02RS HB67

HB67

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HB 67/FN (BR 444) - B. Colter, C. Belcher, L. Belcher, T. Burch, J. Jenkins, M. Marzian, M. Rader, W. Scott, K. Stein, T. Turner, S. Westrom

     AN ACT relating to the dispensing of noncontrolled legend drugs by advanced registered nurse practitioners in health departments.
     Create a new section of KRS Chapter 212 to require the governing board of each local, district, and independent health department or federally qualified health clinic to have a written policy concerning the dispensing of nonscheduled legend drugs by an advanced registered nurse practitioner; amend KRS 314.011 to expand the definition of "dispense" to include the distribution of noncontrolled legend drugs in a local, district, and independent health department or federally qualified health clinic, subject to consent by the governing board of the health department or health clinic; and amend KRS 314.042 to permit the dispensing of a nonscheduled legend drug by an advanced registered nurse practitioner from a health department or health clinic subject to approval of the appropriate governing board.

HB 67 - AMENDMENTS


     HCS/FN - Retain original provisions except delete the new language permitting advanced registered nurse practitioners to dispense nonscheduled drugs from health departments and federally qualified health centers if approved by the facility's governing board as part of a written collaborative agreement between a physician and advanced registered nurse practitioner in KRS 314.042(8).

     HCA (1/Title, R. Damron) - Make title amendment.

     HFA (1, R. Damron) - Retain original provisions and permit registered nurses at health departments and federally qualified health clinics to dispense nonscheduled drugs.

     HFA (2/Title, R. Damron) - Make title amendment.

     HFA (3, M. Treesh) - Prohibit a health department from dispensing a medication or device prescribed for the purpose of causing an abortion.

     HFA (4, M. Treesh) - Prohibit a health department from dispensing a medication or device prescribed for the purpose of causing an abortion.

     SCS/FN - Retain original provisions, except provide that in a health department, an advanced registered nurse practitioner or registered nurse may distribute nonscheduled legend drugs from a list that has been prepared by the Commissioner of the Department for Public Health, and that nothing in this section shall be construed to limit advanced registered nurse practitioners from dispensing nonscheduled drug samples under KRS 314.011; provide that each prescription drug distributed or dispensed at the health department shall be recorded in the patient record; provide that the director of each health department shall be responsible for keeping track of the inventory of stock medications and accounting for the medications dispensed or distributed; provide that only a health department board having within its membership a pharmacist holding a valid license issued pursuant to KRS 315.030 shall be authorized to permit advanced registered nurse practitioners or registered nurses to dispense nonscheduled legend drugs according to the written policy of the board; provide that, if a health department is unable to recruit a licensed pharmacist to serve on the board, the board shall document the consultation with a pharmacist licensed in Kentucky in the public health practice of the health department; clarify that only advanced registered nurse practitioners may dispense samples; delete references to federally qualified health clinics; and amend KRS 212.020, 212.380, 212.632, 212.640, 212.786, and 212.855 to require the various boards of health to have among their members a pharmacist licensed in Kentucky.

     (Prefiled by the sponsor(s))

     Jan 8-introduced in House; to Health and Welfare (H)
     Jan 16-posted in committee
     Jan 24-reported favorably, 1st reading, to Calendar with Committee Substitute, committee amendment (1-title)
     Jan 25-2nd reading, to Rules; posted for passage in the Regular Orders of the Day for Monday, January 28, 2002; floor amendment (1) filed to Committee Substitute, floor amendment (2-title) filed
     Jan 28-floor amendment (3) filed to Committee Substitute, floor amendment (4) filed to bill
     Jan 30-3rd reading, passed 96-1 with Committee Substitute, floor amendments (1) (2-title) and (3)
     Jan 31-received in Senate
     Feb 5-to Health and Welfare (S)
     Mar 13-reported favorably, 1st reading, to Calendar with Committee Substitute
     Mar 14-2nd reading, to Rules
     Mar 19-posted for passage in the Regular Orders of the Day for Tuesday, March 19, 2002; 3rd reading, passed 31-6 with Committee Substitute
     Mar 20-received in House; posted for passage for concurrence in Senate Committee Substitute
     Mar 21-House concurred in Senate Committee Substitute ; passed 92-5
     Mar 25-enrolled, signed by each presiding officer; delivered to Governor
     Mar 28-signed by Governor (Acts ch. 80)


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