88(R) HB 2767 - Engrossed version - Bill Text
  88R7685 JSC-F
 
  By:  Klick H.B.  No.  2767
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  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; [or]
                           (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 1396

Statutes 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)