AB272: Bill Text

LRB-1539/3

RLR:nwn:jf

2009 - 2010 LEGISLATURE

2009 Assembly BILL 272

May 19, 2009 - Introduced by Representatives Nygren, Van Roy, Suder, Montgomery, Ballweg, Benedict, Bies, Black, Friske, Gottlieb, Grigsby, Gunderson, Kaufert, Kerkman, Knodl, Molepske Jr., Nass, A. Ott, Petersen, Petrowski, Pope-Roberts, Ripp, Sherman, Smith, Soletski, Spanbauer, Strachota, Tauchen, Townsend, Turner and Vos, cosponsored by Senators Robson, Lassa, Lehman, Vinehout, Taylor, Darling, Schultz, Risser, Olsen, Miller, Harsdorf, Hansen, Cowles, Carpenter and Wirch. Referred to Committee on Public Health.

AB272,1,6 An Act to repeal 255.056 (1) (a), 255.056 (1) (am) and 255.056 (7) (f); to amend 255.056 (title), 255.056 (1) (h), 255.056 (2), 255.056 (3), 255.056 (4), 255.056 (6), 255.056 (7) (a) (intro.), 255.056 (7) (a) 2., 255.056 (7) (a) 3., 255.056 (7) (a) 4., 255.056 (7) (b), 255.056 (7) (c), 255.056 (7) (d), 255.056 (7) (e) and 255.056 (7) (g); and to create 255.056 (1) (bg) and 255.056 (2m) of the statutes; relating to: donating drugs and dispensing donated drugs.

Analysis by the Legislative Reference Bureau

Under current law, the Department of Health Services administers a drug repository program under which people may donate certain drugs and supplies to a medical facility or pharmacy and the medical facility or pharmacy may dispense the drugs and supplies or distribute them to another medical facility or pharmacy for dispensing. Only drugs for the treatment of cancer or a chronic disease, or supplies used to administer such drugs, may be accepted and dispensed under the program. Program requirements include that drugs and supplies are in their original, unopened packaging; that the drugs or supplies are inspected by a pharmacist; that the expiration date of the drugs is at least six months after the donation date; and that the drugs or supplies are prescribed for a person and dispensed by a pharmacist. Uninsured or indigent people have priority in obtaining drugs and supplies under the program. A medical facility or pharmacy may charge a handling fee for the drugs, but may not resell them. Finally, current law provides immunity from criminal and civil liability to drug manufacturers and provides immunity from civil liability to other people participating in the program.

This bill provides that any drug, with certain exceptions, and supplies to administer drugs may be donated and dispensed under the drug repository program. The exceptions provide that controlled substances and drugs for which the U.S. Food and Drug Administration requires that a patient using the drug be enrolled in a registry may not be donated or dispensed under the program. The bill also changes the drug expiration date requirement for the program so that drugs with an expiration date that is at least 90 days after the date of donation may be donated and dispensed under the program. And, the bill provides that a practitioner, which is defined as a person licensed to prescribe and administer drugs, may dispense prescription drugs under the program.

The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:

AB272, s. 1 Section 1. 255.056 (title) of the statutes is amended to read:

AB272,2,2 255.056 (title) Cancer and chronic diseases drug Drug repository.

AB272, s. 2 Section 2. 255.056 (1) (a) of the statutes is repealed.

AB272, s. 3 Section 3. 255.056 (1) (am) of the statutes is repealed.

AB272, s. 4 Section 4. 255.056 (1) (bg) of the statutes is created to read:

AB272,2,6 255.056 (1) (bg) "Drug" has the meaning given in s. 450.01 (10).

AB272, s. 5 Section 5. 255.056 (1) (h) of the statutes is amended to read:

AB272,2,9 255.056 (1) (h) "Supplies" means items that are necessary to administer a cancer or chronic disease drug.

AB272, s. 6 Section 6. 255.056 (2) of the statutes is amended to read:

AB272,3,8 255.056 (2) The department shall establish and maintain a cancer and chronic diseases drug repository program, under which any person may donate a cancer or chronic disease drug or supplies, other than a drug specified under sub. (2m), for use by an individual who meets eligibility criteria specified by rule by the department. Donation may be made on the premises of a medical facility or pharmacy that elects to participate in the program and meets requirements specified by rule by the department. The medical facility or pharmacy may charge an individual who receives a cancer or chronic disease drug or supplies under this subsection a handling fee that may not exceed the amount specified by rule by the department. A medical facility or pharmacy that receives a donated cancer or chronic disease drug or supplies under this subsection may distribute the cancer or chronic disease drug or supplies to another eligible medical facility or pharmacy for use under the program under this section.

AB272, s. 7 Section 7. 255.056 (2m) of the statutes is created to read:

AB272,3,11 255.056 (2m) None of the following drugs may be donated, accepted, distributed, or dispensed under this section:

AB272,3,12 (a) A controlled substance, as defined in s. 961.01 (4).

AB272,3,15 (b) A drug for which the U.S. food and drug administration requires that a patient using the drug be enrolled in a registry as provided under 21 USC 355-1 (f) (3) (F).

AB272, s. 8 Section 8. 255.056 (3) of the statutes is amended to read:

AB272,3,19 255.056 (3) A cancer or chronic disease drug or supplies may be accepted and dispensed under the program specified in sub. (2) only if all of the following requirements are met:

AB272,3,22 (a) The cancer or chronic disease drug or supplies are in their original, unopened, sealed, and tamper-evident unit dose packaging or, if packaged in single-unit doses, the single-unit-dose packaging is unopened.

AB272,3,25 (b) The cancer or chronic disease In the case of a drug, the drug bears an expiration date that is later than 6 months 90 days after the date that the drug was donated.

AB272,4,4 (c) The cancer or chronic disease drug or supplies are not adulterated or misbranded, as determined by a pharmacist employed by, or under contract with, the medical facility or pharmacy, who shall inspect the drug or supplies before the drug or supplies are dispensed.

AB272,4,7 (d) The cancer or chronic disease For a prescription drug or supplies used to administer a prescription drug, the drug or supplies are prescribed by a practitioner for use by an eligible individual and are dispensed by a pharmacist or practitioner.

AB272, s. 9 Section 9. 255.056 (4) of the statutes is amended to read:

AB272,4,10 255.056 (4) No cancer or chronic disease drug or supplies that are donated for use under this section may be resold.

AB272, s. 10 Section 10. 255.056 (6) of the statutes is amended to read:

AB272,4,18 255.056 (6) (a) Unless the manufacturer of a drug or supply exercises bad faith, the manufacturer is not subject to criminal or civil liability for injury, death, or loss to a person or property for matters related to the donation, acceptance, or dispensing of a cancer or chronic disease drug or supply manufactured by the manufacturer that is donated by any person under this section, including liability for failure to transfer or communicate product or consumer information or the expiration date of the donated cancer or chronic disease drug or supply.

AB272,4,24 (b) Except as provided in par. (c), any person, except the manufacturer of a drug or supply, is immune from civil liability for injury to or the death of the individual to whom the cancer or chronic disease drug or supply is dispensed and may not be found guilty of unprofessional conduct for his or her acts or omissions related to donating, accepting, distributing, or dispensing a cancer or chronic disease drug or supply under this section.

AB272,5,4 (c) The immunity or the prohibition on a finding of guilty of unprofessional conduct under par. (b) does not extend to donation, acceptance, distribution, or dispensation of a cancer or chronic disease drug or supply by a person whose act or omission involves reckless, wanton, or intentional misconduct.

AB272, s. 11 Section 11. 255.056 (7) (a) (intro.) of the statutes is amended to read:

AB272,5,8 255.056 (7) (a) (intro.) Requirements for medical facilities and pharmacies to accept and dispense donated cancer or chronic disease drugs or supplies under this section, including all of the following:

AB272, s. 12 Section 12. 255.056 (7) (a) 2. of the statutes is amended to read:

AB272,5,11 255.056 (7) (a) 2. Standards and procedures for accepting, safely storing, and dispensing donated cancer or chronic disease drugs or supplies.

AB272, s. 13 Section 13. 255.056 (7) (a) 3. of the statutes is amended to read:

AB272,5,16 255.056 (7) (a) 3. Standards and procedures for inspecting donated cancer or chronic disease drugs or supplies to determine if the drug or supplies are in their original, unopened, sealed, and tamper-evident unit dose packaging or, if packaged in single-unit doses, the single-unit-dose packaging is unopened.

AB272, s. 14 Section 14. 255.056 (7) (a) 4. of the statutes is amended to read:

AB272,5,20 255.056 (7) (a) 4. Standards and procedures for inspecting donated cancer or chronic disease drugs or supplies to determine that the drug or supplies are not adulterated or misbranded.

AB272, s. 15 Section 15. 255.056 (7) (b) of the statutes is amended to read:

AB272,5,25 255.056 (7) (b) Eligibility criteria for individuals to receive donated cancer or chronic disease drugs or supplies dispensed under the program. The standards shall prioritize dispensation to individuals who are uninsured or indigent, but will permit dispensation to others if an uninsured or indigent individual is unavailable.

AB272, s. 16 Section 16. 255.056 (7) (c) of the statutes is amended to read:

AB272,6,4 255.056 (7) (c) A means, such as an identification card, by which an individual who is eligible to receive a donated cancer or chronic disease drug or supplies may indicate that eligibility.

AB272, s. 17 Section 17. 255.056 (7) (d) of the statutes is amended to read:

AB272,6,9 255.056 (7) (d) Necessary forms for administration of the cancer and chronic diseases drug repository program, including forms for use by persons that donate, accept, distribute, or dispense cancer or chronic disease drugs or supplies under the program.

AB272, s. 18 Section 18. 255.056 (7) (e) of the statutes is amended to read:

AB272,6,15 255.056 (7) (e) The maximum handling fee that a medical facility or pharmacy may charge for accepting, distributing, or dispensing donated cancer or chronic disease drugs or supplies The fee under this paragraph may not be less than 300 percent of the dispensing fee permitted to be charged for prescription drugs for which coverage is provided under s. 49.46 (2) (b) 6. h.

AB272, s. 19 Section 19. 255.056 (7) (f) of the statutes is repealed.

AB272, s. 20 Section 20. 255.056 (7) (g) of the statutes is amended to read:

AB272,6,21 255.056 (7) (g) A list of cancer or chronic disease drugs and supplies, arranged by category or by individual drug or supply, that the cancer and chronic diseases drug repository program will not accept for dispensing. The list shall include a statement that specifies the reason that the drug or supplies are ineligible for donation.

AB272,6,22 (End)