HOUSE BILL No. 4937

 

May 13, 2009, Introduced by Reps. Segal, Corriveau, Johnson, Simpson, Melton, Haugh, Slavens, Young, Marleau, Mayes and Meadows and referred to the Committee on Health Policy.

 

     A bill to amend 1978 PA 368, entitled

 

"Public health code,"

 

(MCL 333.1101 to 333.25211) by adding section 16280.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 16280. (1) Except as otherwise provided in this section,

 

beginning July 1, 2010, a prescriber shall electronically transmit

 

every prescription for a prescription drug written in this state in

 

a manner that complies with the electronic prescription drug

 

program established for prescribers under the medicare improvements

 

for patients and providers act of 2008, Public Law 110-275. A

 

prescriber shall offer the patient a written receipt of the

 

information transmitted electronically to the pharmacy. The receipt

 


shall include the patient's name, the dosage and drug prescribed,

 

and the name of the pharmacy where the electronic prescription was

 

sent and shall indicate that the receipt cannot be used as a

 

duplicate order for the same prescription drug. Nothing in this

 

section interferes with the right of a patient to choose a pharmacy

 

or with the prescribing decision at the point of care. If the

 

pharmacy to be used by the patient for whom the prescription is

 

written is not able to receive electronically transmitted

 

prescriptions as provided in this subsection, the prescriber shall

 

write the prescription utilizing electronic prescription technology

 

and do 1 of the following as directed by the patient:

 

     (a) Print or otherwise provide the patient with a paper copy

 

of the electronic prescription.

 

     (b) Transmit the electronic prescription to the pharmacy by

 

facsimile or other means of electronic transmission, if that

 

transmission is otherwise allowed under this act.

 

     (2) Nothing in this section diminishes or modifies any

 

requirements or protections provided for in the prescription of

 

controlled substances as otherwise established by this act. A

 

prescriber and a pharmacy shall comply with applicable state and

 

federal confidentiality and data security requirements and

 

applicable state record retention and reporting requirements with

 

regard to electronically transmitted prescriptions under this

 

section.

 

     (3) A prescriber who violates this section is subject to the

 

following:

 

     (a) For his or her first offense, the department shall require

 


his or her attendance at a mandatory education program or course

 

established by the department in the electronic transmission of

 

prescriptions as required under this section.

 

     (b) For his or her second offense, the department shall

 

require the prescriber to submit a report explaining the reasons he

 

or she is unable to fully comply with the requirement to

 

electronically transmit prescriptions as required in this section.

 

The prescriber shall submit the information required under this

 

subdivision in the time period established by, and in the format

 

required by, the department.

 

     (c) For his or her third offense, the department shall require

 

the prescriber to pay an administrative fine of $100.00.

 

     (d) For his or her fourth offense, the department shall

 

require the prescriber to pay an administrative fine of $200.00.

 

     (e) For his or her fifth or subsequent offense, the prescriber

 

is subject to the administrative penalties prescribed in sections

 

16221 and 16226.

 

     (4) Beginning with the first full relicensure period after the

 

effective date of this section, a board that requires evidence of

 

attendance at educational programs as a condition to license

 

issuance or renewal for a prescriber under this article shall

 

require each applicant for licensure or license renewal to complete

 

as part of the educational programs required an appropriate number

 

of hours or courses in the electronic transmission of prescriptions

 

as required under this section.

 

     (5) As used in this section:

 

     (a) "Controlled substance" means that term as defined in

 


section 7104.

 

     (b) "Prescriber" means that term as defined in section 17708,

 

other than a licensed veterinarian.

 

     (c) "Prescription" means that term as defined in section

 

17708.

 

     (d) "Prescription drug" means that term as defined in section

 

17708.