Amended in Senate April 21, 2014

Amended in Senate April 1, 2014

Senate BillNo. 1014


Introduced by Senator Jackson

(Principal coauthor: Senator Leno)

(Coauthors: Senators Evans, Hancock, Liu, and Pavley)

(Coauthors: Assembly Members Ammiano and Williams)

February 13, 2014


An act to add Section 4068.1 to the Business and Professions Code, to amend Section 117700 of, and to add Section 117670.1 to, the Health and Safety Code, and to add Article 3.4 (commencing with Section 47120) to Chapter 1 of Part 7 of Division 30 of the Public Resources Code, relating to pharmaceutical waste.

LEGISLATIVE COUNSEL’S DIGEST

SB 1014, as amended, Jackson. Pharmaceutical waste: home generated.

(1) The Department of Resources Recycling and Recovery was required, pursuant to provisions repealed on January 1, 2013, to develop, in consultation with appropriate state, local, and federal agencies, model programs for the collection and proper disposal of drug waste.

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This bill would enact the Home-Generated Pharmaceutical Waste Collection Disposal Act and would define terms for purposes of the act. The bill would require a producer of covered pharmaceuticals to submit to the Department of Resources Recycling and Recovery, by July 1, 2015, except as specified, a product stewardship plan and would authorize one or more producers to submit a plan or designate a stewardship organization to act as an agent on behalf of the producers to submit a plan. The bill would require the stewardship plan to contain specified elements with regard to the collection and disposal of home-generated pharmaceutical waste, including provisions for the payment of all administrative and operational fees associated with the product stewardship program.

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The bill would specify procedures for the approval of the plan by the department and would require a producer, group of producers, or stewardship organization operating a stewardship program to take specified actions with regard to the disposal of home-generated pharmaceutical waste and promoting product stewardship programs to consumers, pharmacists, retailers of covered pharmaceuticals, and health care practitioners.

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The bill would require a producer, group of producers, or stewardship organization operating a product stewardship program to prepare and submit to the department an annual written report describing the program’s activities during the previous calendar year by July 1, 2016, or at a later date as approved by the department, and on or before July 1 annually thereafter.

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The bill would authorize the department to adopt regulations to implement the act and would require the department to adopt regulations to provide for the appropriate management of consolidated home-generated pharmaceutical waste, to establish a schedule of fees to be charged to cover the department’s costs of administering and enforcing the act, and to adopt a schedule setting the amounts of administrative civil penalties that the department would be authorized to impose. The bill would require a producer, group of producers, or a stewardship organization submitting a plan to the department to pay the fees set by the department and would require the department to deposit the fees into the Home-Generated Pharmaceutical Waste Program Account, which the bill would create in the Integrated Waste Management Fund. The department would be authorized to expend the fees, upon appropriation by the Legislature, to administer and enforce the act.

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The bill would authorize the department to issue an administrative order to, or impose a civil penalty upon, a producer who is in violation of the act or a regulation adopted pursuant to the act. The bill would require the department to deposit the penalties into the Home-Generated Pharmaceutical Waste Penalty Account, which the bill would create in the Integrated Waste Management Fund, and would authorize the department to expend the moneys in that account, upon appropriation by the Legislature, to enforce the act.

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This bill would require the department to adopt regulations to authorize a participant to establish a program to collect and properly dispose of home-generated pharmaceutical waste, based upon the model guidelines developed by the department pursuant to those repealed provisions and to include specified requirements and provisions in those regulations. The bill would require an entity that elects to implement a home-generated pharmaceutical waste collection program to comply with the requirements specified in those regulations and would deem a participant operating a program in accordance with those regulations to be in compliance with all state laws and regulations concerning the handling, management, and disposal of home-generated pharmaceutical waste.

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(2) The Medical Waste Management Act, administered by the State Department of Public Health, regulates the management and handling of medical waste, including pharmaceutical waste, as defined. Existing law defines the term medical waste and excludes certain types of waste from that definition.

This bill would define the term “home-generated pharmaceutical waste” for purposes of that act. The bill would exclude, from the definition of medical waste, home-generated pharmaceutical waste that is handled by a collection and disposal program operating in accordance with thebegin delete actend deletebegin insert regulationsend insert specified above.begin delete This exclusion would not become operative until the Secretary of State posts a notice regarding the effective date of the regulations that the department is required to adopt pursuant to that act.end delete

(3) The Pharmacy Law provides for the licensure and regulation of pharmacists and pharmacy establishments by the California State Board of Pharmacy, and makes a knowing violation of that law a misdemeanor.

The bill would also authorize a pharmacy to accept the return of home-generated pharmaceutical waste from a consumer, consistent with specified federal laws. Because a knowing violation of this provision would be a crime, the bill would impose a state-mandated local program.

(4) The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.

This bill would provide that no reimbursement is required by this act for a specified reason.

Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: yes.

The people of the State of California do enact as follows:

P4    1begin insert

begin insertSECTION 1.end insert  

end insert

begin insertSection 4068.1 is added to the end insertbegin insertBusiness and
2Professions Code
end insert
begin insert, to read:end insert

begin insert
3

begin insert4068.1.end insert  

A pharmacy may accept the return of home-generated
4pharmaceutical waste, as defined in Section 117670.1 of the Health
5and Safety Code, from a consumer, consistent with the Federal
6Food, Drug, and Cosmetic Act (21 U.S.C. Sec. 301 et seq.) and
7the federal Controlled Substances Act (21 U.S.C. Sec. 801 et seq.).

end insert
8begin insert

begin insertSEC. 2.end insert  

end insert

begin insertSection 117670.1 is added to the end insertbegin insertHealth and Safety
9Code
end insert
begin insert, to read:end insert

begin insert
10

begin insert117670.1.end insert  

“Home-generated pharmaceutical waste” means a
11prescription or over-the-counter human or veterinary
12home-generated pharmaceutical, including, but not limited to, a
13home-generated pharmaceutical as defined in Section 109925 or
14in Section 321(g)(1) of Title 21 of the United States Code, that is
15a waste, as defined in Section 25124, derived from a household,
16including, but not limited to, a multifamily residence or household.

end insert
17begin insert

begin insertSEC. 3.end insert  

end insert

begin insertSection 117700 of the end insertbegin insertHealth and Safety Codeend insertbegin insert is
18amended to read:end insert

19

117700.  

Medical waste does not include any of the following:

20(a) Waste generated in food processing or biotechnology that
21does not contain an infectious agent as defined in Section 117675.

22(b) Waste generated in biotechnology that does not contain
23human blood or blood products or animal blood or blood products
24suspected of being contaminated with infectious agents known to
25be communicable to humans.

26(c) Urine, feces, saliva, sputum, nasal secretions, sweat, tears,
27or vomitus, unless it contains fluid blood, as provided in
28subdivision (d) of Section 117635.

29(d) Waste which is not biohazardous, such as paper towels,
30paper products, articles containing nonfluid blood, and other
31medical solid waste products commonly found in the facilities of
32medical waste generators.

33(e) Hazardous waste, radioactive waste, or household waste,
34including, but not limited to, home-generated sharps waste, as
35defined in Section 117671.

36(f) Waste generated from normal and legal veterinarian,
37agricultural, and animal livestock management practices on a farm
38or ranch.

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P5    1(g) Home-generated pharmaceutical waste, including, but not
2limited to, consolidated home-generated pharmaceutical waste,
3that is handled by a collection and disposal program operating in
4accordance with the regulations adopted by the Department of
5Resources Recycling and Recovery pursuant to Article 3.4
6(commencing with Section 47120) of Chapter 1 of Part 7 of
7Division 30 of the Public Resources Code.

end insert
8begin insert

begin insertSEC. 4.end insert  

end insert

begin insertArticle 3.4 (commencing with Section 47120) is added
9to Chapter 1 of Part 7 of Division 30 of the end insert
begin insertPublic Resources Codeend insertbegin insert,
10to read:end insert

begin insert

11 

12Article begin insert3.4.end insert  Home-Generated Pharmaceutical Waste Collection
13and Disposal
14

 

15

begin insert47120.end insert  

For the purposes of this article, the following terms
16have the following meanings, unless the context clearly requires
17otherwise:

18(a) “Consumer” means an individual purchaser or owner of a
19pharmaceutical. “Consumer” does not include a business,
20corporation, limited partnership, or an entity involved in a
21wholesale transaction between a distributor and retailer.

22(b) “Entity” means a state or local public agency, pharmacy,
23veterinarian clinic, or other office or facility that provides medical
24services.

25(c) “Home-generated pharmaceutical waste” has the same
26meaning as defined in Section 117670.1 of the Health and Safety
27Code, and includes all of the following:

28(1) Articles recognized in the official United States
29Pharmacopoeia, the official National Formulary, the official
30Homeopathic Pharmacopoeia of the United States, or any
31supplement of the formulary or those pharmacopoeias.

32(2) Articles intended for use in the diagnosis, cure, mitigation,
33treatment, or prevention of disease in humans or other animals.

34(3) Articles, excluding food, intended to affect the structure or
35function of the body of humans or other animals.

36(4) Articles intended for use as a component of an article
37specified in paragraph (1), (2), or (3).

38(d) “Participant” means an entity that the department deems
39appropriate for implementing and evaluating a program in
P6    1accordance with the regulations adopted pursuant to this article
2and that chooses to participate.

3(e) “Sale” includes, but is not limited to, transactions conducted
4through sales outlets, catalogs, or the Internet, or any other similar
5electronic means, but does not include a sale that is a wholesale
6transaction with a distributor or retailer.

7

begin insert47121.end insert  

(a) The department shall adopt regulations authorizing
8a participant to establish a program to collect and properly dispose
9of home-generated pharmaceutical waste. The regulations shall
10be based upon the model guidelines developed by the department
11pursuant to former Section 47122, as that section read on January
121, 2012, shall include the requirements specified in subdivision
13(b), and shall include the provisions specified in subdivisions (c)
14and (d).

15(b) The regulations adopted pursuant to this section shall
16require a participant to take all of the following actions:

17(1) Provide, at no additional cost to the consumer, for the safe
18take back and proper disposal of the type or brand of
19pharmaceuticals that the participant sells or previously sold.

20(2) Ensure the protection of the public health and safety, the
21environment, and the health and safety of consumers and
22employees.

23(3) Report to the department, for purposes of evaluation, the
24safety, efficiency, effectiveness, and funding sustainability of the
25implemented program.

26(4) Protect against the potential for the diversion of
27pharmaceutical waste for unlawful use or sale.

28(5) Provide notices and materials to consumers that provide
29information about the potential impacts of improper disposal of
30home-generated pharmaceutical waste and the return opportunities
31for the proper disposal of home-generated pharmaceutical waste.
32Those materials shall include, but are not limited to, all of the
33following:

34(A) Internet Web site links.

35(B) Telephone numbers placed on an invoice or purchase order,
36or packaged with a pharmaceutical.

37(C) Information about the opportunities and locations for
38no-cost home-generated pharmaceutical waste disposal.

39(D) Signage that is prominently displayed and easily visible to
40the consumer.

P7    1(E) Written materials provided to the consumer at the time of
2purchase or delivery.

3(F) Reference to the home-generated pharmaceutical waste take
4back opportunity in advertising or other promotional materials.

5(G) Direct communications with the consumer at the time of
6purchase.

7(c) The regulations adopted pursuant to this section shall
8provide for all of the following:

9(1) Specify the types of participants authorized to maintain
10permanent collection locations.

11(2) Establish requirements for obtaining local or state permits
12or approvals.

13(3) Require participants to enter into arrangements with medical
14or hazardous waste haulers, including ensuring that all
15home-generated pharmaceutical waste is appropriately picked up
16and transported by registered waste haulers.

17(4) Specify which home-generated pharmaceutical wastes may
18be included in a program, including requirements for the collection
19of a controlled substance, as defined in Section 11007 of the Health
20and Safety Code.

21(5) Specify methods for handling wastes commingled in
22containers with other household waste or hazardous waste.

23(6) Provide methods for collecting and storing home-generated
24pharmaceutical waste, including the use of secured containers,
25and ensure that collected home-generated pharmaceutical waste
26is not resold, reused, sold, donated, or provided to anyone other
27than a registered medical or hazardous waste hauler.

28(7) Provide that a facility that collects home-generated
29pharmaceutical waste becomes the generator of the pharmaceutical
30waste, and is responsible for ensuring that the storage, removal,
31and transportation of containers and the disposal of the waste are
32in compliance with state laws and regulations.

33(8) Require the collection and retention of detailed information
34and invoices for each collection site.

35(9) Impose requirements for one-time or periodic collection
36events.

37(10) Impose requirements for mail-back collection and disposal
38programs.

39(d) The department shall include, in the regulations adopted
40pursuant to this section, provisions for the appropriate
P8    1management of consolidated home-generated pharmaceutical
2waste to ensure the public health and safety.

3(e) The department may revise the regulations adopted pursuant
4to this article, as deemed necessary by the department, if the
5revision provides an equivalent or greater level of safety.

6

begin insert47122.end insert  

(a) An entity that elects to implement a home-generated
7pharmaceutical waste program shall comply with the regulations
8adopted pursuant to this article.

9(b) A participant operating a program in accordance with the
10regulations adopted pursuant to this article shall be deemed in
11compliance with all state laws and regulations concerning the
12handling, management, and disposal of home-generated
13pharmaceutical waste.

end insert
14begin insert

begin insertSEC. 5.end insert  

end insert
begin insert

No reimbursement is required by this act pursuant to
15Section 6 of Article XIII B of the California Constitution because
16the only costs that may be incurred by a local agency or school
17district will be incurred because this act creates a new crime or
18infraction, eliminates a crime or infraction, or changes the penalty
19for a crime or infraction, within the meaning of Section 17556 of
20the Government Code, or changes the definition of a crime within
21the meaning of Section 6 of Article XIII B of the California
22Constitution.

end insert

All matter omitted in this version of the bill appears in the bill as amended in the Senate, April 1, 2014. (JR11)



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