BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 600
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          Date of Hearing:   August 6, 2014

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                     SB 600 (Lieu) - As Amended:  June 30, 2014 

          Policy Committee:                             Business and  
          Professions  Vote:                            12-0

          Urgency:     No                   State Mandated Local Program:  
          Yes    Reimbursable:              No

           SUMMARY  

          This bill repeals provisions that require tracing of  
          pharmaceuticals throughout the supply chain to conform to  
          federal law, defines drugs obtained outside of the licensed  
          supply chain as misbranded, and authorizes higher fines and  
          penalties for violations related to misbranded drugs.

           FISCAL EFFECT  

          1)Negligible costs to Board of Pharmacy. Current law invalidates  
            California's E-pedigree requirements if superseded by a  
            federal requirement.  This bill simply updates statute and  
            should not result in additional costs.

          2)Unknown, potentially higher penalty revenue for misbranded  
            drugs, depending on enforcement. 

           COMMENTS 

           1)Purpose  .  This bill is intended to conform California's  
            statute to recent changes in federal law, as well as reduce  
            circumvention of approved purchasing channels by punishing the  
            purchase of drugs that are not regulated by the state or  
            federal government.  This bill is author-sponsored.    

           2)Background  .  E-pedigree is a California statutory program  
            intended to prevent counterfeit medicine from entering the  
            legitimate supply chain.  E-pedigree was created by SB 1307  
            (Figueroa), Chapter 857, Statutes of 2004, and began  
            implementation the following year, with full operability  
            anticipated by 2015.   The term "pedigree" describes a custody  








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            record containing data about each transaction that results in  
            a change of ownership of a prescription drug.  The goal of the  
            program was to show the lineage of the drug through the entire  
            drug distribution channel.

            The federal Drug Quality and Security Act, which became law in  
            fall 2013, was prompted by a 2012 fungal meningitis outbreak  
            linked to unsanitary conditions at a Massachusetts compounding  
            pharmacy as well as concerns regarding increases in  
            counterfeit, falsified, substandard and dangerous prescription  
            medications.  DQSA contained two parts - the Compounding  
            Quality Act, which authorized FDA regulation of compounding  
            pharmacies, and the Drug Supply Chain Security Act. 

            The Drug Supply Chain Security Act creates a national  
            electronic track and trace system for prescription drugs, and  
            explicitly preempts any state's requirements for tracing  
            products through the distribution system that are inconsistent  
            with, more stringent than, or in addition to any of the  
            requirements under the Act.  Thus, California's e-pedigree  
            system is currently invalid by operation of law.  This law  
            repeals those invalid sections.  

           3)Related Legislation . AB 2605 (Bonilla) requires third party  
            logistic providers who provide pharmaceutical storage,  
            handling, or distribution services to be licensed by the  
            California Board of Pharmacy.  AB 2605 is pending in the  
            Senate Appropriations Committee.  

           4)Previous Legislation  .  SB 1307 (Figueroa), Chapter 857,  
            Statutes of 2004, created California's e-Pedigree program,  
            which made comprehensive changes to the drug distribution  
            system to protect the integrity of the pharmaceutical supply  
            chain.  

            SB1476 (Figueroa), Chapter 658, Statutes of 2006, delayed the  
            implementation date for the E-pedigree component to January 1,  
            2009 and granted the Board the authority to extend the  
            deadline an additional two years to allow the industry  
            additional time to implement technologies necessary for  
            electronic pedigrees.  


           Analysis Prepared by  :    Lisa Murawski / APPR. / (916) 319-2081 









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