BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 1069


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          CONCURRENCE IN SENATE AMENDMENTS


          AB  
          1069 (Gordon)


          As Amended  August 15, 2016


          Majority vote


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          |ASSEMBLY:  |80-0  |(June 1, 2015) |SENATE: | 38-0 |(August 18,      |
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          Original Committee Reference:  HEALTH


          SUMMARY:  Authorizes a pharmacy that exists solely to operate  
          the existing county-operated prescription drug collection and  
          distribution program (Program) to repackage a reasonable  
          quantity of donated medicine in anticipation of dispensing the  
          medicine to its patient population.  Requires the pharmacy to  
          have repackaging policies and procedures in place for  
          identifying and recalling medications; and requires the  
          medication that is repackaged to be labeled with the earliest  
          expiration date.


          The Senate amendments narrow the scope of the bill to allow a  
          pharmacy that participates in the Program to repackage donated  
          medicine, as specified.


          EXISTING LAW:  Establishes the Program to distribute surplus  
          medications to persons in need of financial assistance to ensure  








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          access to necessary pharmaceutical therapies.  Establishes the  
          California Board of Pharmacy (BOP) to regulate the practice of  
          pharmacy and enforce the pharmacy law.  Authorizes the BOP to  
          adopt rules and regulations pertaining to establishments wherein  
          any drug or device is compounded, prepared, furnished, or  
          dispensed.


          FISCAL EFFECT:  According to the Senate Appropriations  
          Committee, pursuant to Senate Rule 28.8, negligible state costs.


          COMMENTS:  The author states that when the Program was initially  
          enacted, it was one of the first in the country and had few  
          examples to draw from.  Now that the voluntary drug repository  
          and distribution program has been operational in Santa Clara  
          County for almost five years and has provided enough medications  
          to fill over 30,000 prescriptions, it has become evident that  
          improvements are needed to help streamline the program's  
          operations and help more low-income Californians get the  
          medicine that they need to stay healthy.  Earlier this year,  
          Santa Clara County opened Better Health Pharmacy, the state's  
          first pharmacy solely dedicated to collecting and dispensing  
          unused, donated medication through the county's drug repository  
          and distribution program.  Under current law, participating  
          entities must repackage medications in a new container prior to  
          dispensing to a patient, but cannot do this in advance.   
          Repackaging donated medicine is very time-consuming because most  
          medicine comes in unit-dose packaging, which means each pill  
          needs to be individually popped out and placed in a new  
          container.  This currently must be done while the patient waits.  
           This bill would allow a pharmacy that exists solely to operate  
          the repository and distribution program, such as Santa Clara  
          County's Better Health Pharmacy, to repackage the medications in  
          advance.  This is needed to alleviate the time pressure on the  
          pharmacist, prevent the patient from a needlessly long wait,  
          improve the program's operations and workload, and ensure that  
          patients are safe and better served.


          Analysis Prepared by:                        Rosielyn Pulmano /  
          HEALTH / (916) 319-2097                          FN:  0004260








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