SENATE . . . . . . . . . . . . . . No. 2613
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The Commonwealth of Massachusetts
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In the One Hundred and Ninety-First General Court
(2019-2020)
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SENATE, March 26, 2020.
The committee on Public Health to whom was referred the petition (accompanied by bill, Senate, No. 2425) (subject to Joint Rule 12) of Dean A. Tran, Alan Silvia, William L. Crocker, Jr., Kevin G. Honan and other members of the General Court for legislation relative to emergency insulin access, reports he accompanying bill (Senate, No. 2613).
For the committee,
Joanne M. Comerford
FILED ON: 2/3/2020
SENATE . . . . . . . . . . . . . . No. 2613
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The Commonwealth of Massachusetts
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In the One Hundred and Ninety-First General Court
(2019-2020)
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An Act relative to emergency insulin access.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:
SECTION 1. Section 17G of chapter 32A of the General Laws, as appearing in the 2018 Official Edition, is hereby amended by inserting after the word "insulin" in line 12, the following:- , including insulin dispensed in an emergency situation in accordance with section 12D½ of chapter 112.
SECTION 2. Chapter 112 of the General Laws, as so appearing, is hereby amended by inserting after section 12D the following new section:-
Section 12D ½ (a) For the purposes of this section, the following terms shall have the following meanings unless the context clearly requires otherwise:
"Emergency situation", an event in which authorization for the dispensing of insulin may not be readily obtained from the practitioner.
“Pharmacist’s professional judgment”, the judgment of a pharmacist as to whether the substance to be dispensed is essential to sustain the life of the patient or continue therapy for a chronic condition of the patient, and whether failure to dispense or sell the drug to the patient could result in harm to the health of the patient.
(b) Notwithstanding any general or special law to the contrary, in an emergency situation, a pharmacist may dispense a supply of insulin. The supply dispensed may not exceed a 30-day supply as provided in the prescription or, if the standard unit of dispensing for the drug exceeds a 30-day supply, the amount of the drug dispensed or sold does not exceed the standard unit of dispensing. The pharmacist shall exercise professional judgment in determining the amount of the drug to be dispensed or sold.
(c) A pharmacist shall not dispense or sell a particular drug to the same patient in an amount described in subsection (b) more than once in any 12-month period.
(d) The commissioner of public health shall promulgate rules and regulations necessary for the implementation of this section.
SECTION 3. Section 10C of chapter 118E of the General Laws, as so appearing, is hereby amended by inserting after the word "insulin" in lines 10 and 11, the following:- , including insulin dispensed in an emergency situation in accordance with section 12D ½ of chapter 112.
SECTION 4. Section 47N of chapter 175 of the General Laws, as so appearing, is hereby amended by inserting after the word "insulin" in line 20, the following:- , including insulin dispensed in an emergency situation in accordance with section 12D ½ of chapter 112.
SECTION 5. Section 8P of chapter 176A of the General Laws, as so appearing, is hereby amended by inserting after the word "insulin" in line 19, the following:- , including insulin dispensed in an emergency situation in accordance with section 12D ½ of chapter 112.
SECTION 6. Section 4S of chapter 176B of the General Laws, as so appearing, is hereby amended by inserting after the word "insulin" in line 19, the following:- , including insulin dispensed in an emergency situation in accordance with section 12D ½ of chapter 112.
SECTION 7. Section 4H of chapter 176G of the General Laws, as so appearing, is hereby amended by inserting after the word "insulin" in lines 15 and 16, the following:- including insulin dispensed in an emergency situation in accordance with section 12D ½ of chapter 112.