Representative James A. Dunnigan proposes the following substitute bill:


1     
ONLINE PRESCRIBING, DISPENSING, AND

2     
FACILITATION LICENSING ACT REPEALER

3     
2023 GENERAL SESSION

4     
STATE OF UTAH

5     
Chief Sponsor: James A. Dunnigan

6     
Senate Sponsor: Curtis S. Bramble

7     

8     LONG TITLE
9     General Description:
10          This bill repeals the Online Prescribing, Dispensing, and Facilitation Licensing Act.
11     Highlighted Provisions:
12          This bill:
13          ▸     repeals Title 58, Chapter 83, Online Prescribing, Dispensing, and Facilitation
14     Licensing Act; and
15          ▸     makes conforming changes.
16     Money Appropriated in this Bill:
17          None
18     Other Special Clauses:
19          None
20     Utah Code Sections Affected:
21     AMENDS:
22          26-60-103, as last amended by Laws of Utah 2021, Chapter 64
23     REPEALS:
24          58-83-101, as enacted by Laws of Utah 2010, Chapter 180
25          58-83-102, as last amended by Laws of Utah 2022, Chapter 415

26          58-83-201, as enacted by Laws of Utah 2010, Chapter 180
27          58-83-301, as last amended by Laws of Utah 2022, Chapter 274
28          58-83-302, as last amended by Laws of Utah 2022, Chapter 415
29          58-83-303, as enacted by Laws of Utah 2010, Chapter 180
30          58-83-305, as enacted by Laws of Utah 2010, Chapter 180
31          58-83-306, as last amended by Laws of Utah 2015, Chapter 321
32          58-83-307, as enacted by Laws of Utah 2010, Chapter 180
33          58-83-308, as enacted by Laws of Utah 2010, Chapter 180
34          58-83-401, as last amended by Laws of Utah 2022, Chapter 415
35          58-83-501, as enacted by Laws of Utah 2010, Chapter 180
36          58-83-502, as last amended by Laws of Utah 2022, Chapter 415
37          58-83-503, as enacted by Laws of Utah 2010, Chapter 180
38     

39     Be it enacted by the Legislature of the state of Utah:
40          Section 1. Section 26-60-103 is amended to read:
41          26-60-103. Scope of telehealth practice.
42          (1) A provider offering telehealth services shall:
43          (a) at all times:
44          (i) act within the scope of the provider's license under Title 58, Occupations and
45     Professions, in accordance with the provisions of this chapter and all other applicable laws and
46     rules; and
47          (ii) be held to the same standards of practice as those applicable in traditional health
48     care settings;
49          (b) if the provider does not already have a provider-patient relationship with the
50     patient, establish a provider-patient relationship during the patient encounter in a manner
51     consistent with the standards of practice, determined by the Division of Professional Licensing
52     in rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
53     including providing the provider's licensure and credentials to the patient;
54          (c) before providing treatment or prescribing a prescription drug, establish a diagnosis
55     and identify underlying conditions and contraindications to a recommended treatment after:
56          (i) obtaining from the patient or another provider the patient's relevant clinical history;

57     and
58          (ii) documenting the patient's relevant clinical history and current symptoms;
59          (d) be available to a patient who receives telehealth services from the provider for
60     subsequent care related to the initial telemedicine services, in accordance with community
61     standards of practice;
62          (e) be familiar with available medical resources, including emergency resources near
63     the originating site, in order to make appropriate patient referrals when medically indicated;
64          (f) in accordance with any applicable state and federal laws, rules, and regulations,
65     generate, maintain, and make available to each patient receiving telehealth services the patient's
66     medical records; and
67          (g) if the patient has a designated health care provider who is not the telemedicine
68     provider:
69          (i) consult with the patient regarding whether to provide the patient's designated health
70     care provider a medical record or other report containing an explanation of the treatment
71     provided to the patient and the telemedicine provider's evaluation, analysis, or diagnosis of the
72     patient's condition;
73          (ii) collect from the patient the contact information of the patient's designated health
74     care provider; and
75          (iii) within two weeks after the day on which the telemedicine provider provides
76     services to the patient, and to the extent allowed under HIPAA as that term is defined in
77     Section 26-18-17, provide the medical record or report to the patient's designated health care
78     provider, unless the patient indicates that the patient does not want the telemedicine provider to
79     send the medical record or report to the patient's designated health care provider.
80          (2) Subsection (1)(g) does not apply to prescriptions for eyeglasses or contacts.
81          (3) [Except as specifically provided in Title 58, Chapter 83, Online Prescribing,
82     Dispensing, and Facilitation Licensing Act, and unless a provider has established a
83     provider-patient relationship with a patient, a] A provider offering telemedicine services may
84     not diagnose a patient, provide treatment, or prescribe a prescription drug based solely on one
85     of the following:
86          (a) an online questionnaire;
87          (b) an email message; or

88          (c) a patient-generated medical history.
89          (4) A provider may not offer telehealth services if:
90          (a) the provider is not in compliance with applicable laws, rules, and regulations
91     regarding the provider's licensed practice; or
92          (b) the provider's license under Title 58, Occupations and Professions, is not active and
93     in good standing.
94          Section 2. Repealer.
95          This bill repeals:
96          Section 58-83-101, Title.
97          Section 58-83-102, Definitions.
98          Section 58-83-201, Board.
99          Section 58-83-301, Licensure required -- Issuance of licenses.
100          Section 58-83-302, Qualifications for licensure.
101          Section 58-83-303, Term of license -- Expiration -- Renewal.
102          Section 58-83-305, Duties and responsibilities.
103          Section 58-83-306, Drugs approved for online prescribing, dispensing, and
104     facilitation -- Delivery of prescription drugs.
105          Section 58-83-307, Approval of additional drugs -- Request to facilitate.
106          Section 58-83-308, Audits.
107          Section 58-83-401, Grounds for denial of license -- Disciplinary proceedings --
108     Termination of authority to prescribe -- Immediate and significant danger.
109          Section 58-83-501, Practice without a license.
110          Section 58-83-502, Unprofessional conduct.
111          Section 58-83-503, Unlawful conduct.