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Third Substitute H.B. 122

Representative Evan J. Vickers proposes the following substitute bill:




Chief Sponsor: Evan J. Vickers

Senate Sponsor: Peter C. Knudson

             7      LONG TITLE
             8      General Description:
             9          This bill amends the Electronic Prescribing Act.
             10      Highlighted Provisions:
             11          This bill:
             12          .    requires a practitioner to offer the patient a choice regarding to which pharmacy the
             13      prescription is transmitted;
             14          .    requires the entity transmitting the prescription to meet certain standards; and
             15          .    delays implementation of e-prescribing mandates until July 1, 2013.
             16      Money Appropriated in this Bill:
             17          None
             18      Other Special Clauses:
             19          This bill takes effect July 1, 2012.
             20          This bill provides revisor instructions.
             21      Utah Code Sections Affected:
             22      AMENDS:
             23          58-82-201 (Effective 07/01/12), as enacted by Laws of Utah 2009, Chapter 47
             24      Uncodified Material Affected:
             25      AMENDS UNCODIFIED MATERIAL:

             26      Uncodified Section 4, Laws of Utah 2009, Chapter 47
             27          This uncodified section affects Sections 58-82-101 , 58-82-102 , and 58-82-201 .
             29      Be it enacted by the Legislature of the state of Utah:
             30          Section 1. Section 58-82-201 (Effective 07/01/12) is amended to read:
             31           58-82-201 (Effective 07/01/12). Electronic prescriptions -- Restrictions --
             32      Rulemaking authority.
             33          (1) Subject to the provisions of this section, a practitioner shall:
             34          (a) provide each existing patient of the practitioner with the option of participating in
             35      electronic prescribing for prescriptions issued for the patient, if the practitioner prescribes a
             36      drug or device for the patient on or after July 1, 2012[.]; and
             37          (b) offer the patient a choice regarding to which pharmacy the practitioner will issue
             38      the electronic prescription.
             39          (2) A practitioner may not issue a prescription through electronic prescribing for a
             40      drug, device, or federal controlled substance that the practitioner is prohibited by federal law or
             41      federal rule from issuing through electronic prescribing.
             42          (3) A pharmacy shall:
             43          (a) accept an electronic prescription that is transmitted in accordance with the
             44      requirements of this section and division rules; and
             45          (b) dispense a drug or device as directed in an electronic prescription described in
             46      Subsection (3)(a).
             47          (4) The division shall make rules to ensure that:
             48          (a) except as provided in Subsection [(5)] (6), practitioners and pharmacies comply
             49      with this section;
             50          (b) electronic prescribing is conducted in a secure manner, consistent with industry
             51      standards; and
             52          (c) each patient is fully informed of the patient's rights, restrictions, and obligations
             53      pertaining to electronic prescribing.
             54          (5) An entity that facilitates the electronic prescribing process under this section shall:
             55          (a) transmit to the pharmacy the prescription for the drug prescribed by the prescribing
             56      practitioner however, this Subsection (5)(a) does not prohibit the use of an electronic

             57      intermediary if the electronic intermediary does not over-ride a patient's or prescriber's choice
             58      of pharmacy;
             59          (b) transmit only scientifically accurate, objective, and unbiased information to
             60      prescribing practitioners; and
             61          (c) allow a prescribing practitioner to electronically override a formulary or preferred
             62      drug status when medically necessary.
             63          [(5)] (6) The division may, by rule, grant an exemption from the requirements of this
             64      section to a pharmacy or a practitioner to the extent that the pharmacy or practitioner can
             65      establish, to the satisfaction of the division, that compliance with the requirements of this
             66      section would impose an extreme financial hardship on the pharmacy or practitioner.
             67          Section 2. Uncodified Section 4, Laws of Utah 2009, Chapter 47 is amended to read:
             68          Section 4. Effective date.
             69          This bill takes effect on July 1, [2012] 2013.
             70          Section 3. Effective date.
             71          This bill takes effect July 1, 2012.
             72          Section 4. Revisor instructions.
             73          The Legislature intends that the Office of Legislative Research and General Counsel, in
             74      preparing the Utah Code database for publication, change the effective date in Sections
             75      58-82-101 , 58-82-102 , and 58-82-201 from July 1, 2012 to July 1, 2013.

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