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Committee narrows compounding definition and limits physician dispensing in workers' compensation bill
Summary
SB 27 51 was amended to align the state's workers' compensation definition of compounded drugs with federal 503a standards, to remove 503b, to limit physician dispensing to 30 days post-injury, and to require preapproval for non-FDA drugs; the committee passed the measure with those amendments.
The committee heard testimony from the Department of Labor & Industrial Relations and industry stakeholders on SB 27 51, a bill defining compounded prescription drugs in workers' compensation law. DLIR staff said the measure aligns state law with federal 503a requirements and recommended clarifying amendments to recognize pharmacists' control of compounding in licensed pharmacies.
Joanne Hiddenhar of DLIR told the panel the bill "aligns Hawaii's workers' compensation law with federal section 503a" and asked that pharmacists be recognized as primary compounding professionals and that physicians' compounding authority be limited to their own patients. Industry witness Chris Kadzilava (Solera Integrated Medical Solutions) opposed aspects of the draft and recommended including 503b manufacturers in definitions or limiting physician dispensing to an initial 30-day window, noting concerns over pricing and reimbursement.
After testimony, the committee accepted amendments to include a 503a-focused definition, delete 503b from the statutory text, limit physician dispensing to 30 days post-injury, and require preapproval for non-FDA drugs. The committee passed SB 27 51 with those technical amendments; the committee record includes an extended effective date for additional consideration.
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