Amended in Assembly June 25, 2015

Amended in Senate June 1, 2015

Senate Bill No. 27

Introduced by Senator Hill

December 1, 2014

An act to begin insert amend Section 4846.5 of the Business and Professions Code, and to end insert add Chapter 4.5 (commencing with Section 14400) to Division 7 of the Food and Agricultural Code, relating to livestock.

LEGISLATIVE COUNSEL’S DIGEST

SB 27, as amended, Hill. Livestock: use of antimicrobial drugs.

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Existing

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begin insert (1) end insert begin insert   end insert begin insert Existing end insert law regulates the distribution and use of livestock drugs, as defined, by the Secretary of Food and Agriculture. Existing law also requires a person to obtain a license from the secretary to manufacture, sell, distribute, or store commercial feed, including commercial feed containing drugs.

This bill would, beginning January 1, begin delete 2017, end delete begin insert 2018, end insert prohibit the administration of medically important antimicrobial drugs, as defined, to livestock unless ordered by a veterinarian through a prescription or veterinary feed directive pursuant to a veterinarian-client-patient relationship, as specified, and would prohibit the administration of a medically important antimicrobial drug to livestock solely to cause an increased rate of weight gain or improved feed efficiency. begin delete The bill, subject to the availability of funding for this purpose, would require the Department of Food and Agriculture to develop a program or participate in an initiative to track the use of medically important antimicrobial drugs in livestock and to track antimicrobial-resistant bacteria and patterns of emerging resistance. The bill would also require the department to adopt regulations to promote the judicious use of medically important antimicrobial drugs in livestock, as specified. end delete begin insert The bill would require the Department of Food and Agriculture, in consultation with the Veterinary Medical Board and the State Department of Public Health, to implement programs to promote antimicrobial stewardship in livestock, and, in coordination with specified national entities, would require the department to develop a monitoring program to gather information on sales, usage, resistance, and management practice data for medically important antimicrobial drugs. The bill would require information provided pursuant to those provisions to be held confidential, as specified. The bill would make a first violation of the bill’s provisions subject to a civil penalty of $250 for each day a violation occurs, and would make second and subsequent violations subject to an administrative fine of $500 for each day a violation occurs. end insert

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(2) The Veterinary Medicine Practice Act provides for the licensure and regulation of veterinarians and the practice of veterinary medicine by the Veterinary Medical Board, and requires an applicant for a renewal license to complete 36 hours of continuing education in the preceding 2 years.

end insert begin insert

This bill would require a veterinarian who receives a licence to practice veterinary medicine on or after January 1, 2018, to complete an approved course on the judicious use of medically important antimicrobial drugs every 4 years as part of the continuing education requirement.

end insert begin insert

(3) Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.

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This bill would make legislative findings to that effect.

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Because

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begin insert (4) end insert begin insert   end insert begin insert Because end insert a violation of the begin delete bill’s provisions end delete begin insert provisions of the Veterinary Medicine Practice Act end insert would be begin insert a end insert misdemeanor, the bill would impose a state-mandated local program.

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:

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begin insert SECTION 1. end insert   

end insert

begin insert Section 4846.5 of the end insert begin insert Business and Professions
Code end insert begin insert is amended to read: end insert

4846.5.  

(a) Except as provided in this section, the board shall
issue renewal licenses only to those applicants that have completed
a minimum of 36 hours of continuing education in the preceding
two years.

(b) (1) Notwithstanding any other begin delete provision of end delete law, continuing
education hours shall be earned by attending courses relevant to
veterinary medicine and sponsored or cosponsored by any of the
following:

(A) American Veterinary Medical Association (AVMA)
accredited veterinary medical colleges.

(B) Accredited colleges or universities offering programs
relevant to veterinary medicine.

(C) The American Veterinary Medical Association.

(D) American Veterinary Medical Association recognized
specialty or affiliated allied groups.

(E) American Veterinary Medical Association’s affiliated state
veterinary medical associations.

(F) Nonprofit annual conferences established in conjunction
with state veterinary medical associations.

(G) Educational organizations affiliated with the American
Veterinary Medical Association or its state affiliated veterinary
medical associations.

(H) Local veterinary medical associations affiliated with the
California Veterinary Medical Association.

(I) Federal, state, or local government agencies.

(J) Providers accredited by the Accreditation Council for
Continuing Medical Education (ACCME) or approved by the
American Medical Association (AMA), providers recognized by
the American Dental Association Continuing Education
Recognition Program (ADA CERP), and AMA or ADA affiliated
state, local, and specialty organizations.

(2) Continuing education credits shall be granted to those
veterinarians taking self-study courses, which may include, but
are not limited to, reading journals, viewing video recordings, or
listening to audio recordings. The taking of these courses shall be
limited to no more than six hours biennially.

(3) The board may approve other continuing veterinary medical
education providers not specified in paragraph (1).

(A) The board has the authority to recognize national continuing
education approval bodies for the purpose of approving continuing
education providers not specified in paragraph (1).

(B) Applicants seeking continuing education provider approval
shall have the option of applying to the board or to a
board-recognized national approval body.

(4) For good cause, the board may adopt an order specifying,
on a prospective basis, that a provider of continuing veterinary
medical education authorized pursuant to paragraph (1) or (3) is
no longer an acceptable provider.

(5) Continuing education hours earned by attending courses
sponsored or cosponsored by those entities listed in paragraph (1)
between January 1, 2000, and January 1, 2001, shall be credited
toward a veterinarian’s continuing education requirement under
this section.

(c) Every person renewing his or her license issued pursuant to
Section begin delete 4846.4 end delete begin insert 4846.4, end insert or any person applying for relicensure or
for reinstatement of his or her license to active status, shall submit
proof of compliance with this section to the board certifying that
he or she is in compliance with this section. Any false statement
submitted pursuant to this section shall be a violation subject to
Section 4831.

(d) This section shall not apply to a veterinarian’s first license
renewal. This section shall apply only to second and subsequent
license renewals granted on or after January 1, 2002.

(e) The board shall have the right to audit the records of all
applicants to verify the completion of the continuing education
requirement. Applicants shall maintain records of completion of
required continuing education coursework for a period of four
years and shall make these records available to the board for
auditing purposes upon request. If the board, during this audit,
questions whether any course reported by the veterinarian satisfies
the continuing education requirement, the veterinarian shall provide
information to the board concerning the content of the course; the
name of its sponsor and cosponsor, if any; and specify the specific
curricula that was of benefit to the veterinarian.

(f) A veterinarian desiring an inactive license or to restore an
inactive license under Section 701 shall submit an application on
a form provided by the board. In order to restore an inactive license
to active status, the veterinarian shall have completed a minimum
of 36 hours of continuing education within the last two years
preceding application. The inactive license status of a veterinarian
shall not deprive the board of its authority to institute or continue
a disciplinary action against a licensee.

(g) Knowing misrepresentation of compliance with this article
by a veterinarian constitutes unprofessional conduct and grounds
for disciplinary action or for the issuance of a citation and the
imposition of a civil penalty pursuant to Section 4883.

(h) The board, in its discretion, may exempt from the continuing
education requirement any veterinarian who for reasons of health,
military service, or undue hardship cannot meet those requirements.
Applications for waivers shall be submitted on a form provided
by the board.

(i) The administration of this section may be funded through
professional license and continuing education provider fees. The
fees related to the administration of this section shall not exceed
the costs of administering the corresponding provisions of this
section.

(j) For those continuing education providers not listed in
paragraph (1) of subdivision (b), the board or its recognized
national approval agent shall establish criteria by which a provider
of continuing education shall be approved. The board shall initially
review and approve these criteria and may review the criteria as
needed. The board or its recognized agent shall monitor, maintain,
and manage related records and data. The board may impose an
application fee, not to exceed two hundred dollars ($200)
biennially, for continuing education providers not listed in
paragraph (1) of subdivision (b).

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(k) A veterinarian who receives his or her license to practice
veterinary medicine on or after January 1, 2018, shall complete
an approved course on the judicious use of medically important
antimicrobial drugs, as defined in Section 14400 of the Food and
Agricultural Code, every four years as part of his or her continuing
education requirement.

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begin delete SECTION 1. end delete
begin insert SEC. 2. end insert   

Chapter 4.5 (commencing with Section 14400) is added
to Division 7 of the Food and Agricultural Code, to read:

 

Chapter  4.5. Livestock: Use of Antimicrobial Drugs

 

14400.  

For purposes of this chapter, the following definitions
apply:

(a) “Medically important antimicrobial drug” means an
antimicrobial drug listed in Appendix A of the federal Food and
Drug Administration’s Guidance for Industry #152, including
critically important, highly important, and important antimicrobial
drugs, as that appendix may be amended.

(b) “Livestock” begin delete has the same meaning as in Section 14205. end delete
begin insert means all animals and poultry, including aquatic and amphibian
species, that are raised, kept, or used for profit. Livestock does
not include those species that are usually kept as pets, such as
dogs, cats, and pet birds. end insert

14401.  

Beginning January 1, begin delete 2017, end delete begin insert 2018, end insert a medically important
antimicrobial drug shall not be administered to livestock unless
ordered by a veterinarian through a prescription or veterinary feed
directive, pursuant to a veterinarian-client-patient relationship that
meets the requirements of Section 2032.1 of Title 16 of the
California Code of Regulations.

14402.  

(a) Beginning January 1, begin delete 2017, end delete begin insert 2018, end insert a medically
important antimicrobial drug may be used when, in the professional
judgment of a licensed veterinarian, the medically important
antimicrobial drug is necessary for any of the following:

(1) To treat begin delete or control the spread of end delete a disease or infection.

begin insert

(2) To control the spread of a disease or infection.

end insert begin delete

(2)

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begin insert (3) end insert  In relation to surgery or a medical procedure.

begin delete

(3) To prevent the transmission of a particular disease or
infection known to occur in a specific situation.

end delete begin insert

(4) For prophylaxis to prevent the contraction of a particular
disease or infection known or suspected to occur in a specific
situation if antimcrobial prophylaxis is considered by a licensed
veterinarian to be effective to prevent that infection or disease.

end insert

(b) A person shall not administer a medically important
antimicrobial drug to livestock begin insert solely end insert for purposes of promoting
weight gain or improving feed efficiency.

(c) Unless the administration is consistent with subdivision (a),
a person shall not administer a medically important antimicrobial
drug in a repeated or regular pattern.

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14403.  

If funds are made available for this purpose, the
department shall develop a program or participate in an initiative
to track the use of medically important antimicrobial drugs in
livestock and to track antimicrobial-resistant bacteria and patterns
of emerging resistance.

end delete begin insert

begin insert 14403. end insert   

(a) Notwithstanding Sections 14401 and 14402 of this
code and Section 4051 of the Business and Professions Code,
medically important antimicrobial drugs may be sold by retailers
licensed pursuant to Article 5 (commencing with Section 14321)
of Chapter 4 of Division 7 with proof of an order by a veterinarian.

(b) The department may promulgate regulations to implement
this section.

end insert

14404.  

(a) The begin delete department shall adopt regulations to promote
the judicious use of medically important antimicrobial drugs in
livestock to ensure that each animal gets the maximum benefit
from the drug and help preserve the lifesaving potential of the
drugs in the future. The regulations shall include antimicrobial
stewardship guidelines that include rules on the proper use of
medically important antimicrobial drugs for disease prevention. end delete
begin insert department, in consultation with the Veterinary Medical Board
and the State Department of Public Health, may implement
programs, including, but not limited to, best management practices,
to promote antimicrobial stewardship in livestock to ensure that
each animal gets the intended benefit from the drug to help
preserve the lifesaving potential of the drugs in the future. The
programs shall include antimicrobial stewardship guidelines on
the proper use of medically important antimicrobial drugs for
disease treatment, control, and prevention, including, but not
limited to, the introduction of effective vaccines and good hygiene
and management practices. end insert

begin insert

(b) The department shall consult with livestock producers, food
animal veterinarians, and any other relevant stakeholders on
ensuring livestock timely access to treatment for producers in rural
areas with limited access to veterinary care.

end insert begin delete

(b)

end delete

begin insert (c) end insert  For purposes of this section, “antimicrobial stewardship” is
a commitment to do all of the following:

(1) To use medically important antimicrobial drugs only when
necessary to treat, control, and, in some cases, prevent, disease.

(2) To begin delete choose end delete begin insert select end insert the appropriate medically important
antimicrobial drug, and to administer the drug correctly each time.

(3) To use medically important antimicrobial drugs for the
shortest duration necessary and administered to the fewest animals
necessary.

begin insert

(d) The department, in consultation with the Veterinary Medical
Board, shall sponsor projects or collaborate with universities,
cooperative extension, and veterinary, livestock, and poultry trade
associations to do the following:

end insert begin insert

(1) Promote and develop appropriate training materials for
veterinarians, as well as animal owners and their employees, to
promulgate good stewardship practices.

end insert begin insert

(2) Disseminate scientifically validated practical alternatives
that may reduce the reliance on medically important antimicrobial
drugs while maintaining and promoting animal health.

end insert

begin insert

begin insert 14405. end insert   

(a) In coordination with the National Animal Health
Monitoring System and the National Antimicrobial Resistance
Monitoring System, the department shall develop a monitoring
program that gathers information on sales, usage, resistance, and
management practice data. The monitoring system shall be
compatible with, and not duplicative of, the national monitoring
system.

(b) In order to carry out this section, the department may request
copies of veterinary feed directives and prescriptions from the
livestock owner, veterinarian, or distributor. Participation in this
effort shall be done in a manner that does not breach
veterinary-patient confidentiality laws.

(c) The department shall seek funds from federal, state, private,
and other sources to implement this section.

end insert begin insert

begin insert 14406. end insert   

(a) The department shall consider how best to gather
representative samples from all of the following:

(1) California’s major livestock segments.

(2) Regions with considerable livestock production.

(3) Representative segments of the food production chain.

(b) The department shall work with willing participants to gather
samples and may consult with livestock producers, food animal
veterinarians, and any other relevant stakeholders on the
implementation of the monitoring system.

end insert begin insert

begin insert 14407. end insert   

Notwithstanding the California Public Records Act
(Chapter 3.5 (commencing with Section 6250) of Division 7 of
Title 1 of the Government Code), any information provided
pursuant to this chapter shall be held confidential, and shall not
be disclosed to any person or governmental agency, other than
the department or the Veterinary Medical Board, for the purposes
of enforcing the Veterinary Medicine Practice Act (Chapter 11
(commencing with Section 4800) of Division 2 of the Business and
Professions Code), unless the data is aggregated to prevent the
identification of an individual farm or business. Information may
be shared with federal agencies so long as it is protected by the
federal Confidential Information Protection and Statistical
Efficiency Act of 2002 (Public Law 107-347).

end insert begin insert

begin insert 14408. end insert   

(a) A person who violates this chapter shall be liable
for a civil penalty of not more than two hundred and fifty dollars
($250) for each day a violation occurs.

(b) (1) For a second or subsequent violation, a person who
violates this chapter shall be punishable by an administrative fine,
levied by the secretary, in the amount of five hundred dollars
($500) for each day a violation occurs.

(2) In addition to the administrative fine, the violator shall
attend an educational program on the judicious use of medically
important antimicrobial drugs that has been approved by the
secretary. The violator shall successfully complete the program
and provide proof to the secretary within 90 days from the
occurrence of the violation.

(c) In addition to the penalties set forth in this section, if the
Veterinary Medical Board determines that a veterinarian has
engaged in unprofessional conduct in violation of the Veterinary
Medicine Practice Act (Chapter 11 (commencing with Section
4800) of Division 2 of the Business and Professions Code), the
veterinarian may be subject to disciplinary sanctions pursuant to
the act.

(d) The fees collected pursuant to this article shall be deposited
into the Department of Food and Agriculture Fund and shall be
available for expenditure upon appropriation by the Legislature.

end insert

begin insert

begin insert SEC. 3. end insert   

end insert begin insert

The Legislature finds and declares that Section 2 of
this act, which adds Section 14407 to the Food and Agricultural
Code, imposes a limitation on the public’s right of access to the
meetings of public bodies or the writings of public officials and
agencies within the meaning of Section 3 of Article I of the
California Constitution. Pursuant to that constitutional provision,
the Legislature makes the following findings to demonstrate the
interest protected by this limitation and the need for protecting
that interest:

end insert begin insert

In order to ensure the confidentiality of the information collected
pursuant to this act and the integrity of that information for
regulatory and enforcement purposes, it is necessary that this act
take effect.

end insert

begin delete SEC. 2. end delete
begin insert SEC. 4. end insert   

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.