BILL ANALYSIS                                                                                                                                                                                                    







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        |Hearing Date:June 14, 2010         |Bill No:AB                         |
        |                                   |2077                               |
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                      SENATE COMMITTEE ON BUSINESS, PROFESSIONS 
                               AND ECONOMIC DEVELOPMENT
                         Senator Gloria Negrete McLeod, Chair

                         Bill No:        AB 2077Author:Solorio
                        As Amended:May 10, 2010  Fiscal:   Yes

        
        SUBJECT:   Pharmacy. 
        
        SUMMARY:  Provides for centralized pharmacy packaging in a hospital,  
        allowing the pharmacy to be located outside of the hospital on either  
        the same premises or separate premises that is regulated under a  
        hospital's license.  Modifies the definition of "manufacturer" so that  
        the compounding that is done at a pharmacy serving multiple hospitals  
        does not inappropriately transform the same compounding activities  
        that are now lawful at a hospital pharmacy into manufacturing  
        activities.


        Existing law:
        
        1) Provides for the practice of pharmacy and the licensing and  
           regulation of pharmacies and pharmacists by the Board of Pharmacy  
           (Board) within the Department of Consumer Affairs (DCA).

        2) Defines "hospital pharmacy" as a pharmacy licensed by the Board,  
           located within any licensed hospital, institution or establishment  
           that maintains and operates organized facilities for the diagnosis,  
           care, and treatment of human illnesses to which persons may be  
           admitted for overnight stay.

        3) Provides that "hospital pharmacy" also includes a pharmacy that may  
           be located outside of the hospital, in another physical plant that  
           is regulated under a hospital's consolidated license issued by the  
           California Department of Corrections or California Department of  
           the Youth Authority.  Specifies that the pharmacy in another  
           physical plant shall provide pharmaceutical services only to  
           registered hospital patients who are on the premises of the same  





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           physical plant in which the hospital is located.  Specifies that  
           the pharmacy services provided shall be directly related to the  
           services or treatment plan administered in the physical plant.  

        4) Defines "manufacturer" as every person who prepares, derives,  
           produces, compounds or repackages any drug or device except a  
           pharmacy that manufactures on the immediate premises where the drug  
           or device is sold to the ultimate consumer.  

        5) Specifies that "manufacturer"  does not mean  :

           a)   A pharmacy compounding a drug for parenteral therapy, pursuant  
             to a prescription.
            
           b)   A pharmacy that, at a patient's request, repackages a drug  
             previously dispensed to a patient, or to the patient's agent,  
             pursuant to a prescription.

        1) Specifies that "manufacturer"  means  :

           a)   A person who prepares, derives, manufactures, produces or  
             repackages a dangerous drug, as defined.   

           b)   A holder of or holders of a New Drug Application (NDA) and an  
             Abbreviated New Drug Application (ANDA) or a Biologics License  
             Application (BLA). 

           c)   A manufacturer's third-party logistics provider.

           d)   A private label distributor for whom the private label  
             distributor's prescription drugs are originally manufactured and  
             labeled for the distributor and have not been repackaged.

           e)   The distributor agent for the manufacturer, contract  
             manufacturer, or private label distributor, whether the  
             establishment is a member of the manufacturer's affiliated group  
             or is a contract distributor site.

        This bill:

        1) Sets forth findings and declarations detailing the usefulness of  
           allowing hospitals to package drugs in reducing medical errors as  
           follows:  (1) Hospitals have been encouraged to use automation and  
           bar-coding to improve efficiency of drug distribution; (2) Drugs do  
           not come bar-coded from the manufacturer; (3) Definitions in  
           current law restrict current practice and innovation;  (4) The FDA  





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           has amended its position to allow hospitals to repackage without  
           being federally registered as a manufacturer; (5) Centralized  
           packaging ensures patient-safety oversight of the Board.

        2) Clarifies that "hospital pharmacy" also includes a licensed  
           pharmacy located outside of the hospital, in another physical plant  
           on the same premises or on a separate premises that is regulated  
           under a hospital's license.  States that this provision is not  
           intended to restrict or expand services that a hospital pharmacy  
           may provide.

        3) Clarifies that "manufacturer" does not mean a pharmacy compounding  
           or repackaging a drug for parenteral therapy or oral therapy in a  
           hospital for delivery to another pharmacy or hospital under common  
           ownership, pursuant to a prescription.

        FISCAL EFFECT:  According to the May 5, 2010 Assembly Committee on  
        Appropriations analysis, this measure may result in minor absorbable  
        workload to the California Board of Pharmacy to continue oversight of  
        hospital-based pharmacies.

        COMMENTS:
        
        1. Purpose.  This measure is sponsored by the  California Hospital  
           Association  and the  California Society of Health-System  
           Pharmacists  .  According to the Author, "technology is now capable  
           of providing hospitals with a method to deliver bar-coded unit  
           doses to in-patients' bedsides.  However, the cost of this  
           technology renders it virtually impossible for hospitals to do  
           within the strictures of the current hospital pharmacy law.  In  
           addition, because the new central pharmacy would serve multiple  
           hospitals (though the hospitals are under common ownership),  
           currently lawful hospital pharmacy activities might run afoul of  
           the manufacturing law."  The Author notes that the potential to  
           finally and effectively address in-patient medication errors is  
           greatly expanded by this proposal.     

        2. Background.  Current law requires medications for a hospital's  
           patients to be prepared by a licensed pharmacy located on the  
           hospital's premises.  Automated processes implemented by a hospital  
           or health system have the potential to provide additional patient  
           protection through a reduction in medication errors.  Many  
           medications errors in hospitals have resulted from inadequate and  
           inconsistent labeling and a lack of proper mechanisms to track  
           medication through the distribution process to the patient.  Recent  
           reports show that technology like bar-coding facilitates more  





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           efficient medication administration and decreases medication  
           errors.  According to a study published in the New England Journal  
           of Medicine, "Effect of Bar-Code Technology on the Safety of  
           Medication Administration", use of the bar-code substantially  
           decreased the rate of errors as well as potential adverse drug  
           events.  The report also concluded that the bar-code electronic  
           medication administration is an important intervention to improve  
           patient safety. 

           There are many different manufacturers of technology throughout the  
           state, nation and world whose aim is improving medication  
           administration.  While there is an inherent public health benefit  
           that arises from use of bar-coding and other technologies, this  
           bill does not mandate the use of any specific technology or vendor.  
            The measure allows hospitals and health systems which do invest in  
           new technology that may reduce medication errors to legally  
           implement the technology in one location without violating federal  
           definitions of manufacturer.  

        3. FDA Position. Repackaging, distribution, and compounding in advance  
           of a patient prescription are activities currently available only  
           to licensed manufacturers, which are regulated by the United States  
           Food and Drug Administration (FDA). Recently, the FDA changed its  
           position and has now indicated that they are comfortable allowing  
           for repackaging or distribution by hospitals under common control  
           and operating within a state, without federally registering as a  
           manufacturer for such products.  The FDA states "[the proposed  
           health facility pharmacy] system does not need to register as a  
           repacker/relabeler as long as they are servicing their own  
           hospitals within the state of California and repackaged drugs are  
           not commercially distributed and used only within your hospital  
           facilities."

        4. Related Legislation.   AB 1370  (Solario, 2009) was virtually  
           identical to this measure as introduced.  That bill was held in the  
           Assembly Committee on Business and Professions.

            SCR 49  (Speier, 2005) created a panel to study the causes of  
           medication errors and recommend changes in the health care system  
           that reduces errors associated with the delivery of prescription  
           and over the counter medication to consumers.  

            SB 1875  (Speier, Chapter 816, Statutes of 2000) required hospitals  
           to adopt a formal plan to eliminate or substantially reduce  
           medication-related errors.  






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        5. Arguments in Support.  The  California Hospital Association (CHA)   
           believes that this bill will provide a solution to reducing medical  
           errors and facilitate the change in position by the FDA to allow  
           hospitals to repackage without being federally registered as a  
           manufacturer.  CHA also notes that licensing under the license of a  
           hospital, rather than as a manufacturer, assures patient oversight  
           of the pharmacy and other hospital and accreditation bodies.

           The  California Society of Health-System Pharmacists  writes that  
           this bill is intended to "enhance the preparation and delivery of  
           medications by facilitating the implementation of barcode-enabled  
           point-of-care systems."  CSHP adds that implementing new technology  
           to improve medication distribution is cost prohibitive under  
           current law but the changes set forth in this bill can safely allow  
           bar-coding and improve patient care.  

        6. Policy Issues and Suggested Amendments.

           a)   Bar-coding should be required.  While language in the bill  
             details the efficiency and consumer health benefit of automated  
             practices, there is no requirement that centralized pharmacies  
             actually use the technology intended to reduce medication errors.  
              Automated practices such as bar-coding also have the potential  
             to improve opportunities for hospitals, pharmacists and the Board  
             to notify patients and consumers in the event of a medication  
             recall in a timely manner.  The consumer protection component of  
             implementing new technology like bar-coding may not be fully  
             realized without clarification that hospitals and health systems  
             operating a centralized packaging pharmacy actually use  
             bar-coding. 
           
              Suggested Amendment  : On page 4, line 1, insert: "4029 (c) Any  
             unit dose medication produced by a hospital pharmacy licensed by  
             the board, that may be located outside of the hospital, in  
             another physical plant on the same premises or on a separate  
             premises that is regulated under a hospital's license, under  
             common ownership, shall be bar-coded to be readable at the  
             patient's bedside."

           b)   The Board should be notified of centralized packaging  
             activities.  The Board is charged with enforcement of the state's  
             Pharmacy Law through its 13 major regulatory programs that  
             regulate both the individuals and firms that procure, ship, store  
             and dispense prescription drugs and  devices to the state's  
             health care providers and patients, both from within and outside  
             California.  As such, the Board collects data on and performs  





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             inspections of its licensees.  Notification to the Board of  
             hospital pharmacy activities will ensure patient and consumer  
             protection; for example, in the event of facility contamination  
             leading to a closure that directly affects recipients of  
             medication packaged at the site.  Providing notification to the  
             Board, both in advance of utilizing a centralized packaging  
             pharmacy and upon the closure or discontinued use of a facility,  
             helps maintain the Board's oversight of and accountability for  
             its licensee population.   

              Suggested Amendment:   On page 4, line 35, insert: "4033 (c) A  
             pharmacy compounding or repackaging for delivery to another  
             pharmacy or hospital under common ownership as referenced in  
             Section 4033(a)(2) shall notify the board in writing within 30  
             days of initiating this service, the location where the  
             compounding or repackaging is being performed.  Any change in  
             this information must be reported to the board in writing within  
             30 days."

        



        SUPPORT AND OPPOSITION:
        
         Support:  

        California Hospital Association (Co-Sponsor)
        California Society of Health-System Pharmacists (Co-Sponsor)

         Opposition:  

        Hospira, Inc.


        Consultant: Sarah Mason