House Bill hb0813c1

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    Florida House of Representatives - 2001              CS/HB 813

        By the Committee on Health Regulation and Representative
    Justice





  1                      A bill to be entitled

  2         An act relating to pharmacists; providing a

  3         short title; creating s. 465.0165, F.S.;

  4         defining the term "pharmaceutical adverse

  5         incident" and requiring that such incidents be

  6         reported to the Department of Health; providing

  7         that such incident reports are not discoverable

  8         or admissible in any civil or administrative

  9         action, except disciplinary proceedings;

10         requiring the department to review reported

11         incidents to determine if the incidents

12         potentially involve conduct by a health care

13         practitioner that is subject to disciplinary

14         action; specifying that any disciplinary action

15         shall be taken by the appropriate board;

16         providing for the adoption of rules and forms;

17         requiring the department to publish

18         pharmaceutical adverse incident information on

19         its website; providing exemptions from

20         reporting requirements; providing contingent

21         effective dates.

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23  Be It Enacted by the Legislature of the State of Florida:

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25         Section 1.  This act may be cited as the "Ernest Belles

26  Act."

27         Section 2.  Section 465.0165, Florida Statutes, is

28  created to read:

29         465.0165  Reports of pharmaceutical adverse

30  incidents.--

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    Florida House of Representatives - 2001              CS/HB 813

    601-197-01






  1         (1)  As used in this section, the term "pharmaceutical

  2  adverse incident" means the dispensing of a different

  3  medication, a different dose, or the correct medication in a

  4  container with different instructions than that specified in

  5  the prescription, which results in actual harm to the patient,

  6  but does not include the dispensing of a generic equivalent

  7  medication with the patient's consent.

  8         (2)(a)  A pharmacist licensed under chapter 465, or

  9  other health care practitioner as defined in s. 456.001, who

10  becomes aware of a patient alleging that a pharmaceutical

11  adverse incident occurred which was caused by a health care

12  practitioner, must report such incident to the Department of

13  Health on forms provided by the department. The pharmaceutical

14  adverse incident report is not discoverable or admissible in

15  any civil or administrative action, except in disciplinary

16  proceedings by the department or the appropriate regulatory

17  board.

18         (b)  This subsection shall take effect only upon the

19  effective date of legislation that makes any such information

20  provided to the department confidential and exempt from s.

21  119.07(1) and s. 24(a), Art. I of the State Constitution,

22  until 10 days after probable cause is found that a violation

23  of law occurred. Such legislation must also provide that

24  information may only be used by the department or the Board of

25  Pharmacy in a disciplinary proceeding brought against the

26  pharmacist or by the department in any study of adverse

27  incidents without identifying the patient, pharmacist,

28  pharmacy, office, or entity by name, location, or other

29  identifier.

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    Florida House of Representatives - 2001              CS/HB 813

    601-197-01






  1         (3)  The required notification to the department must

  2  be submitted in writing by certified mail and postmarked

  3  within 15 days after the occurrence of the adverse incident.

  4         (4)  Effective July 1, 2003, subject to subsequent act

  5  of the Legislature and a specific appropriation sufficient to

  6  cover the actual costs, the department shall review each

  7  incident and determine whether it potentially involved conduct

  8  by a pharmacist or health care practitioner who is subject to

  9  disciplinary action, in which case s. 456.073 applies.

10  Disciplinary action, if any, shall be taken by the board under

11  which the pharmacist or health care practitioner is licensed.

12         (5)  The department shall adopt forms and rules for

13  administering this section.

14         (6)  The department shall publish on its website, no

15  less than quarterly, a summary and trend analysis of

16  pharmaceutical adverse incidents received pursuant to this

17  section, which shall not include information that would

18  identify the patients or the health care practitioners

19  involved. The purpose of the publication of the summary and

20  trend analysis is to promote the rapid dissemination of

21  information relating to adverse incidents to assist in the

22  avoidance of similar incidents and reduce patient harm.

23         (7)  The provisions of this section shall not apply to:

24         (a)  Pharmacists employed by pharmacies participating

25  in the reporting program provided by Rule 64B16-27.300,

26  Florida Administrative Code; or

27         (b)  Pharmacists employed by pharmacies notifying the

28  Board of Pharmacy that they will establish a continuous

29  quality improvement program consistent with the requirements

30  of Rule 64B16-27.300, Florida Administrative Code.

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    Florida House of Representatives - 2001              CS/HB 813

    601-197-01






  1         (8)  Pharmacies located in facilities that are

  2  operating medical review committees pursuant to s.

  3  766.101(1)(a) shall be governed by the reporting requirements

  4  in Rule 64B16-27.300, Florida Administrative Code, in lieu of

  5  the requirements of this section.

  6         Section 3.  Except as otherwise provided herein, this

  7  act shall take effect on the same date as, but not be

  8  effective unless and until such time as, legislation amending

  9  s. 766.101, Florida Statutes, to include a continuous quality

10  improvement committee of a pharmacy licensed pursuant to

11  chapter 465, Florida Statutes, within the provisions of s.

12  766.101(1), Florida Statutes, if such legislation is adopted

13  in the same legislative session or an extension thereof and

14  becomes a law.

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