By: Perry	S.B. No. 1633

	A BILL TO BE ENTITLED
	AN ACT
	relating to the provision of pharmacy services through a
	telepharmacy system; establishing a remote dispensing site
	license.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1.  Section 562.110, Occupations Code, is amended by
	amending Subsections (a), (b), (d), and (e) and adding Subsection
	(g) to read as follows:
	(a)  In this section:
	(1)  "Provider pharmacy" means a Class A or Class C
	pharmacy that provides pharmacy services through a telepharmacy
	system at a remote dispensing site.
	(2)  "Remote dispensing site" means a location licensed
	as a telepharmacy that is authorized by a provider pharmacy through
	a telepharmacy system to store and dispense prescription drugs and
	devices, including dangerous drugs and controlled substances.
	(3)  "Telepharmacy [, "telepharmacy] system" means a
	system that monitors the dispensing of prescription drugs and
	provides for related drug use review and patient counseling
	services by an electronic method, including the use of the
	following types of technology:
	(A) [(1)]  audio and video;
	(B) [(2)]  still image capture; and
	(C) [(3)]  store and forward.
	(b)  A Class A or Class C pharmacy located in this state may
	provide pharmacy services, including the dispensing of drugs,
	through a telepharmacy system at locations separate from [in a
	facility that is not at the same location as] the Class A or Class C
	pharmacy.
	(d)  A telepharmacy system may be located only at:
	(1)  a health care facility in this state that is
	regulated by this state or the United States; or
	(2)  a remote dispensing site.
	(e)  The board shall adopt rules regarding the use of a
	telepharmacy system under this section, including:
	(1)  the types of health care facilities at which a
	telepharmacy system may be located under Subsection (d)(1), which
	must include the following facilities:
	(A)  a clinic designated as a rural health clinic
	regulated under 42 U.S.C. Section 1395x(aa)[, as amended]; and
	(B)  a health center as defined by 42 U.S.C.
	Section 254b[, as amended];
	(2)  the locations eligible to be licensed as remote
	dispensing sites, which must include locations in medically
	underserved areas, areas with a medically underserved population,
	and health professional shortage areas determined by the United
	States Department of Health and Human Services, and;
	(a)  A provider pharmacy may not provide remote
	pharmacy services if a Class A (Community) or Class C
	(Institutional) pharmacy that dispenses prescription drug orders
	to out-patients is located in the same community. For the purposes
	of this subsection a community is defined as:
	(1)  The census tract in which the remote
	site
	is located, if the remote site is located in a Metropolitan
	Statistical Area (MSA) as defined by the United States Census
	Bureau in the most recent U.S. Census; or
	(2)  within 10 miles of the remote site, if
	the remote site is not located in a MSA.
	(3)  licensing and operating requirements for remote
	dispensing sites, including:
	(A)  a requirement that a remote dispensing site
	license identify the provider pharmacy that will provide pharmacy
	services at the remote dispensing site;
	(B)  a requirement that a provider pharmacy be
	allowed to provide pharmacy services at not more than two remote
	dispensing sites;
	(C)  a requirement that a pharmacist employed by a
	provider pharmacy make at least monthly on-site visits to a remote
	dispensing site or more frequent visits if specified by board rule;
	(D)  a requirement that a pharmacist employed by a
	provider pharmacy be physically present at a remote dispensing site
	when the pharmacist is providing services requiring the physical
	presence of the pharmacist, including immunizations;
	(E)  a requirement that a remote dispensing site
	be staffed by an on-site pharmacy technician who is under the
	continuous supervision of a pharmacist employed by the provider
	pharmacy;
	(F)  a requirement that all pharmacy technicians
	at a remote dispensing site be counted for the purpose of
	establishing the pharmacist-pharmacy technician ratio of the
	provider pharmacy; and
	(G)  any additional training or practice
	experience requirements for pharmacy technicians at a remote
	dispensing site;
	(4)  the areas that qualify under Subsection (f);
	(5) [(3)]  recordkeeping requirements; and
	(6) [(4)]  security requirements.
	(g)  The board by rule shall require and develop a process
	for a remote dispensing site to apply for classification as a Class
	A pharmacy if the average number of prescriptions dispensed per day
	at the remote dispensing site is more than 125, as calculated each
	calendar year.
	SECTION 2.  The Texas State Board of Pharmacy shall adopt
	rules under Section 562.110, Occupations Code, as amended by this
	Act, not later than January 1, 2018.
	SECTION 3.  This Act takes effect September 1, 2017.