1     
UTAH PROFESSIONALS HEALTH PROGRAM

2     
2020 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Brad M. Daw

5     
Senate Sponsor: Keith Grover

6     

7     LONG TITLE
8     General Description:
9          This bill enacts a health program for health care professionals to provide an alternative
10     to public disciplinary action for licensees who have substance use disorders.
11     Highlighted Provisions:
12          This bill:
13          ▸     defines terms;
14          ▸     establishes the Utah Professionals Health Program;
15          ▸     establishes advisory committees to advise the division;
16          ▸     establishes requirements for a program contract;
17          ▸     explains the effect that entering into a program contract has on other disciplinary
18     proceedings;
19          ▸     sets a procedure to follow if a licensee violates a program contract;
20          ▸     enables the Division of Occupational and Professional Licensing to set fines and
21     fees to run the program;
22          ▸     establishes a reporting requirement; and
23          ▸     makes technical changes.
24     Money Appropriated in this Bill:
25          None
26     Other Special Clauses:
27          None

28     Utah Code Sections Affected:
29     AMENDS:
30          58-37f-301, as last amended by Laws of Utah 2018, Chapter 123
31     ENACTS:
32          58-4a-101, Utah Code Annotated 1953
33          58-4a-102, Utah Code Annotated 1953
34          58-4a-103, Utah Code Annotated 1953
35          58-4a-104, Utah Code Annotated 1953
36          58-4a-105, Utah Code Annotated 1953
37          58-4a-106, Utah Code Annotated 1953
38          58-4a-107, Utah Code Annotated 1953
39          58-4a-108, Utah Code Annotated 1953
40          58-4a-109, Utah Code Annotated 1953
41          58-4a-110, Utah Code Annotated 1953
42          58-4a-111, Utah Code Annotated 1953
43     REPEALS:
44          58-1-404, as last amended by Laws of Utah 2013, Chapter 262
45     

46     Be it enacted by the Legislature of the state of Utah:
47          Section 1. Section 58-4a-101 is enacted to read:
48     
CHAPTER 4a. UTAH PROFESSIONALS HEALTH PROGRAM

49          58-4a-101. Title.
50          This chapter is known as the "Utah Professionals Health Program."
51          Section 2. Section 58-4a-102 is enacted to read:
52          58-4a-102. Definitions.
53          As used in this chapter:
54          (1) "Diversion agreement" means a written agreement entered into by a licensee and
55     the division that describes the requirements of the licensee's monitoring regimen and that was
56     entered into before May 12, 2020.
57          (2) "Licensee" means an individual licensed to practice under:
58          (a) Title 58, Chapter 5a, Podiatric Physician Licensing Act;

59          (b) Title 58, Chapter 17b, Pharmacy Practice Act;
60          (c) Title 58, Chapter 28, Veterinary Practice Act;
61          (d) Title 58, Chapter 31b, Nurse Practice Act;
62          (e) Title 58, Chapter 67, Utah Medical Practice Act;
63          (f) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act;
64          (g) Title 58, Chapter 69, Dentist and Dental Hygienist Practice Act; or
65          (h) Title 58, Chapter 70a, Utah Physician Assistant Act.
66          (3) "Program" means the Utah Professionals Health Program.
67          (4) "Program contract" means a written agreement entered into by a licensee and the
68     division that allows the licensee to participate in the program.
69          (5) "Substance use disorder" means the same as that term is defined in Section
70     62A-15-1202.
71          Section 3. Section 58-4a-103 is enacted to read:
72          58-4a-103. Program established.
73          (1) The division, in accordance with Title 63G, Chapter 3, Utah Administrative
74     Rulemaking Act, shall establish the Utah Professionals Health Program to provide an
75     alternative to public disciplinary action for licensees who have substance use disorders.
76          (2) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
77     division shall make rules governing the criteria for:
78          (a) entry into and participation of licensees in the program;
79          (b) successful completion of the program;
80          (c) expulsion from the program; and
81          (d) disqualifying a licensee from participation in the program.
82          (3) The division shall promote the program by:
83          (a) engaging in wellness education and outreach to licensees, students, and the
84     community in order to make them aware of the existence and purpose of the program;
85          (b) partnering with health care organizations, universities, trade associations, and other
86     stakeholder groups to promote professional awareness and wellness; and
87          (c) providing guidance to employers, colleagues, and family members on initiating
88     conversations with licensees about substance use.
89          Section 4. Section 58-4a-104 is enacted to read:

90          58-4a-104. Committees.
91          (1) In accordance with Section 58-1-203, the division shall establish an executive
92     advisory committee consisting of nine members as follows:
93          (a) the executive director of the Department of Commerce, or the designee of the
94     executive director of the Department of Commerce, who shall serve as chair;
95          (b) the director of the Division of Substance Abuse and Mental Health or the director's
96     designee; and
97          (c) the following members appointed by the director of the division:
98          (i) one member of the public; and
99          (ii) six licensees.
100          (2) The executive advisory committee shall:
101          (a) advise the division and make recommendations to the division on policy;
102          (b) serve without compensation, travel costs, or per diem for their services; and
103          (c) perform other duties as directed by the division.
104          (3) Members of the executive advisory committee are immune from civil liability for
105     any actions or judgments made in the execution of duties performed in service of the executive
106     committee.
107          (4) In accordance with Section 58-1-203, the director shall establish and appoint
108     members of a clinical advisory committee consisting of community members who have expert
109     knowledge in the diagnosis and treatment of substance use disorders.
110          (5) The clinical advisory committee shall:
111          (a) advise the division and make recommendations to the division on actions regarding
112     specific program contracts;
113          (b) perform duties as assigned by the division; and
114          (c) serve without compensation, travel costs, or per diem for their services.
115          (6) The committees described in Subsections (1) and (4) and the division may seek
116     input from other licensing boards.
117          Section 5. Section 58-4a-105 is enacted to read:
118          58-4a-105. Program contract.
119          (1) A licensee may enter into a program contract:
120          (a) any time before the conclusion of a hearing under Section 63G-4-206; and

121          (b) if the licensee who enters into the program contract has a substance use disorder.
122          (2) A licensee may enter into a program contract to replace a diversion agreement the
123     licensee previously entered into with the department.
124          (3) A licensee who does not have a substance use disorder may not enter into a
125     program contract with the division.
126          (4) The committees described in Section 58-4a-104 may assist the division in
127     evaluating or verifying documentation showing completion of or compliance with a program
128     contract.
129          (5) A decision by the program not to permit a licensee to participate in the program is
130     not subject to appeal, agency review, or judicial review.
131          Section 6. Section 58-4a-106 is enacted to read:
132          58-4a-106. Effect on other disciplinary proceedings.
133          (1) Findings of fact stipulated to in a program contract are binding admissions on the
134     licensee in any proceeding to terminate the program contract or any other division disciplinary
135     administrative proceeding.
136          (2) If the program contract is entered into after an adjudicative proceeding has
137     commenced, the adjudicative proceeding shall be stayed pending successful completion of the
138     program contract.
139          (3) Acceptance of a licensee into the program does not preclude the division from
140     investigating or taking disciplinary action against the licensee for other misconduct that:
141          (a) is not included in the program contract; or
142          (b) was committed at any time before or after the licensee entered into the program
143     contract.
144          (4) The period described in Subsection 58-1-401(6) is tolled during any period during
145     which a licensee applies to participate in the program or is operating under a program contract.
146          (5) In any proceedings to determine disciplinary sanctions under Title 58, Chapter 1,
147     Part 4, License Denial, the division may consider:
148          (a) successful completion of the program;
149          (b) failure to complete the program; or
150          (c) the contents of the program contract.
151          (6) A licensee terminated from the program may have disciplinary action taken against

152     the licensee for misconduct committed before, during, or after the licensee's participation in the
153     program.
154          Section 7. Section 58-4a-107 is enacted to read:
155          58-4a-107. Violation of a program contract -- Adjudicative proceedings --
156     Penalties.
157          (1) The division shall serve an order to show cause on the licensee if the licensee:
158          (a) violates any term or condition of the program contract;
159          (b) makes an intentional, material misrepresentation of fact in the program contract; or
160          (c) violates any rule or law governing the licensee's profession.
161          (2) The order to show cause described in Subsection (1) shall:
162          (a) describe the alleged misconduct;
163          (b) set a time and place for a hearing before an administrative law judge to determine
164     whether the licensee's program contract should be terminated; and
165          (c) contain all of the information required by a notice of agency action in Subsection
166     63G-4-201(2).
167          (3) Proceedings to terminate a program contract shall comply with the rules for a
168     formal proceeding described in Title 63G, Chapter 4, Administrative Procedures Act, except
169     the notice of agency action shall be in the form of the order to show cause in Subsection (2).
170          (4) In accordance with Subsection 63G-4-205(1), the division shall make rules for
171     discovery adequate to permit all parties to obtain all relevant information necessary to support
172     their claims or defenses.
173          (5) During a proceeding to terminate a program contract, the licensee, the licensee's
174     legal representative, and the division shall have access to information contained in the
175     division's program file as permitted by law.
176          (6) The director shall terminate the program contract and place the licensee on
177     probation for a period of five years, with probationary terms matching the terms of the program
178     contract, if, during the administrative proceedings described in Subsection (3), the
179     administrative law judge finds that the licensee has:
180          (a) violated the program contract;
181          (b) made an intentional material misrepresentation of fact in the program contract; or
182          (c) violated a law or rule governing the licensee's profession.

183          (7) If, during the proceedings described in Subsection (3), the administrative law judge
184     finds that the licensee has engaged in especially egregious misconduct, the director may revoke
185     the licensee's license.
186          (8) A licensee who is terminated from the program may have disciplinary action taken
187     under Title 58, Chapter 1, Part 4, License Denial, for misconduct committed before, during, or
188     after the licensee's participation in the program.
189          Section 8. Section 58-4a-108 is enacted to read:
190          58-4a-108. Emergency order.
191          Nothing in this chapter precludes the division from issuing an emergency order
192     pursuant to Section 63G-4-502 regarding a licensee's participation in the program.
193          Section 9. Section 58-4a-109 is enacted to read:
194          58-4a-109. Public meetings.
195          Program meetings and hearings are not subject to Title 52, Chapter 4, Open and Public
196     Meetings Act.
197          Section 10. Section 58-4a-110 is enacted to read:
198          58-4a-110. Fees -- Fines.
199          (1) The division, in accordance with Section 63J-1-504, shall establish fees in an
200     amount to pay the costs to the division of operating the program.
201          (2) The division may, for a licensee who has entered into a program contract, assess a
202     fine for a violation of a program contract, in accordance with a fine schedule the division
203     establishes by rule made in accordance with Title 63G, Chapter 3, Utah Administrative
204     Rulemaking Act.
205          Section 11. Section 58-4a-111 is enacted to read:
206          58-4a-111. Reporting.
207          (1) Program contracts shall allow the division to report regularly to the licensee's Utah
208     professional licensing board regarding the licensee's progress in the program to the extent that
209     reporting does not violate HIPAA.
210          (2) The executive advisory committee and the clinical advisory committee described in
211     Section 58-4a-104 may assist Utah professional licensing boards and division staff in
212     monitoring the compliance of a licensee who has entered into a program contract.
213          Section 12. Section 58-37f-301 is amended to read:

214          58-37f-301. Access to database.
215          (1) The division shall make rules, in accordance with Title 63G, Chapter 3, Utah
216     Administrative Rulemaking Act, to:
217          (a) effectively enforce the limitations on access to the database as described in this
218     part; and
219          (b) establish standards and procedures to ensure accurate identification of individuals
220     requesting information or receiving information without request from the database.
221          (2) The division shall make information in the database and information obtained from
222     other state or federal prescription monitoring programs by means of the database available only
223     to the following individuals, in accordance with the requirements of this chapter and division
224     rules:
225          (a) (i) personnel of the division specifically assigned to conduct investigations related
226     to controlled substance laws under the jurisdiction of the division; and
227          (ii) the following law enforcement officers, but the division may only provide
228     nonidentifying information, limited to gender, year of birth, and postal ZIP code, regarding
229     individuals for whom a controlled substance has been prescribed or to whom a controlled
230     substance has been dispensed:
231          (A) a law enforcement agency officer who is engaged in a joint investigation with the
232     division; and
233          (B) a law enforcement agency officer to whom the division has referred a suspected
234     criminal violation of controlled substance laws;
235          (b) authorized division personnel engaged in analysis of controlled substance
236     prescription information as a part of the assigned duties and responsibilities of their
237     employment;
238          (c) a board member if:
239          (i) the board member is assigned to monitor a licensee on probation; and
240          (ii) the board member is limited to obtaining information from the database regarding
241     the specific licensee on probation;
242          [(d) a member of a diversion committee established in accordance with Subsection
243     58-1-404(2) if:]
244          (d) a person the division authorizes to obtain that information on behalf of the Utah

245     Professionals Health Program established in Subsection 58-4a-103(1) if:
246          (i) the [diversion committee member] person the division authorizes is limited to
247     obtaining information from the database regarding the person whose conduct is the subject of
248     the [committee's] division's consideration; and
249          (ii) the conduct that is the subject of the [committee's] division's consideration includes
250     a violation or a potential violation of Chapter 37, Utah Controlled Substances Act, or another
251     relevant violation or potential violation under this title;
252          (e) in accordance with a written agreement entered into with the department,
253     employees of the Department of Health:
254          (i) whom the director of the Department of Health assigns to conduct scientific studies
255     regarding the use or abuse of controlled substances, if the identity of the individuals and
256     pharmacies in the database are confidential and are not disclosed in any manner to any
257     individual who is not directly involved in the scientific studies;
258          (ii) when the information is requested by the Department of Health in relation to a
259     person or provider whom the Department of Health suspects may be improperly obtaining or
260     providing a controlled substance; or
261          (iii) in the medical examiner's office;
262          (f) in accordance with a written agreement entered into with the department, a designee
263     of the director of the Department of Health, who is not an employee of the Department of
264     Health, whom the director of the Department of Health assigns to conduct scientific studies
265     regarding the use or abuse of controlled substances pursuant to an application process
266     established in rule by the Department of Health, if:
267          (i) the designee provides explicit information to the Department of Health regarding
268     the purpose of the scientific studies;
269          (ii) the scientific studies to be conducted by the designee:
270          (A) fit within the responsibilities of the Department of Health for health and welfare;
271          (B) are reviewed and approved by an Institutional Review Board that is approved for
272     human subject research by the United States Department of Health and Human Services; [and]
273          (C) are not conducted for profit or commercial gain; and
274          (D) are conducted in a research facility, as defined by division rule, that is associated
275     with a university or college accredited by one or more regional or national accrediting agencies

276     recognized by the United States Department of Education;
277          (iii) the designee protects the information as a business associate of the Department of
278     Health; and
279          (iv) the identity of the prescribers, patients, and pharmacies in the database are
280     de-identified, confidential, not disclosed in any manner to the designee or to any individual
281     who is not directly involved in the scientific studies;
282          (g) in accordance with the written agreement entered into with the department and the
283     Department of Health, authorized employees of a managed care organization, as defined in 42
284     C.F.R. Sec. 438, if:
285          (i) the managed care organization contracts with the Department of Health under the
286     provisions of Section 26-18-405 and the contract includes provisions that:
287          (A) require a managed care organization employee who will have access to information
288     from the database to submit to a criminal background check; and
289          (B) limit the authorized employee of the managed care organization to requesting
290     either the division or the Department of Health to conduct a search of the database regarding a
291     specific Medicaid enrollee and to report the results of the search to the authorized employee;
292     and
293          (ii) the information is requested by an authorized employee of the managed care
294     organization in relation to a person who is enrolled in the Medicaid program with the managed
295     care organization, and the managed care organization suspects the person may be improperly
296     obtaining or providing a controlled substance;
297          (h) a licensed practitioner having authority to prescribe controlled substances, to the
298     extent the information:
299          (i) (A) relates specifically to a current or prospective patient of the practitioner; and
300          (B) is provided to or sought by the practitioner for the purpose of:
301          (I) prescribing or considering prescribing any controlled substance to the current or
302     prospective patient;
303          (II) diagnosing the current or prospective patient;
304          (III) providing medical treatment or medical advice to the current or prospective
305     patient; or
306          (IV) determining whether the current or prospective patient:

307          (Aa) is attempting to fraudulently obtain a controlled substance from the practitioner;
308     or
309          (Bb) has fraudulently obtained, or attempted to fraudulently obtain, a controlled
310     substance from the practitioner;
311          (ii) (A) relates specifically to a former patient of the practitioner; and
312          (B) is provided to or sought by the practitioner for the purpose of determining whether
313     the former patient has fraudulently obtained, or has attempted to fraudulently obtain, a
314     controlled substance from the practitioner;
315          (iii) relates specifically to an individual who has access to the practitioner's Drug
316     Enforcement Administration identification number, and the practitioner suspects that the
317     individual may have used the practitioner's Drug Enforcement Administration identification
318     number to fraudulently acquire or prescribe a controlled substance;
319          (iv) relates to the practitioner's own prescribing practices, except when specifically
320     prohibited by the division by administrative rule;
321          (v) relates to the use of the controlled substance database by an employee of the
322     practitioner, described in Subsection (2)(i); or
323          (vi) relates to any use of the practitioner's Drug Enforcement Administration
324     identification number to obtain, attempt to obtain, prescribe, or attempt to prescribe, a
325     controlled substance;
326          (i) in accordance with Subsection (3)(a), an employee of a practitioner described in
327     Subsection (2)(h), for a purpose described in Subsection (2)(h)(i) or (ii), if:
328          (i) the employee is designated by the practitioner as an individual authorized to access
329     the information on behalf of the practitioner;
330          (ii) the practitioner provides written notice to the division of the identity of the
331     employee; and
332          (iii) the division:
333          (A) grants the employee access to the database; and
334          (B) provides the employee with a password that is unique to that employee to access
335     the database in order to permit the division to comply with the requirements of Subsection
336     58-37f-203(5) with respect to the employee;
337          (j) an employee of the same business that employs a licensed practitioner under

338     Subsection (2)(h) if:
339          (i) the employee is designated by the practitioner as an individual authorized to access
340     the information on behalf of the practitioner;
341          (ii) the practitioner and the employing business provide written notice to the division of
342     the identity of the designated employee; and
343          (iii) the division:
344          (A) grants the employee access to the database; and
345          (B) provides the employee with a password that is unique to that employee to access
346     the database in order to permit the division to comply with the requirements of Subsection
347     58-37f-203(5) with respect to the employee;
348          (k) a licensed pharmacist having authority to dispense a controlled substance to the
349     extent the information is provided or sought for the purpose of:
350          (i) dispensing or considering dispensing any controlled substance; or
351          (ii) determining whether a person:
352          (A) is attempting to fraudulently obtain a controlled substance from the pharmacist; or
353          (B) has fraudulently obtained, or attempted to fraudulently obtain, a controlled
354     substance from the pharmacist;
355          (l) in accordance with Subsection (3)(a), a licensed pharmacy technician and pharmacy
356     intern who is an employee of a pharmacy as defined in Section 58-17b-102, for the purposes
357     described in Subsection (2)(j)(i) or (ii), if:
358          (i) the employee is designated by the pharmacist-in-charge as an individual authorized
359     to access the information on behalf of a licensed pharmacist employed by the pharmacy;
360          (ii) the pharmacist-in-charge provides written notice to the division of the identity of
361     the employee; and
362          (iii) the division:
363          (A) grants the employee access to the database; and
364          (B) provides the employee with a password that is unique to that employee to access
365     the database in order to permit the division to comply with the requirements of Subsection
366     58-37f-203(5) with respect to the employee;
367          (m) pursuant to a valid search warrant, federal, state, and local law enforcement
368     officers and state and local prosecutors who are engaged in an investigation related to:

369          (i) one or more controlled substances; and
370          (ii) a specific person who is a subject of the investigation;
371          (n) subject to Subsection (7), a probation or parole officer, employed by the
372     Department of Corrections or by a political subdivision, to gain access to database information
373     necessary for the officer's supervision of a specific probationer or parolee who is under the
374     officer's direct supervision;
375          (o) employees of the Office of Internal Audit and Program Integrity within the
376     Department of Health who are engaged in their specified duty of ensuring Medicaid program
377     integrity under Section 26-18-2.3;
378          (p) a mental health therapist, if:
379          (i) the information relates to a patient who is:
380          (A) enrolled in a licensed substance abuse treatment program; and
381          (B) receiving treatment from, or under the direction of, the mental health therapist as
382     part of the patient's participation in the licensed substance abuse treatment program described
383     in Subsection (2)(p)(i)(A);
384          (ii) the information is sought for the purpose of determining whether the patient is
385     using a controlled substance while the patient is enrolled in the licensed substance abuse
386     treatment program described in Subsection (2)(p)(i)(A); and
387          (iii) the licensed substance abuse treatment program described in Subsection
388     (2)(p)(i)(A) is associated with a practitioner who:
389          (A) is a physician, a physician assistant, an advance practice registered nurse, or a
390     pharmacist; and
391          (B) is available to consult with the mental health therapist regarding the information
392     obtained by the mental health therapist, under this Subsection (2)(p), from the database;
393          (q) an individual who is the recipient of a controlled substance prescription entered into
394     the database, upon providing evidence satisfactory to the division that the individual requesting
395     the information is in fact the individual about whom the data entry was made;
396          (r) an individual under Subsection (2)(q) for the purpose of obtaining a list of the
397     persons and entities that have requested or received any information from the database
398     regarding the individual, except if the individual's record is subject to a pending or current
399     investigation as authorized under this Subsection (2);

400          (s) the inspector general, or a designee of the inspector general, of the Office of
401     Inspector General of Medicaid Services, for the purpose of fulfilling the duties described in
402     Title 63A, Chapter 13, Part 2, Office and Powers;
403          (t) the following licensed physicians for the purpose of reviewing and offering an
404     opinion on an individual's request for workers' compensation benefits under Title 34A, Chapter
405     2, Workers' Compensation Act, or Title 34A, Chapter 3, Utah Occupational Disease Act:
406          (i) a member of the medical panel described in Section 34A-2-601;
407          (ii) a physician employed as medical director for a licensed workers' compensation
408     insurer or an approved self-insured employer; or
409          (iii) a physician offering a second opinion regarding treatment; and
410          (u) members of Utah's Opioid Fatality Review Committee, for the purpose of
411     reviewing a specific fatality due to opioid use and recommending policies to reduce the
412     frequency of opioid use fatalities.
413          (3) (a) (i) A practitioner described in Subsection (2)(h) may designate one or more
414     employees to access information from the database under Subsection (2)(i), (2)(j), or (4)(c).
415          (ii) A pharmacist described in Subsection (2)(k) who is a pharmacist-in-charge may
416     designate up to five employees to access information from the database under Subsection (2)(l).
417          (b) The division shall make rules, in accordance with Title 63G, Chapter 3, Utah
418     Administrative Rulemaking Act, to:
419          (i) establish background check procedures to determine whether an employee
420     designated under Subsection (2)(i), (2)(j), or (4)(c) should be granted access to the database;
421     [and]
422          (ii) establish the information to be provided by an emergency department employee
423     under Subsection (4); and
424          (iii) facilitate providing controlled substance prescription information to a third party
425     under Subsection (5).
426          (c) The division shall grant an employee designated under Subsection (2)(i), (2)(j), or
427     (4)(c) access to the database, unless the division determines, based on a background check, that
428     the employee poses a security risk to the information contained in the database.
429          (4) (a) An individual who is employed in the emergency department of a hospital may
430     exercise access to the database under this Subsection (4) on behalf of a licensed practitioner if

431     the individual is designated under Subsection (4)(c) and the licensed practitioner:
432          (i) is employed in the emergency department;
433          (ii) is treating an emergency department patient for an emergency medical condition;
434     and
435          (iii) requests that an individual employed in the emergency department and designated
436     under Subsection (4)(c) obtain information regarding the patient from the database as needed in
437     the course of treatment.
438          (b) The emergency department employee obtaining information from the database
439     shall, when gaining access to the database, provide to the database the name and any additional
440     identifiers regarding the requesting practitioner as required by division administrative rule
441     established under Subsection (3)(b).
442          (c) An individual employed in the emergency department under this Subsection (4)
443     may obtain information from the database as provided in Subsection (4)(a) if:
444          (i) the employee is designated by the practitioner as an individual authorized to access
445     the information on behalf of the practitioner;
446          (ii) the practitioner and the hospital operating the emergency department provide
447     written notice to the division of the identity of the designated employee; and
448          (iii) the division:
449          (A) grants the employee access to the database; and
450          (B) provides the employee with a password that is unique to that employee to access
451     the database in order to permit the division to comply with the requirements of Subsection
452     58-37f-203(5) with respect to the employee.
453          (d) The division may impose a fee, in accordance with Section 63J-1-504, on a
454     practitioner who designates an employee under Subsection (2)(i), (2)(j), or (4)(c) to pay for the
455     costs incurred by the division to conduct the background check and make the determination
456     described in Subsection (3)(b).
457          (5) (a) (i) An individual may request that the division provide the information under
458     Subsection (5)(b) to a third party who is designated by the individual each time a controlled
459     substance prescription for the individual is dispensed.
460          (ii) The division shall upon receipt of the request under this Subsection (5)(a) advise
461     the individual in writing that the individual may direct the division to discontinue providing the

462     information to a third party and that notice of the individual's direction to discontinue will be
463     provided to the third party.
464          (b) The information the division shall provide under Subsection (5)(a) is:
465          (i) the fact a controlled substance has been dispensed to the individual, but without
466     identifying the controlled substance; and
467          (ii) the date the controlled substance was dispensed.
468          (c) (i) An individual who has made a request under Subsection (5)(a) may direct that
469     the division discontinue providing information to the third party.
470          (ii) The division shall:
471          (A) notify the third party that the individual has directed the division to no longer
472     provide information to the third party; and
473          (B) discontinue providing information to the third party.
474          (6) (a) An individual who is granted access to the database based on the fact that the
475     individual is a licensed practitioner or a mental health therapist shall be denied access to the
476     database when the individual is no longer licensed.
477          (b) An individual who is granted access to the database based on the fact that the
478     individual is a designated employee of a licensed practitioner shall be denied access to the
479     database when the practitioner is no longer licensed.
480          (7) A probation or parole officer is not required to obtain a search warrant to access the
481     database in accordance with Subsection (2)(n).
482          (8) The division shall review and adjust the database programming which
483     automatically logs off an individual who is granted access to the database under Subsections
484     (2)(h), (2)(i), (2)(j), and (4)(c) to maximize the following objectives:
485          (a) to protect patient privacy;
486          (b) to reduce inappropriate access; and
487          (c) to make the database more useful and helpful to a person accessing the database
488     under Subsections (2)(h), (2)(i), (2)(j), and (4)(c), especially in high usage locations such as an
489     emergency department.
490          Section 13. Repealer.
491          This bill repeals:
492          Section 58-1-404, Diversion -- Procedure.