Senate Bill sb0640c2

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    Florida Senate - 2002                     CS for CS for SB 640

    By the Committees on Judiciary; Health, Aging and Long-Term
    Care; and Senator Burt




    308-1930-02

  1                      A bill to be entitled

  2         An act relating to criminal offenses involving

  3         health care practitioners; creating s. 456.075,

  4         F.S.; authorizing a representative of the

  5         Department of Health to appear in a criminal

  6         proceeding against a health care professional

  7         to furnish information, make recommendations,

  8         or provide other assistance; providing that the

  9         court may order the representative to appear in

10         a criminal proceeding that relates to the

11         qualifications, functions, or duties of a

12         health care professional; amending s. 893.13,

13         F.S.; increasing the penalty imposed for

14         withholding information from a practitioner

15         concerning a controlled substance; prohibiting

16         a practitioner from knowingly assisting a

17         person in obtaining a controlled substance

18         through fraud or scheme, knowingly prescribing

19         a controlled substance for a fictitious person,

20         or prescribing a controlled substance for

21         purposes of monetary benefit; providing for a

22         permissive inference that a prescribing

23         practitioner knowingly assisted a person to

24         obtain a controlled substance through fraud;

25         providing penalties; amending s. 921.0022,

26         F.S., relating to the offense severity ranking

27         chart of the Criminal Punishment Code;

28         conforming provisions to changes made by the

29         act; amending s. 921.187, F.S.; conforming

30         cross-references; providing an effective date.

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  1  Be It Enacted by the Legislature of the State of Florida:

  2

  3         Section 1.  Section 456.075, Florida Statutes, is

  4  created to read:

  5         456.075  In any criminal proceeding against a person

  6  licensed by the department to practice a health care

  7  profession in this state, a representative of the department

  8  may voluntarily appear and furnish pertinent information, make

  9  recommendations regarding specific conditions of probation, or

10  provide any other assistance necessary to promote justice or

11  protect the public. The court may order a representative of

12  the department to appear in any criminal proceeding if the

13  crime charged is substantially related to the qualifications,

14  functions, or duties of a health care professional licensed by

15  the department.

16         Section 2.  Subsection (7) of section 893.13, Florida

17  Statutes, is amended, and present subsections (8), (9), and

18  (10) of that section are amended and redesignated as

19  subsections (9), (10), and (11), respectively, and a new

20  subsection (8) is added to that section, to read:

21         893.13  Prohibited acts; penalties.--

22         (7)(a)  It is unlawful for any person:

23         1.  To distribute or dispense a controlled substance in

24  violation of this chapter.

25         2.  To refuse or fail to make, keep, or furnish any

26  record, notification, order form, statement, invoice, or

27  information required under this chapter.

28         3.  To refuse an entry into any premises for any

29  inspection or to refuse to allow any inspection authorized by

30  this chapter.

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  1         4.  To distribute a controlled substance named or

  2  described in s. 893.03(1) or (2) except pursuant to an order

  3  form as required by s. 893.06.

  4         5.  To keep or maintain any store, shop, warehouse,

  5  dwelling, building, vehicle, boat, aircraft, or other

  6  structure or place which is resorted to by persons using

  7  controlled substances in violation of this chapter for the

  8  purpose of using these substances, or which is used for

  9  keeping or selling them in violation of this chapter.

10         6.  To use to his or her own personal advantage, or to

11  reveal, any information obtained in enforcement of this

12  chapter except in a prosecution or administrative hearing for

13  a violation of this chapter.

14         7.  To withhold information from a practitioner from

15  whom the person seeks to obtain a controlled substance or a

16  prescription for a controlled substance that the person has

17  received a controlled substance or a prescription for a

18  controlled substance of like therapeutic use from another

19  practitioner within the last 30 days.

20         7.8.  To possess a prescription form which has not been

21  completed and signed by the practitioner whose name appears

22  printed thereon, unless the person is that practitioner, is an

23  agent or employee of that practitioner, is a pharmacist, or is

24  a supplier of prescription forms who is authorized by that

25  practitioner to possess those forms.

26         8.  To withhold information from a practitioner from

27  whom the person seeks to obtain a controlled substance or a

28  prescription for a controlled substance that the person making

29  the request has received a controlled substance or a

30  prescription for a controlled substance of like therapeutic

31  use from another practitioner within the previous 30 days.

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  1         9.  To acquire or obtain, or attempt to acquire or

  2  obtain, possession of a controlled substance by

  3  misrepresentation, fraud, forgery, deception, or subterfuge.

  4         10.  To affix any false or forged label to a package or

  5  receptacle containing a controlled substance.

  6         11.  To furnish false or fraudulent material

  7  information in, or omit any material information from, any

  8  report or other document required to be kept or filed under

  9  this chapter or any record required to be kept by this

10  chapter.

11         (b)  Any person who violates the provisions of

12  subparagraphs (a)1.-7. (a)1.-8. commits a misdemeanor of the

13  first degree, punishable as provided in s. 775.082 or s.

14  775.083; except that, upon a second or subsequent violation,

15  the person commits a felony of the third degree, punishable as

16  provided in s. 775.082, s. 775.083, or s. 775.084.

17         (c)  Any person who violates the provisions of

18  subparagraphs (a)8.-11. (a)9.-11. commits a felony of the

19  third degree, punishable as provided in s. 775.082, s.

20  775.083, or s. 775.084.

21         (8)(a)  Notwithstanding subsection (9), a prescribing

22  practitioner may not:

23         1.  Knowingly assist a patient, other person, or the

24  owner of an animal in obtaining a controlled substance through

25  deceptive, untrue, or fraudulent representations in or related

26  to the practice of the prescribing practitioner's professional

27  practice;

28         2.  Employ a trick or scheme in the practice of the

29  prescribing practitioner's professional practice to assist a

30  patient, other person, or the owner of an animal in obtaining

31  a controlled substance;

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  1         3.  Knowingly write a prescription for a controlled

  2  substance for a fictitious person; or

  3         4.  Write a prescription for a controlled substance for

  4  a patient, other person, or an animal if the sole purpose of

  5  writing such prescription is to provide a monetary benefit to,

  6  or obtain a monetary benefit for, the prescribing

  7  practitioner.

  8         (b)  If the prescribing practitioner wrote a

  9  prescription or multiple prescriptions for a controlled

10  substance for the patient, other person, or animal for which

11  there was no medical necessity, or which was in excess of what

12  was medically necessary to treat the patient, other person, or

13  animal, that fact does not give rise to any presumption that

14  the prescribing practitioner violated subparagraph (a)1., but

15  may be considered with other competent evidence in determining

16  whether the prescribing practitioner knowingly assisted a

17  patient, other person, or the owner of an animal to obtain a

18  controlled substance in violation of subparagraph (a)1.

19         (c)  A person who violates paragraph (a) commits a

20  felony of the third degree, punishable as provided in s.

21  775.082, s. 775.083, or s. 775.084.

22         (d)  Notwithstanding paragraph (c), if a prescribing

23  practitioner has violated paragraph (a) and received $1,000 or

24  more in payment for writing one or more prescriptions or, in

25  the case of a prescription written for a controlled substance

26  described in s. 893.135, has written one or more prescriptions

27  for a quantity of a controlled substance which, individually

28  or in the aggregate, meets the threshold for the offense of

29  trafficking in a controlled substance under s. 893.15, the

30  violation is reclassified as a felony of the second degree and

31  ranked in level 4 of the Criminal Punishment Code.

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  1         (9)(8)  The provisions of subsections (1)-(8) (1)-(7)

  2  are not applicable to the delivery to, or actual or

  3  constructive possession for medical or scientific use or

  4  purpose only of controlled substances by, persons included in

  5  any of the following classes, or the agents or employees of

  6  such persons, for use in the usual course of their business or

  7  profession or in the performance of their official duties:

  8         (a)  Pharmacists.

  9         (b)  Practitioners.

10         (c)  Persons who procure controlled substances in good

11  faith and in the course of professional practice only, by or

12  under the supervision of pharmacists or practitioners employed

13  by them, or for the purpose of lawful research, teaching, or

14  testing, and not for resale.

15         (d)  Hospitals that procure controlled substances for

16  lawful administration by practitioners, but only for use by or

17  in the particular hospital.

18         (e)  Officers or employees of state, federal, or local

19  governments acting in their official capacity only, or

20  informers acting under their jurisdiction.

21         (f)  Common carriers.

22         (g)  Manufacturers, wholesalers, and distributors.

23         (h)  Law enforcement officers for bona fide law

24  enforcement purposes in the course of an active criminal

25  investigation.

26         (10)(9)  Notwithstanding any provision of the

27  sentencing guidelines or the Criminal Punishment Code to the

28  contrary, on or after October 1, 1993, any defendant who:

29         (a)  Violates subparagraph (1)(a)1., subparagraph

30  (1)(c)2., subparagraph (1)(d)2., subparagraph (2)(a)1., or

31  paragraph (5)(a); and

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  1         (b)  Has not previously been convicted, regardless of

  2  whether adjudication was withheld, of any felony, other than a

  3  violation of subparagraph (1)(a)1., subparagraph (1)(c)2.,

  4  subparagraph (1)(d)2., subparagraph (2)(a)1., or paragraph

  5  (5)(a),

  6

  7  may be required by the court to successfully complete a term

  8  of probation pursuant to the terms and conditions set forth in

  9  s. 948.034(1), in lieu of serving a term of imprisonment.

10         (11)(10)  Notwithstanding any provision of the

11  sentencing guidelines or the Criminal Punishment Code to the

12  contrary, on or after January 1, 1994, any defendant who:

13         (a)  Violates subparagraph (1)(a)2., subparagraph

14  (2)(a)2., paragraph (5)(b), or paragraph (6)(a); and

15         (b)  Has not previously been convicted, regardless of

16  whether adjudication was withheld, of any felony, other than a

17  violation of subparagraph (1)(a)2., subparagraph (2)(a)2.,

18  paragraph (5)(b), or paragraph (6)(a),

19

20  may be required by the court to successfully complete a term

21  of probation pursuant to the terms and conditions set forth in

22  s. 948.034(2), in lieu of serving a term of imprisonment.

23         Section 3.  Paragraphs (a) and (c) of subsection (3) of

24  section 921.0022, Florida Statutes, as amended by section 2 of

25  chapter 2001-358, Laws of Florida, are amended to read:

26         921.0022  Criminal Punishment Code; offense severity

27  ranking chart.--

28         (3)  OFFENSE SEVERITY RANKING CHART

29

30

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  1  Florida           Felony

  2  Statute           Degree             Description

  3

  4                              (a)  LEVEL 1

  5  24.118(3)(a)       3rd      Counterfeit or altered state

  6                              lottery ticket.

  7  212.054(2)(b)      3rd      Discretionary sales surtax;

  8                              limitations, administration, and

  9                              collection.

10  212.15(2)(b)       3rd      Failure to remit sales taxes,

11                              amount greater than $300 but less

12                              than $20,000.

13  319.30(5)          3rd      Sell, exchange, give away

14                              certificate of title or

15                              identification number plate.

16  319.35(1)(a)       3rd      Tamper, adjust, change, etc., an

17                              odometer.

18  320.26(1)(a)       3rd      Counterfeit, manufacture, or sell

19                              registration license plates or

20                              validation stickers.

21  322.212(1)         3rd      Possession of forged, stolen,

22                              counterfeit, or unlawfully issued

23                              driver's license; possession of

24                              simulated identification.

25  322.212(4)         3rd      Supply or aid in supplying

26                              unauthorized driver's license or

27                              identification card.

28  322.212(5)(a)      3rd      False application for driver's

29                              license or identification card.

30

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  1  370.13(3)(a)       3rd      Molest any stone crab trap, line,

  2                              or buoy which is property of

  3                              licenseholder.

  4  370.135(1)         3rd      Molest any blue crab trap, line,

  5                              or buoy which is property of

  6                              licenseholder.

  7  372.663(1)         3rd      Poach any alligator or

  8                              crocodilia.

  9  414.39(2)          3rd      Unauthorized use, possession,

10                              forgery, or alteration of food

11                              stamps, Medicaid ID, value

12                              greater than $200.

13  414.39(3)(a)       3rd      Fraudulent misappropriation of

14                              public assistance funds by

15                              employee/official, value more

16                              than $200.

17  443.071(1)         3rd      False statement or representation

18                              to obtain or increase

19                              unemployment compensation

20                              benefits.

21  509.151(1)         3rd      Defraud an innkeeper, food or

22                              lodging value greater than $300.

23  517.302(1)         3rd      Violation of the Florida

24                              Securities and Investor

25                              Protection Act.

26  562.27(1)          3rd      Possess still or still apparatus.

27  713.69             3rd      Tenant removes property upon

28                              which lien has accrued, value

29                              more than $50.

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  1  812.014(3)(c)      3rd      Petit theft (3rd conviction);

  2                              theft of any property not

  3                              specified in subsection (2).

  4  812.081(2)         3rd      Unlawfully makes or causes to be

  5                              made a reproduction of a trade

  6                              secret.

  7  815.04(4)(a)       3rd      Offense against intellectual

  8                              property (i.e., computer

  9                              programs, data).

10  817.52(2)          3rd      Hiring with intent to defraud,

11                              motor vehicle services.

12  826.01             3rd      Bigamy.

13  828.122(3)         3rd      Fighting or baiting animals.

14  831.04(1)          3rd      Any erasure, alteration, etc., of

15                              any replacement deed, map, plat,

16                              or other document listed in s.

17                              92.28.

18  831.31(1)(a)       3rd      Sell, deliver, or possess

19                              counterfeit controlled

20                              substances, all but s. 893.03(5)

21                              drugs.

22  832.041(1)         3rd      Stopping payment with intent to

23                              defraud $150 or more.

24  832.05

25   (2)(b)&(4)(c)     3rd      Knowing, making, issuing

26                              worthless checks $150 or more or

27                              obtaining property in return for

28                              worthless check $150 or more.

29  838.015(3)         3rd      Bribery.

30  838.016(1)         3rd      Public servant receiving unlawful

31                              compensation.

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  1  838.15(2)          3rd      Commercial bribe receiving.

  2  838.16             3rd      Commercial bribery.

  3  843.18             3rd      Fleeing by boat to elude a law

  4                              enforcement officer.

  5  847.011(1)(a)      3rd      Sell, distribute, etc., obscene,

  6                              lewd, etc., material (2nd

  7                              conviction).

  8  849.01             3rd      Keeping gambling house.

  9  849.09(1)(a)-(d)   3rd      Lottery; set up, promote, etc.,

10                              or assist therein, conduct or

11                              advertise drawing for prizes, or

12                              dispose of property or money by

13                              means of lottery.

14  849.23             3rd      Gambling-related machines;

15                              "common offender" as to property

16                              rights.

17  849.25(2)          3rd      Engaging in bookmaking.

18  860.08             3rd      Interfere with a railroad signal.

19  860.13(1)(a)       3rd      Operate aircraft while under the

20                              influence.

21  893.13(2)(a)2.     3rd      Purchase of cannabis.

22  893.13(6)(a)       3rd      Possession of cannabis (more than

23                              20 grams).

24  893.13(7)(a)10.    3rd      Affix false or forged label to

25                              package of controlled substance.

26  934.03(1)(a)       3rd      Intercepts, or procures any other

27                              person to intercept, any wire or

28                              oral communication.

29                              (c)  LEVEL 3

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  1  316.1935(2)        3rd      Fleeing or attempting to elude

  2                              law enforcement officer in marked

  3                              patrol vehicle with siren and

  4                              lights activated.

  5  319.30(4)          3rd      Possession by junkyard of motor

  6                              vehicle with identification

  7                              number plate removed.

  8  319.33(1)(a)       3rd      Alter or forge any certificate of

  9                              title to a motor vehicle or

10                              mobile home.

11  319.33(1)(c)       3rd      Procure or pass title on stolen

12                              vehicle.

13  319.33(4)          3rd      With intent to defraud, possess,

14                              sell, etc., a blank, forged, or

15                              unlawfully obtained title or

16                              registration.

17  328.05(2)          3rd      Possess, sell, or counterfeit

18                              fictitious, stolen, or fraudulent

19                              titles or bills of sale of

20                              vessels.

21  328.07(4)          3rd      Manufacture, exchange, or possess

22                              vessel with counterfeit or wrong

23                              ID number.

24  376.302(5)         3rd      Fraud related to reimbursement

25                              for cleanup expenses under the

26                              Inland Protection Trust Fund.

27  501.001(2)(b)      2nd      Tampers with a consumer product

28                              or the container using materially

29                              false/misleading information.

30  697.08             3rd      Equity skimming.

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  1  790.15(3)          3rd      Person directs another to

  2                              discharge firearm from a vehicle.

  3  796.05(1)          3rd      Live on earnings of a prostitute.

  4  806.10(1)          3rd      Maliciously injure, destroy, or

  5                              interfere with vehicles or

  6                              equipment used in firefighting.

  7  806.10(2)          3rd      Interferes with or assaults

  8                              firefighter in performance of

  9                              duty.

10  810.09(2)(c)       3rd      Trespass on property other than

11                              structure or conveyance armed

12                              with firearm or dangerous weapon.

13  812.014(2)(c)2.    3rd      Grand theft; $5,000 or more but

14                              less than $10,000.

15  815.04(4)(b)       2nd      Computer offense devised to

16                              defraud or obtain property.

17  817.034(4)(a)3.    3rd      Engages in scheme to defraud

18                              (Florida Communications Fraud

19                              Act), property valued at less

20                              than $20,000.

21  817.233            3rd      Burning to defraud insurer.

22  817.234(8)&(9)     3rd      Unlawful solicitation of persons

23                              involved in motor vehicle

24                              accidents.

25  817.234(11)(a)     3rd      Insurance fraud; property value

26                              less than $20,000.

27  817.505(4)         3rd      Patient brokering.

28  828.12(2)          3rd      Tortures any animal with intent

29                              to inflict intense pain, serious

30                              physical injury, or death.

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  1  831.28(2)(a)       3rd      Counterfeiting a payment

  2                              instrument with intent to defraud

  3                              or possessing a counterfeit

  4                              payment instrument.

  5  831.29             2nd      Possession of instruments for

  6                              counterfeiting drivers' licenses

  7                              or identification cards.

  8  838.021(3)(b)      3rd      Threatens unlawful harm to public

  9                              servant.

10  843.19             3rd      Injure, disable, or kill police

11                              dog or horse.

12  870.01(2)          3rd      Riot; inciting or encouraging.

13  893.13(1)(a)2.     3rd      Sell, manufacture, or deliver

14                              cannabis (or other s.

15                              893.03(1)(c), (2)(c)1., (2)(c)2.,

16                              (2)(c)3., (2)(c)5., (2)(c)6.,

17                              (2)(c)7., (2)(c)8., (2)(c)9.,

18                              (3), or (4) drugs).

19  893.13(1)(d)2.     2nd      Sell, manufacture, or deliver s.

20                              893.03(1)(c), (2)(c)1., (2)(c)2.,

21                              (2)(c)3., (2)(c)5., (2)(c)6.,

22                              (2)(c)7., (2)(c)8., (2)(c)9.,

23                              (3), or (4) drugs within 200 feet

24                              of university or public park.

25  893.13(1)(f)2.     2nd      Sell, manufacture, or deliver s.

26                              893.03(1)(c), (2)(c)1., (2)(c)2.,

27                              (2)(c)3., (2)(c)5., (2)(c)6.,

28                              (2)(c)7., (2)(c)8., (2)(c)9.,

29                              (3), or (4) drugs within 200 feet

30                              of public housing facility.

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  1  893.13(6)(a)       3rd      Possession of any controlled

  2                              substance other than felony

  3                              possession of cannabis.

  4  893.13(7)(a)8.     3rd      Withhold information from

  5                              practitioner regarding previous

  6                              receipt of or prescription for a

  7                              controlled substance.

  8  893.13(7)(a)9.     3rd      Obtain or attempt to obtain

  9                              controlled substance by fraud,

10                              forgery, misrepresentation, etc.

11  893.13(7)(a)10.    3rd      Affix false or forged label to

12                              package of controlled substance.

13  893.13(7)(a)11.    3rd      Furnish false or fraudulent

14                              material information on any

15                              document or record required by

16                              chapter 893.

17  893.13(8)(a)1.     3rd      Knowingly assist a patient, other

18                              person, or owner of an animal in

19                              obtaining a controlled substance

20                              through deceptive, untrue, or

21                              fraudulent representations in or

22                              related to the practitioner's

23                              practice.

24  893.13(8)(a)2.     3rd      Employ a trick or scheme in the

25                              practitioner's practice to assist

26                              a patient, other person, or owner

27                              of an animal in obtaining a

28                              controlled substance.

29  893.13(8)(a)3.     3rd      Knowingly write a prescription

30                              for a controlled substance for a

31                              fictitious person.

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  1  893.13(8)(a)4.     3rd      Write a prescription for a

  2                              controlled substance for a

  3                              patient, other person, or an

  4                              animal if the sole purpose of

  5                              writing the prescription is a

  6                              monetary benefit for the

  7                              practitioner.

  8  918.13(1)(a)       3rd      Alter, destroy, or conceal

  9                              investigation evidence.

10  944.47

11   (1)(a)1.-2.       3rd      Introduce contraband to

12                              correctional facility.

13  944.47(1)(c)       2nd      Possess contraband while upon the

14                              grounds of a correctional

15                              institution.

16  985.3141           3rd      Escapes from a juvenile facility

17                              (secure detention or residential

18                              commitment facility).

19         Section 4.  Paragraph (b) of subsection (1) of section

20  921.187, Florida Statutes, is amended to read:

21         921.187  Disposition and sentencing; alternatives;

22  restitution.--

23         (1)  The alternatives provided in this section for the

24  disposition of criminal cases shall be used in a manner that

25  will best serve the needs of society, punish criminal

26  offenders, and provide the opportunity for rehabilitation.

27         (b)1.  Notwithstanding any provision of former s.

28  921.001 or s. 921.002 to the contrary, on or after October 1,

29  1993, the court may require any defendant who violates s.

30  893.13(1)(a)1., (1)(c)2., (1)(d)2., (2)(a)1., or (5)(a), and

31  meets the criteria described in s. 893.13(10) s. 893.13(9), to

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CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2002                     CS for CS for SB 640
    308-1930-02




  1  successfully complete a term of probation pursuant to the

  2  terms and conditions set forth in s. 948.034(1), in lieu of

  3  serving a term of imprisonment.

  4         2.  Notwithstanding any provision of former s. 921.001

  5  or s. 921.002 to the contrary, on or after October 1, 1993,

  6  the court may require any defendant who violates s.

  7  893.13(1)(a)2., (2)(a)2., (5)(b), or (6)(a), and meets the

  8  criteria described in s. 893.13(11) s. 893.13(10), to

  9  successfully complete a term of probation pursuant to the

10  terms and conditions set forth in s. 948.034(2), in lieu of

11  serving a term of imprisonment.

12         Section 5.  This act shall take effect July 1, 2002.

13

14          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
15                      CS for Senate Bill 640

16

17  Replaces the provision regarding the permissible inference in
    criminal prosecutions with modified language. The new language
18  provides that when a health care practitioner writes a
    prescription or multiple prescriptions that are not medically
19  necessary, or are in excess of what is medically necessary,
    then that fact may be considered with other competent evidence
20  in determining whether the health care practitioner knowingly
    assisted the patient in obtaining a controlled substance
21  through fraudulent representations.

22

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CODING: Words stricken are deletions; words underlined are additions.