Amended in Senate January 4, 2016

Amended in Senate April 9, 2015

Senate BillNo. 587


Introduced by Senator Stone

February 26, 2015


An act tobegin delete amend Section 4052.2end deletebegin insert add Section 18645.5end insert of the Business and Professions Code, relating tobegin delete pharmacy.end deletebegin insert the State Athletic Commission.end insert

LEGISLATIVE COUNSEL’S DIGEST

SB 587, as amended, Stone. begin deletePharmacy: drug regimens: hypertension and hyperlipidemia.end deletebegin insertThe State Athletic Commission.end insert

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Under existing law, the State Athletic Commission Act, the State Athletic Commission has jurisdiction over all professional and amateur boxing, professional and amateur kickboxing, all forms and combinations of forms of full contact martial arts contests, including mixed martial arts, and matches or exhibitions conducted, held, or given within this state.

end insert
begin insert

This bill would require the State Athletic Commission to establish a task force to evaluate the impacts of weight cutting, dehydration, and rapid rehydration, as prescribed.

end insert
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Existing law, the Pharmacy Law, provides for the licensure and regulation of pharmacists and pharmacy corporations in this state by the California State Board of Pharmacy. That law authorizes a pharmacist to perform listed procedures or functions as part of the care provided by specified health care entities, including initiating or adjusting the drug regimen of a patient pursuant to a specific written order or authorization made by the individual patient’s treating prescriber, and in accordance with the policies, procedures, or protocols of the health care entity.

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This bill would specifically include the treatment of hypertension and hyperlipidemia in the authorized initiation or adjustment of a patient’s drug regimen.

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Vote: majority. Appropriation: no. Fiscal committee: begin deleteno end deletebegin insertyesend insert. State-mandated local program: no.

The people of the State of California do enact as follows:

P2    1begin insert

begin insertSECTION 1.end insert  

end insert

begin insertSection 18645.5 is added to the end insertbegin insertBusiness and
2Professions Code
end insert
begin insert, to read:end insert

begin insert
3

begin insert18645.5.end insert  

The commission shall establish a task force to
4evaluate the impacts of weight cutting, dehydration, and rapid
5rehydration. The task force may be comprised of physicians and
6surgeons with expertise in dehydration and rapid rehydration and
7boxing and mixed martial arts stakeholders, including licensees.
8The task force, in evaluating impacts, shall consider dangers of
9certain practices athletes undergo to meet the requirements
10outlined in Section 18706 and may provide recommendations to
11the commission that include, but are not limited to, proper
12techniques to detect dehydration, outreach the commission can
13undertake to educate licensees about dehydration and rapid
14rehydration, and the appropriateness of commission weight
15classifications established in Section 298 of Article 6 of Chapter
161 of Division 2 of Title 4 of the California Code of Regulations.

end insert
begin delete
17

SECTION 1.  

Section 4052.2 of the Business and Professions
18Code
is amended to read:

19

4052.2.  

(a) Notwithstanding any other law, a pharmacist may
20perform the following procedures or functions as part of the care
21provided by a health care facility, a licensed home health agency,
22a licensed clinic in which there is a physician oversight, a provider
23who contracts with a licensed health care service plan with regard
24to the care or services provided to the enrollees of that health care
25service plan, or a physician, in accordance with the policies,
26procedures, or protocols of that facility, home health agency,
27licensed clinic, health care service plan, or physician, and in
28accordance with subdivision (c):

P3    1(1) Ordering or performing routine drug therapy-related patient
2assessment procedures including temperature, pulse, and
3respiration.

4(2) Ordering drug therapy-related laboratory tests.

5(3) Administering drugs and biologicals by injection pursuant
6to a prescriber’s order.

7(4) Initiating or adjusting the drug regimen of a patient pursuant
8to a specific written order or authorization made by the individual
9patient’s treating prescriber, and in accordance with the policies,
10procedures, or protocols of the health care facility, home health
11agency, licensed clinic, health care service plan, or physician.
12Adjusting the drug regimen does not include substituting or
13selecting a different drug, except as authorized by the protocol.
14The pharmacist shall provide written notification to the patient’s
15treating prescriber, or enter the appropriate information in an
16electronic patient record system shared by the prescriber, of any
17drug regimen initiated pursuant to this paragraph within 24 hours.
18 This function may include, but is not limited to, treatment of
19hypertension and hyperlipidemia.

20(b) A patient’s treating prescriber may prohibit, by written
21instruction, any adjustment or change in the patient’s drug regimen
22by the pharmacist.

23(c) The policies, procedures, or protocols referred to in this
24subdivision shall be developed by health care professionals,
25including physicians, pharmacists, and registered nurses, and, at
26a minimum, shall do all of the following:

27(1) Require that the pharmacist function as part of a
28multidisciplinary group that includes physicians and direct care
29registered nurses. The multidisciplinary group shall determine the
30appropriate participation of the pharmacist and the direct care
31registered nurse.

32(2) Require that the medical records of the patient be available
33to both the patient’s treating prescriber and the pharmacist.

34(3) Require that the procedures to be performed by the
35pharmacist relate to a condition for which the patient has first been
36seen by a physician.

37(4) Except for procedures or functions provided by a health care
38facility, a licensed clinic in which there is physician oversight, or
39a provider who contracts with a licensed health care plan with
40regard to the care or services provided to the enrollees of that health
P4    1care service plan, require the procedures to be performed in
2accordance with a written, patient-specific protocol approved by
3the treating or supervising physician. Any change, adjustment, or
4modification of an approved preexisting treatment or drug therapy
5shall be provided in writing to the treating or supervising physician
6within 24 hours.

7(d) Prior to performing any procedure authorized by this section,
8a pharmacist shall have done either of the following:

9(1) Successfully completed clinical residency training.

10(2) Demonstrated clinical experience in direct patient care
11delivery.

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