BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 470
                                                                  Page  1


          SENATE THIRD READING
          SB 470 (Corbett)
          As Amended April 30, 2009
          Majority vote 

           SENATE VOTE  :37-1  
           
           HEALTH              19-0        BUSINESS & PROFESSIONS    10-0  
           
           ----------------------------------------------------------------- 
          |Ayes:|Jones, Fletcher,          |Ayes:|Hayashi, Emmerson,        |
          |     |Villines, Ammiano, Block, |     |Conway, Eng, Hernandez,   |
          |     |Carter, Conway, Hill,     |     |Nava, Niello,             |
          |     |De Leon, Emmerson,        |     |John A. Perez, Ruskin,    |
          |     |Gaines, Hall, Hayashi,    |     |Smyth                     |
          |     |Hernandez,                |     |                          |
          |     |Bonnie Lowenthal, Nava,   |     |                          |
          |     |V. Manuel Perez, Salas,   |     |                          |
          |     |Audra Strickland          |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           APPROPRIATIONS      15-0                                        
           
           -------------------------------- 
          |Ayes:|De Leon, Nielsen,         |
          |     |Ammiano,                  |
          |     |Charles Calderon, Coto,   |
          |     |Davis, Duvall, Fuentes,   |
          |     |Hall, Harkey, Miller,     |
          |     |John A. Perez, Skinner,   |
          |     |Audra Strickland,         |
          |     |Torlakson                 |
          |     |                          |
           -------------------------------- 
           SUMMARY  :  Permits, if requested by the patient, the purpose of  
          the prescribed medication to be listed on a prescription drug  
          label.

           EXISTING LAW  :

          1)Provides for the licensure and regulation of pharmacies,  
            pharmacists, and wholesalers of dangerous drugs or devices by  
            the California State Board of Pharmacy (Board) in the  
            Department of Consumer Affairs.








                                                                  SB 470
                                                                  Page  2



          2)Requires dispensed prescription drugs to be stored in  
            specified containers and correctly labeled with the following  
            information:

             a)   The trade name of the drug or the generic and the name  
               of the manufacturer;

             b)   The directions for the use of the drug;

             c)   The name of the patient;

             d)   The name of the prescriber;

             e)   The date of issue;

             f)   The name and address of the pharmacy and the  
               prescription number;

             g)   The strength of the drug;

             h)   The quantity of the drug or drugs dispensed;

             i)   The expiration date of the effectiveness of the drug;

             j)   The condition for which the drug was prescribed, if  
               requested by the patient and the condition is indicated on  
               the prescription; and,

             aa)  The physical description of the drug, including its  
               color, shape, and any identification code that appears on  
               the tablets or capsule, except as follows:

               i)     Prescriptions dispensed by a veterinarian;

               ii)    Prescriptions for a new drug, as specified; or,

               iii)   Dispensed medications for which no physical  
                 description exists in any commercially available  
                 database.

          3)Requires the Board to promulgate regulations that require a  
            standardized, patient-centered, prescription drug label on all  
            prescription medication dispensed to patients in California by  








                                                                  SB 470
                                                                  Page  3


            January 1, 2010.

           FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee, pursuant to Senate Rule 28.8, negligible state costs.

           COMMENTS  :   Under existing law, prescription drug labels must  
          include specified information.  In addition, the label may  
          include the condition for which the drug was prescribed to be  
          listed if the patient requests.  According to the author, this  
          bill allows the purpose as an alternative.  The author states  
          that when there are a large number of prescriptions, it is not  
          easily discernible what the purpose for each is, which increases  
          the chance that a patient may take the wrong medication.   
          According to the Board, sponsor of this bill, having the purpose  
          on the label better communicates to patients how to take the  
          medication and will improve adherence to the directions.  The  
          Board also points out that there are many drugs with similar  
          sounding names.  The Board contends that if the purpose is on  
          the label, it is more likely that an error caused by a mix-up  
          will be discovered or prevented.  The Board also asserts that  
          allowing purpose as an alternative to condition gives more  
          flexibility to the prescriber and will allow for information  
          that is most useful to the patient.  Finally, according to the  
          author, this bill is in response to public input from consumers.  
           

          In SB 472 (Corbett), Chapter 470, Statutes of 2007, the Board is  
          charged with standardizing the prescription drug label to make  
          it patient-centered.  SB 472 requires the Board to seek  
          information from specified groups and to consider the  
          information gathered in developing the requirements.  According  
          to the Board, a standardized label format will be developed by  
          January 2011.  The implementing regulations are expected by  
          January 2010.  If this bill is enacted, the Board reports that  
          it will implement it as part of that process.


           Analysis Prepared by  :    Cassie Rafanan / HEALTH / (916)  
          319-2097                                          FN: 0001986