BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 616
                                                                  Page  1


          SENATE THIRD READING
          SB 616 (DeSaulnier)
          As Amended  August 24, 2012
          Majority vote

           SENATE VOTE  :37-0  
           
           PUBLIC SAFETY       6-0                                         
           
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          |Ayes:|Ammiano, Knight, Cedillo, |     |                          |
          |     |Hagman, Mitchell, Skinner |     |                          |
          |     |                          |     |                          |
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          SUMMARY  :  Creates a dedicated fund to maintain the Controlled 
          Substance Utilization Review and Evaluation System (CURES).  
          Specifically,  this bill  :  

          1)Makes legislative findings and declarations about the value 
            and necessity of the CURES.

          2)Establishes the CURES fund in the State Treasury, which shall 
            consist of contributions collected from organizations for 
            purposes of funding the CURES program.

          3)Provides that if the Attorney General determines that the 
            ability of regulatory agencies to adequately monitor 
            prescribers and dispensers of controlled substances has been 
            compromised due to insufficient funding to cover the costs of 
            the CURES, or because a permanent and ongoing funding sources 
            has not been implemented by July 1, 2014, then specified 
            boards shall increase by up to $10 annually the licensure, 
            certification and renewal fees charged to practitioners under 
            their supervision who are authorized to prescribe and dispense 
            controlled substances.

          4)Creates CURES accounts within the funds of each of those 
            specified agencies.

          5)Specifies that the moneys collected to cover the operations 
            costs of CURES shall be deposited in the CURES accounts.

          6)Provides that monies in the CURES accounts of each of those 








                                                                  SB 616
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            funds shall be continuously appropriated to the Department of 
            Justice (DOJ) without regard to fiscal year.

          7)Requires all moneys received by DOJ be deposited into the 
            CURES Fund.

          8)Provides that monies in the fund shall be allocated to the 
            Department of Justice (DOJ) to administer the CURES and be 
            continuously appropriated by the Legislature without regard to 
            fiscal year.

          9)Requires DOJ to make information about the amount and the 
            source of all private grant funds it receives for support of 
            the CURES available to the public.

           EXISTING LAW  : 

          1)Requires DOJ to maintain the CURES for the electronic 
            monitoring of the prescribing and dispensing of Schedule II, 
            Schedule III, and Schedule IV controlled substances by all 
            practitioners authorized to prescribe or dispense these 
            controlled substances.  

          2)Requires a dispensing pharmacy or clinic to provide specified 
            prescription data for each prescription for a Schedule II, 
            Schedule III, or Schedule IV controlled substance to DOJ on a 
            weekly basis.  

          3)Allows a licensed health care practitioner who is eligible to 
            prescribe Schedule II, Schedule III, or Schedule IV controlled 
            substances, or a pharmacist to make a written request to DOJ 
            for the history of controlled substances dispensed to an 
            individual under his or her care, and allows DOJ to provide 
            that information to that health care practitioner or 
            pharmacist.  

          4)Provides that the history of controlled substances dispensed 
            to an individual based on data contained in CURES that is 
            received by a practitioner or pharmacist from DOJ pursuant to 
            this section shall be considered medical information subject 
            to specified confidentiality provisions.  

          5)Requires every practitioner, other than a pharmacist, who 
            prescribes or administers a controlled substance classified in 
            Schedule II, III or IV to record specified information 








                                                                  SB 616
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            relating to the transaction.  

           FISCAL EFFECT  :  Unknown.  This bill is keyed non-fiscal by the 
          Legislative Counsel.

           COMMENTS  :  According to the author, "SB 616 establishes a 
          dedicated fund to assist law enforcement and regulatory agencies 
          in their efforts to control the diversion and abuse of 
          prescription drugs and increase the frequency that a pharmacy or 
          clinic reports filled controlled substance prescriptions.  The 
          fund will support the Controlled Substance Utilization Review 
          and Evaluation System (CURES) Program administered by the 
          California Department of Justice (DOJ).  In 2009, the DOJ 
          launched its automated Prescription Drug Monitoring Program 
          (PDMP) within the CURES program.  The program allows licensed 
          health care practitioners eligible to prescribe controlled 
          substances access to patient controlled substance prescription 
          information in real-time, 24 hours a day at the point of care.  
          Prescribers and pharmacists used the PDMP to make informed 
          decisions about patient care and detect patients who may be 
          abusing controlled substances by obtaining multiple 
          prescriptions from various practitioners.  While the automated 
          PDMP within the CURES program is a valuable investigative, 
          preventative, and educational tool for law enforcement, 
          regulatory boards, and health care providers, recent funding 
          reductions have resulted in insufficient funds to support the 
          CURES.  Without dedicated resources, the CURES program will be 
          suspended."


           Analysis Prepared by  :    Sandy Uribe / PUB. S. / (916) 319-3744 





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