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                                                       PRINTER'S NO. 870

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 743 Session of 2007


        INTRODUCED BY DeLUCA, BARRAR, BENNINGTON, CALTAGIRONE, CASORIO,
           CURRY, DALEY, FABRIZIO, GERGELY, MELIO, MOUL, MUNDY, MURT,
           SIPTROTH, McILVAINE SMITH, SONNEY, STABACK AND TANGRETTI,
           MARCH 19, 2007

        REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE, MARCH 19, 2007

                                     AN ACT

     1  Amending the act of September 27, 1961 (P.L.1700, No.699),
     2     entitled "An act relating to the regulation of the practice
     3     of pharmacy, including the sales, use and distribution of
     4     drugs and devices at retail; and amending, revising,
     5     consolidating and repealing certain laws relating thereto,"
     6     further providing for definitions; providing for licensure
     7     and permits for pharmacy technicians; and further providing
     8     for multiple licensure, for sanctions, for administration,
     9     for reinstatement, for penalties and for injunctions.

    10     The General Assembly of the Commonwealth of Pennsylvania
    11  hereby enacts as follows:
    12     Section 1.  Section 2 of the act of September 27, 1961
    13  (P.L.1700, No.699), known as the Pharmacy Act, is amended by
    14  adding clauses to read:
    15     Section 2.  Definitions.--As used in this act:
    16     * * *
    17     (19)  "Pharmacy technician" means an individual who is
    18  licensed by the State Board of Pharmacy under section 2.1 to
    19  assist in the practice of pharmacy.
    20     (20)  "Pharmacy technician trainee" means an individual who


     1  holds a temporary permit issued by the State Board of Pharmacy
     2  under section 2.1.
     3     (21)  "Direct, immediate and personal supervision of a
     4  pharmacist" means:
     5     (i)  review by the pharmacist of the prescription or drug
     6  order prior to dispensing;
     7     (ii)  verification by the pharmacist of the final product;
     8  and
     9     (iii)  the pharmacist's immediate availability on the
    10  premises to direct the work of the supervised individual and to
    11  respond to questions or problems.
    12     Section 2.  The act is amended by adding a section to read:
    13     Section 2.1.  Licenses and Permits for Pharmacy
    14  Technicians.--(a)  The board may license as a pharmacy
    15  technician any individual who pays an application fee prescribed
    16  by regulation; who files an application for licensure,
    17  subscribed by the individual under oath or affirmation,
    18  containing information the board requires; and who, except as
    19  set forth in subsection (b), complies with all of the following:
    20     (1)  Is not less than eighteen years of age and is a citizen
    21  of the United States.
    22     (2)  Has a high school diploma or its equivalent.
    23     (3)  Has satisfied the board that the applicant is of good
    24  moral character and is not unfit or unable to practice as a
    25  pharmacy technician by reason of the extent or manner of his use
    26  of alcoholic beverages or controlled substances or by reason of
    27  a physical or mental disability.
    28     (4)  Has completed a pharmacy technician training program
    29  approved by the board.
    30     (5)  Has passed a nationally recognized pharmacy technician
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     1  certification examination approved by the board.
     2     (6)  Has not been convicted of a felonious act prohibited by
     3  the act of April 14, 1972 (P.L.233, No.64), known as "The
     4  Controlled Substance, Drug, Device and Cosmetic Act," or
     5  convicted of a felony relating to a controlled substance in a
     6  court of law of the United States or any other state, territory
     7  or country unless:
     8     (i)  at least ten years have elapsed from the date of
     9  conviction; and
    10     (ii)  the applicant satisfactorily demonstrates to the board
    11  that the applicant has made significant progress in personal
    12  rehabilitation since the conviction such that licensure of the
    13  applicant should not be expected to create a substantial risk of
    14  harm to the health and safety of patients or the public or a
    15  substantial risk of further criminal violations.
    16  As used in this clause the term "convicted" shall include a
    17  judgment, an admission of guilt or a plea of nolo contendere. An
    18  applicant's statement on the application declaring the absence
    19  of a conviction shall be deemed satisfactory evidence of the
    20  absence of a conviction, unless the board has some evidence to
    21  the contrary.
    22     (b)  The following apply:
    23     (1)  Notwithstanding subsection (a)(4) and (5), the board
    24  shall issue a license to all of the following:
    25     (i)  An individual who, at the time of filing an application,
    26  has obtained a license or its equivalent as a pharmacy
    27  technician in another state, territory or possession of the
    28  United States which has licensing requirements comparable to
    29  those set forth in this section and regulations of the board.
    30     (ii)  An individual who:
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     1     (A)  applies for licensure within one year after the
     2  effective date of this section; and
     3     (B)  on the effective date of this section maintains a
     4  current certification by a nationally recognized pharmacy
     5  technician association.
     6     (2)  Notwithstanding subsection (a)(2), (4) and (5), the
     7  board shall issue a license to an individual who:
     8     (i)  applies for licensure within one year after the
     9  effective date of this section; and
    10     (ii)  demonstrates to the satisfaction of the board proof of
    11  practice as a pharmacy technician for at least two thousand
    12  hours immediately prior to the date of application.
    13     (c)  A license shall authorize the licensee to assist in the
    14  practice of pharmacy under the direct, immediate and personal
    15  supervision of a pharmacist.
    16     (d)  A license is subject to biennial renewal. The board
    17  shall establish a fee for renewal by regulation.
    18     (e)  The following apply to pharmacy technician trainees:
    19     (1)  The board shall issue a temporary permit to practice as
    20  a pharmacy technician trainee to an applicant who is 17 years of
    21  age or older and meets the requirements of subsection (a)(3) and
    22  (6).
    23     (2)  A temporary practice permit shall be issued for one year
    24  and may be extended for a single six-month period upon
    25  verification to the satisfaction of the board that the trainee
    26  has completed the board-approved training program.
    27     (3)  A temporary permit shall not be reissued.
    28     (4)  A temporary permit shall authorize the permittee to
    29  perform the duties of a pharmacy technician under the direct,
    30  immediate and personal supervision of a pharmacist.
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     1     (f)  Identification requirements are as follows:
     2     (1)  A pharmacy technician shall wear a name tag that clearly
     3  identifies the pharmacy technician with the title "licensed
     4  pharmacy technician."
     5     (2)  A holder of a temporary permit shall wear a name tag
     6  that clearly identifies the temporary permit holder with the
     7  title "pharmacy technician trainee."
     8     (g)  This section shall not apply to a student who is
     9  enrolled in an accredited school of pharmacy and who is in the
    10  first or second year of the program.
    11     Section 3.  Section 3.2 of the act, added December 20, 1985
    12  (P.L.433, No.111), is amended to read:
    13     Section 3.2.  Reporting of Multiple Licensure.--Any
    14  [licensed] pharmacist or pharmacy technician of this
    15  Commonwealth who is also licensed [to practice pharmacy] in any
    16  other state, territory or country shall report this information
    17  to the board on the biennial registration application. Any
    18  disciplinary action taken in other states, territories and
    19  countries shall be reported to the board on the biennial
    20  registration application or within ninety days of final
    21  disposition, whichever is sooner. Multiple licensure shall be
    22  noted by the board on the [pharmacist's] licensee's record, and
    23  such state, territory or country shall be notified by the board
    24  of any disciplinary actions taken against [said pharmacist] that
    25  licensee in this Commonwealth.
    26     Section 4. Section 5(c) of the act, amended December 20, 1985
    27  (P.L.433, No.111), is amended and the section is amended by
    28  adding a subsection to read:
    29     Section 5.  Refusal to Grant, Revocation and Suspension.--* *
    30  *
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     1     (a.1)  The board shall have the power to refuse, revoke or
     2  suspend the license of any pharmacy technician upon proof
     3  satisfactory to it that the pharmacy technician has done any of
     4  the following:
     5     (1)  Procured a personal license through fraud,
     6  misrepresentation or deceit.
     7     (2)  Has been found guilty, pleaded guilty, entered a plea of
     8  nolo contendere, or has received probation without verdict,
     9  disposition in lieu of trial or an Accelerated Rehabilitative
    10  Disposition in the disposition of felony charges, to any offense
    11  in connection with the practice of pharmacy or any offense
    12  involving moral turpitude before any court of record of any
    13  jurisdiction.
    14     (3)  Is unfit to practice as a pharmacy technician because of
    15  intemperance in the use of alcoholic beverages, controlled
    16  substances or any other substance which impairs the intellect
    17  and judgment to such an extent as to impair the performance of
    18  professional duties.
    19     (4)  Is unfit or unable to practice as a pharmacy technician
    20  by reason of a physical or mental disease or disability. In
    21  enforcing this clause, the board shall, upon probable cause,
    22  have authority to compel a pharmacy technician to submit to a
    23  mental or physical examination by physicians or psychologists
    24  approved by the board. Failure of a pharmacy technician to
    25  submit to examination when directed by the board, unless due to
    26  circumstances beyond the pharmacy technician's control, shall
    27  constitute an admission of the allegations against the pharmacy
    28  technician, consequent upon which a default and final order may
    29  be entered without the taking of testimony or presentation of
    30  evidence. A pharmacy technician affected under this clause shall
    20070H0743B0870                  - 6 -     

     1  at reasonable intervals be afforded an opportunity to
     2  demonstrate that ability to resume a competent practice as a
     3  pharmacy technician with reasonable skill and safety to
     4  patients.
     5     (5)  Has had a license to practice as a pharmacy technician
     6  denied, revoked or suspended by an appropriate pharmacy
     7  technician licensing authority or has received disciplinary
     8  action from an appropriate pharmacy technician licensing
     9  authority.
    10     (6)  Has acted in such a manner as to present an immediate
    11  and clear danger to the public health or safety.
    12     (7)  Is guilty of incompetence, gross negligence or other
    13  malpractice, or the departure from, or failure to conform to,
    14  the standards of acceptable and prevailing pharmacy technician
    15  practice, in which case actual injury need not be established.
    16     * * *
    17     (c)  When the board finds that [the] a license [of any
    18  pharmacist] may be refused, revoked or suspended under the terms
    19  of subsection (a) or (a.1), the board may:
    20     (1)  Deny the application for a license.
    21     (2)  Administer a public reprimand.
    22     (3)  Revoke, suspend, limit or otherwise restrict a license
    23  as determined by the board.
    24     (4)  Require a licensee to submit to the care, counseling or
    25  treatment of a physician or a psychologist designated by the
    26  board. This clause does not apply to a pharmacy technician.
    27     (5)  Suspend enforcement of its finding thereof and place a
    28  licensee on probation with the right to vacate the probationary
    29  order for noncompliance.
    30     (6)  Restore or reissue, in its discretion, a suspended
    20070H0743B0870                  - 7 -     

     1  license [to practice pharmacy] and impose any disciplinary or
     2  corrective measure which it might originally have imposed.
     3     * * *
     4     Section 5.  Section 6(k) of the act, amended December 20,
     5  1985 (P.L.433, No.111), is amended to read:
     6     Section 6.  State Board of Pharmacy.--* * *
     7     (k)  The board shall have the power, and it shall be its
     8  duty:
     9     (1)  To regulate the practice of pharmacy and of pharmacy
    10  technicians;
    11     (2)  To determine the nature of examinations for all
    12  applicants for [pharmacists'] licenses;
    13     (3)  To examine, inspect and investigate all applications and
    14  all applicants for licensure as pharmacists, pharmacy
    15  technicians, pharmacies or registration as pharmacy interns and
    16  to grant certificates of licensure or registration to all
    17  applicants whom it shall judge to be properly qualified;
    18     (4)  With the approval of the Commissioner of Professional
    19  and Occupational Affairs, to prepare position descriptions,
    20  employ inspectors who shall be licensed pharmacists and employ
    21  appropriate consultants to assist it for any purposes which it
    22  may deem necessary, provided that the board may not delegate any
    23  of its final decisionmaking responsibilities to any consultant;
    24     (5)  To investigate or cause to be investigated all
    25  violations of the provisions of this act and its regulations and
    26  to cause prosecutions to be instituted in the courts upon advice
    27  from the Attorney General;
    28     (6)  To make or order inspections of all pharmacies, except
    29  health care facilities, as defined in the act of July 19, 1979
    30  (P.L.130, No.48), known as the "Health Care Facilities Act," and
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     1  which are periodically inspected by the Department of Health in
     2  accordance with the standards in this act and the board's
     3  regulations promulgated thereto: Provided, That the Department
     4  of Health shall forward a copy of their inspection report to the
     5  board noting any violations of the act: And, provided further,
     6  That, if a violation is reported, the board shall have the power
     7  to inspect such pharmacies and take appropriate action as
     8  specified in this act; and to make or order inspections of other
     9  places in which drugs or devices are stored, held, compounded,
    10  dispensed or sold to a consumer, to take and analyze any drugs
    11  or devices and to seize and condemn any drugs or devices which
    12  are adulterated, misbranded or stored, held, dispensed,
    13  distributed or compounded in violation of the provisions of this
    14  act or the provisions of the act of April 14, 1972 (P.L.233,
    15  No.64), known as "The Controlled Substance, Drug, Device and
    16  Cosmetic Act";
    17     (7)  To conduct hearings for the revocation or suspension of
    18  licenses, permits or registrations, for which hearings the board
    19  shall have the power to subpoena witnesses;
    20     (8)  To assist the regularly constituted enforcement agencies
    21  of this Commonwealth in enforcing all laws pertaining to drugs,
    22  controlled substances, and practice of pharmacy;
    23     (8.1)  To approve programs for the training of pharmacy
    24  technicians.
    25     (9)  To promulgate rules and regulations to effectuate the
    26  purposes of this act and to regulate the distribution of drugs
    27  and devices and the practice of pharmacy for the protection and
    28  promotion of the public health, safety and welfare.
    29     * * *
    30     Section 5.1.  Section 7 of the act is amended by adding a
    20070H0743B0870                  - 9 -     

     1  subsection to read:
     2     Section 7.  Hearings and Suspensions.--* * *
     3     (e)  Notwithstanding any other provision, subsections (d.3),
     4  (d.4), (d.5), (d.6), (d.7) and (d.8) shall not apply to pharmacy
     5  technicians.
     6     Section 5.2.  Sections 7.1, 8(2) and (8) and 8.1 of the act,
     7  amended or added December 20, 1985 (P.L.433, No.111), are
     8  amended to read:
     9     Section 7.1.  Reinstatement of License, Certificate or
    10  Registration.--Unless ordered to do so by Commonwealth Court or
    11  an appeal therefrom, the board shall not reinstate the license,
    12  certificate or registration of a person to practice [pharmacy]
    13  pursuant to this act which has been revoked. Any person whose
    14  license, certificate or registration has been revoked may apply
    15  for reinstatement, after a period of at least five years, but
    16  must meet all of the licensing qualifications of this act for
    17  the license applied for, to include the examination requirement,
    18  if he or she desires to practice at any time after such
    19  revocation.
    20     Section 8.  Unlawful Acts.--It shall be unlawful for:
    21     * * *
    22     (2)  Any person not duly licensed as a pharmacist, pursuant
    23  to section 3 hereof, to engage in the practice of pharmacy,
    24  including the preparing, compounding, dispensing, selling or
    25  distributing at retail to any person any drug, except by a
    26  pharmacy intern, pharmacy technician or such other authorized
    27  personnel under the direct and immediate personal supervision of
    28  a pharmacist: Provided, however, That nothing herein shall be
    29  construed to prevent a duly licensed medical practitioner from
    30  dispensing, compounding or otherwise giving any drug to his own
    20070H0743B0870                 - 10 -     

     1  patients after diagnosis or treatment of said patient, if such
     2  compounding, preparing and dispensing is done by said licensee
     3  himself, nor shall anything herein prevent any person from
     4  selling or distributing at retail household remedies or
     5  proprietary medicines when the same are offered for sale or sold
     6  in the original packages which have been put up ready for sale
     7  to consumers, provided household remedies or proprietary
     8  medicines shall not include any controlled substances or non-
     9  proprietary drug under the act of April 14, 1972 (P.L.233,
    10  No.64), known as "The Controlled Substance, Drug, Device and
    11  Cosmetic Act."
    12     * * *
    13     (8)  Any person, firm or corporation to use the title
    14  "pharmacist", "assistant pharmacist", "pharmacy technician",
    15  "pharmacy technician trainee", "druggist"[,] or "apothecary",
    16  except a person duly licensed as a pharmacist or a pharmacy
    17  technician in Pennsylvania, or any person to conduct or transact
    18  business under a name which contains as part thereof the words
    19  "drug store", "pharmacy", "drugs", "medicine store",
    20  "medicines", "drug shop," "apothecary," "pharmaceutical,"
    21  "homeopathic," "homeopathy" or any term having a similar
    22  meaning, or in any manner by advertisement, display of show
    23  globes or otherwise describe or refer to the place of the
    24  conducted business or person, unless the place is a pharmacy
    25  duly issued a permit by the State Board of Pharmacy.
    26     * * *
    27     Section 8.1.  Injunction.--It shall be unlawful for any
    28  person to practice or attempt to offer to practice pharmacy or
    29  as a pharmacy technician, as defined in this act, without having
    30  at the time of so doing a valid, unexpired, unrevoked and
    20070H0743B0870                 - 11 -     

     1  unsuspended license issued under this act. The unlawful practice
     2  of pharmacy as defined in this act may be enjoined by the courts
     3  on petition of the board or the Commissioner of Professional and
     4  Occupational Affairs. In any such proceeding it shall not be
     5  necessary to show that any person is individually injured by the
     6  actions complained of. If it is found that the respondent has
     7  engaged in the unlawful practice of pharmacy, the court shall
     8  enjoin him or her from so practicing unless and until he or she
     9  has been duly licensed. Procedure in such cases shall be the
    10  same as in any other injunction suit. The remedy by injunction
    11  hereby given is in addition to any other civil or criminal
    12  prosecution and punishment.
    13     Section 6.  The State Board of Pharmacy shall promulgate
    14  regulations to implement section 2.1 of the act within 18 months
    15  of the effective date of this section.
    16     Section 7.  No individual is required to be licensed as a
    17  pharmacy technician under section 2.1 of the act until 18 months
    18  after the State Board of Pharmacy has promulgated regulations
    19  under section 6 of this act.
    20     Section 8.  This act shall take effect immediately.







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