|   | 88R7685 JSC-F | |
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|   | By:  Klick | H.B.  No.  2767 |
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|   | relating to the sharing of controlled substance prescription | |
|   | monitoring information between the Texas State Board of Pharmacy | |
|   | and the Health and Human Services Commission for the state Medicaid | |
|   | program. | |
|   |              BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | |
|   |              SECTION  1.    Section 481.076, Health and Safety Code, is | |
|   | amended by amending Subsections (a), (d), and (k) and adding | |
|   | Subsections (a-3) and (l) to read as follows: | |
|   |              (a)    The board may not permit any person to have access to | |
|   | information submitted to the board under Section 481.074(q) or | |
|   | 481.075 except: | |
|   |                          (1)    the board, the Texas Medical Board, the Texas | |
|   | Department of Licensing and Regulation, with respect to the | |
|   | regulation of podiatrists, the State Board of Dental Examiners, the | |
|   | State Board of Veterinary Medical Examiners, the Texas Board of | |
|   | Nursing, or the Texas Optometry Board for the purpose of: | |
|   |                                      (A)    investigating a specific license holder; or | |
|   |                                      (B)    monitoring for potentially harmful | |
|   | prescribing or dispensing patterns or practices under Section | |
|   | 481.0762; | |
|   |                          (2)    an authorized employee of the board engaged in the | |
|   | administration, investigation, or enforcement of this chapter or | |
|   | another law governing illicit drugs in this state or another state; | |
|   |                          (3)    the department or other law enforcement or | |
|   | prosecutorial official engaged in the administration, | |
|   | investigation, or enforcement of this chapter or another law | |
|   | governing illicit drugs in this state or another state, if the board | |
|   | is provided a warrant, subpoena, or other court order compelling | |
|   | the disclosure; | |
|   |                          (4)    a medical examiner conducting an investigation; | |
|   |                          (5)    provided that accessing the information is | |
|   | authorized under the Health Insurance Portability and | |
|   | Accountability Act of 1996 (Pub. L. No.  104-191) and regulations | |
|   | adopted under that Act: | |
|   |                                      (A)    a pharmacist or a pharmacist-intern, | |
|   | pharmacy technician, or pharmacy technician trainee, as defined by | |
|   | Section 551.003, Occupations Code, acting at the direction of a | |
|   | pharmacist, who is inquiring about a recent Schedule II, III, IV, or | |
|   | V prescription history of a particular patient of the pharmacist; | |
|   | or | |
|   |                                      (B)    a practitioner who: | |
|   |                                                  (i)    is a physician, dentist, veterinarian, | |
|   | podiatrist, optometrist, or advanced practice nurse or is a | |
|   | physician assistant described by Section 481.002(39)(D) or an | |
|   | employee or other agent of a practitioner acting at the direction of | |
|   | a practitioner; and | |
|   |                                                  (ii)    is inquiring about a recent Schedule | |
|   | II, III, IV, or V prescription history of a particular patient of | |
|   | the practitioner; | |
|   |                          (6)    a pharmacist or practitioner who is inquiring | |
|   | about the person's own dispensing or prescribing activity or a | |
|   | practitioner who is inquiring about the prescribing activity of an | |
|   | individual to whom the practitioner has delegated prescribing | |
|   | authority; | |
|   |                          (7)    one or more states or an association of states with | |
|   | which the board has an interoperability agreement, as provided by | |
|   | Subsection (j); | |
|   |                          (8)    a health care facility certified by the federal | |
|   | Centers for Medicare and Medicaid Services; [ |
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|   |                          (9)    the patient, the patient's parent or legal | |
|   | guardian, if the patient is a minor, or the patient's legal | |
|   | guardian, if the patient is an incapacitated person, as defined by | |
|   | Section 1002.017(2), Estates Code, inquiring about the patient's | |
|   | prescription record, including persons who have accessed that | |
|   | record; or | |
|   |                          (10)    the Health and Human Services Commission or the | |
|   | commission's designee for the purpose of meeting the standards | |
|   | required by 42 U.S.C. Section 1396Statutes affected: Introduced: Health and Safety Code 481.076 (Health and Safety Code 481) House Committee Report: Health and Safety Code 481.076 (Health and Safety Code 481) Engrossed: Health and Safety Code 481.076 (Health and Safety Code 481) | |