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91_HB1801ham001 LRB9105700ACtmam 1 AMENDMENT TO HOUSE BILL 1801 2 AMENDMENT NO. . Amend House Bill 1801 by replacing 3 everything after the enacting clause with the following: 4 "Section 5. The Pharmacy Practice Act of 1987 is amended 5 by changing Section 3 as follows: 6 (225 ILCS 85/3) (from Ch. 111, par. 4123) 7 Sec. 3. Definitions. For the purposespurposeof this 8 Act, except where otherwise limited therein: 9 (a) "Pharmacy" or "drugstore" means and includes every 10 store, shop, pharmacy department, or other place where 11 pharmaceutical care is provided by a pharmacist (1) where 12 drugs, medicines, or poisons are dispensed, sold or offered 13 for sale at retail, or displayed for sale at retail; or (2) 14 where prescriptions of physicians, dentists, veterinarians, 15 podiatrists, or therapeutically certified optometrists, 16 within the limits of their licenses, are compounded, filled, 17 or dispensed; or (3) which has upon it or displayed within 18 it, or affixed to or used in connection with it, a sign 19 bearing the word or words "Pharmacist", "Druggist", 20 "Pharmacy", "Pharmaceutical Care", "Apothecary", "Drugstore", 21 "Medicine Store", "Prescriptions", "Drugs", "Medicines", or 22 any word or words of similar or like import, either in the -2- LRB9105700ACtmam 1 English language or any other language; or (4) where the 2 characteristic prescription sign (Rx) or similar design is 3 exhibited; or (5) any store, or shop, or other place with 4 respect to which any of the above words, objects, signs or 5 designs are used in any advertisement. 6 (b) "Drugs" means and includes (l) articles recognized 7 in the official United States Pharmacopoeia/National 8 Formulary (USP/NF), or any supplement thereto and being 9 intended for and having for their main use the diagnosis, 10 cure, mitigation, treatment or prevention of disease in man 11 or other animals, as approved by the United States Food and 12 Drug Administration, but does not include devices or their 13 components, parts, or accessories; and (2) all other articles 14 intended for and having for their main use the diagnosis, 15 cure, mitigation, treatment or prevention of disease in man 16 or other animals, as approved by the United States Food and 17 Drug Administration, but does not include devices or their 18 components, parts, or accessories; and (3) articles (other 19 than food) having for their main use and intended to affect 20 the structure or any function of the body of man or other 21 animals; and (4) articles having for their main use and 22 intended for use as a component or any articles specified in 23 clause (l), (2) or (3); but does not include devices or their 24 components, parts or accessories. 25 (c) "Medicines" means and includes all drugs intended 26 for human or veterinary use approved by the United States 27 Food and Drug Administration. 28 (d) "Practice of pharmacy" means the provision of 29 pharmaceutical care to patients as determined by the 30 pharmacist's professional judgment in the following areas, 31 which may include but are not limited to (1) patient 32 counseling, (2) interpretation and assisting in the 33 monitoring of appropriate drug use and prospective drug 34 utilization review, (3) providing information on the -3- LRB9105700ACtmam 1 therapeutic values, reactions, drug interactions, side 2 effects, uses, selection of medications and medical devices, 3 and outcome of drug therapy, (4) participation in drug 4 selection, drug monitoring, drug utilization review, 5 evaluation, administration, interpretation, application of 6 pharmacokinetic and laboratory data to design safe and 7 effective drug regimens, (5) drug research (clinical and 8 scientific), and (6) compounding and dispensing of drugs and 9 medical devices. 10 (e) "Prescription" means and includes any written, oral, 11 facsimile, or electronically transmitted order for drugs or 12 medical devices, issued by a physician licensed to practice 13 medicine in all its branches, dentist, veterinarian, or 14 podiatrist, or therapeutically certified optometrist, within 15 the limits of their licenses, by a physician assistant in 16 accordance with subsection (f) of Section 4, or by an 17 advanced practice nurse in accordance with subsection (g) of 18 Section 4, containing the following: (l) name of the patient; 19 (2) date when prescription was issued; (3) name and strength 20 of drug or description of the medical device prescribed; and 21 (4) quantity, (5) directions for use, (6) prescriber's name, 22 address and signature, and (7) DEA number where required, for 23 controlled substances. DEA numbers shall not be required on 24 inpatient drug orders. 25 (f) "Person" means and includes a natural person, 26 copartnership, association, corporation, government entity, 27 or any other legal entity. 28 (g) "Department" means the Department of Professional 29 Regulation. 30 (h) "Board of Pharmacy" or "Board" means the State Board 31 of Pharmacy of the Department of Professional Regulation. 32 (i) "Director" means the Director of Professional 33 Regulation. 34 (j) "Drug product selection" means the interchange for a -4- LRB9105700ACtmam 1 prescribed pharmaceutical product in accordance with Section 2 25 of this Act and Section 3.14 of the Illinois Food, Drug 3 and Cosmetic Act. 4 (k) "Inpatient drug order" means an order issued by an 5 authorized prescriber for a resident or patient of a facility 6 licensed under the Nursing Home Care Act or the Hospital 7 Licensing Act, or "An Act in relation to the founding and 8 operation of the University of Illinois Hospital and the 9 conduct of University of Illinois health care programs", 10 approved July 3, 1931, as amended, or a facility which is 11 operated by the Department of Human Services (as successor to 12 the Department of Mental Health and Developmental 13 Disabilities) or the Department of Corrections. 14 (k-5) "Pharmacist" means an individual currently 15 licensed by this State to engage in the practice of pharmacy. 16 (l) "Pharmacist in charge" means the licensed pharmacist 17 whose name appears on a pharmacy license who is responsible 18 for all aspects of the operation related to the practice of 19 pharmacy. 20 (m) "Dispense" means the delivery of drugs and medical 21 devices, in accordance with applicable State and federal laws 22 and regulations, to the patient or the patient's 23 representative authorized to receive these products, 24 including the compounding, packaging, and labeling necessary 25 for delivery, and any recommending or advising concerning the 26 contents and therapeutic values and uses thereof. "Dispense" 27 does not mean the physical delivery to a patient or a 28 patient's representative in a home or institution by a 29 designee of a pharmacist or by common carrier. "Dispense" 30 also does not mean the physical delivery of a drug or medical 31 device to a patient or patient's representative by a 32 pharmacist's designee within a pharmacy or drugstore while 33 the pharmacist is on duty and the pharmacy is open. 34 (n) "Mail-order pharmacy" means a pharmacy that is -5- LRB9105700ACtmam 1 located in a state of the United States, other than Illinois, 2 that delivers, dispenses or distributes, through the United 3 States Postal Service or other common carrier, to Illinois 4 residents, any substance which requires a prescription. 5 (o) "Compounding" means the preparation, mixing, 6 assembling, packaging, or labeling of a drug or medical 7 device: (1) as the result of a practitioner's prescription 8 drug order or initiative that is dispensed pursuant to a 9 prescription in the course of professional practice; or (2) 10 for the purpose of, or incident to, research, teaching, or 11 chemical analysis; or (3) in anticipation of prescription 12 drug orders based on routine, regularly observed prescribing 13 patterns. 14 (p) "Confidential information" means information, 15 maintained by the pharmacist in the patient's records, 16 released only (i) to the patient or, as the patient directs, 17 to other practitioners and other pharmacists or (ii) to any 18 other person authorized by law to receive the information. 19 (q) "Prospective drug review" or "drug utilization 20 evaluation" means a screening for potential drug therapy 21 problems due to therapeutic duplication, drug-disease 22 contraindications, drug-drug interactions (including serious 23 interactions with nonprescription or over-the-counter drugs), 24 drug-food interactions, incorrect drug dosage or duration of 25 drug treatment, drug-allergy interactions, and clinical abuse 26 or misuse. 27 (r) "Patient counseling" means the communication between 28 a pharmacist or a student pharmacist under the direct 29 supervision of a pharmacist and a patient or the patient's 30 representative about the patient's medication or device for 31 the purpose of optimizing proper use of prescription 32 medications or devices. The offer to counsel by the 33 pharmacist or the pharmacist's designee, and subsequent 34 patient counseling by the pharmacist or student pharmacist, -6- LRB9105700ACtmam 1 shall be made in a face-to-face communication with the 2 patient or patient's representative unless, in the 3 professional judgment of the pharmacist, a face-to-face 4 communication is deemed inappropriate or unnecessary. In 5 that instance, the offer to counsel or patient counseling may 6 be made in a written communication, by telephone, or in a 7 manner determined by the pharmacist to be appropriate. 8 (s) "Patient profiles" or "patient drug therapy record" 9 means the obtaining, recording, and maintenance of patient 10 prescription and personal information. 11 (t) "Pharmaceutical care" includes, but is not limited 12 to, the act of monitoring drug use and other patient care 13 services intended to achieve outcomes that improve the 14 patient's quality of life but shall not include the sale of 15 over-the-counter drugs by a seller of goods and services who 16 does not dispense prescription drugs. 17 (u) "Medical device" means an instrument, apparatus, 18 implement, machine, contrivance, implant, in vitro reagent, 19 or other similar or related article, including any component 20 part or accessory, required under federal law to bear the 21 label "Caution: Federal law requires dispensing by or on the 22 order of a physician". A seller of goods and services who, 23 only for the purpose of retail sales, compounds, sells, 24 rents, or leases medical devices shall not, by reasons 25 thereof, be required to be a licensed pharmacy. 26 (Source: P.A. 89-202, eff. 7-21-95; 89-507, eff. 7-1-97; 27 90-116, eff. 7-14-97; 90-253, eff. 7-29-97; 90-655, eff. 28 7-30-98; 90-742, eff. 8-13-98.)".