BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 2605
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          CONCURRENCE IN SENATE AMENDMENTS
          AB 2605 (Bonilla)
          As Amended  August 22, 2014
          Majority vote
           
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          |ASSEMBLY:  |74-1 |(May 27, 2014)  |SENATE: |34-0 |(August 26,    |
          |           |     |                |        |     |2014)          |
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           Original Committee Reference:    B., P. & C.P.  

           SUMMARY  :  Creates a license for third party logistics providers  
          (3PL) and nonresident 3PL providers who handle and transport  
          dangerous drugs and devices, subject to regulation by the Board  
          of Pharmacy (BOP).  Specifically,  this bill  :  

          1)Establishes an annual license requirement for 3PLs based in  
            California and nonresident 3PL operating in California.

          2)Requires a 3PL to have a designated representative 3PL who  
            shall be responsible for compliance with applicable state and  
            federal laws and the 3PL's customer specifications. 

          3)Requires a 3PL to keep records of the manufacture,  
            acquisition, or disposition of dangerous drugs, as well as  
            current inventory, as specified. 

          4)Requires a 3PL to post a $90,000 surety bond, as specified.

          5)Establishes fees of $780 for a 3PL and nonresident 3PL  
            license. 

          6)Makes other conforming and technical changes.

           The Senate amendments  :

          1)Revise the definition of a 3PL and reverse 3PL, add  
            definitions for a "designated representative 3PL" and  
            "responsible manager," and delineate the qualifications and  
            responsibilities for both new categories.

          2)Set forth recordkeeping requirements for 3PLs.

          3)State that if a manufacturer, wholesaler, 3PL, or pharmacy has  








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            reasonable cause to believe that a dangerous drug or dangerous  
            device in, or having been in, its possession is counterfeit or  
            the subject of a fraudulent transaction, the manufacturer,  
            wholesaler, 3PL, or pharmacy shall notify BOP within 72 hours  
            of obtaining that knowledge. 

          4)Specify that each place of business owned or operated by a  
            wholesaler, nonresident wholesaler, 3PL or nonresident 3PL may  
            only be issued a single license by BOP.

          5)Require that a designated representative or designated  
            representative 3PL be present at all times during which a  
            wholesaler or 3PL, respectively, is open for business.

          6)Permit a nonresident wholesaler and a nonresident 3PL under  
            common ownership to be licensed at the same place of business  
            provided that all of the following requirements are satisfied:

             a)   The wholesaler and the 3PL each separately maintain  
               records;

             b)   Dangerous drugs and dangerous devices owned by the  
               wholesaler are not commingled with the dangerous drugs and  
               dangerous devices handled by the 3PL;

             c)   Any individual acting as a designated representative for  
               the wholesaler is not concurrently acting as a designated  
               representative-3PL on behalf of the 3PL;

             d)   The wholesaler has its own designated  
               representative-in-charge responsible for the operations of  
               the wholesaler and the 3PL has its own responsible manager  
               responsible for the operations of the 3PL. The same  
               individual shall not concurrently serve as the responsible  
               manager and the designated representative-in-charge for a  
               wholesaler and a 3PL licensed at the same place of  
               business;

             e)   The 3PL does not handle the prescription drugs or  
               prescription devices owned by a prescriber;

             f)   The 3PL is not a reverse 3PL; and,

             g)   The wholesaler is not acting as a reverse distributor.









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          7)Prohibit BOP from issuing or renewing a nonresident 3PL  
            license until the nonresident 3PL identifies a responsible  
            manager and notifies BOP in writing of the identity and  
            license number of the responsible manager.

          8)Require a 3PL to notify BOP in writing within 30 days of the  
            date when a responsible manager ceases to act as the  
            responsible manager, and propose another designated  
            representative 3PL to take over as the responsible manager.   
            The proposed replacement responsible manager shall be subject  
            to approval by BOP.  If disapproved, the 3PL shall propose  
            another replacement within 15 days of the date of disapproval,  
            and shall continue to name proposed replacements until a  
            responsible manager is approved by BOP.

          9)Require an applicant for the issuance or renewal of a 3PL or  
            nonresident 3PL license, which is not government owned and  
            operated, to submit a surety bond of $90,000 or other  
            equivalent means of security acceptable to BOP to secure  
            payment of any administrative fines and any cost recovery.

          10)State that a person who is not a designated representative  
            3PL who takes charge of a 3PL or coordinates the warehousing  
            or distribution of dangerous drugs or dangerous devices within  
            a 3PL, except as otherwise specified, is guilty of a  
            misdemeanor.

          11)State that a person licensed as a 3PL who fails to place a  
            designated representative 3PL in charge of the 3PL's licensed  
            place of business, or any person who, by himself or herself,  
            or by any other person, permits the furnishing of dangerous  
            drugs or dangerous devices, except by a designated  
            representative 3PL, or as otherwise provided in this chapter,  
            is guilty of a misdemeanor.

          12)Establish the fee for the application, investigation, and  
            issuance of a designated representative 3PL license.   

          13)Require 3PLs and nonresident 3PLs to pay a $6 fee to support  
            the Controlled Substances Utilization Review and Evaluation  
            System (CURES).   

          14)Require BOP to immediately identify any standard,  
            requirement, or regulation in California law governing  
            interstate commerce that is in conflict with any federal  








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            regulations adopted pursuant to the federal Food, Drug, and  
            Cosmetic Act and remove the conflict either by regulation or  
            pursuing legislation.

          15)Require a 3PL that uses the services of a carrier, including  
            but not limited to the United States Postal Service or a  
            common carrier, to have in place and comply with written  
            policies and procedures that provide for both of the  
            following:

             a)   Verification that the 3PL, or the owner of the dangerous  
               drugs or dangerous devices stored at the 3PL, has imposed  
               obligations on the carrier that provide for the security  
               and integrity of any dangerous drugs or dangerous devices  
               transported by the carrier until the drugs or devices are  
               delivered to the transferee at its premises; and,

             b)   Confirmation, prior to shipping a dangerous drug or  
               dangerous device, that the intended recipient is legally  
               authorized to receive the dangerous drug or dangerous  
               device.

          16)Make other technical and conforming changes.
           
          FISCAL EFFECT  :   According to the Senate Appropriations  
          Committee:

             1)   One-time costs of about $100,000 to revise existing  
               regulations and make information technology upgrades to the  
               system used for licensing (Pharmacy Board Contingent Fund).

             2)   No significant ongoing licensing or enforcement costs  
               are anticipated, as third-party logistics providers are  
               already licensed under current state law. This bill would  
               revise the licensing requirement to conform to federal law  
               but would not substantially change the responsibilities of  
               the Board of Pharmacy.
           
          COMMENTS  :   

          1)Purpose of this bill.  This bill will establish a 3PL and  
            nonresident 3PL license to be issued by BOP that requires 3PLs  
            which provide or coordinate warehousing or other logistics  
            services for dangerous drugs and devices to adhere to specific  
            state regulatory requirements, including recordkeeping,  








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            security, and storage standards.  California previously  
            regulated these entities as wholesalers, but recent changes in  
            federal law now require that they be licensed separately.   
            This bill is sponsored by BOP. 
          2)Understanding "3PLs".  A 3PL is an entity that provides or  
            coordinates warehousing or other logistics services of a  
            product in interstate commerce on behalf of a manufacturer,  
            wholesale distributor, or disperser of a product, but does not  
            take ownership of the product, nor have responsibility to  
            direct the sale or disposition of the product.  

          Major companies, such as UPS, DHL, and others provide these  
            services.  The duties of a 3PL can vary from contract to  
            contract, but the comment element is that a 3PL never holds  
            title to the product it is contracted to manage.     

            3PLs that provide or coordinate warehousing or other logistics  
            services for dangerous drugs and devices are an integral part  
            of the drug supply chain.     

          3)California's e-pedigree law.  California previously regulated  
            3PLs as wholesalers under its now-preempted e-pedigree  
            program.  E-pedigree was California's statutory program to  
            prevent counterfeit medicine from entering the legitimate  
            supply chain.  The e-pedigree program was created by SB 1307  
            (Figueroa), Chapter 857, Statutes of 2004, and began  
            implementation the following year, with full operability  
            anticipated by 2015.  

            California did not distinguish 3PLs from wholesalers in the  
            original e-pedigree law and 3PLs were required to obtain  
            wholesalers licenses beginning in 2006.  E-pedigree was  
            pre-empted by federal law in 2013.       

          4)The Drug Quality and Security Act and federal preemption.  The  
            federal Drug Quality and Security Act (DQSA) was prompted by a  
            fungal meningitis outbreak in 2012 linked to unsanitary  
            conditions at a Massachusetts compounding pharmacy, as well as  
            concerns regarding increases in counterfeit, falsified,  
            substandard and dangerous prescription medications.  DQSA  
            itself contained two major legislative elements within it -  
            the Compounding Quality Act and the Drug Supply Chain Security  
            Act (Act), the latter of which is the impetus behind this  
            bill. 









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            The Act will replace the patchwork system adopted by  
            individual states, such as California's e-pedigree system, and  
            create a unified national drug track and trace program.  In  
            doing so, the Act explicitly preempted any state's  
            requirements for tracing products through the distribution  
            system that are inconsistent with, more stringent than, or in  
            addition to any of the requirements under the Act.  Thus,  
            California's e-pedigree system is currently invalid by  
            operation of law.  
             
            However, the Act did allow for states to continue licensing  
            programs for wholesale distributors and third party logistics  
            providers, although the Act states explicitly that "No State  
            shall regulate 3PLs as wholesale distributors." 

            In response, this bill creates a separate licensing system for  
            3PLs designed to put California in conformance with the Act.   
            While the Act does provide for a federal licensing system for  
            3PLs beginning in late 2015, 3PLs will be unregulated until  
            that time unless the FDA makes a specific finding that a 3PL  
            does not utilize good handling and distribution practices.  

            This bill would instead provide for ongoing licensing of 3PLs  
            according to California law to maintain the integrity of the  
            drug supply system and ensure consumer safety.      

          5)Related legislation.  SB 600 (Lieu) of the current legislative  
            session, would delete portions of California law related to  
            e-pedigree that are in conflict with DQSA. That bill is  
            currently pending on the Assembly Floor.  
             
             
          Analysis Prepared by  :    Sarah Huchel / B., P. & C.P. / (916)  
          319-3301 


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