BILL ANALYSIS                                                                                                                                                                                                    







         ----------------------------------------------------------------------- 
        |Hearing Date:June 28, 2010         |Bill No:AB                         |
        |                                   |2077                               |
         ----------------------------------------------------------------------- 


                      SENATE COMMITTEE ON BUSINESS, PROFESSIONS 
                               AND ECONOMIC DEVELOPMENT
                         Senator Gloria Negrete McLeod, Chair

                         Bill No:        AB 2077Author:Solorio
                        As Amended:June 23, 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.

         NOTE  :  This measure failed passage in this Committee on June 14, 2010,  
        by a vote of 4-2, and 
        was granted reconsideration.  It is before this Committee today for  
        Reconsideration.

        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  





                                                                        AB 2077
                                                                         Page 2



           California Department of Corrections or California Department of  
           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 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  





                                                                        AB 2077
                                                                         Page 3



           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)  
           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) Specifies that 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.

        4) 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.

        5) Specifies that a pharmacy compounding or repackaging for delivery  
           to another pharmacy or hospital under common ownership shall notify  
           the board in writing within 30 days of initiating this service, the  
           location where the compounding or repackaging is being performed.   
           Clarifies that any change in this information must be reported to  
           the board in writing within 30 days.


        6) Provides that a hospital pharmacy may prepare and store a limited  
           quantity of unit-dose drugs in advance of receipt of a  
           patient-specific prescription only in such quantity as is necessary  
           to ensure continuity of care for an identified population of  
           inpatients of the hospital based on a documented history of  
           prescriptions for that patient population.

        7) Clarifies that nothing in this section shall obviate a licensed  
           hospital pharmacy, hospital or pharmacist from complying with all  
           applicable state and federal laws and regulations.

        FISCAL EFFECT:  According to the May 5, 2010 Assembly Committee on  
        Appropriations analysis, this measure may result in minor absorbable  





                                                                        AB 2077
                                                                         Page 4



        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-Systems  
           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  
           medication 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  
           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.  





                                                                        AB 2077
                                                                         Page 5




        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).  The Sponsor asserts,  
           "Recently, the FDA 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 in an email  
           pertaining to a Virginia hospital using a model as proposed in this  
           bill, "[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."  While there has not been an official change  
           in FDA policy, it is clear in the FDA's Compliance Policy Guide  
           (460.200) as follows:  "FDA will continue to defer to state  
           authorities regarding?pharmacy compounding of human drugs".

        4. Update to Board Compounding Regulations.   New regulations  
           governing compounding take effect on July 6 of this year.   
           According to the Board, a Workgroup on Compounding was formed in  
           2004 comprised of board members, board staff and industry  
           representatives.  The workgroup recognized that current pharmacy  
           regulations addressing compounding only govern the physical  
           circumstances, procedures and record keeping requirements for  
           general compounding and do not address quality, strength or purity.

           The Board adopted regulations in Article 7 of Division 17 of Title  
           16 of the California Code of Regulations (commencing with Section  
           1751) to implement provisions for pharmacies that compound sterile  
           injectable products as required in statute.  As there were no  
           similar provisions in regulation for general compounding, the board  
           approved the addition of language that will establish parameters  
           and provide uniformity for pharmacies that carry out compounding in  
           general (including sterile injectable).  Pharmacies that compound  
           sterile injectable products must go above and beyond the  
           requirements for compounding in general. 

        5. 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  





                                                                        AB 2077
                                                                         Page 6



           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.  

        6. Arguments in Support.  The  California Hospital Association (CHA)   
           and Catholic Healthcare West (CHW) believe 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.  They also  
           note 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.  

           

        7. Recent Amendments to Address Concerns.

           a.   Requires Bar-coding.  At the urging of this Committee, the  
             Author included language to require the implementation of new  
             technology like bar-coding when a hospital or health-system uses  
             a centralized pharmacy model.  This requirement is intended to  
             increase efficiency and consumer health, potentially reduce  
             medication administration errors and improve potential  
             opportunities for hospitals, pharmacists and the Board to notify  
             patients and consumers in the event of a medication recall in a  
             timely manner.  
           
           b.   Provides notification to the Board of centralized packaging  
             activities.  At the urging of this Committee, the Author included  
             language to require notification to the Board, both in advance of  
             utilizing a centralized packaging pharmacy and upon the closure  
             or discontinued use of a facility.  This requirement is intended  
             to maintain the Board's oversight of and accountability for its  
             licensee population and ensure patient and consumer protection;  
             for example, in the event of facility contamination leading to a  
             closure that directly affects recipients of medication packaged  





                                                                        AB 2077
                                                                         Page 7



             at the site. 

           c.   Removes legislative findings.  Based on negotiations with  
             Hospira, a manufacturer of specialty generic injectable  
             pharmaceuticals, the Author removed the finding that the FDA has  
             amended its position to allow hospitals to repackage without  
             being federally registered as a manufacturer.  This language was  
             seen as greatly expanding exceptions to FDA regulations without  
             justification or support from that agency, and moving certain  
             practices too close to those of a FDA regulated manufacturer.

           d.   Clarifies compliance with compounding laws.  To ensure that  
             centralized compounding practices are not expanded without cause,  
             the Author included language to clarify that hospital pharmacies,  
             hospitals and pharmacists must still comply with all applicable  
             state and federal laws and regulations.

           e.   Places current Board regulations regarding compounding into  
             statute.  In response to concerns raised that patient safety may  
             be jeopardized by mass production of medications without proper  
             FDA oversight, the Author included current regulation language  
             (Title 16, Article 4.5, Section 1735.2 in the California Code of  
             Regulations) to specify compounding limitations and requirements.  
              Specifically, the bill now states that a hospital pharmacy may  
             prepare and store a limited quantity of unit-dose drugs, in  
             advance of receipt of a patient-specific prescription, but only  
             in such quantity as is necessary to ensure continuity of care for  
             an identified population of inpatients of the hospital based on a  
             documented history of prescriptions for that patient population.
        

        SUPPORT AND OPPOSITION:
        
         Support:  

        California Hospital Association (Co-Sponsor)
        California Society of Health-System Pharmacists (Co-Sponsor)
        Catholic Healthcare West 
        Numerous Health System Pharmacists 

         Opposition:

         None received as of June 21, 2010








                                                                        AB 2077
                                                                         Page 8



        Consultant: Sarah Mason