PRINTER'S NO. 324

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 320 Session of 1979


        INTRODUCED BY McKINNEY, LYNCH, HANKINS AND FUMO,
           FEBRUARY 27, 1979

        REFERRED TO PUBLIC HEALTH AND WELFARE, FEBRUARY 27, 1979

                                     AN ACT

     1  Relating to amygdalin (laetrile).

     2     The General Assembly of the Commonwealth of Pennsylvania
     3  hereby enacts as follows:
     4     Section 1.  Notwithstanding the provisions of any other laws
     5  or regulations adopted pursuant thereto, the manufacture, sale,
     6  possession or distribution of amygdalin (laetrile) pursuant to
     7  this act shall not be unlawful.
     8     Section 2.  A hospital or other health care facility shall
     9  not interfere with the physician-patient relationship by
    10  restricting or forbidding the use of amygdalin (laetrile) as an
    11  adjunct to recognized, customary or accepted modes of therapy in
    12  the treatment of any malignancy, disease, illness or physical
    13  condition when it is prescribed or administered by a physician
    14  and the patient has signed the "written informed request."
    15     Section 3.  A physician may not be subjected to disciplinary
    16  action by the State Board of Medical Education and Licensure or
    17  the State Board of Osteopathic Examiners in the Department of


     1  State for prescribing or administering amygdalin (laetrile) to a
     2  patient under his care as an adjunct to recognized, customary or
     3  accepted modes of therapy in the treatment of any malignancy,
     4  disease, illness or physical condition if and when the patient
     5  has signed the "written informed request" as set forth in
     6  section 4.
     7     Section 4.  The "written informed request" referred to in
     8  this act shall be on a form prepared by, and obtained from, the
     9  Department of Health, shall be subject to the department's
    10  continuing jurisdiction and control concerning any changes in
    11  the "written informed request" pursuant to law and shall be in
    12  substance as follows:
    13             WRITTEN INFORMED REQUEST FOR PRESCRIPTION
    14           OF AMYGDALIN (LAETRILE) FOR MEDICAL TREATMENT
    15  Patient's name:                                               
    16  Address:                                                     
    17  Age:                          Sex:                     
    18  Name and address of prescribing physician:                   
    19  Malignancy, disease, illness or physical condition
    20  diagnosed for medical treatment by amygdalin (laetrile):
    21                                                               
    22                                                               
    23  My physician has explained to me:
    24     (1)  That the Federal Food and Drug Administration has
    25          determined amygdalin (laetrile) to be an "unapproved
    26          new drug" and that Federal law prohibits the
    27          interstate distribution of an "unapproved new drug."
    28     (2)  That neither the American Cancer Society nor the
    29          Pennsylvania Medical Society recommends the use of
    30          amygdalin (laetrile) in the treatment of any
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     1          malignancy, disease, illness or physical
     2          condition.
     3     (3)  That there are alternative recognized treatments for
     4          the malignancy, disease, illness or physical condition
     5          from which I suffer which he has offered to provide for
     6          me including:  (Here describe)
     7                                                               
     8                                                               
     9     That notwithstanding the foregoing, I hereby request
    10  prescription and use of amygdalin (laetrile) in the medical
    11  treatment of the malignancy, disease, illness or physical
    12  condition from which I suffer.
    13                                                               
    14                                 Signature of Patient
    15  ATTEST:
    16                         
    17  Prescribing Physician
    18     A copy of such "written informed request" shall be forwarded
    19  forthwith after execution thereof to the hospital or related
    20  institution and the Department of Health for appropriate filing.
    21     Section 5.  Nothing in this act shall be construed as
    22  constituting an endorsement of amygdalin (laetrile) for the
    23  treatment of any malignancy, disease, illness or physical
    24  condition, and nothing in this act shall be construed as
    25  preventing a physician from prescribing amygdalin (laetrile) as
    26  a dietary supplement to a patient not suffering from any known
    27  malignancy, disease, illness, or physical condition.
    28     Section 6.  Nothing in this act requires any physician, any
    29  pharmacist, any pharmacy, any manufacturer or distributor to
    30  manufacture, sell or distribute amygdalin (laetrile), and
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     1  nothing requires any physician to prescribe amygdalin (laetrile)
     2  for any patient.
     3     Section 7.  (a)  The Department of Health shall establish
     4  standards for the manufacture and preparation within this State
     5  of amygdalin (laetrile). The Department of Health shall adopt
     6  rules and regulations governing the production, processing,
     7  labeling, storing, handling, selling and administering of such
     8  drug. The department shall establish said standards and
     9  promulgate said rules and regulations within 90 days of the
    10  effective date of this act.
    11     (b)  If either the House of Representatives or the Senate,
    12  within 30 days of the date any standards, rules or regulations
    13  are promulgated pursuant to subsection (a), disapprove the
    14  adoption of any of the said standards, rules or regulations,
    15  such standard, rule or regulation shall not take effect.
    16     (c)  The Department of Health may set reasonable fees, to be
    17  collected from the manufacturer, for establishing and
    18  administrating standards.
    19     Section 8.  Any person who manufactures or prepares a new
    20  drug which fails to comply with the standards in this State for
    21  the manufacture of amygdalin (laetrile) shall upon conviction
    22  thereof be guilty of a misdemeanor and be sentenced to pay a
    23  fine not in excess of $5,000 or undergo imprisonment of one year
    24  or both. Each day of violation shall constitute a separate
    25  offense.
    26     Section 9.  Three years after the date of enactment of this
    27  act the Secretary of the Department of Health shall make a
    28  determination of the effectiveness of amygdalin (laetrile) in
    29  the treatment of cancer, and, if amygdalin (laetrile) is found
    30  to have no beneficial effect in the treatment of cancer, this
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     1  act shall expire.
     2     Section 10.  This act shall take effect immediately.



















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