BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 2603
                                                                  Page  1


          ASSEMBLY THIRD READING
          AB 2603 (V. Manuel Pérez)
          As Introduced  February 21, 2014
          Majority vote 

           PUBLIC SAFETY       7-0                                         
           
           -------------------------------- 
          |Ayes:|Ammiano, Melendez,        |
          |     |Jones-Sawyer, Quirk,      |
          |     |Skinner, Stone, Waldron   |
          |     |                          |
           -------------------------------- 
           SUMMARY  :  Clarifies that a patient's representative may pick up  
          and transport prescription medications.  Specifically  this bill   
          extends the prescription defense to a person other than the  
          patient for whom a controlled substance was prescribed, if the  
          substance is possessed with the express authorization of, or at  
          the direction of, the prescription holder.

           EXISTING LAW  : 

          1)Classifies controlled substances in five schedules according  
            to their danger and potential for abuse.  Schedule I  
            controlled substances have the greatest restrictions and  
            penalties, including prohibiting the prescribing of a Schedule  
            I controlled substance.

          2)Makes it a crime to possess specified controlled substances  
            without a valid prescription from a licensed physician,  
            dentist, podiatrist, or veterinarian.

          3)Makes it a crime to transport for sale specified controlled  
            substances unless upon the written prescription of a licensed  
            physician, dentist, podiatrist, or veterinarian.

          4)Defines "prescription" for purposes of the Controlled  
            Substances Act (CSA), as "an oral order or electronic  
            transmission prescription for a controlled substance given  
            individually for the person(s) for whom prescribed, directly  
            from the prescriber to the furnisher or indirectly by means of  
            a written order of the prescriber."

          5)Defines "ultimate user" for purposes of the CSA, as "a person  








                                                                  AB 2603
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            who lawfully possesses a controlled substance for his own use  
            or for the use of a member of his household or for  
            administering to an animal owned by him or by a member of his  
            household."

          6)Defines "agent" for purposes of the CSA, as "an authorized  
            person who acts on behalf of or at the direction of a  
            manufacturer, distributor, or dispenser.  It does not include  
            a common or contract carrier, public warehouseman, or employee  
            of the carrier or warehouseman."

          7)Provides that a dangerous drug sold or delivered to a person  
            within California shall be transferred, sold or delivered only  
            to:

             a)   An entity licensed by the Pharmacy Board; 

             b)   A manufacturer; 

             c)   An ultimate user; or 

             d)   The ultimate user's agent.

          8)States that no person shall possess any controlled substance,  
            except that furnished to a person upon the prescription of a  
            physician, dentist, podiatrist, veterinarian, or other  
            specified persons in the medical field.

          9)States that no prescription for a controlled substance shall  
            be furnished to any person unknown and unable to properly  
            establish his or her identity.

          10)Allows the Pharmacy Board to establish procedures to prevent  
            unauthorized persons from receiving prescription drugs  
            furnished to a patient or a representative of the patient.

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

           COMMENTS  :  According to the author, "AB 2603 was introduced as a  
          result of a recent court ruling filed January 3, 2014, People v.  
          Carboni, in which the presiding judge ruled that only  
          prescription holders can possess and transport their  
          prescription drugs.  For many ill people who are immobile, or  








                                                                  AB 2603
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          lack transportation, this ruling could be problematic because  
          there is no defense or protections for the person who is trying  
          to help them get their medication from the pharmacy.  This is a  
          serious concern for the many seniors who live in my rural and  
          medically underserved district, where it is not uncommon for a  
          person to rely on a family member, friend, or caretaker to  
          pick-up his/her prescription drugs.

          "The Carboni ruling would in effect criminalize the act of  
          possession and/or transport of prescription drugs, even for the  
          purpose of simply trying to get those medications to the person  
          who needs them.  People who are trying to do a good deed for an  
          infirm family member or friend should not be punished for trying  
          to help.  By adding clarity to Health and Safety code sections  
          11350 and 11377, AB 2603 helps ensure that ill people who must  
          rely on someone to get them their meds can do so without fear.

          "Moreover, this bill will address an existing conflict between  
          the Business & Professions code (4059.5), which allows a  
          pharmacist to dispense prescription drugs to the patient's agent  
          or representative, and the Health & Safety code, which provides  
          no protections, or defense, for the patient's agent when in  
          possession of such medication.  This bill will not protect  
          someone who is found to have the intention to sell the drugs, or  
          who is abusing drugs that were not prescribed to them,  
          regardless if they ultimately delivered the drugs to the  
          prescription holder."

          Please see the policy committee analysis for a full discussion  
          of this bill.


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


                                                                FN: 0003124