SB 27, as amended, Hill. Livestock: use of antimicrobial drugs.
(1) Existing 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, 2018, prohibit the administration of medically important antimicrobial drugs, as defined, to livestock unless ordered by a licensed 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 for purposes of promoting weight gain or improving feed efficiency. The bill would require the Department of Food and Agriculture, in consultation with the Veterinary Medical Board, the State Department of Public Health, universities, and cooperative extensions, to develop guidelines and training materials on the proper use of medically important antimicrobial drugs and, in coordination with specified national entities, would require the department to gather information on medically important antimicrobial drug sales and usage, antimicrobial resistant bacteria, and livestock management practice data. 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, except as specified.
(2) 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.
This bill would make legislative findings to that effect.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
Chapter 4.5 (commencing with Section 14400)
2is added to Division 7 of the Food and Agricultural Code, to read:
3
For purposes of this chapter, the following definitions
7apply:
8(a) “Medically important antimicrobial drug” means an
9antimicrobial drug listed in Appendix A of the federal Food and
10Drug Administration’s Guidance for Industry #152, including
11critically important, highly important, and important antimicrobial
12drugs, as that appendix may be amended.
13(b) “Livestock” means all animals and poultry, including aquatic
14and amphibian species, that are raised, kept, or used for profit.
P3 1Livestock does not includebegin insert bees orend insert those species that
are usually
2kept as pets, such as dogs, cats, and pet birds.
3(c) “Veterinary feed directive” has the same definition as in
4Section 558.3 of Title 21 of the Code of Federal Regulations.
Beginning January 1, 2018, a medically important
6antimicrobial drug shall not be administered to livestock unless
7ordered by a licensed veterinarian through a prescription or
8veterinary feed directive, pursuant to a veterinarian-client-patient
9relationship that meets the requirements of Section 2032.1 of Title
1016 of the California Code of Regulations.
(a) Beginning January 1, 2018, a medically important
12antimicrobial drug may be used when, in the professional judgment
13of a licensed veterinarian, the medically important antimicrobial
14drug is necessary for any of the following:
15(1) To treat a disease or infection.
16(2) To control the spread of a disease or infection.
17(3) In relation to surgery or a medical procedure.
18(4) For prophylaxis to prevent the contraction of a particular
19disease or infection known or suspected to occur in a specific
20situation
if antimicrobial prophylaxis is considered by a licensed
21veterinarian to be effective to prevent that infection or disease.
22(b) A person shall not administer a medically important
23antimicrobial drug to livestock solely for purposes of promoting
24weight gain or improving feed efficiency.
25(c) Unless the administration is consistent with subdivision (a),
26a person shall not administer a medically important antimicrobial
27drug in a repeated or regular pattern.
(a) Notwithstanding Sections 14401 and 14402 of this
29code and Article 15 (commencing with Section 4196) of Chapter
309 of Division 2 of the Business and Professions Code, medically
31important antimicrobial drugs may be sold by retailers licensed
32pursuant to Article 5 (commencing with Section 14321) of Chapter
334 of Division 7 with a prescription or veterinary feed directive
34from a licensed veterinarian.
35(b) This section shall not be construed to invalidate the
36requirement to obtain a prescription or veterinary feed directive
37to administer a medically important antimicrobial drug as required
38by Section 14401.
39(c) The department may promulgate regulations to implement
40this section.
(a) The department, in consultation with the Veterinary
2Medical Board, the State Department of Public Health,
universities,
3and cooperative extensions, shall develop antimicrobial stewardship
4guidelines and appropriate training materials for veterinarians, as
5well as livestock owners and their employees who are involved
6with administering medically important antimicrobial drugs, on
7the proper use of medically important antimicrobial drugs for
8disease treatment, control, and prevention. The guidelines shall
9include scientifically validated practical alternatives to the use of
10medically important antimicrobial drugs, including, but not limited
11to, the introduction of effective vaccines and good hygiene and
12management practices.
13(b) The department shall consult with livestock producers,
14licensed veterinarians, and any other relevant stakeholders on
15ensuring livestock timely access to treatment for producers in rural
16areas
with limited access to veterinary care.
17(c) For purposes of this section, “antimicrobial stewardship” is
18a commitment to do all of the following:
19(1) To use medically important antimicrobial drugs only when
20necessary to treat, control, and, in some cases, prevent, disease.
21(2) To select the appropriate medically important antimicrobial
22drug, and to administer the drug correctly each time.
23(3) To use medically important antimicrobial drugs for the
24shortest duration necessary and to administer them to the fewest
25animals necessary.
(a) It is the intent of the Legislature that the department
27coordinate with the United States Department ofbegin delete Agriculture andend delete
28begin insert Agriculture,end insert the federal Food and Drugbegin delete Administrationend delete
29begin insert Administration, and the federal Centers for Disease Control and
30Preventionend insert to implement the expanded antimicrobial resistance
31surveillance efforts included in the National Action Plan for
32Combating Antibiotic-Resistant
Bacteria, and that the information
33gathered through this effort will help lead to a better understanding
34of the links between antimicrobial use patterns in livestock and
35the development of antimicrobial resistant bacterial infections.
36(b) (1) In coordination with the National Animal Health
37Monitoring System and the National Antimicrobial Resistance
38Monitoring System, the department shall gather information on
39
medically important antimicrobial drug sales and usage, as well
40as antimicrobial resistant bacteria and livestock management
P5 1practice data. Monitoring efforts shall be compatible with, and not
2duplicative of, the national monitoring system.
3(2) In coordinating with the National Animal Health Monitoring
4System and the National Antimicrobial Resistant Monitoring
5System, the department shall gather representative samples from
6all of the following:
7(A) California’s major livestock segments.
8(B) Regions with considerable livestock production.
9(C) Representative segments of the food production chain.
10(c) The department shall work with willing participants to gather
11samples and shall consult with, and conduct outreach to, livestock
12producers, licensed veterinarians, and any other relevant
13stakeholders on the implementation of the monitoring efforts.
14(d) In order to carry out this section, the department may request
15copies of veterinary feed directives and prescriptions from the
16livestock owner, veterinarian, or distributor. Participation in this
17effort shall be done in a manner that does not breach
18veterinary-patient confidentiality laws.
19(e) (1) The department shall report to the Legislature by January
201, 2019, the results of its outreach activities and monitoring efforts.
21The department shall advise the Legislature as to whether or not
22
participation is sufficient to provide statistically relevant data. The
23report shall be submitted in compliance with Section 9795 of the
24Government Code.
25(2) This subdivision is inoperative on January 1, 2023, pursuant
26to Section 10231.5 of the Government Code.
27(f) The department shall seek funds from federal, state, and
28other sources to implement this section.
29(g) The department may promulgate regulations to implement
30this section.
Notwithstanding the California Public Records Act
32(Chapter 3.5 (commencing with Section 6250) of Division 7 of
33Title 1 of the Government Code), any information provided
34pursuant to this chapter shall be held confidential, and shall not
35be disclosed to any person or governmental agency, other than the
36department or the Veterinary Medical Board, for the purposes of
37enforcing the Veterinary Medicine Practice Act (Chapter 11
38(commencing with Section 4800) of Division 2 of the Business
39and Professions Code), unless the data is aggregated to prevent
40the identification of an individual farm or business. Information
P6 1may be shared with federal agencies so long as it is protected by
2the federal Confidential Information Protection and Statistical
3Efficiency
Act of 2002 (Public Law 107-347).
(a) A person who violates this chapter shall be liable
5for a civil penalty of not more than two hundred and fifty dollars
6($250) for each day a violation occurs.
7(b) (1) For a second or subsequent violation, a person who
8violates this chapter shall be punishable by an administrative fine,
9levied by the secretary, in the amount of five hundred dollars
10($500) for each day a violation occurs.
11(2) In addition to the administrative fine, the violator shall attend
12an educational program on the judicious use of medically important
13antimicrobial drugs that has been approved by the secretary. The
14violator
shall successfully complete the program and provide proof
15to the secretary within 90 days from the occurrence of the violation.
16(c) Subdivisions (a) and (b) do not apply to licensed
17veterinarians. If the Veterinary Medical Board determines that a
18veterinarian
is in violation of the Veterinary Medicine Practice
19Act (Chapter 11 (commencing with Section 4800) of Division 2
20of the Business and Professions Code), the veterinarian may be
21subject to disciplinary sanctions pursuant to the act.
22(d) The moneys collected pursuant to this article shall be
23deposited into the Department of Food and Agriculture Fund and
24shall be available for expenditure upon appropriation by the
25Legislature.
The Legislature finds and declares that Section 1 of
27this act, which adds Section 14406 to the Food and Agricultural
28Code, imposes a limitation on the public’s right of access to the
29meetings of public bodies or the writings of public officials and
30agencies within the meaning of Section 3 of Article I of the
31California Constitution. Pursuant to that constitutional provision,
32the Legislature makes the following findings to demonstrate the
33interest protected by this limitation and the need for protecting
34that interest:
35In order to ensure the confidentiality of the information collected
36pursuant to this act and the integrity of that information for
37regulatory
and enforcement purposes, it is necessary that this act
38take effect.
O
93