code Sec. 11165, subd. (d).) Existing law provides that the DOJ may initiate the referral of the history of controlled substances dispensed to an individual, based on the CURES data, to licensed health care practitioners and pharmacists, as specified. (Health & Saf. Code Sec. 11165.1(b).) Existing law provides that the history of controlled substances dispensed to a patient based on CURES data that is received by a practitioner or pharmacist shall be considered medical information, as specified. (Health & Saf. Code Sec. 11165.1(c).) Existing law includes a detailed regulatory scheme for the production and distribution of specified chemicals that may be precursors to controlled substances, and provides that producers AB 1455 (Hill) PageD of? and users of precursor chemicals must obtain a permit from DOJ. Applications for permits must include documentation of legitimate uses for regulated chemicals. (Health & Saf. Code Sec. 11106.) Existing law requires any person or entity that sells, transfers, or otherwise furnishes a specified chemical precursor to another person or entity to submit a report to the DOJ, generally within 21 days, of each transaction. The report must include the identification information about the purchaser. (Health & Saf. Code Sec. 11100(d).) Existing law provides that it is unlawful for a retailer to sell in a single transaction more than three packages, or 9 grams, of a product that he or she knows to contain ephedrine, pseudoephedrine, norpseudoephedrine, or phenylpropanolamine. With specified exceptions, the three package-9 grams per transaction limitation applies to any product lawfully furnished over the counter without a prescription pursuant to applicable federal law. This offense is a misdemeanor, punishable by a county jail term of up to 6 months, a fine of up to $1,000, or both. (Health & Saf. Code Sec. 11100 (g)(3).) Existing federal law, the Combat Methamphetamine Epidemic Act (CMEA), includes detailed restrictions and requirements for the retail sale of ephedrine, pseudoephedrine, norpseudoephedrine, or phenylpropanolamine. These restrictions include, in part: no more than 3.6 grams may be sold in a single transaction; no more than 9 grams per customer may be sold in a one-month period; if the drug is obtained through postal or similar delivery, no more than 7.5 grams can be so obtained; the seller must maintain a written or electronic logbook of each sale, including the date of the transaction, the name and address of the purchaser, and the quantity sold; the purchaser must present valid identification, as specified, and the seller must verify the identification; the purchaser must sign a paper or electronic logbook, as specified; the seller must maintain these documents, as specified; and law enforcement shall have access to the information pursuant to regulations adopted by the DOJ. (21 U.S.C. Sec. 830 (e) and 844 (a).) AB 1455 (Hill) PageE of? Existing federal law includes an exception to the log book recording of transactions in the case of a transaction that involves a single package that contains not more than 60 milligrams of pseudoephedrine. (21 U.S.C. Sec. 841 (e)(1)(A)(iii).) Existing federal law requires retailers to retain purchase information for not less than two years. (21 U.S.C. Sec. 841 (v)(6).) Existing federal regulations protect the privacy of individuals who purchase scheduled listed chemical products by restricting disclosure of information in logbooks as follows: the information shall be disclosed as appropriate to the Administration and to State and local law enforcement agencies; the logbook information shall not be accessed, used, or shared for any purpose other than compliance with CMEA or to facilitate a product recall; and a regulated seller who in good faith releases information in a logbook to Federal, State, or local law enforcement authorities is immune from civil liability for the release unless the release constitutes gross negligence or intentional, wanton, or willful misconduct. (21 C.F.R. Sec. 1314.45.) This bill would repeal the existing statutory provisions for over-the-counter sales of pseudoephedrine and related products and replace them with new sales limits consistent with federal law. This bill would retain the exception for pseudoephedrine sold or provided pursuant to a prescription. This bill would provide that the DOJ shall enter into a memorandum of understanding (MOU) with the National Association of Drug Diversion Investigators or comparable organization to provide pseudoephedrine retailers with access to an electronic authorization and monitoring system. With regards to that system, this bill would: provide that law enforcement access to the database system shall be recorded by means of a unique access code for each person using the system, and require access records to be maintained by DOJ; provide that the system shall provide retail distributors with an immediate real-time alert if a person attempts to purchase pseudoephedrine in violation of the limits and procedures in this bill; and AB 1455 (Hill) PageF of? provide that the data system shall conform to the Federal Bureau of Investigation's Criminal Justice Information Systems security standards and may be audited annually. This bill would provide that neither the DOJ nor any state agency shall bear any cost for developing, installing, or maintaining the system, and provide that the state shall impose no fee on a retail distributor or manufacturer to defray administrative or other costs for oversight or use of the system. This bill would include the following specified procedures for the sale of pseudoephedrine products: a retail distributor must store pseudoephedrine products in a locked cabinet or behind the counter; a retail distributor may not sell to an individual consumer more than 3.6 grams of pseudoephedrine within 24 hours and or more than 9 grams in a 30-day period; as in federal law (CMEA), the data recording requirements shall not apply to sale of a single package containing no more than 60 milligrams of a product containing pseudoephedrine; the retail distributor must record the following at the time of making a pseudoephedrine transaction: o the date of the transaction; o the type of identification used by the purchaser, the agency issuing the identification, and the identification number; o the name, date of birth, and address of the purchaser, as verified by a photo identification; and o the name of the product sold, the quantity of packages, and the total gram amount of pseudoephedrine involved in the sale. the retail distributor shall immediately transmit the information about the sale and the purchaser to the electronic monitoring system for the purpose of determining whether or not the sale would exceed statutory limits; the purchaser must provide valid identification, as specified; and the purchaser must sign a written or electronic log. The log must reflect the following: o transaction date; o the agency issuing the identification used by the purchaser and the number of the identification; AB 1455 (Hill) PageG of? o the name and address of the purchaser; and o the amount and kind of product sold. This bill would prohibit a retail distributor from maintaining a separate copy of the transaction information, except as required by federal data collection law. This bill would require a retail distributor to maintain sales records in a written log or in alternative electronic form if the retailer experiences a mechanical or electronic failure of the data system and is thus unable to comply with the bill's data collection rules. This bill would require the retail distributor to give notice to customers explaining that the identification and purchase data will be provided to law enforcement pursuant to this bill and federal law. Notice may be given electronically, in writing, or through signs. This bill would provide that the retail distributor need not keep records of pseudoephedrine transactions in a separate log or location from those required by federal law. This bill would provide that its data collection requirements do not apply to sales of single-use packages containing not more than 60 milligrams of pseudoephedrine. This bill would state that the Legislature finds that probable cause is necessary before law enforcement can begin an investigation based on a single transaction made in violation of pseudoephedrine purchase limits. This bill would provide that data collected on over-the-counter sales of pseudoephedrine shall be maintained for no longer than two years. This bill would provide that a retail distributor's use of the system is subject to Civil Code Section 56.101, which requires health care providers to maintain the confidentiality of the information in the system. This bill would provide that transaction information shall not be accessed, stored, or used by the retail distributor for any purpose other than to meet the requirements of the bill or to comply with federal law. This bill would not become operative unless all of the following occur: the DOJ enters into an MOU with the National Association of Drug Diversion Investigators or a comparable organization; AB 1455 (Hill) PageH of? the DOJ determines that a "substantial" number of retail distributors have access to the system; and 180 days have passed from the date of the DOJ's certification. This bill would require that the MOU state that no party to the MOU nor any entity under contract to provide the electronic authorization and monitoring system shall be authorized to use the information contained in the system for any purpose other than those set forth by the bill's data collection provisions or federal law. This bill would authorize the department to enter into any agreement, contract, or MOU with any law enforcement agency to provide instant access to information collected through the pseudoephedrine tracking system. This bill would provide that it is the intent of the Legislature that the bill preempt all local ordinances or regulations concerning the over-the-counter sale of pseudoephedrine products. This bill would define the following terms: "retail distributor" means a grocery store, general merchandise store, drug store, or related entity that sells pseudoephedrine products only for personal use to walk-in customers or in a face-to-face transaction. The parent company of a retailer is not a retail distributor for purposes of this bill; "drug store," "general merchandise store," or "grocery store" means such an entity as described in a certain sections of specified classification manual published by the U.S. Office of Management and Budget in 1987; and "sale for personal use" means a sale of pseudoephedrine in a single transaction to an individual customer for legitimate medical use. Sale for personal use also includes sales to employers to be dispensed to employees from first-aid kits or medicine chests. This bill would contain the following findings and declarations: NADDI is the only organization prepared to implement, and capable of implementing, a statewide electronic tracking system for retail sales of medicines containing pseudoephedrine as soon as would be mandated by the bill; AB 1455 (Hill) PageI of? only NADDI is positioned to implement the system as provided for in the bill because manufacturers of these medicines have entered into a contractual relationship with NADDI to provide access to the system, without charge, to all retailers and to appropriate state and local law enforcement agencies; and it is the intent of the Legislature in enacting the bill to mandate a statewide electronic tracking system for retail sales of medicines containing pseudoephedrine without incurring cost to the state to run the system because manufacturers of pseudoephedrine products will fund the system. This bill would sunset on January 1, 2017. COMMENT 1. Stated need for the bill According to the author: AB 1455 implements a statewide electronic tracking in retail outlets to monitor all over-the-counter (OTC) pseudoephedrine (PSE) purchases in real-time to prevent "smurfing" where criminals go from store-to-store attempting to exceed the legal purchase limits established in federal law. Methamphetamine is a powerful psychostimulant drug that impacts the central nervous system, is highly addictive, and can be synthesized with a basic understanding of chemistry from chemicals that are commonly available to consumers. In 2008, law enforcement in California seized 119 methamphetamine labs, including 15 super labs that have the capability of producing more than ten pounds. A principal ingredient in clandestine methamphetamine production is pseudoephedrine/ephedrine and its isomers and/or salts, which are also common decongestant ingredients in many OTC cold and allergy medications. Federal law regulates the retail sale of PSE products. The laws prohibit sale of more than 3.6 grams in a single transaction, and more than 9.0 grams in one-month. A seller must maintain a written or electronic log of each sale, including the transaction date, name and address of the AB 1455 (Hill) PageJ of? purchaser, and the quantity sold. A purchaser must present valid identification, verified by the seller. The purchaser must sign a paper or electronic logbook that must be maintained by the seller. California retailers comply with federal law, but the records are not coordinated. AB 1455 centralizes this information and makes it available in real-time. The electronic tracking system will be funded by industry and administered by the National Association of Drug Diversion Investigators (NADDI), which will support the database. The state Department of Justice will enter into a Memorandum of Understanding with NADDI to ensure appropriate access to the system for retailers, and access for law enforcement. Retailers cannot access database information; they only input information into the system. Law enforcement is the only entity with access to the information in the database. When a consumer seeks to purchase any OTC PSE-containing product from a retailer, the retailer will be required to input the federally-mandated consumer information into the electronic database. Retailers will access the system through either a web-based interface, where the only requirement is a computer with internet access, or direct interface with the database. The system will instantly electronically alert the retailer if the consumer is about to purchase amounts in excess of the amounts authorized by law. If an alert is received by the retailer, the sale cannot be made. Any retailer making a sale without entering the information into the central database through this system, or making a sale notwithstanding an alert, will be subject to prosecution for a misdemeanor. A second conviction is punishable by up to one year in county jail and a $10,000 fine. Co-sponsor, the Consumer Healthcare Products Association (CHPA), the trade association representing U.S. manufacturers of nonprescription medicines, writes: With NPLEx [See Comment 2] in place, retailers will obtain pre-approval from the system to make a sale, and over-limit sales are denied, stopping illegal sales before they happen. The sales data are maintained in a highly secure environment and, under federal law and the provisions of AB AB 1455 (Hill) PageK of? 1455, are legally available only to law enforcement. Manufacturers fully fund NPLEx, so there is no charge to retailers, states, or law enforcement. In the states with the most critical meth lab problems, electronic tracking has been the policy solution of choice for addressing PSE diversion. Twelve states require retailers and pharmacists to utilize a state-wide PSE sales tracking system, including six of the ten states hardest hit by meth labs. The California State Sheriffs' Association, co-sponsor, writes, "[t]he proliferation of smurfing and illegal purchasing operations of pseudoephedrine and ephedrine now warrants a real-time and proactive approach to combating methamphetamine production in California. By requiring all retailers to participate in the mandatory electronic authorization and monitoring system, it becomes impossible for a person to travel from store to store as a way to purchase an illegal amount of PSE. The electronic system contemplated allows law enforcement to monitor all sales in real-time and on a statewide basis which will greatly enhance suppression and investigative efforts." 2. Issues regarding using a third-party to provide the database The intent of this bill to facilitate the creation of a database that will store information regarding every person who purchases pseudoephedrine-based products within the state of California, without a prescription - that tracking system would alert stores when a particular purchaser has exceeded the specified purchase limit. To create the database that would contain the personal information of any person who purchases pseudoephedrine products in California, this bill would require the DOJ to enter into a Memorandum of Understanding (MOU) with the National Association AB 1455 (Hill) PageL of? of Drug Diversion Investigators (NADDI)<1>. This bill would outline the contents of the MOU and provide that the system must provide free access to retailers within the state. According to the sponsors, NADDI will then enter into a contract with Appriss (a private company headquartered in Louisville, Kentucky that provides similar database services to other states), and pay for the cost of the system by charging the manufacturers of those products (the bill also contains intent language regarding cost to this effect). That unusual relationship between the State of California and the final provider, Appriss, raises not only questions about how California may enforce the provisions of the third party contract (NADDI with Appriss), but also the appropriateness of authorizing a database containing every name, address, date of birth, identification number, and name and quantity of pseudoephedrine to be maintained by that third-party outside of California. a. NADDI and Appris Given that NADDI would be responsible for choosing the vendor and implementing the proposed database, the following background is provided on both NADDI and Appriss, the company apparently pre-selected to provide this database. The bill would not give the DOJ authority to approve or disapprove of the entity selected by NADDI - essentially, this bill would delegate the authority to select the vendor that will receive information about every resident in the state to NADDI. The proposed process appears to be consistent with a multi-state initiative by industry to implement an electronic tracking of over-the-counter sales of pseudoephedrine. That initiative is described as follows by the Consumer Healthcare Products Association (CHPA), co-sponsor, in their January 11, 2010 letter to the President of the Kansas Board of Pharmacy that also urged the use of the Appriss service: -------------------------- <1> NADDI (est. 1989) is a national non-profit organization that, according to its Web site, "facilitates cooperation between law enforcement, healthcare professionals, state regulatory agencies and pharmaceutical manufacturers in the investigation and prevention of prescription drug abuse and diversion. NADDI also sponsors and conducts specialized educational seminars and conferences." NADDI is based in Maryland. The association has 21 state chapters, including California. AB 1455 (Hill) PageM of? On behalf of our member companies that make nonprescription PSE medicines, CHPA has offered to fully fund a PSE sales electronic tracking system in Kansas. CHPA's proposal is the only one that meets the statutory funding requirement, allowing the Board of Pharmacy to meet its legislative directive. CHPA's member companies have entered into exclusive contracts with the nation's leading vendor of PSE e-tracking systems, and therefore are able only to provide funding for the system that has been offered to the Board. We are offering to provide this system, named the National Precursor Log Exchange (NPLEx), across multiple states as an integrated solution. . . . NADDI is a non-profit association that provides education and training for law enforcement agents on the diversion of pharmaceutical products. Its role in the NPLEx initiative is to enter into a Memorandum of Understanding (MOU) with the appropriate state agency, act as the administrator of NPLEx, and to liaise with law enforcement to ensure that NPLEx is understood and fully utilized. CHPA's participating member companies are supporting NPLEx by paying a transactional fee based on sales of their PSE products. This funding stream fully supports NPLEx, meaning that the system can be deployed and maintained at no charge to retailers or to states. Access to NPLEx is available free of charge to any law enforcement agent who is properly authorized by the state. . . . Reflecting the priority that our member companies have put on delivering a single vendor platform for NPLEx, their contracts with Appriss and NADDI are exclusive, and therefore prohibit our companies from sponsoring systems operated by any other vendor. This bill represents the policy choice of joining a few other states in selecting a single out-of-state private company to operate a database that would track purchases of pseudoephedrine products by requiring retailers to enter the purchaser's personal information. That database, funded by AB 1455 (Hill) PageN of? the manufacturers of pseudoephedrine products, would log not only the individual's personal information, but also the product they purchased. b. Lack of a direct contract with Appriss, a non-California company Although apparently consistent with the approach used in several states, this bill would take the unusual approach of requiring DOJ to enter into an MOU with NADDI, who themselves would not actually be the one providing for the contracted database. It is unclear whether that Memorandum of Understanding would be a binding contract, or whether it would just represent a mutual agreement between parties (MOUs can be either, the key issue is whether the agreement itself meets the requirement of a contract, and in the absence of any funds changing hands (which would create the legal requirement of consideration) it is unclear whether the MOU would be a binding contract). Even if the MOU is a binding contract, the actual entity providing the service is another party, Appriss, who would not have a direct contractual relationship with DOJ. Given the contractual distance between the DOJ and Appris, the Committee should consider whether the State of California has sufficient control and recourse to enforce the requirements imposed by this bill. In comparison, if the DOJ had a contract directly with Appriss, and Appriss breached the contract by violating privacy restrictions or not actually providing the service promised, DOJ would have a clear action for breach of contract. c. Express statutory requirement regarding MOU appears to be unusual This bill would required the DOJ to enter into an MOU with NADDI to provide the database system. This clear statutory directive appears to be unusual. Staff reviewed a number of code sections and was unable to find another instance where a statute provided that the state enter into an MOU with a specific private, third-party entity. d. Comparison to CURES Committee staff notes that there are alternatives to the AB 1455 (Hill) PageO of? proposed privately held, third-party database. Specifically, the CURES program provides for real-time electronic transmission of specified prescription data to DOJ. Under CURES, pharmacists, in filling a controlled substance prescription, must provide to DOJ the patient's name, date of birth, the name, form, strength, and quantity of the drug, and the pharmacy name, pharmacy number, and the prescribing physician information. Essentially the data is analyzed for indications that controlled substances are being improperly prescribed, or that drug abusers are obtaining prescriptions for controlled substances from many different doctors (doctor shopping). Physicians and pharmacists, in addition to law enforcement, have access to CURES data through PAR - patient activity reports. Currently, a private contractor - Infinite Solutions Inc. (ISI) - collects CURES data for DOJ. Unlike the system proposed by this bill, that existing system serves as an example of the DOJ directly contracting with a third party for a similar system. That direct contracting allows DOJ to use a competitive bid process and select the company that is best suited for providing the service to the State of California - that process also provides DOJ with clear recourse should the vendor not work out. Because of these concerns, the Committee should consider whether it would be more appropriate to, in lieu of the proposed process, instead authorize DOJ to create and run the proposed database. The Committee may also wish to consider whether to permit DOJ to charge a fee to help address any cost issues. SHOULD THIS BILL BE AMENDED TO INSTEAD AUTHORIZE DOJ TO CREATE AND RUN THE PROPOSED DATABASE? 3.Confidentiality of Medical Information Act; other existing law protections already apply This bill would provide that a retail distributor's use of the system is subject to Civil Code Section 56.101 of the Confidentiality of Medical Information Act (CMIA). The sponsors have acknowledged that this provision of the bill is intended to subject the retailer's use of the database to CMIA; it does not, however, subject the database itself to CMIA. AB 1455 (Hill) PageP of? With respect to retailer's use only, Section 56.101 requires every provider of health care, health care service plan, pharmaceutical company, or contractor who creates, maintains, preserves, stores, abandons, destroys, or disposes of medical records to do so in a manner that preserves the confidentiality of the information. Furthermore, any provider of health care, health care service plan, pharmaceutical company, or contractor who negligently creates, maintains, preserves, stores, abandons, destroys, or disposes of medical records is subject to the remedies and penalties provided by CMIA, as specified. By providing that a retail distributor's use of the system is subject to Section 56.101, this bill is intended to provide that specified penalties under CMIA would apply to a retail distributor's handling of the information, including a private right of action. It is important to note, however, that Section 56.101 already applies to pharmacies. As a result, the impact of this provision is to extend it to other "retail distributors" who are not already subject to its provisions. Those would include a grocery store, general merchandise store, or related entity that sells pseudoephedrine products only for personal use to walk-in customers or in face-to-face transactions. However, these entities are already required to safeguard their customers' personal information under provisions of existing law that require businesses to protect customers' personal information from unauthorized access, destruction, use, modification, or disclosure. Furthermore, existing law requires those same entities to take all reasonable steps to safely dispose of customer records by shredding, erasing, or otherwise modifying the personal information in those records to make it unreadable or undecipherable. These provisions also contain remedies and penalties, including a private right of action. In addition, the author and sponsors have indicated that in order to connect with the electronic database system, retail distributors need only an Internet connection. Any breaches of security in that system must be handled according to Civil Code Section 1798.82, which requires notification to affected California residents. 4. Notification to consumers that their information will be AB 1455 (Hill) PageQ of? entered into the database This bill would require the retail distributor to give notice to customers explaining that their identification and purchase data will be provided to law enforcement pursuant to this bill and federal law for purposes of determining the legality of a proposed sale. Notice may be given electronically, in writing, or through signs. This bill applies only to the sale of pseudoephedrine products for personal use to walk-in customers or in a face-to-face transaction. As a result, it is not clear how notice would be given electronically. For example, would notice on the retail distributor's Web site meet this requirement? Or, would emailed notice suffice? In either case, the customer does not receive this important notification at the time of the transaction, which arguably lessens its impact. In fact, nothing in the bill requires that any of the notifications be provided at the time of the transaction. The Committee may thus wish to amend the bill to address these concerns. SHOULD THE BILL BE AMENDED TO REQUIRE THAT NOTIFICATION BE PROVIDED BY CLEAR SIGNAGE OR IN WRITING AND NOT ELECTRONICALLY? SHOULD THE BILL BE AMENDED TO REQUIRE THAT ANY NOTIFICATION BE GIVEN AT THE TIME OF THE TRANSACTION? Existing law currently exempts prescription sales of pseudoephedrine from over-the-counter sales limits. This bill would likewise exempt those sales from being included in the database. Because it could be argued that customers should know that they can purchase pseudoephedrine with a prescription and their personal information will not be included in the database, the Committee may wish to amend the bill to alert consumers of this fact. SHOULD CONSUMERS ALSO BE TOLD THAT THEY CAN AVOID THE COLLECTION OF THEIR INFORMATION IN A DATABASE BY OBTAINING A PRESCRIPTION FOR THEIR PSEUDOEPHEDRINE PURCHASE? 5. Limitations on retailers' use already restricted under federal law AB 1455 (Hill) PageR of? This bill would provide that transaction information shall not be accessed, stored, or used by the retail distributor for any purpose other than to meet the requirements of the bill or to comply with federal law. This provision is consistent with federal law which already provides that logbook information shall not be accessed, used, or shared for any purpose other than compliance with CMEA or to facilitate a product recall. Because the CMEA would preempt any state law that was less stringent, if this bill did not contain this limitation on retailers' use of the logbook information (and state law was thus less stringent), federal law's limitations on logbook use would control. 6. Law enforcement access The goals of this bill are two-fold: (1) stop consumers from purchasing more than the legal limit of pseudoephedrine; and (2) facilitate the ability for law enforcement to receive information about the purchases of pseudoephedrine. Although law enforcement currently has the ability to review the individual pseudoephedrine logs maintained by retailers, the enhanced ability for law enforcement to search a database for specific information raises additional questions. a. Probable cause Generally speaking, probable cause is the standard by which a police officer has authority to make an arrest, conduct a search, or obtain a warrant. This bill would provide that the Legislature finds that it is necessary for probable cause to be demonstrated to trigger an investigation in connection with an individual whose requested purchase is denied by the system a single time. That provision codifies an important point - just because an individual is denied a single purchase does not mean that the single denial, absent probable cause, should be sufficient to trigger an investigation. If that were the circumstance, many individuals who accidentally attempt to purchase an amount over the statutory limit could find themselves the subject of an investigation. Despite the importance of ensuring that investigations do not arise from a single accidental attempted purchase, it should AB 1455 (Hill) PageS of? be noted that the language of the bill is not binding and has no substantive effect. In fact, the Senate Public Safety Committee's analysis of this bill noted the "unusual construction" of this provision and further stated, "[o]rdinarily, a probable cause requirement would be stated directly." As a result, even though the Legislature codified the above "finding," a single accidental sale could result in an investigation by law enforcement pursuant to the program proposed by this bill. b. Access by a unique code The bill would further provide that law enforcement access to the system shall be recorded by means of a unique access code for each individual accessing the system. Each user's history shall be maintained and may be audited by the DOJ. 7. Exemption for single package sales already provided for under federal law This bill would provide that its data collection requirements do not apply to sales of single-use packages containing not more than 60 milligrams (one 60 mg tablet or two 30 mg tablets) of pseudoephedrine. This provision is consistent with federal law which already provides that single-package sales containing not more than 60 milligrams of pseudoephedrine do not require a customer to sign the logbook or show identification. 8. Security and standards for the database Although it is unclear how requirements could be enforced against Appriss, the bill does contain specific provisions that must be contained in the MOU with NADDI, and would require the system's security program to comply with the specified security standards. a. MOU requirements This bill would require that the MOU state that no party to the MOU nor any entity under contract to provide the electronic authorization and monitoring system shall be authorized to use the information contained in the system for any purpose other than those set forth by the bill's data collection provisions or federal law. This is consistent with AB 1455 (Hill) PageT of? federal law which provides that logbook information shall not be accessed, used, or shared for any purpose other than compliance with CMEA or to facilitate a product recall. This bill would also provide that the MOU require that any retail distributor's access to the electronic database be limited to records of sales transactions made by that retail distributor, and that access shall be solely for the purposes of complying with CMEA, this bill, or to respond to a law enforcement request or court order. b. Security standards This bill would provide that the database system shall conform to the Federal Bureau of Investigation's Criminal Justice Information Systems security standards and may be audited annually. While it is not clear what these security standards are, apparently Appriss already complies with them. The January 11, 2010 letter noted above in Comment 2a by co-sponsor Consumer Healthcare Products Association (CHPA) to the President of the Kansas Board of Pharmacy urging that Kansas also use the NPLEx-Appriss-NADDI database proposal stated the following with respect to why Appriss was chosen by CHPA's member companies as the vendor: Appriss complies with the U.S. Department of Justice's Criminal Justice Information Services data security standards. 9. Funding This bill would provide that neither the DOJ nor any state agency shall bear any cost for developing, installing, or maintaining the system. This bill would also provide that the state shall impose no fee on a retail distributor or manufacturer to defray administrative or other costs for oversight or use of the system. The bill also contains legislative findings and declarations specifying that it is the intent of the Legislature in enacting the bill to mandate a statewide electronic tracking system for retail sales of medicines containing pseudoephedrine without incurring cost to the state to run the system because manufacturers of pseudoephedrine products will fund the system. 10. Additional opposition concerns AB 1455 (Hill) PageU of? Opponents, American Civil Liberties Union (ACLU) and Electronic Frontier Foundation (EFF) both argue that this bill should be amended to include a warrant requirement. The ACLU writes that the bill "would result in the treatment of all allergy and cold symptom sufferers as criminal suspects without any probable cause. AB 1455 raises serious concerns around consumer expectations of privacy and protections against unlawful search and seizure, as protected by the Fourth Amendment and Article I, [Secs.] 1 and 13 of our state constitution." The Kentucky Narcotics Officers Association (KNOA) writes in opposition: This bill follows the electronic tracking program ? in Kentucky. The vendor [for] ? California under AB 1455 is the same vendor that provides those services in Kentucky. We regret to inform you that the electronic tracking method that your committee is now considering has failed miserably in Kentucky to reduce meth labs. Our initial hopes for its success proved groundless. Not only has electronic tracking not succeeded in reducing meth labs, but we now have more meth labs than we have ever had. The failure of electronic tracking in Kentucky has caused [KNOA] to seek legislation ? that is modeled after the extremely successful Oregon approach under which pseudoephedrine products can only be sold [by] prescription. Some [argue] ? that the increase in Kentucky meth labs was due to the electronic tracking system helping police find more meth labs. But out of 741 meth labs in 2009 we have tracked only 52 of those directly related to [electronic tracking]. The industry [argues] that the system is free. It cost Kentucky law enforcement over $1.5 million to clean up labs in 2009. The Los Angeles County District Attorney's Office opposes the measure, writing, "[w]hile the use of a computerized authorization and monitoring program would appear to be a sufficiently safe method of keeping products containing pseudoephedrine out of the hands of methamphetamine producers, unfortunately experience has shown this system is ineffective at keeping methamphetamine producers from obtaining the pseudoephedrine they need to cook meth." AB 1455 (Hill) PageV of? Support : Shasta County Sheriff; San Bernardino County Sheriff; Tuolumne County Sheriff; Chief Probation Officers of California; California Probation, Parole and Correctional Association; California Law Enforcement Association of Records Supervisors; Mariposa County Sheriff-Coroner; Butte County Sheriff; Humboldt County Sheriff; El Dorado County Sheriff-Coroner; Alameda County Sheriff; Del Norte County Sheriff; Mono County Sheriff; Napa County Sheriff; Nevada County Sheriff; Bayer Health Care; California Chamber of Commerce; Amador County Sheriff; Sacramento County Sheriff; Rite Aid; San Bernardino County Sheriff; Santa Barbara County Sheriff; Santa Cruz County Sheriff; California Peace Officers Association (if amended); Molina Healthcare; California Healthcare Institute; California Manufacturing & Technology Association; California Society of Health-System Pharmacists; California Retailers Association; Pfizer; Johnson & Johnson; California District Attorneys Association (in concept); sanofi-aventis; Peace Officers Research Association of California; National Association of Chain Drug Stores; Florida Department of Law Enforcement; California Veterinary Medical Association; Los Angeles County Sheriffs Department; Orange County Sheriff; Kings County Sheriff; Yolo County Sheriff; California Pharmacists Association; Reckitt Benskiser; Contra Costa Sheriff Opposition : American Civil Liberties Union (unless amended); California Public Defenders Association; California Narcotics Officers' Association; Electronic Frontier Foundation; Kentucky Narcotic Officers Association; Los Angeles District Attorneys Association; National Narcotic Officers Association Coalition; Oregon State Sheriffs Association; Oregon District Attorneys Association; Oregon Association of Chiefs of Police; Oregon Narcotics Enforcement Association; Oregon Alliance for Drug Endangered Children; Oregon Methamphetamine Task Force; Privacy Rights Clearinghouse (unless amended) AB 1455 (Hill) PageW of? HISTORY Source : California State Sheriffs' Association; Consumer Healthcare Products Association Related Pending Legislation : SB 484 (Wright, 2009), which would have required a prescription for pseudoephedrine products, failed passage in the Assembly Public Safety Committee. Prior Legislation : SB 276 (Vasconcellos, Ch. 276, Stats. 2003) clarified and simplified the law regarding reporting and tracking requirements for specified chemicals that may be used in making controlled substances. AB 162 (Runner, Ch. 978, Stats. 1999) created the three package-9 grams per transaction limitation. Prior Vote : Senate Public Safety Committee (Ayes 6, Noes 1) Assembly votes not relevant **************