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91_SB0013sam001 LRB9100300RCksam01 1 AMENDMENT TO SENATE BILL 13 2 AMENDMENT NO. . Amend Senate Bill 13 by replacing 3 everything after the enacting clause with the following: 4 "Section 5. The Illinois Controlled Substances Act is 5 amended by changing Sections 309, 312, and 406 and by adding 6 Sections 316, 317, 318, 319, and 320 as follows: 7 (720 ILCS 570/309) (from Ch. 56 1/2, par. 1309) 8 Sec. 309. No person shall issue a prescription for a 9 Schedule II controlled substance, which is a narcotic drug 10 listed in Section 206 of this Act; or which contains any 11 quantity of amphetamine or methamphetamine, their salts, 12 optical isomers or salts of optical isomers; phenmetrazine 13 and its salts; gluthethimide; pentazocine; or which is 14 hereafter determined to be a "designated product," as defined 15 in Section 102 of this Act, other than on a writtenthe16officialprescriptionblank issued by the Department and no17person shall fill any such prescription other than on the18official prescription blank issued by the Department; 19 provided that in the case of an emergency, epidemic or a 20 sudden or unforeseen accident or calamity, the prescriber may 21 issue a lawful oral prescriptionor transmit via facsimile22equipment a written prescription order or a written-2- LRB9100300RCksam01 1prescription on a blank other than the official prescription2blank issued by the Departmentwhere failure to issue such a 3 prescription might result in loss of life or intense 4 suffering, but such oral prescription shall include a 5 statementhave endorsed thereonby the prescribera statement6concerning the accident or calamity, or circumstances 7 constituting the emergency, the cause for which a written 8 prescriptionthe unofficial blankwas used. Within 72 hours 9 after issuing an emergency prescription, the prescriber shall 10 cause a written prescriptionon the official prescription11blankfor the emergency quantity prescribed to be delivered 12 to the dispensing pharmacist. The prescription shall have 13 written on its face "Authorization for Emergency Dispensing", 14 and the date of the emergency prescription. The written 15 prescriptionon the official prescription blankmay be 16 delivered to the pharmacist in person,orby mail or via 17 facsimile equipment, but if delivered by mail it must be 18 postmarked within the 72-hour period. Upon receipt, the 19 dispensing pharmacist shall attach this prescription to the 20 emergency oral prescription earlier received and, or in the21case of an oral prescription,reduced to writing. The 22 dispensing pharmacist shall notify the Department of Human 23 Services if the prescriber fails to deliver the authorization 24 for emergency dispensing on theofficialprescriptionblank25 to him. Failure of the dispensing pharmacist to do so shall 26 void the authority conferred by this paragraph to dispense 27 without a written prescriptionon an official prescription28blankof a prescriber.All prescriptions on the official29blanks shall be written in triplicate and all three copies30signed by the prescriber.All prescriptions issued for 31 Schedule II controlled substances shall include both a 32 written and numerical notation of quantity on the face of the 33 prescription. No prescription for a Schedule II controlled 34 substance may be refilled. -3- LRB9100300RCksam01 1 (Source: P.A. 89-202, eff. 10-1-95; 89-507, eff. 7-1-97.) 2 (720 ILCS 570/312) (from Ch. 56 1/2, par. 1312) 3 Sec. 312. Requirements for dispensing controlled 4 substances. 5 (a) A practitioner, in good faith, may dispense a 6 Schedule II controlled substance, which is a narcotic drug 7 listed in Section 206 of this Act; or which contains any 8 quantity of amphetamine or methamphetamine, their salts, 9 optical isomers or salts of optical isomers; phenmetrazine 10 and its salts; pentazocine; or which is hereafter determined 11 to be a "designated product," as defined in Section 102 of 12 this Actto any person upon an official prescription formand 13 Schedule III, IV, or V controlled substances to any person 14 upon a written prescription of any prescriber, dated and 15 signed by the person prescribing on the day when issued and 16 bearing the name and address of the patient for whom, or the 17 owner of the animal for which the controlled substance is 18 dispensed, and the full name, address and registry number 19 under the laws of the United States relating to controlled 20 substances of the prescriber, if he is required by those laws 21 to be registered. If the prescription is for an animal it 22 shall state the species of animal for which it is ordered. 23 The practitioner filling the prescription shall write the 24 date of filling and his own signature on the face of the 25 writtenofficialprescriptionform. Theofficial prescription26form or thewritten prescription shall be retained on file by 27 the practitioner who filled it or pharmacy in which the 28 prescription was filled for a period of 2 years, so as to be 29 readily accessible for inspection or removal by any officer 30 or employee engaged in the enforcement of this Act. Whenever 31 the practitioner's or pharmacy's copy of any prescription 32formis removed by an officer or employee engaged in the 33 enforcement of this Act, for the purpose of investigation or -4- LRB9100300RCksam01 1 as evidence, such officer or employee shall give to the 2 practitioner or pharmacy a receipt in lieu thereof. A 3 prescription form for a Schedule II controlled substance 4 shall not be filled more than 7 days after the date of 5 issuance. A written prescription for Schedule III, IV or V 6 controlled substances shall not be filled or refilled more 7 than 6 months after the date thereof or refilled more than 5 8 times unless renewed, in writing, by the prescriber. 9 (b) In lieu of a written prescription required by this 10 Section, a pharmacist, in good faith, may dispense Schedule 11 III, IV, or V substances to any person either upon receiving 12 a facsimile of a written, signed prescription transmitted by 13 the prescriber or the prescriber's agent or upon a lawful 14 oral prescription of a prescriber which oral prescription 15 shall be reduced promptly to writing by the pharmacist and 16 such written memorandum thereof shall be dated on the day 17 when such oral prescription is received by the pharmacist and 18 shall bear the full name and address of the ultimate user for 19 whom, or of the owner of the animal for which the controlled 20 substance is dispensed, and the full name, address, and 21 registry number under the law of the United States relating 22 to controlled substances of the prescriber prescribing if he 23 is required by those laws to be so registered, and the 24 pharmacist filling such oral prescription shall write the 25 date of filling and his own signature on the face of such 26 written memorandum thereof. The facsimile copy of the 27 prescription or written memorandum of the oral prescription 28 shall be retained on file by the proprietor of the pharmacy 29 in which it is filled for a period of not less than two 30 years, so as to be readily accessible for inspection by any 31 officer or employee engaged in the enforcement of this Act in 32 the same manner as a written prescription. The facsimile 33 copy of the prescription or oral prescription and the written 34 memorandum thereof shall not be filled or refilled more than -5- LRB9100300RCksam01 1 6 months after the date thereof or be refilled more than 5 2 times, unless renewed, in writing, by the prescriber. 3 (c) A controlled substance included in Schedule V shall 4 not be distributed or dispensed other than for a medical 5 purpose and not for the purpose of evading this Act, and 6 then: 7 (1) only personally by a person registered to 8 dispense a Schedule V controlled substance and then only 9 to his patients, or 10 (2) only personally by a pharmacist, and then only 11 to a person over 21 years of age who has identified 12 himself to the pharmacist by means of 2 positive 13 documents of identification. 14 (3) the dispenser shall record the name and address 15 of the purchaser, the name and quantity of the product, 16 the date and time of the sale, and the dispenser's 17 signature. 18 (4) no person shall purchase or be dispensed more 19 than 120 milliliters or more than 120 grams of any 20 Schedule V substance which contains codeine, 21 dihydrocodeine, or any salts thereof, or ethylmorphine, 22 or any salts thereof, in any 96 hour period. The 23 purchaser shall sign a form, approved by the Department 24 of Professional Regulation, attesting that he has not 25 purchased any Schedule V controlled substances within the 26 immediately preceding 96 hours. 27 (5) a copy of the records of sale, including all 28 information required by paragraph (3), shall be forwarded 29 to the Department of Professional Regulation at its 30 principal office by the 15th day of the following month. 31 (6) all records of purchases and sales shall be 32 maintained for not less than 2 years. 33 (7) no person shall obtain or attempt to obtain 34 within any consecutive 96 hour period any Schedule V -6- LRB9100300RCksam01 1 substances of more than 120 milliliters or more than 120 2 grams containing codeine, dihydrocodeine or any of its 3 salts, or ethylmorphine or any of its salts. Any person 4 obtaining any such preparations or combination of 5 preparations in excess of this limitation shall be in 6 unlawful possession of such controlled substance. 7 (8) a person qualified to dispense controlled 8 substances under this Act and registered thereunder shall 9 at no time maintain or keep in stock a quantity of 10 Schedule V controlled substances defined and listed in 11 Section 212 (b) (1), (2) or (3) in excess of 4.5 liters 12 for each substance; a pharmacy shall at no time maintain 13 or keep in stock a quantity of Schedule V controlled 14 substances as defined in excess of 4.5 liters for each 15 substance, plus the additional quantity of controlled 16 substances necessary to fill the largest number of 17 prescription orders filled by that pharmacy for such 18 controlled substances in any one week in the previous 19 year. These limitations shall not apply to Schedule V 20 controlled substances which Federal law prohibits from 21 being dispensed without a prescription. 22 (9) no person shall distribute or dispense butyl 23 nitrite for inhalation or other introduction into the 24 human body for euphoric or physical effect. 25 (d) Every practitioner shall keep a record of controlled 26 substances received by him and a record of all such 27 controlled substances administered, dispensed or 28 professionally used by him otherwise than by prescription. 29 It shall, however, be sufficient compliance with this 30 paragraph if any practitioner utilizing controlled substances 31 listed in Schedules III, IV and V shall keep a record of all 32 those substances dispensed and distributed by him other than 33 those controlled substances which are administered by the 34 direct application of a controlled substance, whether by -7- LRB9100300RCksam01 1 injection, inhalation, ingestion, or any other means to the 2 body of a patient or research subject. A practitioner who 3 dispenses, other than by administering, a controlled 4 substance in Schedule II, which is a narcotic drug listed in 5 Section 206 of this Act, or which contains any quantity of 6 amphetamine or methamphetamine, their salts, optical isomers 7 or salts of optical isomers, pentazocine, methaqualone, or 8 which is hereafter determined to be a "designated product" as 9 defined in Section 102 of this Act, shall do so only upon the 10 issuance of a writtenan officialprescription blank by a 11 prescriber; and every practitioner who so dispenses such 12 designated products shall comply with the provisions of 13 Sections 310 and 311 of this Act. 14 (e) Whenever a manufacturer distributes a controlled 15 substance in a package prepared by him, and whenever a 16 wholesale distributor distributes a controlled substance in a 17 package prepared by him or the manufacturer, he shall 18 securely affix to each package in which that substance is 19 contained a label showing in legible English the name and 20 address of the manufacturer, the distributor and the 21 quantity, kind and form of controlled substance contained 22 therein. No person except a pharmacist and only for the 23 purposes of filling a prescription under this Act, shall 24 alter, deface or remove any label so affixed. 25 (f) Whenever a practitioner dispenses any controlled 26 substance, he shall affix to the container in which such 27 substance is sold or dispensed, a label indicating the date 28 of initial filling, the practitioner's name and address,the29serial number of the prescription,the name of the patient, 30 the name of the prescriber, the directions for use and 31 cautionary statements, if any, contained in any prescription 32 or required by law, the proprietary name or names or the 33 established name of the controlled substance, and the dosage 34 and quantity, except as otherwise authorized by regulation by -8- LRB9100300RCksam01 1 the Department of Professional Regulation. No person shall 2 alter, deface or remove any label so affixed. 3 (g) A person to whom or for whose use any controlled 4 substance has been prescribed or dispensed by a practitioner, 5 or other persons authorized under this Act, and the owner of 6 any animal for which such substance has been prescribed or 7 dispensed by a veterinarian, may lawfully possess such 8 substance only in the container in which it was delivered to 9 him by the person dispensing such substance. 10 (h) The responsibility for the proper prescribing or 11 dispensing of controlled substances is upon the prescriber 12 and the responsibility for the proper filling of a 13 prescription for controlled substance drugs rests with the 14 pharmacist. An order purporting to be a prescription issued 15 to any individual, which is not in the regular course of 16 professional treatment nor part of an authorized methadone 17 maintenance program, nor in legitimate and authorized 18 research instituted by any accredited hospital, educational 19 institution, charitable foundation, or federal, state or 20 local governmental agency, and which is intended to provide 21 that individual with controlled substances sufficient to 22 maintain that individual's or any other individual's physical 23 or psychological addiction, habitual or customary use, 24 dependence, or diversion of that controlled substance is not 25 a prescription within the meaning and intent of this Act; and 26 the person issuing it, shall be subject to the penalties 27 provided for violations of the law relating to controlled 28 substances. 29 (i) A prescriber shall not preprint or cause to be 30 preprinted a prescription for any controlled substance; nor 31 shall any practitioner issue, fill or cause to be issued or 32 filled, a preprinted prescription for any controlled 33 substance. 34 (j) No person shall manufacture, dispense, deliver, -9- LRB9100300RCksam01 1 possess with intent to deliver, prescribe, or administer or 2 cause to be administered under his direction any anabolic 3 steroid, for any use in humans other than the treatment of 4 disease in accordance with the order of a physician licensed 5 to practice medicine in all its branches for a valid medical 6 purpose in the course of professional practice. The use of 7 anabolic steroids for the purpose of hormonal manipulation 8 that is intended to increase muscle mass, strength or weight 9 without a medical necessity to do so, or for the intended 10 purpose of improving physical appearance or performance in 11 any form of exercise, sport, or game, is not a valid medical 12 purpose or in the course of professional practice. 13 (Source: P.A. 89-202, eff. 10-1-95; 90-253, eff. 7-29-97.) 14 (720 ILCS 570/316 new) 15 Sec. 316. Controlled substance prescription monitoring 16 program. 17 The Department must provide for a controlled substance 18 prescription monitoring program that includes the following 19 components: 20 (1) Each time a controlled substance designated by the 21 Department is dispensed, the dispenser must transmit to the 22 central repository the following information: 23 (A) The recipient's name. 24 (B) The recipient's address. 25 (C) The national drug code number of the controlled 26 substance dispensed. 27 (D) The date the controlled substance is dispensed. 28 (E) The quantity of the controlled substance 29 dispensed. 30 (F) The number of days of supply dispensed. 31 (G) The dispenser's United States Drug Enforcement 32 Agency registration number. 33 (H) The prescriber's United States Drug Enforcement -10- LRB9100300RCksam01 1 Agency registration number. 2 (2) The information required to be transmitted under 3 this Section must be transmitted not more than 15 days after 4 the date on which a controlled substance is dispensed. 5 (3) A dispenser must transmit the information required 6 under this Section by: 7 (A) an electronic device compatible with the 8 receiving device of the central repository; 9 (B) a computer diskette; 10 (C) a magnetic tape; or 11 (D) a pharmacy universal claim form or Pharmacy 12 Inventory Control form; 13 that meets specifications prescribed by the Department. 14 (720 ILCS 570/317 new) 15 Sec. 317. Central repository for collection of 16 information. 17 (a) The Department must designate a central repository 18 for the collection of information transmitted under Section 19 316. 20 (b) The central repository must do the following: 21 (1) Create a database for information required to 22 be transmitted under Section 316 in the form required 23 under rules adopted by the Department, including search 24 capability for the following: 25 (A) A recipient's name. 26 (B) A recipient's address. 27 (C) The national drug code number of a 28 controlled substance dispensed. 29 (D) The dates a controlled substance is 30 dispensed. 31 (E) The quantities of a controlled substance 32 dispensed. 33 (F) The number of days of supply dispensed. -11- LRB9100300RCksam01 1 (G) A dispenser's United States Drug 2 Enforcement Agency registration number. 3 (H) A prescriber's United States Drug 4 Enforcement Agency registration number. 5 (2) Provide the Department with continuing 24 hour a 6 day on-line access to the database maintained by the 7 central repository. The Department of Professional 8 Regulation must provide the Department with 24 hour 9 on-line access to the license information of a prescriber 10 or dispenser. 11 (3) Secure the information collected by the central 12 repository and the database maintained by the central 13 repository against access by unauthorized persons. 14 (720 ILCS 570/318 new) 15 Sec. 318. Confidentiality of information. 16 (a) Information received by the central repository under 17 Section 316 is confidential. 18 (b) The Department must carry out a program to protect 19 the confidentiality of the information described in 20 subsection (a). The Department may disclose the information 21 to another person only under subsection (c), (d), or (f) and 22 for a fee not to exceed the actual cost of furnishing the 23 information. 24 (c) The Department may disclose confidential information 25 described in subsection (a) to any person who is engaged in 26 receiving, processing, or storing the information. 27 (d) The Department may release confidential information 28 described in subsection (a) to the following persons: 29 (1) A governing body that licenses practitioners and 30 is engaged in an investigation, an adjudication, or a 31 prosecution of a violation under any state or federal law 32 that involves a controlled substance. 33 (2) An investigator for the Consumer Protection -12- LRB9100300RCksam01 1 Division of the office of the Attorney General, a 2 prosecuting attorney, the Attorney General, a deputy 3 Attorney General, or an investigator from the office of 4 the Attorney General, who is engaged in any of the 5 following activities involving controlled substances: 6 (A) an investigation; 7 (B) an adjudication; or 8 (C) a prosecution of a violation under any 9 state or federal law that involves a controlled 10 substance. 11 (3) A law enforcement officer who is: 12 (A) authorized by the Department of State 13 Police to receive information of the type requested 14 for the purpose of investigations involving 15 controlled substances; 16 (B) approved by the Department to receive 17 information of the type requested for the purpose of 18 investigations involving controlled substances; and 19 (C) engaged in the investigation or prosecution 20 of a violation under any State or federal law that 21 involves a controlled substance. 22 (e) Before the Department releases confidential 23 information under subsection (d), the applicant must 24 demonstrate to the Department that: 25 (1) the applicant has reason to believe that a 26 violation under any state or federal law that involves a 27 controlled substance has occurred; and 28 (2) the requested information is reasonably related 29 to the investigation, adjudication, or prosecution of the 30 violation described in subdivision (1). 31 (f) The Department may release to: 32 (1) a governing body that licenses practitioners; 33 (2) an investigator for the Consumer Protection 34 Division of the office of the Attorney General, a -13- LRB9100300RCksam01 1 prosecuting attorney, the Attorney General, a deputy 2 Attorney General, or an investigator from the office of 3 the Attorney General; or 4 (3) a law enforcement officer who is: 5 (A) authorized by the Department of State 6 Police to receive the type of information released; 7 and 8 (B) approved by the Department to receive the 9 type of information released; 10 confidential information generated from computer records that 11 identifies practitioners who are prescribing or dispensing 12 large quantities of a controlled substance as determined by 13 the Advisory Committee created by Section 320. 14 (g) The information described in subsection (f) may not 15 be released until it has been reviewed by an employee of the 16 Department who is licensed as a prescriber or a dispenser 17 and until that employee has certified that further 18 investigation is warranted. However, failure to comply with 19 this subsection (g) does not invalidate the use of any 20 evidence that is otherwise admissible in a proceeding 21 described in subsection (h). 22 (h) An investigator or a law enforcement officer 23 receiving confidential information under subsection (c), (d), 24 or (f) may disclose the information to a law enforcement 25 officer or an attorney for the office of the Attorney General 26 for use as evidence in the following: 27 (1) A proceeding under any state or federal law that 28 involves a controlled substance. 29 (2) A criminal proceeding or a proceeding in 30 juvenile court that involves a controlled substance. 31 (i) The Department may compile statistical reports from 32 the information described in subsection (a). The reports must 33 not include information that identifies any practitioner, 34 ultimate user, or other person administering a controlled -14- LRB9100300RCksam01 1 substance. 2 (720 ILCS 570/319 new) 3 Sec. 319. Rules. The Department must adopt rules under 4 the Illinois Administrative Procedure Act to implement 5 Sections 316 through 318, including the following: 6 (1) Information collection and retrieval procedures 7 for the central repository, including the controlled 8 substances to be included in the program required under 9 Section 316. 10 (2) Design for the creation of the database required 11 under Section 317. 12 (3) Requirements for the development and 13 installation of on-line electronic access by the 14 Department to information collected by the central 15 repository. 16 (720 ILCS 570/320 new) 17 Sec. 320. Advisory committee. 18 (a) The Secretary of Human Services must appoint an 19 advisory committee to assist the Department in implementing 20 the controlled substance prescription monitoring program 21 created by Section 316 of this Act. 22 (b) The Secretary of Human Services must determine the 23 number of members to serve on the advisory committee. The 24 Secretary must choose one of the members of the advisory 25 committee to serve as chair of the committee. 26 (c) The advisory committee may appoint its other 27 officers as it deems appropriate. 28 (d) The members of the advisory committee shall receive 29 no compensation for their services as members of the advisory 30 committee but may be reimbursed for their actual expenses 31 incurred in serving on the advisory committee. -15- LRB9100300RCksam01 1 (720 ILCS 570/406) (from Ch. 56 1/2, par. 1406) 2 Sec. 406. (a) It is unlawful for any person: 3 (1) who is subject to Article III knowingly to 4 distribute or dispense a controlled substance in violation of 5 Sections 308 through 314 of this Act; or 6 (2) who is a registrant, to manufacture a controlled 7 substance not authorized by his registration, or to 8 distribute or dispense a controlled substance not authorized 9 by his registration to another registrant or other authorized 10 person; or 11 (3) to refuse or fail to make, keep or furnish any 12 record, notification, order form, statement, invoice or 13 information required under this Act; or 14 (4) to refuse an entry into any premises for any 15 inspection authorized by this Act; or 16 (5) knowingly to keep or maintain any store, shop, 17 warehouse, dwelling, building, vehicle, boat, aircraft, or 18 other structure or place, which is resorted to by a person 19 unlawfully possessing controlled substances, or which is used 20 for possessing, manufacturing, dispensing or distributing 21 controlled substances in violation of this Act. 22 Any person who violates this subsection (a) is guilty of 23 a Class A misdemeanor for the first offense and a Class 4 24 felony for each subsequent offense. The fine for each 25 subsequent offense shall not be more than $100,000. In 26 addition, any practitioner who is found guilty of violating 27 this subsection (a) is subject to suspension and revocation 28 of his professional license, in accordance with such 29 procedures as are provided by law for the taking of 30 disciplinary action with regard to the license of said 31 practitioner's profession. 32 (b) It is unlawful for any person knowingly: 33 (1) to distribute, as a registrant, a controlled 34 substance classified in Schedule I or II, except pursuant to -16- LRB9100300RCksam01 1 an order form as required by Section 307 of this Act; or 2 (2) to use, in the course of the manufacture or 3 distribution of a controlled substance, a registration number 4 which is fictitious, revoked, suspended, or issued to another 5 person; or 6 (3) to acquire or obtain possession of a controlled 7 substance by misrepresentation, fraud, forgery, deception or 8 subterfuge; or 9 (4) to furnish false or fraudulent material information 10 in, or omit any material information from, any application, 11 report or other document required to be kept or filed under 12 this Act, or any record required to be kept by this Act; or 13 (5) to make, distribute or possess any punch, die, 14 plate, stone or other thing designed to print, imprint or 15 reproduce the trademark, trade name or other identifying 16 mark, imprint or device of another, or any likeness of any of 17 the foregoing, upon any controlled substance or container or 18 labeling thereof so as to render the drug a counterfeit 19 substance; or 20 (6) to possess without authorization,officialblank 21 prescription forms or counterfeit prescription forms; or 22 (7) (Blank).to issue a prescription or fill any23prescription for a controlled substance other than on the24appropriate lawful prescription form. However, in the case25of any epidemic or a sudden or unforeseen accident or26calamity, the prescriber may issue a prescription on a form27other than the official prescription form issued by the28Department, where failure to issue such a prescription might29result in loss of life or intense suffering, but such30prescription shall have endorsed thereon, by the prescriber,31a statement concerning the accident, calamity or circumstance32constituting the emergency, the cause of which the unofficial33blank was used.34 Any person who violates this subsection (b) is guilty of -17- LRB9100300RCksam01 1 a Class 4 felony for the first offense and a Class 3 felony 2 for each subsequent offense. The fine for the first offense 3 shall be not more than $100,000. The fine for each 4 subsequent offense shall not be more than $200,000. 5 (c) A person who knowingly or intentionally violates 6 Section 316, 317, 318, or 319 is guilty of a Class A 7 misdemeanor. 8 (Source: P.A. 85-1287.) 9 (720 ILCS 570/308 rep.) 10 (720 ILCS 570/310 rep.) 11 (720 ILCS 570/311 rep.) 12 Section 10. The Illinois Controlled Substances Act is 13 amended by repealing Sections 308, 310, and 311.".