Senate Bill sb7060pb

CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006   (PROPOSED COMMITTEE BILL)     SPB 7060

    FOR CONSIDERATION By the Committee on Health Care





    587-941-06

  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         clarifying that certain requirements for

  9         written prescriptions of medicinal drugs apply

10         to handwritten prescriptions by health care

11         practitioners; 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  

                                  1

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2006   (PROPOSED COMMITTEE BILL)     SPB 7060
    587-941-06




 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  Handwritten Written prescriptions for medicinal

 8  drugs.--A handwritten written prescription for a medicinal

 9  drug issued by a health care practitioner licensed by law to

10  prescribe such drug must be legibly printed or typed so as to

11  be capable of being understood by the pharmacist filling the

12  prescription; must contain the name of the prescribing

13  practitioner, the name and strength of the drug prescribed,

14  the quantity of the drug prescribed in both textual and

15  numerical formats, and the directions for use of the drug;

16  must be dated with the month written out in textual letters;

17  and must be signed by the prescribing practitioner on the day

18  when issued.

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

20  Statutes, is amended to read:

21         465.025  Substitution of drugs.--

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

23  brand name drug shall, unless requested otherwise by the

24  purchaser, substitute a less expensive, generically equivalent

25  drug product that is:

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

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

28  United States; and

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

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

31  drug prescribed,

                                  2

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2006   (PROPOSED COMMITTEE BILL)     SPB 7060
    587-941-06




 1  

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

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

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

 5  the prescriber expressly indicates to the pharmacist that the

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

 7  in the case of a prescription that is electronically generated

 8  and transmitted, the prescriber makes an overt act when

 9  transmitting the prescription to indicate that the brand name

10  drug prescribed is medically necessary. When done in

11  conjunction with the electronic transmission of the

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

13  pharmacist that the brand name drug prescribed is medically

14  necessary.

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

16  

17            *****************************************

18                          SENATE SUMMARY

19    Requires a health care practitioner's employer who is a
      records owner and a records custodian to comply with
20    specified requirements for confidentiality and
      disclosure. Provides that certain requirements on written
21    prescriptions of medicinal drugs be limited to
      handwritten prescriptions by health care practitioners.
22    Specifies requirements for a prescriber to prevent
      generic substitution of brand name drugs when a
23    prescription is electronically transmitted or generated.

24  

25  

26  

27  

28  

29  

30  

31  

                                  3

CODING: Words stricken are deletions; words underlined are additions.