| 1 | A bill to be entitled |
| 2 | An act relating to controlled substances; amending ss. |
| 3 | 456.037 and 456.057, F.S.; conforming provisions to |
| 4 | changes made by the act; repealing s. 458.3265, F.S., |
| 5 | relating to regulation of pain-management clinics and |
| 6 | medical doctors; amending s. 458.327, F.S.; providing that |
| 7 | dispensing certain controlled substances in violation of |
| 8 | specified provisions is a third-degree felony; deleting |
| 9 | references to felonies for certain activities related to |
| 10 | pain-management clinics and medical doctors; amending s. |
| 11 | 458.331, F.S.; deleting grounds for disciplinary actions |
| 12 | against physicians relating to pain-management clinics and |
| 13 | advertising controlled substances; repealing s. 459.0137, |
| 14 | F.S., relating to pain-management clinics and osteopathic |
| 15 | physicians; amending s. 459.013, F.S., relating to |
| 16 | penalties for violations; providing that dispensing |
| 17 | certain controlled substances in violation of specified |
| 18 | provisions is a third-degree felony; deleting provisions |
| 19 | relating to felonies for certain activities related to |
| 20 | pain-management clinics and osteopathic physicians; |
| 21 | amending s. 459.015, F.S.; deleting grounds for |
| 22 | disciplinary actions against osteopathic physicians |
| 23 | relating to pain-management clinics and advertising |
| 24 | controlled substances; amending s. 465.015, F.S.; |
| 25 | requiring a pharmacist, pharmacy intern, or other person |
| 26 | employed by or at a pharmacy to report to the sheriff |
| 27 | within a specified period any instance in which a person |
| 28 | fraudulently obtained or attempted to fraudulently obtain |
| 29 | a controlled substance; providing criminal penalties; |
| 30 | providing requirements for reports; amending s. 465.0276, |
| 31 | F.S.; prohibiting registered dispensing practitioners from |
| 32 | dispensing certain controlled substances; providing an |
| 33 | exception; repealing a 72-hour supply limit on dispensing |
| 34 | certain controlled substances to certain patients in |
| 35 | registered pain-management clinics; providing an exception |
| 36 | for dispensing controlled substances in the health care |
| 37 | system of the Department of Corrections; amending s. |
| 38 | 499.005, F.S.; prohibiting distribution of certain |
| 39 | controlled substances by specified practitioners; amending |
| 40 | s. 499.0121, F.S.; providing reporting requirements for |
| 41 | wholesale distributors of certain controlled substances; |
| 42 | amending s. 499.05, F.S.; authorizing rulemaking |
| 43 | concerning specified controlled substance wholesale |
| 44 | distributor reporting requirements; amending s. 810.02, |
| 45 | F.S.; authorizing separate judgments and sentences for |
| 46 | burglary with the intent to commit theft of a controlled |
| 47 | substance under specified provisions and for any |
| 48 | applicable possession of controlled substance offense |
| 49 | under specified provisions in certain circumstances; |
| 50 | amending s. 812.014, F.S.; authorizing separate judgments |
| 51 | and sentences for theft of a controlled substance under |
| 52 | specified provisions and for any applicable possession of |
| 53 | controlled substance offense under specified provisions in |
| 54 | certain circumstances; amending s. 893.07, F.S.; providing |
| 55 | that law enforcement officers are not required to obtain a |
| 56 | subpoena, court order, or search warrant in order to |
| 57 | obtain access to or copies of specified controlled |
| 58 | substance inventory records; requiring reporting discovery |
| 59 | of the theft or loss of controlled substances to the |
| 60 | sheriff within a specified period; providing criminal |
| 61 | penalties; repealing s. 2 of chapter 2009-198, Laws of |
| 62 | Florida, relating to Program Implementation and Oversight |
| 63 | Task Force in the Executive Office of the Governor |
| 64 | concerning the electronic system established for the |
| 65 | prescription drug monitoring program; providing a buyback |
| 66 | program for undispensed controlled substance inventory |
| 67 | held by specified licensed physicians; requiring reports |
| 68 | of program; providing for a declaration of a public health |
| 69 | emergency; requiring certain actions relating to |
| 70 | dispensing practitioners identified as posing the greatest |
| 71 | threat to public health; providing an appropriation; |
| 72 | providing for future repeal of program provisions; |
| 73 | providing an effective date. |
| 74 |
|
| 75 | Be It Enacted by the Legislature of the State of Florida: |
| 76 |
|
| 77 | Section 1. Subsection (5) of section 456.037, Florida |
| 78 | Statutes, is amended to read: |
| 79 | 456.037 Business establishments; requirements for active |
| 80 | status licenses; delinquency; discipline; applicability.- |
| 81 | (5) This section applies to any business establishment |
| 82 | registered, permitted, or licensed by the department to do |
| 83 | business. Business establishments include, but are not limited |
| 84 | to, dental laboratories, electrology facilities, massage |
| 85 | establishments, and pharmacies, and pain-management clinics |
| 86 | required to be registered under s. 458.3265 or s. 459.0137. |
| 87 | Section 2. Subsection (9) of section 456.057, Florida |
| 88 | Statutes, is amended to read: |
| 89 | 456.057 Ownership and control of patient records; report |
| 90 | or copies of records to be furnished.- |
| 91 | (9)(a)1. The department may obtain patient records |
| 92 | pursuant to a subpoena without written authorization from the |
| 93 | patient if the department and the probable cause panel of the |
| 94 | appropriate board, if any, find reasonable cause to believe that |
| 95 | a health care practitioner has excessively or inappropriately |
| 96 | prescribed any controlled substance specified in chapter 893 in |
| 97 | violation of this chapter or any professional practice act or |
| 98 | that a health care practitioner has practiced his or her |
| 99 | profession below that level of care, skill, and treatment |
| 100 | required as defined by this chapter or any professional practice |
| 101 | act and also find that appropriate, reasonable attempts were |
| 102 | made to obtain a patient release. Notwithstanding the foregoing, |
| 103 | the department need not attempt to obtain a patient release when |
| 104 | investigating an offense involving the inappropriate |
| 105 | prescribing, overprescribing, or diversion of controlled |
| 106 | substances and the offense involves a pain-management clinic. |
| 107 | The department may obtain patient records without patient |
| 108 | authorization or subpoena from any pain-management clinic |
| 109 | required to be licensed if the department has probable cause to |
| 110 | believe that a violation of any provision of s. 458.3265 or s. |
| 111 | 459.0137 is occurring or has occurred and reasonably believes |
| 112 | that obtaining such authorization is not feasible due to the |
| 113 | volume of the dispensing and prescribing activity involving |
| 114 | controlled substances and that obtaining patient authorization |
| 115 | or the issuance of a subpoena would jeopardize the |
| 116 | investigation. |
| 117 | 2. The department may obtain patient records and insurance |
| 118 | information pursuant to a subpoena without written authorization |
| 119 | from the patient if the department and the probable cause panel |
| 120 | of the appropriate board, if any, find reasonable cause to |
| 121 | believe that a health care practitioner has provided inadequate |
| 122 | medical care based on termination of insurance and also find |
| 123 | that appropriate, reasonable attempts were made to obtain a |
| 124 | patient release. |
| 125 | 3. The department may obtain patient records, billing |
| 126 | records, insurance information, provider contracts, and all |
| 127 | attachments thereto pursuant to a subpoena without written |
| 128 | authorization from the patient if the department and probable |
| 129 | cause panel of the appropriate board, if any, find reasonable |
| 130 | cause to believe that a health care practitioner has submitted a |
| 131 | claim, statement, or bill using a billing code that would result |
| 132 | in payment greater in amount than would be paid using a billing |
| 133 | code that accurately describes the services performed, requested |
| 134 | payment for services that were not performed by that health care |
| 135 | practitioner, used information derived from a written report of |
| 136 | an automobile accident generated pursuant to chapter 316 to |
| 137 | solicit or obtain patients personally or through an agent |
| 138 | regardless of whether the information is derived directly from |
| 139 | the report or a summary of that report or from another person, |
| 140 | solicited patients fraudulently, received a kickback as defined |
| 141 | in s. 456.054, violated the patient brokering provisions of s. |
| 142 | 817.505, or presented or caused to be presented a false or |
| 143 | fraudulent insurance claim within the meaning of s. |
| 144 | 817.234(1)(a), and also find that, within the meaning of s. |
| 145 | 817.234(1)(a), patient authorization cannot be obtained because |
| 146 | the patient cannot be located or is deceased, incapacitated, or |
| 147 | suspected of being a participant in the fraud or scheme, and if |
| 148 | the subpoena is issued for specific and relevant records. |
| 149 | 4. Notwithstanding subparagraphs 1.-3., when the |
| 150 | department investigates a professional liability claim or |
| 151 | undertakes action pursuant to s. 456.049 or s. 627.912, the |
| 152 | department may obtain patient records pursuant to a subpoena |
| 153 | without written authorization from the patient if the patient |
| 154 | refuses to cooperate or if the department attempts to obtain a |
| 155 | patient release and the failure to obtain the patient records |
| 156 | would be detrimental to the investigation. |
| 157 | Section 3. Section 458.3265, Florida Statutes, is |
| 158 | repealed. |
| 159 | Section 4. Section 458.327, Florida Statutes, is amended |
| 160 | to read: |
| 161 | 458.327 Penalty for violations.- |
| 162 | (1) Each of the following acts constitutes a felony of the |
| 163 | third degree, punishable as provided in s. 775.082, s. 775.083, |
| 164 | or s. 775.084: |
| 165 | (a) The practice of medicine or an attempt to practice |
| 166 | medicine without a license to practice in Florida. |
| 167 | (b) The use or attempted use of a license which is |
| 168 | suspended or revoked to practice medicine. |
| 169 | (c) Attempting to obtain or obtaining a license to |
| 170 | practice medicine by knowing misrepresentation. |
| 171 | (d) Attempting to obtain or obtaining a position as a |
| 172 | medical practitioner or medical resident in a clinic or hospital |
| 173 | through knowing misrepresentation of education, training, or |
| 174 | experience. |
| 175 | (e) Dispensing a controlled substance listed in Schedule |
| 176 | II, Schedule III, Schedule IV, or Schedule V in violation of s. |
| 177 | 465.0276. Knowingly operating, owning, or managing a |
| 178 | nonregistered pain-management clinic that is required to be |
| 179 | registered with the Department of Health pursuant to s. |
| 180 | 458.3265(1). |
| 181 | (2) Each of the following acts constitutes a misdemeanor |
| 182 | of the first degree, punishable as provided in s. 775.082 or s. |
| 183 | 775.083: |
| 184 | (a) Knowingly concealing information relating to |
| 185 | violations of this chapter. |
| 186 | (b) Making any willfully false oath or affirmation |
| 187 | whenever an oath or affirmation is required by this chapter. |
| 188 | (c) Referring any patient, for health care goods or |
| 189 | services, to a partnership, firm, corporation, or other business |
| 190 | entity in which the physician or the physician's employer has an |
| 191 | equity interest of 10 percent or more unless, prior to such |
| 192 | referral, the physician notifies the patient of his or her |
| 193 | financial interest and of the patient's right to obtain such |
| 194 | goods or services at the location of the patient's choice. This |
| 195 | section does not apply to the following types of equity |
| 196 | interest: |
| 197 | 1. The ownership of registered securities issued by a |
| 198 | publicly held corporation or the ownership of securities issued |
| 199 | by a publicly held corporation, the shares of which are traded |
| 200 | on a national exchange or the over-the-counter market; |
| 201 | 2. A physician's own practice, whether he or she is a sole |
| 202 | practitioner or part of a group, when the health care good or |
| 203 | service is prescribed or provided solely for the physician's own |
| 204 | patients and is provided or performed by the physician or under |
| 205 | the physician's supervision; or |
| 206 | 3. An interest in real property resulting in a landlord- |
| 207 | tenant relationship between the physician and the entity in |
| 208 | which the equity interest is held, unless the rent is |
| 209 | determined, in whole or in part, by the business volume or |
| 210 | profitability of the tenant or is otherwise unrelated to fair |
| 211 | market value. |
| 212 | (d) Leading the public to believe that one is licensed as |
| 213 | a medical doctor, or is engaged in the licensed practice of |
| 214 | medicine, without holding a valid, active license. |
| 215 | (e) Practicing medicine or attempting to practice medicine |
| 216 | with an inactive or delinquent license. |
| 217 | (f) Knowingly prescribing or dispensing, or causing to be |
| 218 | prescribed or dispensed, controlled substances in a |
| 219 | nonregistered pain-management clinic that is required to be |
| 220 | registered with the Department of Health pursuant to s. |
| 221 | 458.3265(1). |
| 222 | Section 5. Paragraphs (oo), (pp), and (qq) of subsection |
| 223 | (1) of section 458.331, Florida Statutes, are amended to read: |
| 224 | 458.331 Grounds for disciplinary action; action by the |
| 225 | board and department.- |
| 226 | (1) The following acts constitute grounds for denial of a |
| 227 | license or disciplinary action, as specified in s. 456.072(2): |
| 228 | (oo) Dispensing a controlled substance listed in Schedule |
| 229 | II, Schedule III, Schedule IV, or Schedule V in violation of s. |
| 230 | 465.0276. Applicable to a licensee who serves as the designated |
| 231 | physician of a pain-management clinic as defined in s. 458.3265 |
| 232 | or s. 459.0137: |
| 233 | 1. Registering a pain-management clinic through |
| 234 | misrepresentation or fraud; |
| 235 | 2. Procuring, or attempting to procure, the registration |
| 236 | of a pain-management clinic for any other person by making or |
| 237 | causing to be made, any false representation; |
| 238 | 3. Failing to comply with any requirement of chapter 499, |
| 239 | the Florida Drug and Cosmetic Act; 21 U.S.C. ss. 301-392, the |
| 240 | Federal Food, Drug, and Cosmetic Act; 21 U.S.C. ss. 821 et seq., |
| 241 | the Drug Abuse Prevention and Control Act; or chapter 893, the |
| 242 | Florida Comprehensive Drug Abuse Prevention and Control Act; |
| 243 | 4. Being convicted or found guilty of, regardless of |
| 244 | adjudication to, a felony or any other crime involving moral |
| 245 | turpitude, fraud, dishonesty, or deceit in any jurisdiction of |
| 246 | the courts of this state, of any other state, or of the United |
| 247 | States; |
| 248 | 5. Being convicted of, or disciplined by a regulatory |
| 249 | agency of the Federal Government or a regulatory agency of |
| 250 | another state for, any offense that would constitute a violation |
| 251 | of this chapter; |
| 252 | 6. Being convicted of, or entering a plea of guilty or |
| 253 | nolo contendere to, regardless of adjudication, a crime in any |
| 254 | jurisdiction of the courts of this state, of any other state, or |
| 255 | of the United States which relates to the practice of, or the |
| 256 | ability to practice, a licensed health care profession; |
| 257 | 7. Being convicted of, or entering a plea of guilty or |
| 258 | nolo contendere to, regardless of adjudication, a crime in any |
| 259 | jurisdiction of the courts of this state, of any other state, or |
| 260 | of the United States which relates to health care fraud; |
| 261 | 8. Dispensing any medicinal drug based upon a |
| 262 | communication that purports to be a prescription as defined in |
| 263 | s. 465.003(14) or s. 893.02 if the dispensing practitioner knows |
| 264 | or has reason to believe that the purported prescription is not |
| 265 | based upon a valid practitioner-patient relationship; or |
| 266 | 9. Failing to timely notify the board of the date of his |
| 267 | or her termination from a pain-management clinic as required by |
| 268 | s. 458.3265(2). |
| 269 | (pp) Failing to timely notify the department of the theft |
| 270 | of prescription blanks from a pain-management clinic or a breach |
| 271 | of other methods for prescribing within 24 hours as required by |
| 272 | s. 458.3265(2). |
| 273 | (qq) Promoting or advertising through any communication |
| 274 | media the use, sale, or dispensing of any controlled substance |
| 275 | appearing on any schedule in chapter 893. |
| 276 | Section 6. Section 459.0137, Florida Statutes, is |
| 277 | repealed. |
| 278 | Section 7. Paragraph (e) of subsection (1) and paragraph |
| 279 | (d) of subsection (2) of section 459.013, Florida Statutes, are |
| 280 | amended to read: |
| 281 | 459.013 Penalty for violations.- |
| 282 | (1) Each of the following acts constitutes a felony of the |
| 283 | third degree, punishable as provided in s. 775.082, s. 775.083, |
| 284 | or s. 775.084: |
| 285 | (e) Dispensing a controlled substance listed in Schedule |
| 286 | II, Schedule III, Schedule IV, or Schedule V in violation of s. |
| 287 | 465.0276. Knowingly operating, owning, or managing a |
| 288 | nonregistered pain-management clinic that is required to be |
| 289 | registered with the Department of Health pursuant to s. |
| 290 | 459.0137(1). |
| 291 | (2) Each of the following acts constitutes a misdemeanor |
| 292 | of the first degree, punishable as provided in s. 775.082 or s. |
| 293 | 775.083: |
| 294 | (d) Knowingly prescribing or dispensing, or causing to be |
| 295 | prescribed or dispensed, controlled substances in a |
| 296 | nonregistered pain-management clinic that is required to be |
| 297 | registered with the Department of Health pursuant to s. |
| 298 | 459.0137(1). |
| 299 | Section 8. Paragraphs (qq), (rr), and (ss) of subsection |
| 300 | (1) of section 459.015, Florida Statutes, are amended to read: |
| 301 | 459.015 Grounds for disciplinary action; action by the |
| 302 | board and department.- |
| 303 | (1) The following acts constitute grounds for denial of a |
| 304 | license or disciplinary action, as specified in s. 456.072(2): |
| 305 | (qq) Dispensing a controlled substance listed in Schedule |
| 306 | II, Schedule III, Schedule IV, or Schedule V in violation of s. |
| 307 | 465.0276. Applicable to a licensee who serves as the designated |
| 308 | physician of a pain-management clinic as defined in s. 458.3265 |
| 309 | or s. 459.0137: |
| 310 | 1. Registering a pain-management clinic through |
| 311 | misrepresentation or fraud; |
| 312 | 2. Procuring, or attempting to procure, the registration |
| 313 | of a pain-management clinic for any other person by making or |
| 314 | causing to be made, any false representation; |
| 315 | 3. Failing to comply with any requirement of chapter 499, |
| 316 | the Florida Drug and Cosmetic Act; 21 U.S.C. ss. 301-392, the |
| 317 | Federal Food, Drug, and Cosmetic Act; 21 U.S.C. ss. 821 et seq., |
| 318 | the Drug Abuse Prevention and Control Act; or chapter 893, the |
| 319 | Florida Comprehensive Drug Abuse Prevention and Control Act; |
| 320 | 4. Being convicted or found guilty of, regardless of |
| 321 | adjudication to, a felony or any other crime involving moral |
| 322 | turpitude, fraud, dishonesty, or deceit in any jurisdiction of |
| 323 | the courts of this state, of any other state, or of the United |
| 324 | States; |
| 325 | 5. Being convicted of, or disciplined by a regulatory |
| 326 | agency of the Federal Government or a regulatory agency of |
| 327 | another state for, any offense that would constitute a violation |
| 328 | of this chapter; |
| 329 | 6. Being convicted of, or entering a plea of guilty or |
| 330 | nolo contendere to, regardless of adjudication, a crime in any |
| 331 | jurisdiction of the courts of this state, of any other state, or |
| 332 | of the United States which relates to the practice of, or the |
| 333 | ability to practice, a licensed health care profession; |
| 334 | 7. Being convicted of, or entering a plea of guilty or |
| 335 | nolo contendere to, regardless of adjudication, a crime in any |
| 336 | jurisdiction of the courts of this state, of any other state, or |
| 337 | of the United States which relates to health care fraud; |
| 338 | 8. Dispensing any medicinal drug based upon a |
| 339 | communication that purports to be a prescription as defined in |
| 340 | s. 465.003(14) or s. 893.02 if the dispensing practitioner knows |
| 341 | or has reason to believe that the purported prescription is not |
| 342 | based upon a valid practitioner-patient relationship; or |
| 343 | 9. Failing to timely notify the board of the date of his |
| 344 | or her termination from a pain-management clinic as required by |
| 345 | s. 459.0137(2). |
| 346 | (rr) Failing to timely notify the department of the theft |
| 347 | of prescription blanks from a pain-management clinic or a breach |
| 348 | of other methods for prescribing within 24 hours as required by |
| 349 | s. 459.0137(2). |
| 350 | (ss) Promoting or advertising through any communication |
| 351 | media the use, sale, or dispensing of any controlled substance |
| 352 | appearing on any schedule in chapter 893. |
| 353 | Section 9. Subsections (3) and (4) of section 465.015, |
| 354 | Florida Statutes, are renumbered as subsections (4) and (5), |
| 355 | respectively, a new subsection (3) is added to that section, and |
| 356 | present subsection (4) of that section is amended, to read: |
| 357 | 465.015 Violations and penalties.- |
| 358 | (3) It is unlawful for any pharmacist, pharmacy intern, or |
| 359 | other person employed by or at a pharmacy to fail to report to |
| 360 | the sheriff of the county where the pharmacy is located within |
| 361 | 24 hours after learning of any instance in which a person |
| 362 | obtained or attempted to obtain a controlled substance, as |
| 363 | defined in s. 893.02, that the pharmacist, pharmacy intern, or |
| 364 | other person employed by or at the pharmacy knew or reasonably |
| 365 | should have known was obtained or attempted to be obtained from |
| 366 | the pharmacy though fraudulent methods or representations. Any |
| 367 | pharmacist, pharmacy intern, or other person employed by or at a |
| 368 | pharmacy who fails to make such a report within 24 hours after |
| 369 | learning of the fraud or attempted fraud commits a misdemeanor |
| 370 | of the first degree, punishable as provided in s. 775.082 or s. |
| 371 | 775.083. A sufficient report of the fraudulent obtaining of |
| 372 | controlled substances under this subsection shall contain, at a |
| 373 | minimum, a copy of the prescription used or presented and a |
| 374 | narrative, including all information available to the pharmacy |
| 375 | concerning the transaction, such as the name and telephone |
| 376 | number of the prescribing physician; the name, description, and |
| 377 | any personal identification information pertaining to the person |
| 378 | who presented the prescription; and all other material |
| 379 | information, such as photographic or video surveillance of the |
| 380 | transaction. |
| 381 | (5)(4) Any person who violates any provision of subsection |
| 382 | (1) or subsection (4) (3) commits a misdemeanor of the first |
| 383 | degree, punishable as provided in s. 775.082 or s. 775.083. Any |
| 384 | person who violates any provision of subsection (2) commits a |
| 385 | felony of the third degree, punishable as provided in s. |
| 386 | 775.082, s. 775.083, or s. 775.084. In any warrant, information, |
| 387 | or indictment, it shall not be necessary to negative any |
| 388 | exceptions, and the burden of any exception shall be upon the |
| 389 | defendant. |
| 390 | Section 10. Paragraph (b) of subsection (1) of section |
| 391 | 465.0276, Florida Statutes, is amended to read: |
| 392 | 465.0276 Dispensing practitioner.- |
| 393 | (1) |
| 394 | (b) A practitioner registered under this section may not |
| 395 | dispense a controlled substance listed in Schedule II, Schedule |
| 396 | III, Schedule IV, or Schedule V as provided in s. 893.03. A |
| 397 | practitioner registered under this section may not dispense more |
| 398 | than a 72-hour supply of a controlled substance listed in |
| 399 | Schedule II, Schedule III, Schedule IV, or Schedule V of s. |
| 400 | 893.03 for any patient who pays for the medication by cash, |
| 401 | check, or credit card in a clinic registered under s. 458.3265 |
| 402 | or s. 459.0137. A practitioner who violates this paragraph |
| 403 | commits a felony of the third degree, punishable as provided in |
| 404 | s. 775.082, s. 775.083, or s. 775.084. This paragraph does not |
| 405 | apply to: |
| 406 | 1. A practitioner who dispenses medication to a workers' |
| 407 | compensation patient pursuant to chapter 440. |
| 408 | 2. A practitioner who dispenses medication to an insured |
| 409 | patient who pays by cash, check, or credit card to cover any |
| 410 | applicable copayment or deductible. |
| 411 | 1.3. The dispensing of complimentary packages of medicinal |
| 412 | drugs to the practitioner's own patients in the regular course |
| 413 | of her or his practice without the payment of a fee or |
| 414 | remuneration of any kind, whether direct or indirect, as |
| 415 | provided in subsection (5). |
| 416 | 2. The dispensing of controlled substances in the health |
| 417 | care system of the Department of Corrections. |
| 418 | Section 11. Subsection (30) is added to section 499.005, |
| 419 | Florida Statutes, to read: |
| 420 | 499.005 Prohibited acts.-It is unlawful for a person to |
| 421 | perform or cause the performance of any of the following acts in |
| 422 | this state: |
| 423 | (30) The distribution of a controlled substance in |
| 424 | Schedule II, Schedule III, Schedule IV, or Schedule V as |
| 425 | provided in s. 893.03 to, or under the Drug Enforcement |
| 426 | Administration number of, any practitioner licensed under |
| 427 | chapter 458, chapter 459, chapter 461, or chapter 466, including |
| 428 | practitioners designated pursuant to s. 499.01(1)(t). |
| 429 | Section 12. Subsection (14) is added to section 499.0121, |
| 430 | Florida Statutes, to read: |
| 431 | 499.0121 Storage and handling of prescription drugs; |
| 432 | recordkeeping.-The department shall adopt rules to implement |
| 433 | this section as necessary to protect the public health, safety, |
| 434 | and welfare. Such rules shall include, but not be limited to, |
| 435 | requirements for the storage and handling of prescription drugs |
| 436 | and for the establishment and maintenance of prescription drug |
| 437 | distribution records. |
| 438 | (14) DISTRIBUTION REPORTING.-Each wholesale distributor |
| 439 | shall submit a report of its distributions of controlled |
| 440 | substances listed in Schedule II, Schedule III, Schedule IV, or |
| 441 | Schedule V as provided in s. 893.03 to the department. The |
| 442 | report shall be submitted weekly, in an electronic format |
| 443 | specified by the department. The report shall contain the |
| 444 | following information: |
| 445 | (a) The name and address of the entity to which the drugs |
| 446 | are distributed. |
| 447 | (b) The Florida license, registration, or permit number |
| 448 | and Drug Enforcement Administration number of the entity that |
| 449 | ordered the drugs. |
| 450 | (c) The name and address of the entity rendering payment |
| 451 | for the drugs, if different than that reported under paragraphs |
| 452 | (a) and (b). |
| 453 | (d) The drug name, lot and batch number, and number of |
| 454 | unit doses distributed. |
| 455 | (e) The date of sale. |
| 456 | Section 13. Paragraph (o) is added to subsection (1) of |
| 457 | section 499.05, Florida Statutes, to read: |
| 458 | 499.05 Rules.- |
| 459 | (1) The department shall adopt rules to implement and |
| 460 | enforce this part with respect to: |
| 461 | (o) Wholesale distributor reporting requirements of s. |
| 462 | 499.0121(14). |
| 463 | Section 14. Paragraph (f) is added to subsection (3) of |
| 464 | section 810.02, Florida Statutes, to read: |
| 465 | 810.02 Burglary.- |
| 466 | (3) Burglary is a felony of the second degree, punishable |
| 467 | as provided in s. 775.082, s. 775.083, or s. 775.084, if, in the |
| 468 | course of committing the offense, the offender does not make an |
| 469 | assault or battery and is not and does not become armed with a |
| 470 | dangerous weapon or explosive, and the offender enters or |
| 471 | remains in a: |
| 472 | (f) Structure or conveyance when the offense intended to |
| 473 | be committed therein is theft of a controlled substance as |
| 474 | defined in s. 893.02. Notwithstanding any other law, separate |
| 475 | judgments and sentences for burglary with the intent to commit |
| 476 | theft of a controlled substance under this paragraph and for any |
| 477 | applicable possession of controlled substance offense under s. |
| 478 | 893.13 or trafficking in controlled substance offense under s. |
| 479 | 893.135 may be imposed when all such offenses involve the same |
| 480 | amount or amounts of a controlled substance. |
| 481 |
|
| 482 | However, if the burglary is committed within a county that is |
| 483 | subject to a state of emergency declared by the Governor under |
| 484 | chapter 252 after the declaration of emergency is made and the |
| 485 | perpetration of the burglary is facilitated by conditions |
| 486 | arising from the emergency, the burglary is a felony of the |
| 487 | first degree, punishable as provided in s. 775.082, s. 775.083, |
| 488 | or s. 775.084. As used in this subsection, the term "conditions |
| 489 | arising from the emergency" means civil unrest, power outages, |
| 490 | curfews, voluntary or mandatory evacuations, or a reduction in |
| 491 | the presence of or response time for first responders or |
| 492 | homeland security personnel. A person arrested for committing a |
| 493 | burglary within a county that is subject to such a state of |
| 494 | emergency may not be released until the person appears before a |
| 495 | committing magistrate at a first appearance hearing. For |
| 496 | purposes of sentencing under chapter 921, a felony offense that |
| 497 | is reclassified under this subsection is ranked one level above |
| 498 | the ranking under s. 921.0022 or s. 921.0023 of the offense |
| 499 | committed. |
| 500 | Section 15. Paragraph (c) of subsection (2) of section |
| 501 | 812.014, Florida Statutes, is amended to read: |
| 502 | 812.014 Theft.- |
| 503 | (2) |
| 504 | (c) It is grand theft of the third degree and a felony of |
| 505 | the third degree, punishable as provided in s. 775.082, s. |
| 506 | 775.083, or s. 775.084, if the property stolen is: |
| 507 | 1. Valued at $300 or more, but less than $5,000. |
| 508 | 2. Valued at $5,000 or more, but less than $10,000. |
| 509 | 3. Valued at $10,000 or more, but less than $20,000. |
| 510 | 4. A will, codicil, or other testamentary instrument. |
| 511 | 5. A firearm. |
| 512 | 6. A motor vehicle, except as provided in paragraph (a). |
| 513 | 7. Any commercially farmed animal, including any animal of |
| 514 | the equine, bovine, or swine class, or other grazing animal, and |
| 515 | including aquaculture species raised at a certified aquaculture |
| 516 | facility. If the property stolen is aquaculture species raised |
| 517 | at a certified aquaculture facility, then a $10,000 fine shall |
| 518 | be imposed. |
| 519 | 8. Any fire extinguisher. |
| 520 | 9. Any amount of citrus fruit consisting of 2,000 or more |
| 521 | individual pieces of fruit. |
| 522 | 10. Taken from a designated construction site identified |
| 523 | by the posting of a sign as provided for in s. 810.09(2)(d). |
| 524 | 11. Any stop sign. |
| 525 | 12. Anhydrous ammonia. |
| 526 | 13. Any amount of a controlled substance as defined in s. |
| 527 | 893.02. Notwithstanding any other law, separate judgments and |
| 528 | sentences for theft of a controlled substance under this |
| 529 | subparagraph and for any applicable possession of controlled |
| 530 | substance offense under s. 893.13 or trafficking in controlled |
| 531 | substance offense under s. 893.135 may be imposed when all such |
| 532 | offenses involve the same amount or amounts of a controlled |
| 533 | substance. |
| 534 |
|
| 535 | However, if the property is stolen within a county that is |
| 536 | subject to a state of emergency declared by the Governor under |
| 537 | chapter 252, the property is stolen after the declaration of |
| 538 | emergency is made, and the perpetration of the theft is |
| 539 | facilitated by conditions arising from the emergency, the |
| 540 | offender commits a felony of the second degree, punishable as |
| 541 | provided in s. 775.082, s. 775.083, or s. 775.084, if the |
| 542 | property is valued at $5,000 or more, but less than $10,000, as |
| 543 | provided under subparagraph 2., or if the property is valued at |
| 544 | $10,000 or more, but less than $20,000, as provided under |
| 545 | subparagraph 3. As used in this paragraph, the term "conditions |
| 546 | arising from the emergency" means civil unrest, power outages, |
| 547 | curfews, voluntary or mandatory evacuations, or a reduction in |
| 548 | the presence of or the response time for first responders or |
| 549 | homeland security personnel. For purposes of sentencing under |
| 550 | chapter 921, a felony offense that is reclassified under this |
| 551 | paragraph is ranked one level above the ranking under s. |
| 552 | 921.0022 or s. 921.0023 of the offense committed. |
| 553 | Section 16. Subsections (4) and (5) of section 893.07, |
| 554 | Florida Statutes, are amended to read: |
| 555 | 893.07 Records.- |
| 556 | (4) Every inventory or record required by this chapter, |
| 557 | including prescription records, shall be maintained: |
| 558 | (a) Separately from all other records of the registrant, |
| 559 | or |
| 560 | (b) Alternatively, in the case of Schedule III, IV, or V |
| 561 | controlled substances, in such form that information required by |
| 562 | this chapter is readily retrievable from the ordinary business |
| 563 | records of the registrant. |
| 564 |
|
| 565 | In either case, the records described in this subsection shall |
| 566 | be kept and made available for a period of at least 2 years for |
| 567 | inspection and copying by law enforcement officers whose duty it |
| 568 | is to enforce the laws of this state relating to controlled |
| 569 | substances. Law enforcement officers are not required to obtain |
| 570 | a subpoena, court order, or search warrant in order to obtain |
| 571 | access to or copies of such records. |
| 572 | (5) Each person described in subsection (1) shall: |
| 573 | (a) Maintain a record which shall contain a detailed list |
| 574 | of controlled substances lost, destroyed, or stolen, if any; the |
| 575 | kind and quantity of such controlled substances; and the date of |
| 576 | the discovering of such loss, destruction, or theft. |
| 577 | (b) In the event of the discovery of the theft or loss of |
| 578 | controlled substances, report such theft or loss to the sheriff |
| 579 | of that county within 48 hours after its discovery. A person who |
| 580 | fails to report a theft or loss of a substance listed in s. |
| 581 | 893.03(3), (4), or (5) within 48 hours after discovery as |
| 582 | required in this paragraph commits a misdemeanor of the second |
| 583 | degree, punishable as provided in s. 775.082 or s. 775.083. A |
| 584 | person who fails to report a theft or loss of a substance listed |
| 585 | in s. 893.03(2) within 48 hours after discovery as required in |
| 586 | this paragraph commits a misdemeanor of the first degree, |
| 587 | punishable as provided in s. 775.082 or s. 775.083. |
| 588 | Section 17. Section 2 of chapter 2009-198, Laws of |
| 589 | Florida, is repealed. |
| 590 | Section 18. (1) BUY-BACK PROGRAM.-Within 10 days after |
| 591 | the effective date of this act, each physician licensed under |
| 592 | chapter 458, chapter 459, chapter 461, or chapter 466, Florida |
| 593 | Statutes, shall ensure that undispensed controlled substance |
| 594 | inventory purchased under the physician's Drug Enforcement |
| 595 | Administration number for dispensing is: |
| 596 | (a) Returned to the wholesale distributor, as defined in |
| 597 | s. 499.003, Florida Statutes, which distributed them; or |
| 598 | (b) Turned in to local law enforcement agencies and |
| 599 | abandoned. |
| 600 |
|
| 601 | Wholesale distributors shall buy back undispensed controlled |
| 602 | substance inventory at the purchase price paid by the physician, |
| 603 | physician practice, clinic, or other paying entity. Each |
| 604 | wholesale distributor shall submit a report of its activities |
| 605 | under this section to the Department of Health by August 1, |
| 606 | 2011. The report shall include the following information: |
| 607 | 1. The name and address of the returning entity. |
| 608 | 2. The Florida license, registration, or permit number and |
| 609 | Drug Enforcement Administration number of the entity that |
| 610 | originally ordered the drugs. |
| 611 | 3. The drug name and number of unit doses returned. |
| 612 | 4. The date of return. |
| 613 | (2) PUBLIC HEALTH EMERGENCY.- |
| 614 | (a) The Legislature finds that: |
| 615 | 1. Prescription drug overdose has been declared a public |
| 616 | health epidemic by the United States Centers for Disease Control |
| 617 | and Prevention. |
| 618 | 2. Prescription drug abuse results in an average of 7 |
| 619 | deaths in this state each day. |
| 620 | 3. Physicians in this state purchased over 85 percent of |
| 621 | the oxycodone purchased by all practitioners in the United |
| 622 | States in 2006. |
| 623 | 4. Physicians in this state purchased over 93 percent of |
| 624 | the methadone purchased by all practitioners in the United |
| 625 | States in 2006. |
| 626 | 5. Some physicians in this state dispense medically |
| 627 | unjustifiable amounts of controlled substances to addicts and |
| 628 | people who intend to illegally sell the drugs. |
| 629 | 6. Physicians in this state who have purchased large |
| 630 | quantities of controlled substances may have significant |
| 631 | inventory on the effective date of this act. |
| 632 | 7. On the effective date of this act, the only legal |
| 633 | method for a dispensing practitioner to sell or otherwise |
| 634 | transfer controlled substances purchased for dispensing is |
| 635 | through the buy-back procedure or abandonment procedures of |
| 636 | subsection (1). |
| 637 | 8. It is likely that the same physicians who purchase and |
| 638 | dispense medically unjustifiable amounts of drugs will not |
| 639 | legally dispose of remaining inventory. |
| 640 | 9. The actions of such dispensing practitioners may result |
| 641 | in substantial injury to the public health. |
| 642 | (b) Immediately on the effective date of this act, the |
| 643 | State Health Officer shall declare a public health emergency |
| 644 | pursuant to s. 381.00315, Florida Statutes. Pursuant to that |
| 645 | declaration, the Department of Health, the Attorney General, the |
| 646 | Department of Law Enforcement, and local law enforcement |
| 647 | agencies shall take the following actions: |
| 648 | 1. Within 2 days after the effective date of this act, in |
| 649 | consultation with wholesale distributors as defined in s. |
| 650 | 499.003, Florida Statutes, the Department of Health shall |
| 651 | identify dispensing practitioners that purchased more than an |
| 652 | average of 2,000 unit doses of controlled substances per month |
| 653 | in the previous 6 months, and shall identify the dispensing |
| 654 | practitioners in that group who pose the greatest threat to the |
| 655 | public health based on an assessment of: |
| 656 | a. The risk of noncompliance with subsection (1). |
| 657 | b. Purchase amounts. |
| 658 | c. Manner of medical practice. |
| 659 | d. Any other factor set by the State Health Officer. |
| 660 |
|
| 661 | The Attorney General shall consult and coordinate with federal |
| 662 | law enforcement agencies. The Department of Law Enforcement |
| 663 | shall coordinate the efforts of local law enforcement agencies. |
| 664 | 2. On the 3rd day after the effective date of this act, |
| 665 | the Department of Law Enforcement or local law enforcement |
| 666 | agencies shall enter the business premises of the dispensing |
| 667 | practitioners identified as posing the greatest threat to public |
| 668 | health and quarantine the controlled substance inventory of such |
| 669 | dispensing practitioners on site. |
| 670 | 3. The Department of Law Enforcement or local law |
| 671 | enforcement agencies shall ensure the security of such inventory |
| 672 | 24 hours a day through the 10th day after the effective date of |
| 673 | this act or until the inventory is validly transferred pursuant |
| 674 | to subsection (1), whichever is earlier. |
| 675 | 4. On the 11th day after the effective date of this act, |
| 676 | any remaining controlled substance purchased for dispensing by |
| 677 | practitioners is deemed contraband under s. 893.12, Florida |
| 678 | Statutes. The Department of Law Enforcement or local law |
| 679 | enforcement agencies shall seize the inventory and comply with |
| 680 | the provisions of s. 893.12, Florida Statutes, to destroy it. |
| 681 | (c) In order to implement the provisions of this section, |
| 682 | the sum of $1.5 million of nonrecurring funds from the General |
| 683 | Revenue Fund is appropriated to the Department of Law |
| 684 | Enforcement for the 2010-2011 fiscal year. The Department of Law |
| 685 | Enforcement shall expend the appropriation by reimbursing local |
| 686 | law enforcement agencies for the overtime-hour costs associated |
| 687 | with securing the quarantined controlled substance inventory as |
| 688 | provided in paragraph (b). All requests for reimbursement must |
| 689 | be submitted to the Department of Law Enforcement by June 1, |
| 690 | 2011. If the requests for reimbursement exceed the amount |
| 691 | appropriated, the reimbursements shall be prorated by the hours |
| 692 | of overtime per requesting agency at a maximum of one law |
| 693 | enforcement officer per quarantine site. |
| 694 | (3) This section is repealed January 1, 2013. |
| 695 | Section 19. This act shall take effect upon becoming a |
| 696 | law. |