Florida Senate - 2007                      COMMITTEE AMENDMENT
    Bill No. CS for SB 2100
                        Barcode 483374
                            CHAMBER ACTION
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       04/13/2007 02:38 PM         .                    
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11  The Committee on Health and Human Services Appropriations
12  (Peaden) recommended the following amendment:
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14         Senate Amendment (with title amendment) 
15         Delete everything after the enacting clause
16  
17  and insert:  
18         Section 1.  Effective January 1, 2009, section 465.014,
19  Florida Statutes, is amended to read:
20         465.014  Pharmacy technician.--
21         (1)  A No person other than a licensed pharmacist or
22  pharmacy intern may not engage in the practice of the
23  profession of pharmacy, except that a licensed pharmacist may
24  delegate to nonlicensed pharmacy technicians registered
25  pursuant to this section those duties, tasks, and functions
26  which do not fall within the purview of s. 465.003(13). All
27  such delegated acts shall be performed under the direct
28  supervision of a licensed pharmacist who shall be responsible
29  for all such acts performed by persons under his or her
30  supervision. A registered pharmacy technician, under the
31  supervision of a pharmacist, may initiate or receive
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Florida Senate - 2007 COMMITTEE AMENDMENT Bill No. CS for SB 2100 Barcode 483374 1 communications with a practitioner or his or her agent, on 2 behalf of a patient, regarding refill authorization requests. 3 A No licensed pharmacist may not shall supervise more than one 4 registered pharmacy technician unless otherwise permitted by 5 the guidelines adopted by the board. The board shall establish 6 guidelines to be followed by licensees or permittees in 7 determining the circumstances under which a licensed 8 pharmacist may supervise up to four registered more than one 9 but not more than three pharmacy technicians. 10 (2) Any person who wishes to work as a pharmacy 11 technician in this state must register by filing an 12 application with the board on a form adopted by rule of the 13 board. The board shall register each applicant who has 14 remitted a registration fee set by the board, not to exceed 15 $50 biennially; has completed the application form and 16 remitted a nonrefundable application fee set by the board, not 17 to exceed $50; and is at least 16 years of age. 18 (3) A person whose license to practice pharmacy has 19 been denied, suspended, or restricted for disciplinary 20 purposes is not eligible to be registered as a pharmacy 21 technician. 22 (4) Notwithstanding the requirements of this section 23 or any other provision of law, a pharmacy technician student 24 may be placed in a pharmacy for the purpose of obtaining 25 practical training required by the body accrediting the 26 pharmacy technician training program. A pharmacy technician 27 student shall wear identification that indicates his or her 28 student status when performing the functions of a pharmacy 29 technician, and registration under this section is not 30 required. 31 (5) Notwithstanding the requirements of this section 2 2:48 PM 04/06/07 s2100c1d-ha02-th3
Florida Senate - 2007 COMMITTEE AMENDMENT Bill No. CS for SB 2100 Barcode 483374 1 or any other provision of law, a person licensed by the state 2 as a pharmacy intern may be employed as a registered pharmacy 3 technician without paying a registration fee or filing an 4 application with the board to register as a pharmacy 5 technician. 6 (6) As a condition of registration renewal, a pharmacy 7 technician shall complete 20 hours biennially of continuing 8 education courses approved by the board or the Accreditation 9 Council for Pharmaceutical Education, of which 4 hours must be 10 via live presentation and 2 hours must be related to the 11 prevention of medication errors and pharmacy law. 12 (7) The board shall adopt rules that require each 13 registration issued by the board under this section to be 14 displayed in such a manner as to make it available to the 15 public and to facilitate inspection by the department and such 16 other rules as necessary to administer the provisions of this 17 section. 18 (8) If the board finds that an applicant for 19 registration as a pharmacy technician or that a registered 20 pharmacy technician has committed an act that constitutes 21 grounds for discipline as set forth in s. 456.072(1) or has 22 committed an act that constitutes grounds for denial of a 23 license or disciplinary action as set forth in this chapter, 24 including an act that constitutes a substantial violation of 25 s. 456.072(1) or a violation of this chapter which occurred 26 before the applicant or registrant was registered as a 27 pharmacy technician, the board may enter an order imposing any 28 of the penalties specified in s. 456.072(2) against the 29 applicant or registrant. 30 (9) The board shall adopt rules requiring and 31 specifying the manner in which a pharmacy shall notify the 3 2:48 PM 04/06/07 s2100c1d-ha02-th3
Florida Senate - 2007 COMMITTEE AMENDMENT Bill No. CS for SB 2100 Barcode 483374 1 board when a registered technician is employed or ceases 2 employment with the pharmacy. 3 (10) The board shall maintain a current directory of 4 registered pharmacy technicians indicating their place of 5 employment and which must be published on the Internet. 6 Section 2. Effective January 1, 2009, paragraph (d) is 7 added to subsection (3) of section 465.015, Florida Statutes, 8 to read: 9 465.015 Violations and penalties.-- 10 (3) 11 (d) It is unlawful for a person who is not registered 12 as a pharmacy technician under this chapter, or who is not 13 otherwise exempt from the requirement to register as a 14 pharmacy technician, to perform the functions of a registered 15 pharmacy technician or hold himself or herself out to others 16 as a person who is registered to perform the functions of a 17 registered pharmacy technician in this state. 18 Section 3. Effective January 1, 2009, subsection (5) 19 of section 465.019, Florida Statutes, is amended to read: 20 465.019 Institutional pharmacies; permits.-- 21 (5) All institutional pharmacies shall be under the 22 professional supervision of a consultant pharmacist, and the 23 compounding and dispensing of medicinal drugs shall be done 24 only by a licensed pharmacist. Every institutional pharmacy 25 that employs or otherwise utilizes registered pharmacy 26 technicians shall have a written policy and procedures manual 27 specifying those duties, tasks, and functions which a pharmacy 28 technician is allowed to perform. 29 Section 4. Effective January 1, 2009, section 30 465.0196, Florida Statutes, is amended to read: 31 465.0196 Special pharmacy permits.--Any person 4 2:48 PM 04/06/07 s2100c1d-ha02-th3
Florida Senate - 2007 COMMITTEE AMENDMENT Bill No. CS for SB 2100 Barcode 483374 1 desiring a permit to operate a special pharmacy shall apply to 2 the department for a special pharmacy permit. If the board 3 certifies that the application complies with the applicable 4 laws and rules of the board governing the practice of the 5 profession of pharmacy, the department shall issue the permit. 6 No permit shall be issued unless a licensed pharmacist is 7 designated to undertake the professional supervision of the 8 compounding and dispensing of all drugs dispensed by the 9 pharmacy. The licensed pharmacist shall be responsible for 10 maintaining all drug records and for providing for the 11 security of the area in the facility in which the compounding, 12 storing, and dispensing of medicinal drugs occurs. The 13 permittee shall notify the department within 10 days of any 14 change of the licensed pharmacist responsible for such duties. 15 Every permittee that employs or otherwise utilizes pharmacy 16 technicians shall have a written policy and procedures manual 17 specifying those duties, tasks, and functions which a 18 registered pharmacy technician is allowed to perform. 19 Section 5. Effective January 1, 2009, subsection (1) 20 of section 465.0197, Florida Statutes, is amended to read: 21 465.0197 Internet pharmacy permits.-- 22 (1) Any person desiring a permit to operate an 23 Internet pharmacy shall apply to the department for an 24 Internet pharmacy permit. If the board certifies that the 25 application complies with the applicable laws and rules of the 26 board governing the practice of the profession of pharmacy, 27 the department shall issue the permit. No permit shall be 28 issued unless a licensed pharmacist is designated as the 29 prescription department manager for dispensing medicinal drugs 30 to persons in this state. The licensed pharmacist shall be 31 responsible for maintaining all drug records and for providing 5 2:48 PM 04/06/07 s2100c1d-ha02-th3
Florida Senate - 2007 COMMITTEE AMENDMENT Bill No. CS for SB 2100 Barcode 483374 1 for the security of the area in the facility in which the 2 compounding, storing, and dispensing of medicinal drugs to 3 persons in this state occurs. The permittee shall notify the 4 department within 30 days of any change of the licensed 5 pharmacist responsible for such duties. Every permittee that 6 employs or otherwise utilizes registered pharmacy technicians 7 shall have a written policy and procedures manual specifying 8 those duties, tasks, and functions which a registered pharmacy 9 technician is allowed to perform. 10 Section 6. Section 465.0235, Florida Statutes, is 11 amended to read: 12 465.0235 Automated pharmacy systems used by long-term 13 care facilities, hospices, or state correctional institutions, 14 or pharmacies.-- 15 (1) A pharmacy may provide pharmacy services through 16 the use of an automated pharmacy system located on its 17 premises and may provide pharmacy services to a long-term care 18 facility or hospice licensed under chapter 400 or chapter 429 19 or a state correctional institution operated under chapter 944 20 through the use of an automated pharmacy system that need not 21 be located at the same location as the pharmacy. 22 (2) Medicinal drugs stored in bulk or unit of use in 23 an automated pharmacy system servicing a long-term care 24 facility, hospice, or correctional institution, or pharmacy 25 are part of the inventory of the pharmacy providing pharmacy 26 services to that facility, hospice, or institution, or 27 pharmacy and drugs delivered by the automated pharmacy system 28 are considered to have been dispensed by that pharmacy and 29 certified by a pharmacist. Automated pharmacy systems shall 30 not dispense substances controlled in Schedule I of s. 893.03. 31 (3) The operation of an automated pharmacy system must 6 2:48 PM 04/06/07 s2100c1d-ha02-th3
Florida Senate - 2007 COMMITTEE AMENDMENT Bill No. CS for SB 2100 Barcode 483374 1 be under the supervision of a Florida-licensed pharmacist. To 2 qualify as a supervisor for an automated pharmacy system, the 3 pharmacist need not be physically present at the site of the 4 automated pharmacy system and may supervise the system 5 electronically. The Florida-licensed pharmacist shall be 6 required to develop and implement policies and procedures 7 designed to verify that the medicinal drugs delivered by the 8 automated dispensing system are accurate and valid and that 9 the machine is properly restocked. 10 (4) The Legislature does not intend this section to 11 limit the current practice of pharmacy in this state. This 12 section is intended to allow automated pharmacy systems to 13 enhance the ability of a pharmacist to provide pharmacy 14 services in locations that may do not employ a full-time 15 pharmacist. This section does not limit or replace the use of 16 a consultant pharmacist. 17 (5) The board shall adopt rules governing the use of 18 an automated pharmacy system by January 1, 2008 2005, which 19 must specify: 20 (a) Recordkeeping requirements; 21 (b) Security requirements, including a photographic 22 record of the recipient if the drug is dispensed directly to 23 the recipient in a public location; and 24 (c) Labeling requirements that permit the use of 25 unit-dose medications if the facility, hospice, or 26 institution, or pharmacy maintains medication-administration 27 records that include directions for use of the medication and 28 the automated pharmacy system identifies: 29 1. The dispensing pharmacy; 30 2. The prescription number; 31 3. The name of the patient; and 7 2:48 PM 04/06/07 s2100c1d-ha02-th3
Florida Senate - 2007 COMMITTEE AMENDMENT Bill No. CS for SB 2100 Barcode 483374 1 4. The name of the prescribing practitioner. 2 Section 7. Except as otherwise expressly provided in 3 this act, this act shall take effect upon becoming a law. 4 5 6 ================ T I T L E A M E N D M E N T =============== 7 And the title is amended as follows: 8 Delete everything before the enacting clause 9 10 and insert: 11 A bill to be entitled 12 An act relating to pharmacy technicians; 13 amending s. 465.014, F.S.; providing for the 14 registration of pharmacy technicians; requiring 15 the Board of Pharmacy to set fees and rules to 16 register pharmacy technicians; providing 17 qualification requirements; providing a 18 limitation; exempting pharmacy technician 19 students and licensed pharmacy interns from 20 certain registration requirements; providing 21 continuing education requirements for 22 registration renewal; requiring the board to 23 adopt rules; providing grounds for denial, 24 suspension, or revocation of registration or 25 other disciplinary action; authorizing the 26 board to impose certain penalties; requiring 27 the board to adopt rules requiring a pharmacy 28 to notify the board when employing technicians; 29 requiring the board to maintain a directory of 30 technicians and publish the directory on the 31 Internet; amending s. 465.015, F.S.; 8 2:48 PM 04/06/07 s2100c1d-ha02-th3
Florida Senate - 2007 COMMITTEE AMENDMENT Bill No. CS for SB 2100 Barcode 483374 1 prohibiting a person who is not registered as a 2 pharmacy technician from performing certain 3 functions or holding himself or herself out to 4 others as a pharmacy technician; amending ss. 5 465.019, 465.0196, and 465.0197, F.S.; 6 conforming references; amending s. 465.0235, 7 F.S.; authorizing pharmacies to use an 8 automated pharmacy system located on its 9 premises; prohibiting automated pharmacy 10 systems from dispensing substances controlled 11 in Schedule I of ch. 893, F.S.; requiring the 12 Board of Pharmacy to adopt rules for the 13 security of an automated pharmacy system which 14 require a photographic record of the recipient 15 if the drug is dispensed directly to the 16 recipient in a public location; providing 17 effective dates. 18 19 20 21 22 23 24 25 26 27 28 29 30 31 9 2:48 PM 04/06/07 s2100c1d-ha02-th3