BILL REQ. #: S-0442.2
|State of Washington||62nd Legislature||2011 Regular Session|
Read first time 01/18/11. Referred to Committee on Health & Long-Term Care.
AN ACT Relating to providing safe collection and disposal of unwanted drugs from residential sources through a producer-provided and funded product stewardship program; amending RCW 69.41.030 and 18.64.005; adding a new section to chapter 42.56 RCW; adding a new chapter to Title 70 RCW; creating a new section; and prescribing penalties.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
NEW SECTION. Sec. 1 The legislature finds that Washington state
citizens benefit from the authorized use of prescription and over-the-counter medicines. The proper use of medicines helps to cure, treat,
and prevent diseases, and to prolong life. Failure to properly dispose
of leftover and expired medicines can lead to the illegal possession
and abuse of potentially addictive medicines by others, and to the
consumption of medicines by children and others, potentially causing
addiction, poisonings, overdoses, and other harmful health effects.
Moreover, disposing of medicines by flushing them down the toilet or
placing them in the garbage can lead to the contamination of
groundwater and other bodies of water, contributing to long-term harm
to the environment and to animal life. The legislature finds that
Washington residents need a safe method for disposal of medicines
through "take-back" programs that provide environmentally sound
disposal of medicines with effective controls against diversion. The
legislature intends that the costs of properly collecting and disposing
of leftover and expired medicines be included in the producer's
business costs, and further finds that the producers of the medicines
are best positioned to efficiently develop and operate programs for the
safe and convenient collection and disposal of unused medicines.
NEW SECTION. Sec. 2 The definitions in this section apply
throughout this chapter unless the context clearly requires otherwise.
(1) "Association" means the medicine return association established in section 3 of this act.
(2)(a) "Covered drug" includes all legend and nonlegend drugs from residential sources sold in any form. This includes brand name and generic drugs.
(b) "Covered drug" does not include:
(i) Herbal-based remedies and homeopathic drugs, products, or remedies;
(ii) Cosmetics, shampoos, sunscreens, toothpaste, lip balm, antiperspirants, or other personal care products that are regulated as both cosmetics and nonlegend drugs under the federal food, drug, and cosmetic act;
(iii) Drugs for which producers provide a take-back program as part of a federal food and drug administration managed risk evaluation and mitigation strategy (21 U.S.C. Sec. 355-1);
(iv) Drugs that are biological products as defined by 21 C.F.R. 600.3(h) as it exists on the effective date of this section if the producer already provides a take-back program; and
(v) Pet pesticide products contained in pet collars, powders, or shampoos.
(3) "Drug wholesaler" means a corporation, individual, or other entity which buys drugs or devices for resale and distribution to corporations, individuals, or entities other than consumers.
(4) "Drugs" means:
(a) Articles recognized in the official United States pharmacopoeia, the official national formulary, the official homeopathic pharmacopoeia of the United States, or any supplement of the formulary or those pharmacopoeias;
(b) Substances intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease in humans or other animals;
(c) Substances, other than food, intended to affect the structure or any function of the body of humans or other animals; or
(d) Substances intended for use as a component of any substances specified in (a), (b), or (c) of this subsection, but not including medical devices or their component parts or accessories.
(5) "Generic drug" means drugs that are chemically identical or bioequivalent to a brand name drug in dosage form, safety, strength, route of administration, quality, performance characteristics, and intended use. However, inactive ingredients may vary.
(6) "Legend drug" means drugs, including controlled substances under chapter 69.50 RCW, that are required by any applicable federal or state law or regulation to be dispensed by prescription only or are restricted to use by practitioners only.
(7) "Nonlegend drug" means drugs that may be lawfully sold without a prescription.
(8) "Person" means a firm, sole proprietorship, corporation, limited liability company, general partnership, limited partnership, limited liability partnership, association, cooperative, or other entity of any kind or nature.
(9) "Producer" means the person who:
(a) Has legal ownership of the brand, brand name, or cobrand of the covered drug or manufactures a generic covered drug sold in Washington state. "Producer" does not include a retailer who puts its store label on a covered drug or a pharmacist who compounds a prescribed individual drug product for a patient;
(b) Imports a covered drug branded or manufactured by a producer that meets the definition under (a) of this subsection and has no physical presence in the United States; or
(c) Sells at wholesale a covered drug, does not have legal ownership of the brand, and elects to fulfill the responsibilities of the producer for that covered drug.
(10) "Product stewardship program" means a statewide program for the collection, transportation, and disposal of unwanted covered drugs that is financed by the producers of those products and managed by the association.
(11) "Residential sources" includes single and multiple-family residences, and locations where household drugs are unused, unwanted, disposed, or abandoned, such as hospice services, boarding homes, schools, foster care, day care, and other locations where either people or their pet animals, or both, reside on a temporary or permanent basis. This does not include waste from hospitals, clinics, pharmacies, airport security, drug seizures by law enforcement, businesses, or other nonresidential or business sources identified by the board of pharmacy.
(12) "Unwanted covered drug" means any covered drug no longer wanted by its owner or that has been abandoned, discarded, or is intended to be discarded by its owner.
NEW SECTION. Sec. 3 (1) The association is established as a
nonprofit product stewardship organization to finance and operate a
product stewardship program for the collection, transportation, and
disposal of unwanted covered drugs. Membership in the association must
be open to all producers of covered drugs sold in the state and all
producers of covered drugs sold in the state must participate in the
association's product stewardship program.
(2) The association is a nonprofit corporation under chapter 24.03 RCW and has the powers granted under that chapter.
(3) The association is managed by a board of directors, initially appointed by the secretary of the department of health. The board of directors is to be comprised of representatives of producers whose covered drugs are sold in the state. Any producer of covered drugs, or representative of the producers, may submit recommendations for members of the board of directors to the secretary of the department of health. The board of directors must include, at a minimum, representatives of:
(a) Two branded legend drugmakers;
(b) Two generic legend drugmakers;
(c) Two nonlegend drugmakers; and
(d) Two biotechnology sector drugmakers.
(4) The board of directors of the association shall:
(a) Prepare and adopt articles of association and bylaws, and select a chair;
(b) Prepare and adopt a general plan of operation of procedures for the association. The plan of operation must include procedures for assessing costs and collecting funds from participating producers under section 6 of this act. The plan of operation must include a dispute mechanism through which a producer selling covered drugs in the state may challenge an assessment determination by the board of directors, and a mechanism by which the association may notify a producer selling covered drugs in the state that is failing to participate in the association and report such a producer to the board of pharmacy;
(c) By January 1, 2013, submit a proposed product stewardship program to the board of pharmacy for review in accordance with section 4 of this act; the product stewardship program must be approved and licensed by the board of pharmacy prior to collecting unwanted covered drugs;
(d) By January 1, 2014, operate a product stewardship program in accordance with this act;
(e) Enter into contracts and agreements with other service providers and entities as necessary, useful, or convenient to provide all or portions of the product stewardship program;
(f) Take any legal action necessary or proper for the recovery of an assessment for, on behalf of, or against members of the association or other participating persons; and
(g) Perform any other functions as may be necessary or proper to provide the product stewardship program and to affect any or all of the purposes for which the association is organized.
(5) The members of the board of directors serve without compensation but are entitled to reimbursement, solely from the funds of the association, for expenses incurred in the discharge of their duties under this chapter.
(6) The association shall provide the product stewardship program described in this act without using state or local government funds.
(7) The board of pharmacy may audit the activities of the association as necessary. The board of pharmacy, department of ecology, or department of health staff may access any facilities or property of the association as necessary to conduct inspections or investigate complaints.
NEW SECTION. Sec. 4 (1) In developing a proposed product
stewardship program, the association must provide opportunities for
public comment, including at least one public hearing. Notice of the
public hearing must be provided by the association to the department of
health, the board of pharmacy, the department of ecology, the
Washington association of sheriffs and police chiefs, covered drug
retailers, substance abuse professionals, local governments, solid
waste professionals, water quality professionals, and the general
(2) After public comment has been received and by January 1, 2013, the association's proposed product stewardship program must be submitted to the board of pharmacy for review. The board of pharmacy shall consult with the department of ecology on any element of the proposed program including transportation and disposal systems, secure tracking and handling, package recycling, and public education. The board of pharmacy must consult with the Washington association of sheriffs and police chiefs on the adequacy of the proposed program's security measures for collection, transportation, and disposal of unwanted covered drugs.
(3) After the review and consultation under subsection (2) of this section and within ninety days after receipt of the proposed product stewardship program, the board of pharmacy must either approve or reject the association's proposed product stewardship program and, if rejected, provide reasons for rejection. If rejected, the association must:
(a) Submit a revised product stewardship program within sixty days after receiving notice of the rejection; or
(b) Appeal the board of pharmacy's decision under the administrative procedure act, chapter 34.05 RCW, within sixty days after receiving notice of the rejection.
(4) The association shall annually invite comments from health care facilities, health care practitioners, pharmacists, local governments, law enforcement personnel, and citizens on their satisfaction with the services provided by the product stewardship program. This information must be used by the association in developing proposed product stewardship program updates and revisions. This information must also be provided to the board of pharmacy and must be used by the board of pharmacy in reviewing proposed program updates and revisions.
(5) At least every four years, the association must update its product stewardship program and submit the updated program to the board of pharmacy for review using the process described in subsections (2) and (3) of this section.
NEW SECTION. Sec. 5 The association's product stewardship
program, which must be developed and reviewed according to section 4 of
this act, must provide the following:
(1) A description of the proposed collection system. The collection system for all unwanted covered drugs must be safe, secure, and protect patient information. The collection system must be convenient and adequately serve the needs of residents in both urban and rural areas. The collection system must provide, at a minimum, one drop-off collection site in all counties in the state and one drop-off collection site in all cities with a population greater than ten thousand, on an ongoing, year-round basis. However, if a drop-off location cannot be arranged in a specific county or city, prepaid mailing envelopes must be provided;
(2) In accordance with requirements stated in sections 6(4) and 7 of this act, the collection system shall incorporate drop-off collection sites for unwanted covered drugs in existence on the effective date of this section if they meet program requirements, and additional collectors to improve convenience and availability of services;
(3) A description of the handling and disposal system, including identification of and contact information for collectors, transporters, and waste disposal facilities in accordance with section 11 of this act to be used by the product stewardship program;
(4) A description of how the association will use existing providers of waste pharmaceutical services to the extent possible and in accordance with section 11 of this act;
(5) A description of how covered drugs will be separated from packaging to the extent possible to reduce transportation and disposal costs and how drug packaging will be recycled to the extent feasible;
(6) The policies and procedures to be followed by persons in charge of unwanted covered drugs collected pursuant to the product stewardship program;
(7) A description of how the collected, unwanted covered drugs are tracked through to final disposal and how safety and security is maintained;
(8) A description of how patient information on drug packaging will be kept secure during collection, transportation, and disposal;
(9) A description of the public education effort and communications strategy required in section 10 of this act; and
(10) Contact information for all drug producers participating in the association.
NEW SECTION. Sec. 6 (1) The association shall pay all
administrative and operational costs related to the product stewardship
program. Association costs must be financed by producers who sell
covered drugs in this state. The association board of directors shall
determine a method for equitably apportioning costs among producers
whose covered drugs are sold in this state, and determine the method
and timing of assessment collection. Each producer selling covered
drugs in this state must be assessed and is required to timely remit
payment to the association for its share of the association's total
costs. Moneys remitted to the association under this section must be
retained by the association and used solely for the administration and
operation of the product stewardship program. Administrative and
operational costs related to the product stewardship program include
(a) Secure collection containers for the required minimum number of collection sites described in section 5(1) of this act;
(b) Collection and transportation supplies for the required minimum number of collection sites described in section 5(1) of this act;
(c) Mailers and mailings if a mail-back system is developed;
(d) Transportation of all collected pharmaceuticals to final disposal, including costs of law enforcement escort if necessary;
(e) Environmentally sound disposal of all collected pharmaceuticals under section 11 of this act;
(f) Program promotion under section 10 of this act;
(g) State agency and board of pharmacy oversight to administer and enforce this chapter under subsection (5) of this section; and
(h) Reasonable costs for administration of the association, as determined necessary by the association board of directors.
(2) The association board of directors may offer incentives or payments to collectors if necessary to ensure the product stewardship program requirements for the minimum number of collection sites are met, as described in section 5(1) of this act.
(3) Producers may not impose a visible fee on consumers when covered drugs are purchased or returned.
(4) The total annual cost responsibility to the association, notwithstanding any penalties or fines, may not exceed two million five hundred thousand dollars per calendar year. This number must be annually adjusted for inflation starting in 2012. The association shall report actual annual expenditures and may comment on this limit to the association's total annual cost responsibility in their annual report to the board of pharmacy under section 9 of this act.
(5) The secretary of the department of health may establish fees for administering this chapter as provided under RCW 43.70.250. The fees may be charged to the association. The fees must be based on factors relating to administering this chapter. Fees may be established in amounts to fully recover expenses incurred by the board of pharmacy, but must not exceed fifteen percent of the total annual cost responsibility to the association under subsection (4) of this section. The board of pharmacy may use these fee revenues to reimburse the department of ecology for its costs. The board of pharmacy may prioritize the work to implement this chapter if fees are not adequate to fund all costs of administration. Fees paid under this subsection must be deposited into the pharmaceutical product stewardship program account under section 16 of this act.
(6) Any producer may appeal an assessment of charges or apportionment of costs to the board of pharmacy under the administrative procedure act, chapter 34.05 RCW.
NEW SECTION. Sec. 7 This chapter does not require any person to
serve as a collector in the product stewardship program. A person may
offer to serve as a collector, or may agree to serve as a collector in
exchange for incentives or payment offered by the association's board
of directors. Collectors may include law enforcement, pharmacies,
other relevant public or private locations, such as hospitals, senior
centers, community health clinics, fire stations, veterinary clinics,
or private sector collectors, and mail-back services, operating in
accordance with state and federal laws and regulations for the handling
of covered drugs and in compliance with this chapter.
NEW SECTION. Sec. 8 (1) Any proposed change to the product
stewardship program must have prior approval of the board of pharmacy.
(2) The product stewardship program must inform the board of pharmacy of changes in collection locations in the product stewardship program fifteen days before the changes occur.
NEW SECTION. Sec. 9 (1) By June 30, 2015, and annually
thereafter, the association must submit a report to the board of
pharmacy describing the program's activities during the previous
reporting period. The report must include the following:
(a) A list of producers participating in the product stewardship program;
(b) The amount, by weight, of unwanted covered drugs collected, including the amount by weight from each collection method used;
(c) A list of collection sites, if applicable, locations where mailers are provided, if applicable, transporters used, and the disposal facility or facilities used;
(d) Whether any safety or security problems occurred during collection, transportation, or disposal of unwanted covered drugs during the reporting period and, if so, what changes have or will be made to policies, procedures, or tracking mechanisms to alleviate the problem and to improve safety and security in the future;
(e) A description of the public education and outreach activities in compliance with section 10 of this act implemented during the reporting period;
(f) A description of how collected packaging was recycled to the extent feasible, including the recycling facility or facilities used; and
(g) The total expenditure of the association during the reporting period, and whether the association foresees a need for adjustment of the total annual cost responsibility under section 6(4) of this act as a result of changes in volumes of collected drugs or other costs.
(2) The board of pharmacy must make reports submitted under this section available to the public.
(3) For the purposes of this section, "reporting period" means the period commencing January 1st and ending December 31st of the same calendar year.
NEW SECTION. Sec. 10 (1) The association must promote the use of
the product stewardship program and the safe storage and proper
disposal of covered drugs so that collection options are widely
understood by customers, pharmacists, retailers of covered drugs, and
health care practitioners including doctors and other prescribers.
(2) The association must establish a toll-free telephone number and web site where collection options will be publicized and prepare educational and outreach materials describing where and how to return unwanted covered drugs to the product stewardship program. These materials must be provided to pharmacies, health care facilities, and other interested parties for dissemination to residential sources.
(3) The department of health, the department of ecology, and local governments must promote the use of the product stewardship program and the program's toll-free telephone number and web site through existing educational methods.
(4) The association must annually evaluate the effectiveness of its outreach and program activities. At least every four years, this evaluation must include the percentage of residents that are aware of the program and to what extent residents find the program convenient.
NEW SECTION. Sec. 11 (1) Covered drugs collected under the
product stewardship program must be disposed of at a properly permitted
hazardous waste disposal facility. However, unwanted covered drugs
from residential sources retain all other generator exemptions for
household hazardous waste.
(2) The association may petition the department of ecology for a waiver from the requirement for use of hazardous waste disposal for all or some of the collected drugs from residential sources if regulatory restrictions prevent reasonable use of hazardous waste disposal facilities. The alternative disposal facility must be approved by the department of ecology, must be properly permitted, may be a solid waste incineration facility conforming with WAC 173-434-160, and cannot be a solid waste landfill or an industrial furnace. Waivers must be biennially reviewed by the department of ecology and are applicable only to disposal of unwanted covered drugs considered to be household hazardous waste from residential sources.
(3) The association may petition the department of ecology for approval to use final disposal technologies that provide superior environmental and human health protection than provided by current hazardous waste disposal technologies for drugs if and when those technologies are proven and available. The proposed technology must provide equivalent protection in each, and superior protection in one or more, of the following areas:
(a) Monitoring of any emissions or waste;
(b) Worker health and safety;
(c) Air, water, or land emissions contributing to persistent, bioaccumulative, and toxic pollution; and
(d) Overall impact to the environment and human health.
NEW SECTION. Sec. 12 (1) The board of pharmacy may suspend in
whole or in part the product stewardship program if it determines that
it is necessary to protect the public from imminent danger. The board
may refuse, suspend, or revoke the license of the product stewardship
program as provided in RCW 18.64.200.
(2) If the board of pharmacy determines that the association is not in compliance with this chapter or the program standards adopted by the board of pharmacy under section 15 of this act, the board of pharmacy may send the association a written warning stating the program is not in compliance. The association has thirty days after receipt of the notice to come into compliance. If the association is not in compliance after thirty days, the board of pharmacy may assess a penalty of five thousand dollars for the first violation and ten thousand dollars for the second and each subsequent violation. A subsequent violation occurs each thirty days of noncompliance. This subsection does not preclude the board of pharmacy from suspending the product stewardship program.
(3) The association may appeal penalties prescribed under this section under the administrative procedure act, chapter 34.05 RCW.
(4) All penalties levied under this section must be deposited into the pharmaceutical product stewardship program account established under section 16 of this act.
NEW SECTION. Sec. 13 (1) The board of pharmacy shall send a
written warning and a copy of this chapter and any rules adopted to
implement this chapter to a producer who is not participating in the
product stewardship program, or who is not remitting full payment to
the association for its share of the association's total costs, and
whose covered drug is being sold in the state.
(2) A producer not participating in the product stewardship program, or who is not remitting full payment to the association for its share of the association's total costs, whose covered drug continues to be sold in the state sixty days after receiving a written warning from the board of pharmacy must be assessed a penalty of ten thousand dollars for each calendar day that the violation continues.
(3) A producer may appeal penalties prescribed under this section under the administrative procedure act, chapter 34.05 RCW.
(4) All penalties levied under this section must be deposited into the pharmaceutical product stewardship program account established under section 16 of this act.
NEW SECTION. Sec. 14 Beginning in 2012, each drug wholesaler
that sells any covered drug in the state must provide a list of
producers of covered drugs to the board of pharmacy in a form
determined by the board of pharmacy. Wholesalers must update the list
by January 15th of each year.
NEW SECTION. Sec. 15 (1) The board of pharmacy may adopt rules
necessary to implement, administer, and enforce this chapter.
(2) The board of pharmacy, in consultation with the department of ecology, may establish performance standards for the product stewardship program.
(3) By December 31, 2016, the board of pharmacy shall report to the appropriate committees of the legislature concerning the status of the product stewardship program and recommendations for changes to this chapter.
NEW SECTION. Sec. 16 The pharmaceutical product stewardship
program account is created in the custody of the state treasurer. All
receipts from fees and penalties collected under this chapter must be
deposited into the account. Expenditures from the account may be used
only for administering this chapter. Only the secretary of the
department of health or the secretary's designee may authorize
expenditures from the account. The account is subject to allotment
procedures under chapter 43.88 RCW, but an appropriation is not
required for expenditures.
Sec. 17 RCW 69.41.030 and 2010 c 83 s 1 are each amended to read
(1) It shall be unlawful for any person to sell, deliver, or possess any legend drug except upon the order or prescription of a physician under chapter 18.71 RCW, an osteopathic physician and surgeon under chapter 18.57 RCW, an optometrist licensed under chapter 18.53 RCW who is certified by the optometry board under RCW 18.53.010, a dentist under chapter 18.32 RCW, a podiatric physician and surgeon under chapter 18.22 RCW, a veterinarian under chapter 18.92 RCW, a commissioned medical or dental officer in the United States armed forces or public health service in the discharge of his or her official duties, a duly licensed physician or dentist employed by the veterans administration in the discharge of his or her official duties, a registered nurse or advanced registered nurse practitioner under chapter 18.79 RCW when authorized by the nursing care quality assurance commission, an osteopathic physician assistant under chapter 18.57A RCW when authorized by the board of osteopathic medicine and surgery, a physician assistant under chapter 18.71A RCW when authorized by the medical quality assurance commission, or any of the following professionals in any province of Canada that shares a common border with the state of Washington or in any state of the United States: A physician licensed to practice medicine and surgery or a physician licensed to practice osteopathic medicine and surgery, a dentist licensed to practice dentistry, a podiatric physician and surgeon licensed to practice podiatric medicine and surgery, a licensed advanced registered nurse practitioner, or a veterinarian licensed to practice veterinary medicine: PROVIDED, HOWEVER, That the above provisions shall not apply to sale, delivery, or possession by drug wholesalers or drug manufacturers, or their agents or employees, or to any practitioner acting within the scope of his or her license, or to a common or contract carrier or warehouseman, or any employee thereof, whose possession of any legend drug is in the usual course of business or employment: PROVIDED FURTHER, That nothing in this chapter or chapter 18.64 RCW shall prevent a family planning clinic that is under contract with the department of social and health services from selling, delivering, possessing, and dispensing commercially prepackaged oral contraceptives prescribed by authorized, licensed health care practitioners.
(2) The product stewardship program created in chapter 70.-- RCW (the new chapter created in section 22 of this act) may possess and transport drugs provided that the product stewardship program complies with this chapter.
(3)(a) A violation of this section involving the sale, delivery, or possession with intent to sell or deliver is a class B felony punishable according to chapter 9A.20 RCW.
(b) A violation of this section involving possession is a misdemeanor.
Sec. 18 RCW 18.64.005 and 1990 c 83 s 1 are each amended to read
The board shall:
(1) Regulate the practice of pharmacy and enforce all laws placed under its jurisdiction;
(2) Prepare or determine the nature of, and supervise the grading of, examinations for applicants for pharmacists' licenses;
(3) Establish the qualifications for licensure of pharmacists or pharmacy interns;
(4) Conduct hearings for the revocation or suspension of licenses, permits, registrations, certificates, or any other authority to practice granted by the board, which hearings may also be conducted by an administrative law judge appointed under chapter 34.12 RCW;
(5) Issue subpoenas and administer oaths in connection with any hearing, or disciplinary proceeding held under this chapter or any other chapter assigned to the board;
(6) Assist the regularly constituted enforcement agencies of this state in enforcing all laws pertaining to drugs, controlled substances, and the practice of pharmacy, or any other laws or rules under its jurisdiction;
(7) Promulgate rules for the dispensing, distribution, wholesaling, and manufacturing of drugs and devices and the practice of pharmacy for the protection and promotion of the public health, safety, and welfare. Violation of any such rules shall constitute grounds for refusal, suspension, or revocation of licenses or any other authority to practice issued by the board;
(8) Adopt rules establishing and governing continuing education requirements for pharmacists and other licensees applying for renewal of licenses under this chapter;
(9) Be immune, collectively and individually, from suit in any action, civil or criminal, based upon any disciplinary proceedings or other official acts performed as members of such board. Such immunity shall apply to employees of the department when acting in the course of disciplinary proceedings;
(10) Suggest strategies for preventing, reducing, and eliminating drug misuse, diversion, and abuse, including professional and public education, and treatment of persons misusing and abusing drugs;
(11) Conduct or encourage educational programs to be conducted to prevent the misuse, diversion, and abuse of drugs for health care practitioners and licensed or certified health care facilities;
(12) Monitor trends of drug misuse, diversion, and abuse and make periodic reports to disciplinary boards of licensed health care practitioners and education, treatment, and appropriate law enforcement agencies regarding these trends;
(13) Enter into written agreements with all other state and federal agencies with any responsibility for controlling drug misuse, diversion, or abuse and with health maintenance organizations, health care service contractors, and health care providers to assist and promote coordination of agencies responsible for ensuring compliance with controlled substances laws and to monitor observance of these laws and cooperation between these agencies. The department of social and health services, the department of labor and industries, and any other state agency including licensure disciplinary boards, shall refer all apparent instances of over-prescribing by practitioners and all apparent instances of legend drug overuse to the department. The department shall also encourage such referral by health maintenance organizations, health service contractors, and health care providers;
(14) Adopt rules to implement, administer, and enforce the laws on the collection, transportation, disposal, and possession of unwanted covered drugs from residential sources through producer-provided and funded product stewardship programs under chapter 70.--- RCW (the new chapter created in section 22 of this act).
NEW SECTION. Sec. 19 A new section is added to chapter 42.56 RCW
to read as follows:
Producer information provided to the association or to the board of pharmacy under section 6 of this act to determine apportionment of costs is exempt from disclosure under this chapter.
NEW SECTION. Sec. 20 Nothing in this chapter changes or limits
the authority of the Washington utilities and transportation commission
to regulate collection of solid waste, including curbside collection of
residential recyclable materials, nor does this chapter change or limit
the authority of a city or town to provide the service itself or by
contract under RCW 81.77.020.
NEW SECTION. Sec. 21 Nothing in this chapter applies to
hospitals licensed under chapter 70.41 RCW, whose pharmaceutical wastes
are disposed of under rules and policies adopted by the department of
NEW SECTION. Sec. 22 Sections 1 through 16, 20, and 21 of this
act constitute a new chapter in Title
NEW SECTION. Sec. 23 If any provision of this act or its
application to any person or circumstance is held invalid, the
remainder of the act or the application of the provision to other
persons or circumstances is not affected.
NEW SECTION. Sec. 24 This act must be liberally construed to
carry out its purposes and objectives.