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Highlights 77th Texas Legislature - Senate

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___ HEALTH AND HUMAN<br />

ERVICES/Regulatory<br />

UMAN SERVICES<br />

77 th <strong>Texas</strong> <strong>Legislature</strong><br />

Regulation of Telepharmacy Drug Dispensing - S.B. 65<br />

by Senator Moncrief<br />

House Sponsors: Representative Bob Turner, et al.<br />

The <strong>Texas</strong> <strong>Senate</strong> Health Committee reports that 87% of <strong>Texas</strong> counties, in whole or in part, are<br />

considered medically underserved. Since 1997, <strong>Texas</strong> has experienced a loss of more than 57 rural clinics<br />

and five rural hospitals. One issue of concern is the severe shortage of pharmacists in <strong>Texas</strong>. Among rural<br />

counties in <strong>Texas</strong>, 19 counties have no active pharmacy thereby forcing those patients and even some<br />

patients within larger counties to travel great distances to reach a pharmacy.<br />

Authorizes a community or institutional pharmacy (pharmacy) located in this state to provide pharmacy<br />

services, including the dispensing of drugs through a telepharmacy system in a facility that is not at the<br />

same location as the operating pharmacy.<br />

Provides that a telepharmacy system is required to be under the continuous supervision of a pharmacist as<br />

determined by board rule and requires a pharmacist to supervise a telepharmacy system electronically by<br />

audio and video communication.<br />

Intermediate Care Facilities for Persons with Mental Retardation (ICF/MR) - S.B. 83<br />

by Senator Madla<br />

House Sponsors: Representatives Uresti and Naishtat<br />

Requires the <strong>Texas</strong> Board of Human Services (board), rather than the <strong>Texas</strong> Department of Human<br />

Services (DHS), to administer and implement laws regarding intermediate care facilities for the mentally<br />

retarded (ICF/MR). Before the board adopts a rule applicable to an ICF/MR, the board is required to<br />

present the proposed rule to the commissioner of MHMR for review.<br />

Requires DHS to have specialized staff that conducts inspections, surveys, or investigations of ICF-MRs.<br />

Requires DHS and MHMR to ensure the short-term and long-term well being of clients when closing an<br />

ICF/MR.<br />

Automated Prescription Drug Dispensing Regulation - S.B. 98<br />

by Senator Nelson<br />

House Sponsors: Representatives Maxey and Wohlgemuth<br />

Technological advances have made it possible for the development of automated pharmacy systems,<br />

which use computer technology to package and dispense prescription drugs and maintain related<br />

transaction information to reduce drug waste, human error, and drug-related costs. Current law does not<br />

provide for the use of such automated systems in a facility that is not in the same location as a Class A or<br />

Class C pharmacy.<br />

Authorizes a Class A or Class C pharmacy to provide services through an automated pharmacy system in<br />

a facility that is not at the same location as the Class A or Class C pharmacy. The bill provides that the<br />

pharmacist in charge of the Class A or Class C pharmacy is responsible for filling and loading the storage<br />

containers for medication stored in bulk at the facility.<br />

<strong>Senate</strong> Research Center 150

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