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H.B. 17

             1     

EXPEDITED PARTNER THERAPY TREATMENT

             2     
2009 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Jennifer M. Seelig

             5     
Senate Sponsor: Stephen H. Urquhart

             6     
             7      LONG TITLE
             8      Committee Note:
             9          The Health and Human Services Interim Committee recommended this bill.
             10      General Description:
             11          This bill amends the Pharmacy Practice Act in the Division of Occupational and
             12      Professional Licensing Act.
             13      Highlighted Provisions:
             14          This bill:
             15          .    defines terms;
             16          .    excludes from the definition of unprofessional conduct and unlawful conduct under
             17      the Division of Occupational and Professional Licensing, issuing a prescription for
             18      an antibiotic to an unnamed partner of a person who has any one of certain
             19      designated sexually transmitted diseases;
             20          .    does not mandate the use of expedited partner therapy;
             21          .    provides an option for physicians to use expedited partner therapy;
             22          .    makes conforming changes to the Pharmacy Practices Act; and
             23          .    makes technical changes.
             24      Monies Appropriated in this Bill:
             25          None
             26      Other Special Clauses:
             27          None


             28      Utah Code Sections Affected:
             29      AMENDS:
             30          58-17b-602, as last amended by Laws of Utah 2007, Chapter 279
             31      ENACTS:
             32          58-1-501.3, Utah Code Annotated 1953
             33     
             34      Be it enacted by the Legislature of the state of Utah:
             35          Section 1. Section 58-1-501.3 is enacted to read:
             36          58-1-501.3. Health professional prescribing exceptions for expedited partner
             37      therapy for sexually transmitted diseases.
             38          (1) For purposes of this section:
             39          (a) "Drug to treat a sexually transmitted disease" means a drug:
             40          (i) as defined in Section 58-17b-102 ; and
             41          (ii) that is:
             42          (A) an antibiotic; and
             43          (B) prescribed in accordance with guidelines from the Centers for Disease Control and
             44      Prevention for patient delivered expedited partner therapy in the management of sexually
             45      transmitted disease.
             46          (b) "Partner" means a person:
             47          (i) with whom a practitioner does not have a bonafide practitioner-patient relationship;
             48      and
             49          (ii) who is identified as, or claims to be a sexual partner of a patient.
             50          (c) "Patient" means a person who:
             51          (i) has a sexually transmitted disease; and
             52          (ii) has a bonafide practitioner-patient relationship with a practitioner.
             53          (d) "Sexually transmitted disease" means:
             54          (i) gonorrhea; or
             55          (ii) chlamydia.
             56          (2) This section does not require a practitioner to prescribe a drug to treat a sexually
             57      transmitted disease for patient delivered expedited partner therapy. A practitioner's decision to
             58      use expedited partner therapy as allowed by this section is voluntary.


             59          (3) Notwithstanding Sections 58-1-501 , 58-17b-501 , and 58-17b-502 , it is not unlawful
             60      conduct or unprofessional conduct, and it does not violate the provisions of this chapter if:
             61          (a) a practitioner, in accordance with this Subsection (3):
             62          (i) issues a prescription for a drug to treat a sexually transmitted disease to a partner by:
             63          (A) writing "partner of (patient name)" on the prescription order; and
             64          (B) giving the partner's prescription to the patient for subsequent use by the partner; or
             65          (ii) notwithstanding Section 58-17b-610 , dispenses a drug sample to treat a sexually
             66      transmitted disease to the patient for the subsequent use of the partner; or
             67          (b) a pharmacist, in accordance with this Subsection (3):
             68          (i) dispenses a prescription drug for the treatment of a sexually transmitted disease to:
             69          (A) a person who:
             70          (I) claims to be a partner; and
             71          (II) presents a prescription for the drug to the pharmacist which is written for the
             72      unnamed partner of a named patient;
             73          (B) the patient for the subsequent use by the unnamed partner; or
             74          (C) an agent of the patient or partner.
             75          (4) (a) For purposes of Subsection (3), and notwithstanding Section 58-17b-602 :
             76          (i) the partner does not have to be identified on the prescription order by information
             77      that would disclose the identity of the partner; and
             78          (ii) when dispensing a drug to treat a sexually transmitted disease directly to the
             79      partner, the patient's identifying information may, but does not need to, be included on the
             80      partner's drug label.
             81          (b) Information provided by a pharmacist to a patient or the patient's agent for
             82      subsequent use by a partner satisfies the requirements of patient counseling for both the patient
             83      and the partner under Section 58-17b-613 .
             84          Section 2. Section 58-17b-602 is amended to read:
             85           58-17b-602. Prescription orders -- Information required -- Alteration -- Labels --
             86      Signatures -- Dispensing in pharmacies.
             87          (1) [The] Except as provided in Section 58-1-501.3 , the minimum information that
             88      shall be included in a prescription order, and that may be defined by rule, is:
             89          (a) the prescriber's name, address, and telephone number, and, if the order is for a


             90      controlled substance, the patient's age and the prescriber's DEA number;
             91          (b) the patient's name and address or, in the case of an animal, the name of the owner
             92      and species of the animal;
             93          (c) the date of issuance;
             94          (d) the name of the medication or device prescribed and dispensing instructions, if
             95      necessary;
             96          (e) the directions, if appropriate, for the use of the prescription by the patient or animal
             97      and any refill, special labeling, or other instructions;
             98          (f) the prescriber's signature if the prescription order is written;
             99          (g) if the order is an electronically transmitted prescription order, the prescribing
             100      practitioner's electronic signature; and
             101          (h) if the order is a hard copy prescription order generated from electronic media, the
             102      prescribing practitioner's electronic or manual signature.
             103          (2) The requirement of Subsection (1)(a) does not apply to prescription orders
             104      dispensed for inpatients by hospital pharmacies if the prescriber is a current member of the
             105      hospital staff and the prescription order is on file in the patient's medical record.
             106          (3) Unless it is for a Schedule II controlled substance, a prescription order may be
             107      dispensed by [pharmacists] a pharmacist or pharmacy [interns] intern upon an oral prescription
             108      of a practitioner only if the oral prescription is promptly reduced to writing.
             109          (4) (a) Except as provided under Subsection (4)(b), a pharmacist or pharmacy intern
             110      may not dispense or compound any prescription of a practitioner if [it] the prescription shows
             111      evidence of alteration, erasure, or addition by any person other than the person writing the
             112      prescription.
             113          (b) A pharmacist or pharmacy intern dispensing or compounding a prescription may
             114      alter or make additions to the prescription after receiving permission of the prescriber and may
             115      make entries or additions on the prescription required by law or necessitated in the
             116      compounding and dispensing procedures.
             117          (5) Each drug dispensed shall have a label securely affixed to the container indicating
             118      the following minimum information:
             119          (a) the name, address, and telephone number of the pharmacy;
             120          (b) the serial number of the prescription as assigned by the dispensing pharmacy;


             121          (c) the filling date of the prescription or its last dispensing date;
             122          (d) the name of the patient, or in the case of an animal, the name of the owner and
             123      species of the animal;
             124          (e) the name of the prescriber;
             125          (f) the directions for use and cautionary statements, if any, which are contained in the
             126      prescription order or are needed;
             127          (g) except as provided in Subsection (6), the trade, generic, or chemical name, amount
             128      dispensed and the strength of dosage form, but if multiple ingredient products with established
             129      proprietary or nonproprietary names are prescribed, those products' names may be used; and
             130          (h) the beyond use date.
             131          (6) If the prescriber specifically indicates the name of the prescription product should
             132      not appear on the label, then any of the trade, generic, chemical, established proprietary, and
             133      established nonproprietary names and the strength of dosage form may not be included.
             134          (7) Except when it is delivered to the ultimate user via the United States Postal Service,
             135      licensed common carrier, or supportive personnel, a prescription drug may be dispensed to the
             136      ultimate user or his agent only at a licensed pharmacy.




Legislative Review Note
    as of 11-19-08 3:36 PM


Office of Legislative Research and General Counsel


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