C URRENT L AW AND PRACTICE I SSUES IN THE STATE AND N ATION Tony King, PharmD Corey Heffernan, PharmD Mark Meredith, PharmD Stuart Doggett, Executive Director, MPA

T OPICS National Issues US Pharmacy Caucus Compounding FDA Hot Topics Board of Pharmacy EO Position Update Compounding (again) Rules Updates State Legislative Issues Legislative Tracking List MPA’s 2 Bills Pharmacy Day at the Capitol

N ATIONAL I SSUES US Pharmacy Caucus Sen. Tester No Contact with MPA Compounding Tragedy FDA

T RAGEDIES D RIVE LEGISLATION

B OARD OF P HARMACY Executive Officer Position Update Biennial rule review MAR notice Compounding Rules Sterile and Non-sterile Federal Regulations Safeway Update Automated Dispensing Update Prescription Drug Registry

S TATE I SSUES American Society of Health System Pharmacists (ASHP) affiliation

S TATE L EGISLATIVE U PDATE MPA 2013 Legislative Bill Tracking Update (page 6) HB 14 – Bonding Issue, included Missoula College LC0119 HB 133 – BOP Housekeeping Includes PBMs as practicing pharmacy and licenses them as mail order HB 140 –Generally revising controlled substance laws Spice drugs and analogs SB 84 – Establishes standards and structure for patient-centered medical home LC1666 – Generally Revise Pharmacy Laws

G OOD /B AD T IMING

S TATE L EGISLATIVE I SSUES LC0545 (page 9 in blue packet) Revise collaborative practice laws for pharmacy immunizations Eliminates need for collaborative agreements for CDC recommended immunizations for patients age of 18 and older Eliminated need for collaborative agreements for Influenza, Pneumonia, and TDaP for patients age 7 and older Allows pharmacists to vaccinate patients age 7 and older for other immunizations with a prescription Allows pharmacists to administer epinephrine and diphenhydramine

S TATE L EGISLATIVE I SSUES LC0545 (page 20 of blue packet) Establish the pharmacy audit integrity act Limit the burden of pharmacy audits Include private payors and Montana Medicaid, but not Medicare Parts taken from several states (PA, UT, MN, etc.) Cannot recoup for typographical errors 10 day notice 200 claim/18 month window and not within first 5 days of month Same auditing standards at all pharmacies May not require more stringent record keeping Pay for the audit with the recoupment

Q UESTIONS ?