[{"_1":2,"_88":-5,"_89":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6607425,"mediaKeyId","2952846-0ed85b117db39436942ba6fc1f281c7e","parentId",2952846,"title","Committee to 'watch' bill on hospitals dispensing unused portions of drugs to ER patients after detailed debate","audioSeconds",913,"startMs",740000,"endMs",1653000,"viewUrl","/Search/View?dp=1&key=2952846-0ed85b117db39436942ba6fc1f281c7e&start=740&end=1653","thumbnailUrl","https://assets.pipeline.soar.com/2952846-0ed85b117db39436942ba6fc1f281c7e/thumbnail_740000.jpg","articleUrl","/articles/6607425/California/Committee-to-watch-bill-on-hospitals-dispensing-unused-portions-of-drugs-to-ER-patients-after-detailed-debate","mediaUrl","https://secure.pipeline.soar.com/6607425-b0f9461e3dfbfec5fd9457785d8f3aa5/orig.mp4?Expires=1771134051&Signature=AazoRgycdTv2xyatlpBPwfsQchN-~zYM-5hmfn6Rb3ywUW~UncCwC8JT9u2ZYHrIlLFSuvHi5nFjSPxt02JFtnzJ9-bVqnAgM9jqKd7gXqc264~U3BpLB4mkyyZFkw0DXP~StH1~Ts8AdFMlJ7X1ZzS1xFXJ~1KsdHuhYL69jHwHP36cZAofkKfLgtz5yKwqUvN-r-WKAPOOQlKbmwFyq6WEfIU1jZsUqkIMGLv1zyvvCNKuCyBFxPkGWWoTooPevqrA4ix2FfzOSEh84TAL-ZGiWEIJzcyUMgvojlAiv2yLGvTUylQkMrADVkqRuUSfL9enoveGZUYhakxDklRtYg__&Key-Pair-Id=KUT5TJCACFTXG","author","Respiratory Care Board of California","date","2025-04-10T19:19:36.223Z","article","The Legislation and Regulation Committee discussed Assembly Bill 447, which would allow a prescriber to dispense an unused portion of a dangerous drug acquired from a hospital pharmacy to an emergency room patient under specified conditions, but the committee took no formal position and elected to \"watch\" the measure for further amendments.

Members and public commenters agreed the bill aims to improve patient access to medications after an emergency visit, but debated specific risks including labeling, documentation and whether automated drug dispensing systems (ADDS) used in hospitals should be exempt from licensure when dispensing to outpatients.

Committee chair Jessica Crowley opened the agenda item by summarizing the bill and staff recommendation to \"watch,\" noting the measure had recently passed committee with further amendments not yet in print.

Licensee member Maria Serpa, who described long experience in acute-care pharmacy, said the issue \"is real\" and described common scenarios — inhalers, creams and ointments — where patients leave the emergency department needing a usable dose. She cautioned, however, that \"the concern comes with having it be appropriately labeled and having all the information that the patient needs and that it be documented that it was dispensed to the patient by the pharmacy.\" Serpa said emergency-room medications remain \"in the pharmacy's inventory\" and described prior discussions around controlled-substance supplies and prescriber dispensing in ER settings.

Licensee member Nicole Thiebaud said the measure could improve time-sensitive access to postexposure prophylaxis (PEP) for HIV and other urgent therapies, asking whether the bill would permit dispensing a full bottle required for a course of therapy. \"That would be something I'd be interested in learning as we go through this process,\" she said.

Public commenters and stakeholders largely urged preserving labeling and documentation standards and supported narrow exemptions for ADDS where appropriate. Keith Yoshizuka of the California Society of Health System Pharmacists urged amendments or clarifying language to ensure labeling requirements remain clear and not to create a loophole where medications are handed to patients without adequate labels. Michelle Rivas of the California Pharmacists Association said CPHA supported the concept \"if amended\" and asked the committee to ensure pharmacists dispensing remain held to \"the same vigorous standards\" as other dispensing. Andre Peters, a pharmacist speaking in a personal capacity, urged exempting certain ADDS from licensure if the purpose is limited to providing stock for on-site use rather than creating new outpatient dispensaries.

Speakers repeatedly flagged risk of \"scope creep\" — for example, a prescriber dispensing an entire course of tablets from an ADDS rather than a single used portion — and urged clearer definitions of \"unused portion\" to avoid turning ADDS into de facto outpatient dispensaries. Stakeholders described existing hospital relabeling workflows and the potential for delays if relabeling is required before dispensing to patients going home.

After public comment, the committee did not move a formal motion to take a position; the item was recorded as \"watch.\" Committee members said staff should continue to monitor amendments and report back at a future meeting so that the board can consider a formal position once bill language stabilizes.

The committee did not adopt substantive text changes or votes on this measure during the April 9 meeting.

","mediaType","Video","parentTitle","California State Board of Pharmacy - Legislation and Regulation Committee Meeting - April 9, 2025","oneSentenceSummary","The Legislation and Regulation Committee discussed Assembly Bill 447, which would allow a prescriber to dispense an unused portion of a dangerous drug acquired from a hospital pharmacy to an emergency room patient, and decided to monitor the bill rather than take immediate action.","taxTitle","Respiratory Care Board of California, Boards and Commissions, Executive, California","taxId",76751,"location","California","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6607421,"Committee votes: support for a package of pharmacy-related bills; one abstention on PBM reform",495,1691000,2186000,"/Search/View?dp=1&key=2952846-0ed85b117db39436942ba6fc1f281c7e&start=1691&end=2186","https://assets.pipeline.soar.com/2952846-0ed85b117db39436942ba6fc1f281c7e/thumbnail_1691000.jpg","/articles/6607421/California/Committee-votes-support-for-a-package-of-pharmacy-related-bills-one-abstention-on-PBM-reform","https://secure.pipeline.soar.com/6607421-771bdc5ced60777b149b7902bb80b802/orig.mp4?Expires=1771134051&Signature=lrZxEbV85UgESKerWHTJoEW3KVI9bVqG4unc0t8xGD1sP9pAxB-7vxehcuc3FKx9DYjtmjX3m8UkYrHU5aZ~YcuZDXHzZjThtpWAaslQ4624K4iF0zbShw6x6Ms4k1hgmaYmHfy1J~8NqDVJ5V0hwj2arfNBrC69swNN5rxxYLPQyw~iLLVDX2BaMGscrsw5DIsRDsqzbZ7rgSNwKej5Iv4YE6jVoukZqw1Lf1kSHp2FdgEEOYOK8PFzxX3DQHRTK~qhVbIBb3gT94rw42ZkmjzJsJpZCSaQjhBnmOCXcUI76c3RWBk1~~513RNQNW7xra5YW-1hO3YXAYXp6jLSBQ__&Key-Pair-Id=KUT5TJCACFTXG","The Legislation and Regulation Committee voted to support a slate of bills addressing pharmacy practice, public health and regulatory flexibilities during the 2025 legislative session. Most committee votes were unanimous; the committee opted to \"watch\" several measures pending amended language, and one member abstained on the committee's support for PBM regulation.

Votes at a glance (bill — brief description — committee position — roll call):

- AB 50 — Allow pharmacists to furnish over-the-counter hormonal contraception and furnish up to a 12-month supply at one time: Committee recommended support; roll call: Trevor Chandler — yes; Maria Serpa — yes; Nicole Thiebaud — yes; Chair Jessica Crowley — yes. Motion passed.

- AB 447 — Allow a prescriber to dispense an unused portion of a dangerous drug to an ER patient under specified conditions: Committee took no formal position and elected to monitor/amend (watch); no roll-call vote was taken.

- AB 529 — Extend Board authority to waive certain pharmacy law provisions up to 120 days post-declared emergency: Committee recommended support; roll call: Trevor Chandler — yes; Maria Serpa — yes; Nicole Thiebaud — yes; Chair Jessica Crowley — yes. Motion passed.

- AB 667 — Require boards to permit applicants who cannot read/speak/write English to use an interpreter (with limits): Committee elected to watch the measure pending amendments; no vote recorded at this meeting.

- AB 669 — Ensure 28 days of certain substance use disorder inpatient or intensive outpatient care and prohibit prior authorization for FDA-approved medications for addiction when medically necessary: Committee recommended support; roll call: Trevor Chandler — yes; Maria Serpa — yes; Nicole Thiebaud — yes; Chair Jessica Crowley — yes. Motion passed.

- AB 957 — Prohibit pharmacies from selling cigarettes or tobacco products: Committee recommended support; roll call: Trevor Chandler — yes; Maria Serpa — yes; Nicole Thiebaud — yes; Chair Jessica Crowley — yes. Motion passed.

- AB 1037 — Remove the sunset on pharmacists' authority to furnish hypodermic needles and syringes: Committee recommended support; roll call: Trevor Chandler — yes; Maria Serpa — yes; Nicole Thiebaud — yes; Chair Jessica Crowley — yes. Motion passed.

- AB 1460 — Prohibit discriminatory practices by prescription drug manufacturers that interfere with covered entities' purchases under federal pricing programs (e.g., 340B): Committee recommended support; roll call: Trevor Chandler — yes; Maria Serpa — yes; Nicole Thiebaud — yes; Chair Jessica Crowley — yes. Motion passed.

- AB 1503 — Board's sunset bill; update term advanced practice pharmacist to advanced pharmacist practitioner (board-sponsored sunset changes): Committee recommended support; roll call: Trevor Chandler — yes; Maria Serpa — yes; Nicole Thiebaud — yes; Chair Jessica Crowley — yes. Motion passed.

- SB 41 — Establish regulation of pharmacy benefit managers (PBMs) in Department of Insurance: Committee recommended support; roll call: Trevor Chandler — yes; Maria Serpa — yes; Nicole Thiebaud — abstain; Chair Jessica Crowley — yes. Motion passed (one abstention).

- SB 470 — Make temporary Bagley-Keene Act flexibilities permanent (remote participation): Committee recommended support; roll call: Trevor Chandler — yes; Maria Serpa — yes; Nicole Thiebaud — yes; Chair Jessica Crowley — yes. Motion passed.

- SB 497 — Prohibit release of medical information related to a person seeking or obtaining gender-affirming health care under specified conditions: Committee recommended support; roll call: Trevor Chandler — yes; Maria Serpa — yes; Nicole Thiebaud — yes; Chair Jessica Crowley — yes. Motion passed.

- SB 548 — Require California Health and Human Services Agency to create recommendations and an advisory group to halve alcohol- and drug-related deaths (advisory group to include specified entities): Committee recommended support with request to consider pharmacist representation on the advisory group; roll call: Trevor Chandler — yes; Maria Serpa — yes; Nicole Thiebaud — yes; Chair Jessica Crowley — yes. Motion passed.

- SB 647 — Allow boards to waive certain licensure provisions for licensees impacted by declared emergencies and require applicants/licensees provide an email address: Committee recommended support; roll call: Trevor Chandler — yes; Maria Serpa — yes; Nicole Thiebaud — yes; Chair Jessica Crowley — yes. Motion passed.

Several agenda items on regulations were discussed for information only; no votes were required.

","At its April 9 Legislation and Regulation Committee meeting the Board's committee voted to support a series of Assembly and Senate bills on pharmacy practice, access and consumer protection. Most motions passed unanimously; the committee chose to 'watch' several measures and recorded one abstention on PBM reform.","actionData","errors"]

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Committee to 'watch' bill on hospitals dispensing unused portions of drugs to ER patients after detailed debate

Committee votes: support for a package of pharmacy-related bills; one abstention on PBM reform