BILL NUMBER: SB 294	AMENDED
	BILL TEXT

	AMENDED IN SENATE  MAY 28, 2013

INTRODUCED BY   Senator Emmerson

                        FEBRUARY 15, 2013

   An act to  amend the heading of Article 7.5 (commencing with
Section 4127) of Chapter 9 of Division 2 of, and to  amend 
, repeal, and add  Sections  4127,  4127.1, 4127.2,
and 4400 of,  to amend the heading of Article 7.5 (commencing
with Section 4127) of Chapter 9 of Division 2 of, and to repeal and
add Section 4127 of,  the Business and Professions Code,
relating to pharmacy.



	LEGISLATIVE COUNSEL'S DIGEST


   SB 294, as amended, Emmerson. Sterile drug products. 
   The 
    (1)    The  Pharmacy Law provides for
the licensure and regulation of pharmacists and pharmacy corporations
in this state by the California State Board of Pharmacy. Existing
law requires the board to adopt regulations establishing standards
for compounding injectable sterile drug products in a pharmacy.
Existing law requires pharmacies to obtain a license from the board,
subject to annual renewal, in order to compound injectable sterile
drug products. A similar licensing requirement applies to nonresident
pharmacies compounding injectable sterile drug products for shipment
into California. A violation of the Pharmacy Law is a crime.
   This bill would expand these provisions to prohibit a pharmacy
from compounding or dispensing, and a nonresident pharmacy from
compounding for shipment into this state, sterile drug products for
injection, administration into the eye, or inhalation, unless the
pharmacy has obtained a sterile compounding pharmacy license from the
board. The bill would specify requirements for the board for 
the  issuance or renewal of a license, and requirements for the
pharmacy as a licensee. By adding additional requirements to the
Pharmacy Law concerning sterile drug products, the violation of which
is a crime, the bill would impose a state-mandated local program.

   Existing 
    (2)     Existing  law specifies the
fee for issuance or renewal of a nongovernmental license to compound
sterile drug products.
   This bill would  provide that the fee for a nonresident
sterile compounding pharmacy license shall also require payment of
the travel expenses incurred by the board in inspecting the pharmacy
at least once annually   require the board to establish,
by regulation, the fee for the issuance or renewal of a nonresident
sterile compounding pharmacy license, in an amount not to exceed the
reasonable regulatory costs of issuing and renewing the license, or
$2,800, whichever is less. The bill would also require the
nonresident sterile compounding pharmacy to reimburse the board for
all costs incurred by the board in conducting an inspection of the
pharmacy at least once annually, including, but not limited to,
travel expenses, meals, lodging, and other actual and necessary costs
incurred by the board in connection with the inspection. The failure
to reimburse the board for these costs within 30 days of the
inspection would result in the suspension of the nonresident sterile
compounding pharmacy license  . 
   (3) The provisions of the bill would become operative on July 1,
2014.  
   The 
    (4)     The  California Constitution
requires the state to reimburse local agencies and school districts
for certain costs mandated by the state. Statutory provisions
establish procedures for making that reimbursement.
   This bill would provide that no reimbursement is required by this
act for a specified reason.
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: yes.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  The heading of Article 7.5 (commencing with Section
4127) of Chapter 9 of Division 2 of the Business and Professions Code
is amended to read:

      Article 7.5.  Sterile Drug Products


  SEC. 2.    Section 4127 of the Business and
Professions Code is repealed. 
   SEC.   2.    Section 4127 of the  
Business and Professions Code   is amended to read: 
   4127.   (a)    The board shall adopt regulations
establishing standards for compounding injectable sterile drug
products in a pharmacy. 
   (b) This section shall become inoperative on July 1, 2014, and, as
of January 1, 2015, is repealed, unless a later enacted statute,
that becomes operative on or before January 1, 2015, deletes or
extends the dates on which it becomes inoperative and is repealed.

  SEC. 3.  Section 4127 is added to the Business and Professions
Code, to read:
   4127.   (a)    A pharmacy that compounds sterile
drug products for injection, administration into the eye, or
inhalation shall possess a sterile compounding pharmacy license as
provided in this article before dispensing the compounded medication.

   (b) This section shall become operative on July 1, 2014. 

  SEC. 4.    Section 4127.1 of the Business and
Professions Code is amended to read:
   4127.1.  (a) A pharmacy shall not compound sterile drug products
unless the pharmacy has obtained a sterile compounding pharmacy
license from the board pursuant to this section. The license shall be
renewed annually and is not transferable.
   (b) A license to compound sterile drug products shall be issued
only to a location that is licensed as a pharmacy. Furthermore, the
license to compound sterile drug products shall be issued only to the
owner of the pharmacy licensed at that location. A license to
compound sterile drug products shall not be issued until the location
is inspected by the board and found in compliance with this article
and regulations adopted by the board.
   (c) A license to compound sterile drug products shall not be
issued or renewed until the board does all of the following:
   (1) Performs an onsite inspection of the premises, and any
deficiencies noted are corrected.
   (2) Reviews a current copy of the pharmacy's policies and
procedures for sterile compounding.
   (3) Reviews the pharmacy's completed self-assessment form required
by Section 1735.2 of Title 16 of the California Code of Regulations.

   (4) Is provided with copies of all inspection reports conducted of
the pharmacy's premises, and any reports from a private accrediting
agency, conducted in the prior 12 months documenting the pharmacy's
operations.
   (5) Receives a list of all sterile medications compounded by the
pharmacy since the last license renewal.
   (d) A pharmacy licensed pursuant to this section shall do all of
the following:
   (1) Provide to the board a copy of any disciplinary or other
action taken by another state within 10 days of the action.
   (2) Notify the board within 10 days of the suspension of any
accreditation held by the pharmacy.
   (3) Provide to the board, within 24 hours, any recall notice
issued by the pharmacy for sterile drug products it has compounded.
   (e) Adverse effects reported or potentially attributable to a
pharmacy's sterile drug product shall be immediately reported to the
board and the MedWatch program of the federal Food and Drug
Administration.
   (f) The reconstitution of a sterile powder shall not require a
license pursuant to this section if both of the following are met:
   (1) The sterile powder was obtained from a manufacturer.
   (2) The drug is reconstituted for administration to patients by a
health care professional licensed to administer drugs by injection
pursuant to this division.  
  SEC. 5.    Section 4127.2 of the Business and
Professions Code is amended to read:
   4127.2.  (a) A nonresident pharmacy shall not compound sterile
drug products for shipment into this state without a sterile
compounding pharmacy license issued by the board pursuant to this
section. The license shall be renewed annually and shall not be
transferable.
   (b) A license to compound sterile drug products shall be issued
only to a location that is licensed as a nonresident pharmacy.
Furthermore, the license to compound sterile drug products shall be
issued only to the owner of the nonresident pharmacy licensed at that
location. A license to compound sterile drug products shall not be
issued until the location is inspected by the board and found in
compliance with this article and any regulations adopted by the
board.
   (c) A license to compound sterile drug products shall not be
issued or renewed until the board does all of the following:
   (1) Performs an onsite inspection of the premises, and any
deficiencies noted are corrected. The nonresident pharmacy shall be
responsible for payment of reasonable travel expenses incurred by the
board in connection with inspecting the pharmacy at least once
annually pursuant to subdivision (v) of Section 4400.
   (2) Reviews a current copy of the nonresident pharmacy's policies
and procedures for sterile compounding.
   (3) Reviews the pharmacy's completed self-assessment form required
by Section 1735.2 of Title 16 of the California Code of Regulations.

   (4) Is provided with copies of all inspection reports conducted of
the nonresident pharmacy's premises, and any reports from a private
accrediting agency, conducted in the prior 12 months documenting the
nonresident pharmacy's operations.
   (5) Receives a list of all sterile drug products compounded by the
pharmacy within the prior 12 months.
   (d) A pharmacy licensed pursuant to this section shall do all of
the following:
   (1) Provide to the board a copy of any disciplinary or other
action taken by its state of residence or another state within 10
days of the action.
   (2) Notify the board within 10 days of the suspension of any
accreditation held by the pharmacy.
   (3) Provide to the board, within 24 hours, any recall notice
issued by the pharmacy for sterile drug products it has compounded
that have been shipped into, or dispensed in, California.
   (4) Advise the board of any complaint it receives from a provider,
pharmacy, or patient in California.
   (e) Adverse effects reported or potentially attributable to a
nonresident pharmacy's sterile compounded drug products shall be
immediately reported to the board and the MedWatch program of the
federal Food and Drug Administration.  
  SEC. 6.    Section 4400 of the Business and
Professions Code is amended to read:
   4400.  The amount of fees and penalties prescribed by this
chapter, except as otherwise provided, is that fixed by the board
according to the following schedule:
   (a) The fee for a nongovernmental pharmacy license shall be four
hundred dollars ($400) and may be increased to five hundred twenty
dollars ($520). The fee for the issuance of a temporary
nongovernmental pharmacy permit shall be two hundred fifty dollars
($250) and may be increased to three hundred twenty-five dollars
($325).
   (b) The fee for a nongovernmental pharmacy license annual renewal
shall be two hundred fifty dollars ($250) and may be increased to
three hundred twenty-five dollars ($325).
   (c) The fee for the pharmacist application and examination shall
be two hundred dollars ($200) and may be increased to two hundred
sixty dollars ($260).
   (d) The fee for regrading an examination shall be ninety dollars
($90) and may be increased to one hundred fifteen dollars ($115). If
an error in grading is found and the applicant passes the
examination, the regrading fee shall be refunded.
   (e) The fee for a pharmacist license and biennial renewal shall be
one hundred fifty dollars ($150) and may be increased to one hundred
ninety-five dollars ($195).
   (f) The fee for a nongovernmental wholesaler license and annual
renewal shall be six hundred dollars ($600), and may be increased to
seven hundred eighty dollars ($780). The application fee for any
additional location after licensure of the first 20 locations shall
be two hundred twenty-five dollars ($225) and may be increased to
three hundred dollars ($300). A temporary license fee shall be five
hundred fifty dollars ($550) and may be increased to seven hundred
fifteen dollars ($715).
   (g) The fee for a hypodermic license and renewal shall be one
hundred twenty-five dollars ($125) and may be increased to one
hundred sixty-five dollars ($165).
   (h) (1) The fee for application, investigation, and issuance of
license as a designated representative pursuant to Section 4053 shall
be two hundred fifty-five dollars ($255) and may be increased to
three hundred thirty dollars ($330).
   (2) The fee for the annual renewal of a license as a designated
representative shall be one hundred fifty dollars ($150) and may be
increased to one hundred ninety-five dollars ($195).
   (i) (1) The fee for the application, investigation, and issuance
of a license as a designated representative for a veterinary
food-animal drug retailer pursuant to Section 4053 shall be two
hundred fifty-five dollars ($255) and may be increased to three
hundred thirty dollars ($330).
   (2) The fee for the annual renewal of a license as a designated
representative for a veterinary food-animal drug retailer shall be
one hundred fifty dollars ($150) and may be increased to one hundred
ninety-five dollars ($195).
   (j) (1) The application fee for a nonresident wholesaler's license
issued pursuant to Section 4161 shall be six hundred dollars ($600)
and may be increased to seven hundred eighty dollars ($780).
   (2) For nonresident wholesalers who have 21 or more facilities
operating nationwide the application fees for the first 20 locations
shall be six hundred dollars ($600) and may be increased to seven
hundred eighty dollars ($780). The application fee for any additional
location after licensure of the first 20 locations shall be two
hundred twenty-five dollars ($225) and may be increased to three
hundred dollars ($300). A temporary license fee shall be five hundred
fifty dollars ($550) and may be increased to seven hundred fifteen
dollars ($715).
   (3) The annual renewal fee for a nonresident wholesaler's license
issued pursuant to Section 4161 shall be six hundred dollars ($600)
and may be increased to seven hundred eighty dollars ($780).
   (k) The fee for evaluation of continuing education courses for
accreditation shall be set by the board at an amount not to exceed
forty dollars ($40) per course hour.
   (l) The fee for an intern pharmacist license shall be ninety
dollars ($90) and may be increased to one hundred fifteen dollars
($115). The fee for transfer of intern hours or verification of
licensure to another state shall be twenty-five dollars ($25) and may
be increased to thirty dollars ($30).
   (m) The board may waive or refund the additional fee for the
issuance of a license where the license is issued less than 45 days
before the next regular renewal date.
   (n) The fee for the reissuance of any license, or renewal thereof,
that has been lost or destroyed or reissued due to a name change
shall be thirty-five dollars ($35) and may be increased to forty-five
dollars ($45).
   (o) The fee for the reissuance of any license, or renewal thereof,
that must be reissued because of a change in the information, shall
be one hundred dollars ($100) and may be increased to one hundred
thirty dollars ($130).
   (p) It is the intent of the Legislature that, in setting fees
pursuant to this section, the board shall seek to maintain a reserve
in the Pharmacy Board Contingent Fund equal to approximately one year'
s operating expenditures.
   (q) The fee for any applicant for a nongovernmental clinic license
shall be four hundred dollars ($400) and may be increased to five
hundred twenty dollars ($520) for each license. The annual fee for
renewal of the license shall be two hundred fifty dollars ($250) and
may be increased to three hundred twenty-five dollars ($325) for each
license.
   (r) The fee for the issuance of a pharmacy technician license
shall be eighty dollars ($80) and may be increased to one hundred
five dollars ($105). The fee for renewal of a pharmacy technician
license shall be one hundred dollars ($100) and may be increased to
one hundred thirty dollars ($130).
   (s) The fee for a veterinary food-animal drug retailer license
shall be four hundred five dollars ($405) and may be increased to
four hundred twenty-five dollars ($425). The annual renewal fee for a
veterinary food-animal drug retailer license shall be two hundred
fifty dollars ($250) and may be increased to three hundred
twenty-five dollars ($325).
   (t) The fee for issuance of a retired license pursuant to Section
4200.5 shall be thirty-five dollars ($35) and may be increased to
forty-five dollars ($45).
   (u) The fee for issuance or renewal of a nongovernmental sterile
compounding pharmacy license shall be six hundred dollars ($600) and
may be increased to seven hundred eighty dollars ($780). The fee for
a temporary license shall be five hundred fifty dollars ($550) and
may be increased to seven hundred fifteen dollars ($715).
   (v) The fee for a nonresident sterile compounding pharmacy license
shall also require payment of the travel expenses incurred by the
board in inspecting the pharmacy at least once annually. Failure to
pay this fee within 30 days shall result in the suspension of the
nonresident sterile compounding pharmacy license. 
   SEC.   4.    Section 4127.1 of the 
 Business and Professions Code   is amended to read:

   4127.1.  (a) A pharmacy shall not compound injectable sterile drug
products in this state unless the pharmacy has obtained a license
from the board pursuant to this section. The license shall be renewed
annually and is not transferable.
   (b) A license to compound injectable sterile drug products may
only be issued for a location that is licensed as a pharmacy.
Furthermore, the license to compound injectable sterile drug products
may only be issued to the owner of the pharmacy license at that
location. A license to compound injectable sterile drug products may
not be issued until the location is inspected by the board and found
in compliance with this article and regulations adopted by the board.

   (c) A license to compound injectable sterile drug products may not
be renewed until the location has been inspected by the board and
found to be in compliance with this article and regulations adopted
by the board.
   (d) Pharmacies operated by entities that are licensed by either
the board or the State Department of Public Health and that have
current accreditation from the Joint Commission on Accreditation of
Healthcare Organizations, or other private accreditation agencies
approved by the board, are exempt from the requirement to obtain a
license pursuant to this section.
   (e) The reconstitution of a sterile powder shall not require a
license pursuant to this section if both of the following are met:
   (1) The sterile powder was obtained from a manufacturer.
   (2) The drug is reconstituted for administration to patients by a
health care professional licensed to administer drugs by injection
pursuant to this division. 
   (f) This section shall become inoperative on July 1, 2014, and, as
of January 1, 2015, is repealed, unless a later enacted statute,
that becomes operative on or before January 1, 2015, deletes or
extends the dates on which it becomes inoperative and is repealed.

   SEC.   5.    Section 4127.1 is added to the
  Business and Professions Code   , to read: 

   4127.1.  (a) A pharmacy shall not compound sterile drug products
unless the pharmacy has obtained a sterile compounding pharmacy
license from the board pursuant to this section. The license shall be
renewed annually and is not transferable.
   (b) A license to compound sterile drug products shall be issued
only to a location that is licensed as a pharmacy. Furthermore, the
license to compound sterile drug products shall be issued only to the
owner of the pharmacy licensed at that location. A license to
compound sterile drug products shall not be issued until the location
is inspected by the board and found in compliance with this article
and regulations adopted by the board.
   (c) A license to compound sterile drug products shall not be
issued or renewed until the board does all of the following:
   (1) Performs an onsite inspection of the premises, and any
deficiencies noted are corrected.
   (2) Reviews a current copy of the pharmacy's policies and
procedures for sterile compounding.
   (3) Reviews the pharmacy's completed self-assessment form required
by Section 1735.2 of Title 16 of the California Code of Regulations.

   (4) Is provided with copies of all inspection reports conducted of
the pharmacy's premises, and any reports from a private accrediting
agency, conducted in the prior 12 months documenting the pharmacy's
operations.
   (5) Receives a list of all sterile medications compounded by the
pharmacy since the last license renewal.
   (d) A pharmacy licensed pursuant to this section shall do all of
the following:
   (1) Provide to the board a copy of any disciplinary or other
action taken by another state within 10 days of the action.
   (2) Notify the board within 10 days of the suspension of any
accreditation held by the pharmacy.
   (3) Provide to the board, within 24 hours, any recall notice
issued by the pharmacy for sterile drug products it has compounded.
   (e) Adverse effects reported or potentially attributable to a
pharmacy's sterile drug product shall be immediately reported to the
board and the MedWatch program of the federal Food and Drug
Administration.
   (f) The reconstitution of a sterile powder shall not require a
license pursuant to this section if both of the following are met:
   (1) The sterile powder was obtained from a manufacturer.
   (2) The drug is reconstituted for administration to patients by a
health care professional licensed to administer drugs by injection
pursuant to this division.
   (g) This section shall become operative on July 1, 2014. 
   SEC.   6.    Section 4127.2 of the 
 Business and Professions Code   is amended to read:

   4127.2.  (a) A nonresident pharmacy  may 
shall  not compound injectable sterile drug products for
shipment into the State of California without a license issued by the
board pursuant to this section. The license shall be renewed
annually and shall not be transferable.
   (b) A license to compound injectable sterile drug products may
only be issued for a location that is licensed as a nonresident
pharmacy. Furthermore, the license to compound injectable sterile
drug products may only be issued to the owner of the nonresident
pharmacy license at that location. A license to compound injectable
sterile drug products may not be issued or renewed until the board
receives the following from the nonresident pharmacy:
   (1) A copy of an inspection report issued by the pharmacy's
licensing agency, or a report from a private accrediting agency
approved by the board, in the prior 12 months documenting the
pharmacy's compliance with board regulations regarding the
compounding of injectable sterile drug products.
   (2) A copy of the nonresident pharmacy's proposed policies and
procedures for sterile compounding.
   (c) Nonresident pharmacies operated by entities that are licensed
as a hospital, home health agency, or a skilled nursing facility and
have current accreditation from the Joint Commission on Accreditation
of Healthcare Organizations, or other private accreditation agencies
approved by the board, are exempt from the requirement to obtain a
license pursuant to this section. 
   (d) This section shall become effective on the earlier of July 1,
2003, or the effective date of regulations adopted by the board
pursuant to Section 4127.  
   (d) This section shall become inoperative on July 1, 2014, and, as
of January 1, 2015, is repealed, unless a later enacted statute,
that becomes operative on or before January 1, 2015, deletes or
extends the dates on which it becomes inoperative and is repealed.

   SEC.   7.    Section 4127.2 is added to the
  Business and Professions Code   , to read: 

   4127.2.  (a) A nonresident pharmacy shall not compound sterile
drug products for shipment into this state without a sterile
compounding pharmacy license issued by the board pursuant to this
section. The license shall be renewed annually and shall not be
transferable.
   (b) A license to compound sterile drug products shall be issued
only to a location that is licensed as a nonresident pharmacy.
Furthermore, the license to compound sterile drug products shall be
issued only to the owner of the nonresident pharmacy licensed at that
location. A license to compound sterile drug products shall not be
issued until the location is inspected by the board and found in
compliance with this article and any regulations adopted by the
board.
   (c) A license to compound sterile drug products shall not be
issued or renewed until the board does all of the following:
   (1) Performs an onsite inspection of the premises, and any
deficiencies noted are corrected. The nonresident pharmacy shall be
responsible for payment of reasonable travel expenses incurred by the
board in connection with inspecting the pharmacy at least once
annually pursuant to subdivision (v) of Section 4400.
   (2) Reviews a current copy of the nonresident pharmacy's policies
and procedures for sterile compounding.
   (3) Reviews the pharmacy's completed self-assessment form required
by Section 1735.2 of Title 16 of the California Code of Regulations.

   (4) Is provided with copies of all inspection reports conducted of
the nonresident pharmacy's premises, and any reports from a private
accrediting agency, conducted in the prior 12 months documenting the
nonresident pharmacy's operations.
   (5) Receives a list of all sterile drug products compounded by the
pharmacy within the prior 12 months.
   (d) A pharmacy licensed pursuant to this section shall do all of
the following:
   (1) Provide to the board a copy of any disciplinary or other
action taken by its state of residence or another state within 10
days of the action.
   (2) Notify the board within 10 days of the suspension of any
accreditation held by the pharmacy.
   (3) Provide to the board, within 24 hours, any recall notice
issued by the pharmacy for sterile drug products it has compounded
that have been shipped into, or dispensed in, California.
   (4) Advise the board of any complaint it receives from a provider,
pharmacy, or patient in California.
   (e) Adverse effects reported or potentially attributable to a
nonresident pharmacy's sterile compounded drug product shall be
immediately reported to the board and the MedWatch program of the
federal Food and Drug Administration.
   (f) This section shall become operative on July 1, 2014. 
   SEC.   8.    Section 4400 of the  
Business and Professions Code   is amended to read: 
   4400.  The amount of fees and penalties prescribed by this
chapter, except as otherwise provided, is that fixed by the board
according to the following schedule:
   (a) The fee for a nongovernmental pharmacy license shall be four
hundred dollars ($400) and may be increased to five hundred twenty
dollars ($520). The fee for the issuance of a temporary
nongovernmental pharmacy permit shall be two hundred fifty dollars
($250) and may be increased to three hundred twenty-five dollars
($325).
   (b) The fee for a nongovernmental pharmacy license annual renewal
shall be two hundred fifty dollars ($250) and may be increased to
three hundred twenty-five dollars ($325).
          (c) The fee for the pharmacist application and examination
shall be two hundred dollars ($200) and may be increased to two
hundred sixty dollars ($260).
   (d) The fee for regrading an examination shall be ninety dollars
($90) and may be increased to one hundred fifteen dollars ($115). If
an error in grading is found and the applicant passes the
examination, the regrading fee shall be refunded.
   (e) The fee for a pharmacist license and biennial renewal shall be
one hundred fifty dollars ($150) and may be increased to one hundred
ninety-five dollars ($195).
   (f) The fee for a nongovernmental wholesaler license and annual
renewal shall be six hundred dollars ($600), and may be increased to
seven hundred eighty dollars ($780). The application fee for any
additional location after licensure of the first 20 locations shall
be two hundred twenty-five dollars ($225) and may be increased to
three hundred dollars ($300). A temporary license fee shall be five
hundred fifty dollars ($550) and may be increased to seven hundred
fifteen dollars ($715).
   (g) The fee for a hypodermic license and renewal shall be one
hundred twenty-five dollars ($125) and may be increased to one
hundred sixty-five dollars ($165).
   (h) (1) The fee for application, investigation, and issuance of
license as a designated representative pursuant to Section 4053 shall
be two hundred fifty-five dollars ($255) and may be increased to
three hundred thirty dollars ($330).
   (2) The fee for the annual renewal of a license as a designated
representative shall be one hundred fifty dollars ($150) and may be
increased to one hundred ninety-five dollars ($195).
   (i) (1) The fee for the application, investigation, and issuance
of a license as a designated representative for a veterinary
food-animal drug retailer pursuant to Section 4053 shall be two
hundred fifty-five dollars ($255) and may be increased to three
hundred thirty dollars ($330).
   (2) The fee for the annual renewal of a license as a designated
representative for a veterinary food-animal drug retailer shall be
one hundred fifty dollars ($150) and may be increased to one hundred
ninety-five dollars ($195).
   (j) (1) The application fee for a nonresident wholesaler's license
issued pursuant to Section 4161 shall be six hundred dollars ($600)
and may be increased to seven hundred eighty dollars ($780).
   (2) For nonresident wholesalers who have 21 or more facilities
operating nationwide the application fees for the first 20 locations
shall be six hundred dollars ($600) and may be increased to seven
hundred eighty dollars ($780). The application fee for any additional
location after licensure of the first 20 locations shall be two
hundred twenty-five dollars ($225) and may be increased to three
hundred dollars ($300). A temporary license fee shall be five hundred
fifty dollars ($550) and may be increased to seven hundred fifteen
dollars ($715).
   (3) The annual renewal fee for a nonresident wholesaler's license
issued pursuant to Section 4161 shall be six hundred dollars ($600)
and may be increased to seven hundred eighty dollars ($780).
   (k) The fee for evaluation of continuing education courses for
accreditation shall be set by the board at an amount not to exceed
forty dollars ($40) per course hour.
   (l) The fee for an intern pharmacist license shall be ninety
dollars ($90) and may be increased to one hundred fifteen dollars
($115). The fee for transfer of intern hours or verification of
licensure to another state shall be twenty-five dollars ($25) and may
be increased to thirty dollars ($30).
   (m) The board may waive or refund the additional fee for the
issuance of a license where the license is issued less than 45 days
before the next regular renewal date.
   (n) The fee for the reissuance of any license, or renewal thereof,
that has been lost or destroyed or reissued due to a name change
shall be thirty-five dollars ($35) and may be increased to forty-five
dollars ($45).
   (o) The fee for the reissuance of any license, or renewal thereof,
that must be reissued because of a change in the information, shall
be one hundred dollars ($100) and may be increased to one hundred
thirty dollars ($130).
   (p) It is the intent of the Legislature that, in setting fees
pursuant to this section, the board shall seek to maintain a reserve
in the Pharmacy Board Contingent Fund equal to approximately one year'
s operating expenditures.
   (q) The fee for any applicant for a nongovernmental clinic license
shall be four hundred dollars ($400) and may be increased to five
hundred twenty dollars ($520) for each license. The annual fee for
renewal of the license shall be two hundred fifty dollars ($250) and
may be increased to three hundred twenty-five dollars ($325) for each
license.
   (r) The fee for the issuance of a pharmacy technician license
shall be eighty dollars ($80) and may be increased to one hundred
five dollars ($105). The fee for renewal of a pharmacy technician
license shall be one hundred dollars ($100) and may be increased to
one hundred thirty dollars ($130).
   (s) The fee for a veterinary food-animal drug retailer license
shall be four hundred five dollars ($405) and may be increased to
four hundred twenty-five dollars ($425). The annual renewal fee for a
veterinary food-animal drug retailer license shall be two hundred
fifty dollars ($250) and may be increased to three hundred
twenty-five dollars ($325).
   (t) The fee for issuance of a retired license pursuant to Section
4200.5 shall be thirty-five dollars ($35) and may be increased to
forty-five dollars ($45).
   (u) The fee for issuance or renewal of a nongovernmental license
to compound sterile drug products shall be six hundred dollars ($600)
and may be increased to seven hundred eighty dollars ($780). The fee
for a temporary license shall be five hundred fifty dollars ($550)
and may be increased to seven hundred fifteen dollars ($715). 
   (v) This section shall become inoperative on July 1, 2014, and, as
of January 1, 2015, is repealed, unless a later enacted statute,
that becomes operative on or before January 1, 2015, deletes or
extends the dates on which it becomes inoperative and is repealed.

   SEC.   9.    Section 4400 is added to the
  Business and Professions Code   , to read: 

   4400.  The amount of fees and penalties prescribed by this
chapter, except as otherwise provided, is that fixed by the board
according to the following schedule:
   (a) The fee for a nongovernmental pharmacy license shall be four
hundred dollars ($400) and may be increased to five hundred twenty
dollars ($520). The fee for the issuance of a temporary
nongovernmental pharmacy permit shall be two hundred fifty dollars
($250) and may be increased to three hundred twenty-five dollars
($325).
   (b) The fee for a nongovernmental pharmacy license annual renewal
shall be two hundred fifty dollars ($250) and may be increased to
three hundred twenty-five dollars ($325).
   (c) The fee for the pharmacist application and examination shall
be two hundred dollars ($200) and may be increased to two hundred
sixty dollars ($260).
   (d) The fee for regrading an examination shall be ninety dollars
($90) and may be increased to one hundred fifteen dollars ($115). If
an error in grading is found and the applicant passes the
examination, the regrading fee shall be refunded.
   (e) The fee for a pharmacist license and biennial renewal shall be
one hundred fifty dollars ($150) and may be increased to one hundred
ninety-five dollars ($195).
   (f) The fee for a nongovernmental wholesaler license and annual
renewal shall be six hundred dollars ($600), and may be increased to
seven hundred eighty dollars ($780). The application fee for any
additional location after licensure of the first 20 locations shall
be two hundred twenty-five dollars ($225) and may be increased to
three hundred dollars ($300). A temporary license fee shall be five
hundred fifty dollars ($550) and may be increased to seven hundred
fifteen dollars ($715).
   (g) The fee for a hypodermic license and renewal shall be one
hundred twenty-five dollars ($125) and may be increased to one
hundred sixty-five dollars ($165).
   (h) (1) The fee for application, investigation, and issuance of
license as a designated representative pursuant to Section 4053 shall
be two hundred fifty-five dollars ($255) and may be increased to
three hundred thirty dollars ($330).
   (2) The fee for the annual renewal of a license as a designated
representative shall be one hundred fifty dollars ($150) and may be
increased to one hundred ninety-five dollars ($195).
   (i) (1) The fee for the application, investigation, and issuance
of a license as a designated representative for a veterinary
food-animal drug retailer pursuant to Section 4053 shall be two
hundred fifty-five dollars ($255) and may be increased to three
hundred thirty dollars ($330).
   (2) The fee for the annual renewal of a license as a designated
representative for a veterinary food-animal drug retailer shall be
one hundred fifty dollars ($150) and may be increased to one hundred
ninety-five dollars ($195).
   (j) (1) The application fee for a nonresident wholesaler's license
issued pursuant to Section 4161 shall be six hundred dollars ($600)
and may be increased to seven hundred eighty dollars ($780).
   (2) For nonresident wholesalers who have 21 or more facilities
operating nationwide the application fees for the first 20 locations
shall be six hundred dollars ($600) and may be increased to seven
hundred eighty dollars ($780). The application fee for any additional
location after licensure of the first 20 locations shall be two
hundred twenty-five dollars ($225) and may be increased to three
hundred dollars ($300). A temporary license fee shall be five hundred
fifty dollars ($550) and may be increased to seven hundred fifteen
dollars ($715).
   (3) The annual renewal fee for a nonresident wholesaler's license
issued pursuant to Section 4161 shall be six hundred dollars ($600)
and may be increased to seven hundred eighty dollars ($780).
   (k) The fee for evaluation of continuing education courses for
accreditation shall be set by the board at an amount not to exceed
forty dollars ($40) per course hour.
   (l) The fee for an intern pharmacist license shall be ninety
dollars ($90) and may be increased to one hundred fifteen dollars
($115). The fee for transfer of intern hours or verification of
licensure to another state shall be twenty-five dollars ($25) and may
be increased to thirty dollars ($30).
   (m) The board may waive or refund the additional fee for the
issuance of a license where the license is issued less than 45 days
before the next regular renewal date.
   (n) The fee for the reissuance of any license, or renewal thereof,
that has been lost or destroyed or reissued due to a name change
shall be thirty-five dollars ($35) and may be increased to forty-five
dollars ($45).
   (o) The fee for the reissuance of any license, or renewal thereof,
that must be reissued because of a change in the information, shall
be one hundred dollars ($100) and may be increased to one hundred
thirty dollars ($130).
   (p) It is the intent of the Legislature that, in setting fees
pursuant to this section, the board shall seek to maintain a reserve
in the Pharmacy Board Contingent Fund equal to approximately one year'
s operating expenditures.
   (q) The fee for any applicant for a nongovernmental clinic license
shall be four hundred dollars ($400) and may be increased to five
hundred twenty dollars ($520) for each license. The annual fee for
renewal of the license shall be two hundred fifty dollars ($250) and
may be increased to three hundred twenty-five dollars ($325) for each
license.
   (r) The fee for the issuance of a pharmacy technician license
shall be eighty dollars ($80) and may be increased to one hundred
five dollars ($105). The fee for renewal of a pharmacy technician
license shall be one hundred dollars ($100) and may be increased to
one hundred thirty dollars ($130).
   (s) The fee for a veterinary food-animal drug retailer license
shall be four hundred five dollars ($405) and may be increased to
four hundred twenty-five dollars ($425). The annual renewal fee for a
veterinary food-animal drug retailer license shall be two hundred
fifty dollars ($250) and may be increased to three hundred
twenty-five dollars ($325).
   (t) The fee for issuance of a retired license pursuant to Section
4200.5 shall be thirty-five dollars ($35) and may be increased to
forty-five dollars ($45).
   (u) The fee for issuance or renewal of a nongovernmental sterile
compounding pharmacy license shall be six hundred dollars ($600) and
may be increased to seven hundred eighty dollars ($780). The fee for
a temporary license shall be five hundred fifty dollars ($550) and
may be increased to seven hundred fifteen dollars ($715).
   (v) The board shall establish, by regulation, the fee for a
nonresident sterile compounding pharmacy license in an amount not to
exceed the reasonable regulatory costs of issuing and renewing the
license, or two thousand eight hundred dollars ($2,800), whichever is
less. In addition to paying the license fee, the nonresident sterile
compounding pharmacy shall reimburse the board for all costs
incurred by the board in conducting an inspection of the pharmacy at
least once annually, including, but not limited to, travel expenses,
meals, lodging, and other actual and necessary costs incurred by the
board in connection with the inspection. Failure to reimburse the
board for all costs associated with the annual inspection, as
authorized by this subdivision, within 30 days of the inspection
shall result in the suspension of the nonresident sterile compounding
pharmacy license.
   (w) This section shall become operative on July 1, 2014. 
   SEC. 7.   SEC. 10.   No reimbursement is
required by this act pursuant to Section 6 of Article XIII B of the
California Constitution because the only costs that may be incurred
by a local agency or school district will be incurred because this
act creates a new crime or infraction, eliminates a crime or
infraction, or changes the penalty for a crime or infraction, within
the meaning of Section 17556 of the Government Code, or changes the
definition of a crime within the meaning of Section 6 of Article XIII
B of the California Constitution.