Senate Bill sb1408

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    Florida Senate - 2006                                  SB 1408

    By the Committee on Health Care





    587-941A-06

  1                      A bill to be entitled

  2         An act relating to medical records; amending s.

  3         456.057, F.S.; providing definitions; requiring

  4         a health care practitioner's employer who is a

  5         records owner and a records custodian to comply

  6         with specified requirements for confidentiality

  7         and disclosure; amending s. 456.42, F.S.;

  8         providing requirements for prescriptions of

  9         medicinal drugs by health care practitioners

10         which are electronically generated or

11         transmitted; amending s. 465.025, F.S.;

12         specifying requirements for a prescriber to

13         prevent generic substitution of brand name

14         drugs when a prescription is electronically

15         transmitted or generated; providing an

16         effective date.

17  

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

19  

20         Section 1.  Present subsections (3) through (19) of

21  section 456.057, Florida Statutes, are redesignated as

22  subsections (5) through (21), respectively, and new

23  subsections (3) and (4) are added to that section, to read:

24         456.057  Ownership and control of patient records;

25  report or copies of records to be furnished.--

26         (3)  As used in this section, the term "records

27  custodian" means any person or entity that:

28         (a)  Maintains documents that are authorized in

29  subsection (2); or

30         (b)  Obtains medical records from a records owner.

31  

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    Florida Senate - 2006                                  SB 1408
    587-941A-06




 1         (4)  Any health care practitioner's employer who is a

 2  records owner and any records custodian shall maintain records

 3  or documents as provided under the confidentiality and

 4  disclosure requirements of this section.

 5         Section 2.  Section 456.42, Florida Statutes, is

 6  amended to read:

 7         456.42  Written prescriptions for medicinal drugs.--A

 8  written prescription for a medicinal drug issued by a health

 9  care practitioner licensed by law to prescribe such drug must

10  be legibly printed or typed so as to be capable of being

11  understood by the pharmacist filling the prescription; must

12  contain the name of the prescribing practitioner, the name and

13  strength of the drug prescribed, the quantity of the drug

14  prescribed in both textual and numerical formats, and the

15  directions for use of the drug; must be dated with the month

16  written out in textual letters; and must be signed by the

17  prescribing practitioner on the day when issued. However, a

18  prescription that is electronically generated and transmitted

19  must contain the name of the prescribing practitioner, the

20  name and strength of the drug prescribed, the quantity of the

21  drug prescribed in numerical format, and the direction for use

22  of the drug and must be dated and signed by the prescribing

23  practitioner only on the day issued, which signature may be in

24  an electronic format as defined in s. 668.003(4).

25         Section 3.  Subsection (2) of section 465.025, Florida

26  Statutes, is amended to read:

27         465.025  Substitution of drugs.--

28         (2)  A pharmacist who receives a prescription for a

29  brand name drug shall, unless requested otherwise by the

30  purchaser, substitute a less expensive, generically equivalent

31  drug product that is:

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    Florida Senate - 2006                                  SB 1408
    587-941A-06




 1         (a)  Distributed by a business entity doing business,

 2  and subject to suit and service of legal process, in the

 3  United States; and

 4         (b)  Listed in the formulary of generic and brand name

 5  drug products as provided in subsection (5) for the brand name

 6  drug prescribed,

 7  

 8  unless the prescriber writes the words "MEDICALLY NECESSARY,"

 9  in her or his own handwriting, on the face of a written

10  prescription; or unless, in the case of an oral prescription,

11  the prescriber expressly indicates to the pharmacist that the

12  brand name drug prescribed is medically necessary; or unless,

13  in the case of a prescription that is electronically generated

14  and transmitted, the prescriber makes an overt act when

15  transmitting the prescription to indicate that the brand name

16  drug prescribed is medically necessary. When done in

17  conjunction with the electronic transmission of the

18  prescription, the prescriber's overt act indicates to the

19  pharmacist that the brand name drug prescribed is medically

20  necessary.

21         Section 4.  This act shall take effect July 1, 2006.

22  

23            *****************************************

24                          SENATE SUMMARY

25    Requires a health care practitioner's employer who is a
      records owner and a records custodian to comply with
26    specified requirements for confidentiality and
      disclosure. Provides requirements on electronically
27    generated or transmitted prescriptions of medicinal drugs
      by health care practitioners. Specifies requirements for
28    a prescriber to prevent generic substitution of brand
      name drugs when a prescription is electronically
29    transmitted or generated.

30  

31  

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