BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 1136
                                                                  Page  1


          ASSEMBLY THIRD READING
          AB 1136 (Levine)
          As Amended April 15, 2013
          Majority vote 

           HEALTH              11-1        BUSINESS & PROFESSIONS         
          12-0                
           
           ----------------------------------------------------------------- 
          |Ayes:|Logue, Atkins, Bonilla,   |Ayes:|Gordon, Bocanegra,        |
          |     |Bonta, Gomez,             |     |Campos, Dickinson,        |
          |     |Maienschein, Mansoor,     |     |Eggman, Hagman, Holden,   |
          |     |Mitchell, Nestande,       |     |Maienschein, Mullin,      |
          |     |Wieckowski, Wilk          |     |Skinner, Ting, Wilk       |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Ammiano                   |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 

           APPROPRIATIONS      14-1                                        
           
           -------------------------------- 
          |Ayes:|Gatto, Harkey, Bigelow,   |
          |     |Bocanegra, Bradford, Ian  |
          |     |Calderon, Campos, Eggman, |
          |     |Gomez, Hall, Linder,      |
          |     |Quirk, Wagner, Weber      |
          |     |                          |
          |-----+--------------------------|
          |Nays:|Donnelly                  |
          |     |                          |
           -------------------------------- 
           SUMMARY  :  Requires a pharmacist, on and after January 1, 2014,  
          if a pharmacist exercising his or her professional judgment  
          determines that a drug may impair a person's ability to operate  
          a vehicle or vessel, to include a written label on the drug  
          container indicating that the drug may impair a person's ability  
          to operate a vehicle or vessel.  Permits the label to be printed  
          on an auxiliary label that is affixed to the prescription  
          container.  Makes other technical and clarifying changes.  

           EXISTING LAW  :  









                                                                  AB 1136
                                                                  Page  2


          1)Provides for the practice of pharmacy and the licensing and  
            regulation of pharmacies and pharmacists by the Board of  
            Pharmacy (Board) within the Department of Consumer Affairs.

          2)Specifies certain requirements regarding the dispensing and  
            furnishing of dangerous drugs and devices, and prohibits a  
            person from furnishing any dangerous drug or device except as  
            prescribed by a physician, dentist, podiatrist, optometrist,  
            or veterinarian.

          3)Requires that each prescription dispensed by a pharmacist must  
            be in a container meeting state and federal specifications and  
            correctly labeled, as specified, including:

             a)   Unless otherwise ordered by the prescriber, the  
               manufacturer's trade name of the drug or the generic name  
               and the name of the manufacturer, as specified;

             b)   The directions for the use of the drug;

             c)   The name of the patient or patients;

             d)   The name of the prescriber, as specified;

             e)   The date of issue;

             f)   The name and address of the pharmacy, and prescription  
               number or other means of identifying the prescription;

             g)   The strength of the drug or drugs dispensed;

             h)   The quantity of the drug or drugs dispensed;

             i)   The expiration date of the effectiveness of the drug  
               dispensed;

             j)   The condition or purpose for which the drug was  
               prescribed if the condition or purpose is indicated on the  
               prescription; and,

             aa)  The physical description of the dispensed medication,  
               including its color, shape, and any identification code  
               that appears on the tablets or capsules.









                                                                  AB 1136
                                                                  Page  3


          4)Requires a pharmacist to inform a patient orally or in writing  
            of the harmful effects of a drug dispensed by prescription if  
            the drug poses substantial risk to the person consuming the  
            drug when taken in combination with alcohol or if the drug may  
            impair a person's ability to drive a motor vehicle, whichever  
            is applicable, and provided the drug is determined by the  
            Board, as specified, to be a drug or drug type for which this  
            warning shall be given.  Allows the Board by regulation, to  
            require additional information or labeling.  Exempts from  
            these provisions drugs furnished to patients in conjunction  
            with treatment or emergency services provided in health  
            facilities, as specified.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, negligible state costs.

           COMMENTS  :  According to the author, inclusion of an additional  
          label on prescription drug containers will further aid seniors  
          who consume a disproportionate amount of prescription  
          medication.  In addition, a recent study by the National  
          Institutes of Health found that "there is a communication gap  
          between seniors and their physicians around prescription  
          medications.  Meeting these challenges will require that more  
          attention be devoted to medication management during all  
          clinical encounters."  A label requirement, as required by this  
          bill, is one of several steps that can be taken to increase  
          communication and medication management. 
           

          Analysis Prepared by  :    Rosielyn Pulmano / HEALTH / (916)  
          319-2097 


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