Florida Senate - 2019                          SENATOR AMENDMENT
       Bill No. CS for CS for HB 1115
       
       
       
       
       
       
                                Ì4808728Î480872                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
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       Senator Harrell moved the following:
       
    1         Senate Amendment to House Amendment (489627) to Senate
    2  Amendment (with title amendment)
    3  
    4         Delete lines 8 - 103
    5  and insert:
    6         (4)(a) Medicinal drugs shall be dispensed in an
    7  institutional pharmacy to outpatients only when that institution
    8  has secured a community pharmacy permit from the department.
    9  However, an individual licensed to prescribe medicinal drugs in
   10  this state may be dispensed by dispense up to a 24-hour supply
   11  of a medicinal drug to any patient of an emergency department of
   12  a hospital that operates a Class II or Class III institutional
   13  pharmacy to a patient of the hospital’s emergency department or
   14  a hospital inpatient upon discharge, if a prescriber provided
   15  that the physician treating the patient in such hospital
   16  hospital’s emergency department determines that the medicinal
   17  drug is warranted and that community pharmacy services are not
   18  readily accessible, geographically or otherwise, to the patient.
   19  Such prescribing and dispensing from the emergency department
   20  must be in accordance with the procedures of the hospital. For
   21  any such patient for whom a medicinal drug is warranted for a
   22  period to exceed 24 hours, an individual licensed to prescribe
   23  such drug must be for the greater of dispense a 24-hour supply
   24  of such drug or a supply of such drug which must last the
   25  patient until the next business day, to the patient and the
   26  prescriber must provide the patient with a prescription for such
   27  drug for use after such the initial 24-hour period.
   28         (b) Notwithstanding paragraph (a), if a state of emergency
   29  has been declared for an area of the state pursuant to s.
   30  252.36, an individual licensed to prescribe medicinal drugs in
   31  this state may dispense up to a 72-hour supply of a medicinal
   32  drug to any patient of, or patient discharged from, an emergency
   33  department of a hospital located in that area which operates a
   34  Class II or Class III institutional pharmacy, provided that the
   35  physician who is treating the patient in such hospital’s
   36  emergency department, or who is treating the discharged patient,
   37  determines that the medicinal drug is warranted and that
   38  community pharmacy services are not readily accessible,
   39  geographically or otherwise, to the patient. Such dispensing
   40  from the emergency department to any patient, including a
   41  discharged patient, must be in accordance with the procedures of
   42  the hospital. For any such patient for whom a medicinal drug is
   43  warranted for a period to exceed 72 hours, an individual
   44  licensed to prescribe such drug shall dispense a 72-hour supply
   45  of such drug to the patient and shall provide the patient with a
   46  prescription for such drug for use after the initial 72-hour
   47  period.
   48         (c) The board may adopt rules necessary to implement carry
   49  out the provisions of this subsection.
   50         Section 2. Section 465.0235, Florida Statutes, is amended
   51  to read:
   52         465.0235 Automated pharmacy systems used by long-term care
   53  facilities, hospices, or state correctional institutions or for
   54  outpatient dispensing.—
   55         (1) A pharmacy may provide pharmacy services to a long-term
   56  care facility or hospice licensed under chapter 400 or chapter
   57  429 or a state correctional institution operated under chapter
   58  944 through the use of an automated pharmacy system that need
   59  not be located at the same location as the pharmacy.
   60         (2)A community pharmacy, as defined in s. 465.003 and
   61  licensed in this state, may provide pharmacy services for
   62  outpatient dispensing through the use of an automated pharmacy
   63  system that need not be located at the same location as the
   64  community pharmacy if:
   65         (a)The automated pharmacy system is under the supervision
   66  and control of the community pharmacy;
   67         (b)The community pharmacy providing services through the
   68  automated pharmacy system notifies the board of the location of
   69  the automated pharmacy system and any changes in such location;
   70         (c)The automated pharmacy system is under the supervision
   71  and control of a pharmacist, as defined in s. 465.003 and
   72  licensed in this state, who is available and accessible for
   73  patient counseling before the dispensing of any medicinal drug;
   74         (d)The automated pharmacy system does not contain or
   75  dispense any controlled substances listed in Schedule II,
   76  Schedule III, Schedule IV, or Schedule V of s. 893.03 or 21
   77  U.S.C. s. 812;
   78         (e)Any prescription drug dispensed through the automated
   79  pharmacy system must be dispensed for the refill of a
   80  prescription that was initially filled through an in-person
   81  encounter with a pharmacist or other person authorized under
   82  this chapter to dispense the drug in the community pharmacy;
   83         (f)The community pharmacy maintains a record of the
   84  medicinal drugs dispensed, including the identity of the
   85  pharmacist responsible for verifying the accuracy of the dosage
   86  and directions and providing patient counseling; and
   87         (g)The automated pharmacy system ensures the
   88  confidentiality of personal health information.
   89         (3)(2) Medicinal drugs stored in bulk or unit of use in an
   90  automated pharmacy system servicing a long-term care facility,
   91  hospice, or correctional institution, or for outpatient
   92  dispensing, are part of the inventory of the pharmacy providing
   93  pharmacy services to that facility, hospice, or institution, or
   94  for outpatient dispensing, and medicinal drugs delivered by the
   95  automated pharmacy system are considered to have been dispensed
   96  by that pharmacy.
   97         (4)(3) The operation of an automated pharmacy system must
   98  be under the supervision of a Florida-licensed pharmacist
   99  licensed in this state. To qualify as a supervisor for an
  100  automated pharmacy system, the pharmacist need not be physically
  101  present at the site of the automated pharmacy system and may
  102  supervise the system electronically. The Florida-licensed
  103  pharmacist shall be required to develop and implement policies
  104  and procedures designed to verify that the medicinal drugs
  105  delivered by the automated dispensing system are accurate and
  106  valid and that the machine is properly restocked.
  107         (5)(4) The Legislature does not intend this section to
  108  limit the current practice of pharmacy in this state. This
  109  section is intended to allow automated pharmacy systems to
  110  enhance the ability of a pharmacist to provide pharmacy services
  111  in locations that do not employ a full-time pharmacist. This
  112  section does not limit or replace the use of a consultant
  113  pharmacist.
  114         (6)(5) The board shall adopt rules governing the use of an
  115  automated pharmacy systems system by January 1, 2005, which must
  116  include specify:
  117         (a) Recordkeeping requirements;
  118         (b) Security requirements; and
  119         (c) Labeling requirements that permit the use of unit-dose
  120  medications if the facility, hospice, or institution maintains
  121  medication-administration records that include directions for
  122  use of the medication and the automated pharmacy system
  123  identifies:
  124         1. The dispensing pharmacy;
  125         2. The prescription number;
  126         3. The name of the patient; and
  127  
  128  ================= T I T L E  A M E N D M E N T ================
  129  And the title is amended as follows:
  130         Delete line 392
  131  and insert:
  132         a hospital under certain circumstances; authorizing
  133         such individuals to dispense a 72-hour supply of such
  134         drugs if a state of emergency has been declared in the
  135         area; authorizing such individuals to provide
  136         prescriptions for an additional supply of such drugs
  137         under certain circumstances; amending s.