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  

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          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  

                                                                      




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          "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  

                                                                      




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          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).)

                                                                      




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           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

                                                                      




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                 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;

                                                                      




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                  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;

                                                                      




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                 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; 

                                                                      




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                 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  

                                                                      




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            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  

                                                                      




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            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  











                                                                      




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          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.  


                                                                      




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               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  

                                                                      




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            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  

                                                                      




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            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. 

                                                                      




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          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  

                                                                      




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          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)
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          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  

                                                                      




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            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)
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            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)
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          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." 



                                                                      




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           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)











                                                                      




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                                        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 

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