88R1980 KKR-D     By: Dean H.B. No. 1373       A BILL TO BE ENTITLED   AN ACT   relating to a pilot program for the safe disposal of controlled   substance prescription drugs.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Subtitle A, Title 6, Health and Safety Code, is   amended by adding Chapter 442A to read as follows:   CHAPTER 442A. CONTROLLED SUBSTANCE PRESCRIPTION DRUG SAFE DISPOSAL   PILOT PROGRAM   SUBCHAPTER A. GENERAL PROVISIONS          Sec. 442A.001.  DEFINITIONS. In this chapter:                (1)  "Board" means the Texas State Board of Pharmacy.                (2)  "Controlled substance" has the meaning assigned by   Section 481.002.                (3)  "Pharmacy" means a facility licensed under Chapter   560, Occupations Code.                (4)  "Pilot program" means the controlled substance   prescription drug safe disposal pilot program established under   this chapter.                (5)  "Prescription drug" has the meaning assigned by   Section 551.003, Occupations Code.          Sec. 442A.002.  CONTROLLED SUBSTANCE PRESCRIPTION DRUG SAFE   DISPOSAL PILOT PROGRAM. The board by rule shall develop and   implement a controlled substance prescription drug safe disposal   pilot program to increase the number of locations in this state in   which unused controlled substance prescription drugs are collected   from the public for safe disposal.   SUBCHAPTER B. PHARMACY PARTICIPATION          Sec. 442A.051.  PHARMACY ELIGIBILITY. A pharmacy operating   in this state may apply to the board to participate in the pilot   program if the pharmacy:                (1)  is registered with the United States Drug   Enforcement Administration;                (2)  is not the subject of state or federal opioid   litigation; and                (3)  meets the eligibility requirements established by   board rules.          Sec. 442A.052.  APPLICATION AND SELECTION PROCESSES. (a)   The board shall adopt rules prescribing:                (1)  the form and manner for a pharmacy to apply for   participation in the pilot program; and                (2)  evaluation and selection criteria and processes.          (b)  The board shall give priority to a pharmacy applicant   that:                (1)  does not collect unused controlled substance   prescription drugs at the time the applicant submits the   application; or                (2)  is located in a rural or underserved area the board   designates.          (c)  A pharmacy that operates multiple locations must submit   an application for each location.          Sec. 442A.053.  COLLECTION RECEPTACLE REQUIREMENTS. A   participating pharmacy that provides a collection receptacle for   the safe disposal of controlled substance prescription drugs shall   ensure the receptacle:                (1)  meets the requirements of 21 C.F.R. Section   1317.75;                (2)  is accessible during the pharmacy's regular hours   of operation;                (3)  allows anonymous returns of unused controlled   substance prescription drugs; and                (4)  provides disposal of unused controlled substance   prescription drugs at no cost to the person returning the drugs.          Sec. 442A.054.  MAIL-BACK REQUIREMENTS. A participating   pharmacy that provides a mail-back program for the safe disposal of   controlled substance prescription drugs shall:                (1)  ensure the program meets the requirements of 21   C.F.R. Section 1317.70; and                (2)  provide at the time the pharmacy dispenses a   controlled substance prescription drug, at no cost to the person to   whom the drug is prescribed, a mail-in pouch for the person to   surrender any unused drugs by mail.          Sec. 442A.055.  PHARMACY MANAGEMENT; RECORDS. A   participating pharmacy is responsible for the daily management and   recordkeeping of the pharmacy's controlled substance prescription   drug safe disposal program in accordance with the pharmacy's United   States Drug Enforcement Administration registration.          Sec. 442A.056.  TEXAS PREMIER PHARMACY DESIGNATION. (a)   The board shall designate each pharmacy participating in the pilot   program as a Texas premier pharmacy provider committed to safe   opioid disposal.          (b)  A participating pharmacy may use the designation for   marketing purposes.   SUBCHAPTER C. BOARD DUTIES          Sec. 442A.101.  PILOT PROGRAM INCENTIVES. (a) The board   shall assist each pharmacy participating in the pilot program with   establishing and operating a plan for the safe return of controlled   substance prescription drugs under the pilot program, including by   paying the costs of:                (1)  one collection receptacle for each pharmacy   location;                (2)  supplies necessary for a mail-back program,   including envelopes and shipping costs;                (3)  destruction of collected drugs through   incineration; and                (4)  other operational needs as the board determines   appropriate.          (b)  The board may:                (1)  provide reimbursement costs directly to a   participating pharmacy for the costs the pharmacy incurs in   establishing and operating the plan under Subsection (a); or                (2)  contract with a vendor to provide directly to the   participating pharmacy the supplies and services necessary to   implement the plan and reimburse the vendor for providing the   supplies and services.          (c)  Subject to money available for purposes of this chapter,   the board may provide financial incentives to a pharmacy that is   providing drug collection services to continue providing those   services or expand those services to accommodate controlled   substance prescriptions. The board may provide incentives to a   chain retail pharmacy for not more than 15 locations.          Sec. 442A.102.  COMMUNITY OUTREACH. (a) The board shall:                (1)  develop and distribute educational outreach   materials for the public about the availability of safe controlled   substance prescription drug disposal in this state;                (2)  post the materials on the board's Internet   website; and                (3)  provide the materials to other state agencies for   those agencies to conduct the community outreach.          (b)  The educational outreach materials must be in English,   Spanish, and, if applicable, another language spoken by a   substantial portion of the residents in a specific area of this   state.          Sec. 442A.103.  REPORT. Not later than December 1 of each   even-numbered year, the board shall submit to the governor, the   lieutenant governor, and the legislature a report that:                (1)  summarizes the results of the pilot program,   including:                      (A)  the number and geographic distribution of   collection receptacles;                      (B)  the amount of controlled substance   prescription drugs disposed by pharmacies under the pilot program;                      (C)  the amount and recipient of money distributed   under the pilot program; and                      (D)  a description of the board's educational   efforts and outcomes; and                (2)  recommends whether the pilot program should   continue, be expanded, or terminate or whether the board should   permanently implement a controlled substance prescription drug   safe disposal program.   SUBCHAPTER D. FUNDING          Sec. 442A.151.  FUNDING. (a) Money contained in the opioid   abatement account established under Section 403.505, Government   Code, as added by Chapter 781 (S.B. 1827), Acts of the 87th   Legislature, Regular Session, 2021, may be appropriated to the   board to fund the pilot program established under this chapter.          (b)  The board may collect gifts, grants, and donations to   fund the program.   SUBCHAPTER E. EXPIRATION          Sec. 442A.201.  EXPIRATION. This chapter expires September   1, 2029.          SECTION 2.  As soon as practicable after the effective date   of this Act, the Texas State Board of Pharmacy shall implement the   controlled substance prescription drug safe disposal pilot program   developed under Chapter 442A, Health and Safety Code, as added by   this Act.          SECTION 3.  This Act takes effect September 1, 2023.