BILL ANALYSIS                                                                                                                                                                                                    �






                             SENATE COMMITTEE ON HEALTH
                          Senator Ed Hernandez, O.D., Chair

          BILL NO:       AB 2369
          AUTHOR:        Valadao
          AMENDED:       June 14, 2012
          HEARING DATE:  June 20, 2012
          CONSULTANT:    Marchand

           SUBJECT  :  Prisoners: pharmacy services.
           
          SUMMARY  :  Requires the pharmacy services program (pharmacy 
          program) under the California Department of Corrections and 
          Rehabilitation (CDCR) to use less expensive medication as 
          achieved by the statewide prescription drug bulk purchasing 
          program, as defined, unless an exception is approved or the 
          prescriber has indicated "dispense as written" on the 
          prescription.

          Existing law:
          1.Permits CDCR to maintain and operate a comprehensive pharmacy 
            program for those facilities under its jurisdiction that is 
            both cost effective and efficient.

          2.Permits the pharmacy program to incorporate a statewide 
            Pharmacy and Therapeutics Committee responsible, among other 
            tasks, for developing and managing a department formulary and 
            conducting regular therapeutic category reviews for medication 
            listed in the department formulary.

          3.Permits the pharmacy program to incorporate a requirement for 
            the use of generic medications, when available, unless an 
            exception is reviewed and approved in accordance with an 
            established nonformulary approval process.

          4.Permits the Department of General Services (DGS) to enter into 
            contracts with manufacturers and suppliers of single-source or 
            multisource drugs for purposes of a statewide prescription 
            drug bulk purchasing program. Requires CDCR, the Department of 
            Mental Health (DMH), and the Department of Developmental 
            Services (DDS) to participate in this bulk purchasing program. 
            Permits any other state or local government entity to elect to 
            participate in the purchasing program.

          5.Permits DGS, in consultation with CDCR, DMH, or DDS, to 
            investigate and implement other options and strategies to 
                                                         Continued---



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            achieve the greatest savings on prescription drugs with 
            prescription drug manufacturers and wholesalers.

          This bill:
          1.Requires the comprehensive pharmacy program, operated by CDCR, 
            to use less expensive medications as achieved by DGS' 
            statewide pharmaceutical bulk purchasing program, as 
            specified, when those medications are available, unless an 
            exception is reviewed and approved in accordance with an 
            established nonformulary approval process, or unless the 
            prescriber has indicated on the prescription "dispense as 
            written."

           FISCAL EFFECT  :  According to the Assembly Appropriations 
          Committee, negligible state fiscal impact.

           PRIOR VOTES  :  
          Assembly Business, Professions and Consumer Protection:6- 0
          Assembly Health:                             19- 0
          Assembly Appropriations:                     16- 1
          Assembly Floor:                              60- 5
           
          COMMENTS  :  
           1.Author's statement.  As management of prison health care 
            services transitions out of the control of the federal 
            Receiver and back to the jurisdiction of CDCR, it is critical 
            that fiscal responsibility is maintained while upholding 
            quality patient care. Utilizing the less expensive 
            prescriptions on the formulary is an excellent way to maintain 
            fiscal responsibility. In addition, AB 2369 would strengthen 
            the physician's ability to make the patient care decisions by 
            continuing the current nonformulary approval process, as well 
            as adding a provision to allow the physician to "dispense as 
            written" when prescribing for their patient. 
            
          2.Medical Receivership for CDCR. On June 30, 2005, in a 
            class-action lawsuit filed four years earlier, the United 
            States District Court for the Northern District of California 
            established a Receivership to take control of the delivery of 
            medical services to all California state prisoners confined by 
            CDCR. The court order establishing the Receivership provides 
            that the Receivership, "shall cease as soon as the Court is 
            satisfied, and so finds in consultation with the Receiver, 
            that Defendants have the will, capacity, and leadership to 
            maintain a system of providing constitutionally adequate 
            medical health care services to class members."




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          The judge in the case issued an order in January 2012 stating 
            that because of the progress to date, "the end of the 
            Receivership appears to be in sight, and the Court seeks to 
            get the parties' and the Receiver's views on when the 
            Receivership should be terminated and how this case should 
            progress after the Receivership has ended." The judge ordered 
            that the parties meet and confer on post-Receivership planning 
            as soon as possible and filed a joint report on their 
            meet-and-confer on or before April 30, 2012.

          On May 30, 2012, in response to the report filed jointly by the 
            State and the Receiver, the judge issued a new order outlining 
            a transition plan for transferring authority from the Receiver 
            to the state. As part of this gradual transition of authority, 
            the court ordered the Receiver and the state to identify and 
            secure appropriate revisions or additions to state law and 
            regulations, as well as to CDCR's operations manual, that 
            institutionalize changes made during the Receivership and 
            eliminate the need for any waivers of state law following the 
            termination of the Receivership. The Court ordered the parties 
            to consider the Court's proposal, to file opposition briefs or 
            statements of non-opposition by June 29, 2012, and to file any 
            reply briefs no later than July 20, 2012.

          3.Double referral.  This bill is double referred.  Should it 
            pass out of this committee, it will be referred to the Senate 
            Committee on Public Safety.

          4.Related legislation. SB 1079 (Rubio) would have codified 
            existing regulations limiting medical services for inmates of 
            CDCR to only those services which are medically necessary, and 
            would have excluded treatment for sexual dysfunction or 
            infertility, gender reassignment surgery, and weight reduction 
            surgery.  SB 1079 passed out of this committee on March 28, 
            2012 by a vote of 5-0, but failed passage in the Senate Public 
            Safety Committee on a vote of 3-4.
            
          5.Prior legislation. AB 1628 (Budget Committee), Chapter 729, 
            Statutes of 2010, the public safety budget trailer bill, among 
            other provisions, authorized CDCR to operate a pharmacy 
            program and permitted this pharmacy program to incorporate a 
            requirement for the use of generic medications, when 
            available.





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          6.Opposition.  This bill is opposed by Mental Health America of 
            California (MHAC), which states that this bill will impair the 
            recovery of inmates with mental illnesses.  MHAC states that 
            many people will not respond to generic medications and need a 
            brand name product for which there is no generic equivalent.  
            MHAC argues that dollars saved in medication costs will be 
            outweighed by additional mental health and physical health 
            costs for hospitalizations and physician visits when people 
            are not on the most effective medication.

           SUPPORT AND OPPOSITION  :
          Support:  None received.

          Oppose:   Mental Health America of California

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