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Am. Sub. H. B. No. 93 As Passed by the SenateAs Passed by the Senate
129th General Assembly | Regular Session | 2011-2012 |
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Representatives Burke, Johnson
Cosponsors:
Speaker Batchelder Representatives Bubp, Adams, J., Boose, Grossman, Hackett, Hottinger, Huffman, Peterson, Pillich, Rosenberger, Ruhl, Uecker, Balderson, Gardner, McKenney, Gonzales, Goodwin, Hagan, R., Garland, Fende, Sears, Schuring, Wachtmann, Barnes, Duffey, Antonio, Adams, R., Amstutz, Anielski, Ashford, Baker, Beck, Blair, Blessing, Brenner, Buchy, Budish, Butler, Carey, Carney, Celeste, Clyde, Coley, Combs, Damschroder, DeGeeter, Derickson, Dovilla, Driehaus, Fedor, Foley, Gerberry, Goyal, Hagan, C., Hall, Hayes, Heard, Henne, Kozlowski, Landis, Letson, Luckie, Lundy, Mallory, Martin, McClain, McGregor, Mecklenborg, Milkovich, Murray, Newbold, O'Brien, Patmon, Phillips, Ramos, Reece, Roegner, Slaby, Slesnick, Sprague, Stautberg, Stebelton, Stinziano, Szollosi, Thompson, Weddington, Williams, Winburn, Young, Yuko
Senators Bacon, Beagle, Brown, Cafaro, Cates, Daniels, Faber, Gillmor, Hite, Hughes, Lehner, Manning, Niehaus, Obhof, Oelslager, Patton, Sawyer, Schaffer, Schiavoni, Smith, Stewart, Tavares, Widener, Wilson
A BILL
To amend sections 109.57, 325.19, 3719.08, 4715.30,
4723.28, 4729.01, 4729.071, 4729.29, 4729.51,
4729.54, 4729.541, 4729.55, 4729.75, 4729.77,
4729.78, 4729.79, 4729.80, 4729.81, 4729.82,
4729.83, 4729.99, 4731.052, 4731.22, 4731.283,
4776.02, 4776.04, and 5111.172; to amend, for the
purpose of adopting new section numbers as
indicated in parentheses, sections 4729.79
(4729.80), 4729.80 (4729.81), 4729.81 (4729.82),
4729.82 (4729.83), 4729.83 (4729.84), and 4729.84
(4729.85); and to enact new section 4729.79 and
sections 109.90, 313.212, 3719.031, 3793.22,
4121.50, 4715.302, 4723.064, 4723.487, 4725.092,
4729.162, 4729.291, 4729.552, 4729.571, 4729.69,
4729.86, 4730.53, 4731.054, 4731.055, 4731.241,
4731.391, 5111.085, 5111.179, and 5111.1710 of the
Revised Code to establish and modify laws
regarding the prevention of prescription drug
abuse, to provide that certain county employees
when separating from county service as a result of
a transfer of the assets of a county hospital are
not entitled to unused vacation leave from the
county when the employee accepts employment with
the acquiring entity and the entity assumes the
unused vacation leave accrued to the employee's
credit, and to declare an emergency.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section 1. That sections 109.57, 325.19, 3719.08, 4715.30,
4723.28, 4729.01, 4729.071, 4729.29, 4729.51, 4729.54, 4729.541,
4729.55, 4729.75, 4729.77, 4729.78, 4729.79, 4729.80, 4729.81,
4729.82, 4729.83, 4729.99, 4731.052, 4731.22, 4731.283, 4776.02,
4776.04, and 5111.172 be amended; sections 4729.79 (4729.80),
4729.80 (4729.81), 4729.81 (4729.82), 4729.82 (4729.83), 4729.83
(4729.84), and 4729.84 (4729.85) be amended for the purpose of
adopting new section numbers as indicated in parentheses; and new
section 4729.79 and sections 109.90, 313.212, 3719.031, 3793.22,
4121.50, 4715.302, 4723.064, 4723.487, 4725.092, 4729.162,
4729.291, 4729.552, 4729.571, 4729.69, 4729.86, 4730.53, 4731.054,
4731.055, 4731.241, 4731.391, 5111.085, 5111.179, and 5111.1710 of
the Revised Code be enacted to read as follows:
Sec. 109.57. (A)(1) The superintendent of the bureau of
criminal identification and investigation shall procure from
wherever procurable and file for record photographs, pictures,
descriptions, fingerprints, measurements, and other information
that may be pertinent of all persons who have been convicted of
committing within this state a felony, any crime constituting a
misdemeanor on the first offense and a felony on subsequent
offenses, or any misdemeanor described in division (A)(1)(a),
(A)(8)(a), or (A)(10)(a) of section 109.572 of the Revised Code,
of all children under eighteen years of age who have been
adjudicated delinquent children for committing within this state
an act that would be a felony or an offense of violence if
committed by an adult or who have been convicted of or pleaded
guilty to committing within this state a felony or an offense of
violence, and of all well-known and habitual criminals. The person
in charge of any county, multicounty, municipal, municipal-county,
or multicounty-municipal jail or workhouse, community-based
correctional facility, halfway house, alternative residential
facility, or state correctional institution and the person in
charge of any state institution having custody of a person
suspected of having committed a felony, any crime constituting a
misdemeanor on the first offense and a felony on subsequent
offenses, or any misdemeanor described in division (A)(1)(a),
(A)(8)(a), or (A)(10)(a) of section 109.572 of the Revised Code or
having custody of a child under eighteen years of age with respect
to whom there is probable cause to believe that the child may have
committed an act that would be a felony or an offense of violence
if committed by an adult shall furnish such material to the
superintendent of the bureau. Fingerprints, photographs, or other
descriptive information of a child who is under eighteen years of
age, has not been arrested or otherwise taken into custody for
committing an act that would be a felony or an offense of violence
who is not in any other category of child specified in this
division, if committed by an adult, has not been adjudicated a
delinquent child for committing an act that would be a felony or
an offense of violence if committed by an adult, has not been
convicted of or pleaded guilty to committing a felony or an
offense of violence, and is not a child with respect to whom there
is probable cause to believe that the child may have committed an
act that would be a felony or an offense of violence if committed
by an adult shall not be procured by the superintendent or
furnished by any person in charge of any county, multicounty,
municipal, municipal-county, or multicounty-municipal jail or
workhouse, community-based correctional facility, halfway house,
alternative residential facility, or state correctional
institution, except as authorized in section 2151.313 of the
Revised Code.
(2) Every clerk of a court of record in this state, other
than the supreme court or a court of appeals, shall send to the
superintendent of the bureau a weekly report containing a summary
of each case involving a felony, involving any crime constituting
a misdemeanor on the first offense and a felony on subsequent
offenses, involving a misdemeanor described in division (A)(1)(a),
(A)(8)(a), or (A)(10)(a) of section 109.572 of the Revised Code,
or involving an adjudication in a case in which a child under
eighteen years of age was alleged to be a delinquent child for
committing an act that would be a felony or an offense of violence
if committed by an adult. The clerk of the court of common pleas
shall include in the report and summary the clerk sends under this
division all information described in divisions (A)(2)(a) to (f)
of this section regarding a case before the court of appeals that
is served by that clerk. The summary shall be written on the
standard forms furnished by the superintendent pursuant to
division (B) of this section and shall include the following
information:
(a) The incident tracking number contained on the standard
forms furnished by the superintendent pursuant to division (B) of
this section;
(b) The style and number of the case;
(c) The date of arrest, offense, summons, or arraignment;
(d) The date that the person was convicted of or pleaded
guilty to the offense, adjudicated a delinquent child for
committing the act that would be a felony or an offense of
violence if committed by an adult, found not guilty of the
offense, or found not to be a delinquent child for committing an
act that would be a felony or an offense of violence if committed
by an adult, the date of an entry dismissing the charge, an entry
declaring a mistrial of the offense in which the person is
discharged, an entry finding that the person or child is not
competent to stand trial, or an entry of a nolle prosequi, or the
date of any other determination that constitutes final resolution
of the case;
(e) A statement of the original charge with the section of
the Revised Code that was alleged to be violated;
(f) If the person or child was convicted, pleaded guilty, or
was adjudicated a delinquent child, the sentence or terms of
probation imposed or any other disposition of the offender or the
delinquent child.
If the offense involved the disarming of a law enforcement
officer or an attempt to disarm a law enforcement officer, the
clerk shall clearly state that fact in the summary, and the
superintendent shall ensure that a clear statement of that fact is
placed in the bureau's records.
(3) The superintendent shall cooperate with and assist
sheriffs, chiefs of police, and other law enforcement officers in
the establishment of a complete system of criminal identification
and in obtaining fingerprints and other means of identification of
all persons arrested on a charge of a felony, any crime
constituting a misdemeanor on the first offense and a felony on
subsequent offenses, or a misdemeanor described in division
(A)(1)(a), (A)(8)(a), or (A)(10)(a) of section 109.572 of the
Revised Code and of all children under eighteen years of age
arrested or otherwise taken into custody for committing an act
that would be a felony or an offense of violence if committed by
an adult. The superintendent also shall file for record the
fingerprint impressions of all persons confined in a county,
multicounty, municipal, municipal-county, or multicounty-municipal
jail or workhouse, community-based correctional facility, halfway
house, alternative residential facility, or state correctional
institution for the violation of state laws and of all children
under eighteen years of age who are confined in a county,
multicounty, municipal, municipal-county, or multicounty-municipal
jail or workhouse, community-based correctional facility, halfway
house, alternative residential facility, or state correctional
institution or in any facility for delinquent children for
committing an act that would be a felony or an offense of violence
if committed by an adult, and any other information that the
superintendent may receive from law enforcement officials of the
state and its political subdivisions.
(4) The superintendent shall carry out Chapter 2950. of the
Revised Code with respect to the registration of persons who are
convicted of or plead guilty to a sexually oriented offense or a
child-victim oriented offense and with respect to all other duties
imposed on the bureau under that chapter.
(5) The bureau shall perform centralized recordkeeping
functions for criminal history records and services in this state
for purposes of the national crime prevention and privacy compact
set forth in section 109.571 of the Revised Code and is the
criminal history record repository as defined in that section for
purposes of that compact. The superintendent or the
superintendent's designee is the compact officer for purposes of
that compact and shall carry out the responsibilities of the
compact officer specified in that compact.
(B) The superintendent shall prepare and furnish to every
county, multicounty, municipal, municipal-county, or
multicounty-municipal jail or workhouse, community-based
correctional facility, halfway house, alternative residential
facility, or state correctional institution and to every clerk of
a court in this state specified in division (A)(2) of this section
standard forms for reporting the information required under
division (A) of this section. The standard forms that the
superintendent prepares pursuant to this division may be in a
tangible format, in an electronic format, or in both tangible
formats and electronic formats.
(C)(1) The superintendent may operate a center for
electronic, automated, or other data processing for the storage
and retrieval of information, data, and statistics pertaining to
criminals and to children under eighteen years of age who are
adjudicated delinquent children for committing an act that would
be a felony or an offense of violence if committed by an adult,
criminal activity, crime prevention, law enforcement, and criminal
justice, and may establish and operate a statewide communications
network to be known as the Ohio law enforcement gateway to gather
and disseminate information, data, and statistics for the use of
law enforcement agencies and for other uses specified in this
division. The superintendent may gather, store, retrieve, and
disseminate information, data, and statistics that pertain to
children who are under eighteen years of age and that are gathered
pursuant to sections 109.57 to 109.61 of the Revised Code together
with information, data, and statistics that pertain to adults and
that are gathered pursuant to those sections.
(2) The superintendent or the superintendent's designee shall
gather information of the nature described in division (C)(1) of
this section that pertains to the offense and delinquency history
of a person who has been convicted of, pleaded guilty to, or been
adjudicated a delinquent child for committing a sexually oriented
offense or a child-victim oriented offense for inclusion in the
state registry of sex offenders and child-victim offenders
maintained pursuant to division (A)(1) of section 2950.13 of the
Revised Code and in the internet database operated pursuant to
division (A)(13) of that section and for possible inclusion in the
internet database operated pursuant to division (A)(11) of that
section.
(3) In addition to any other authorized use of information,
data, and statistics of the nature described in division (C)(1) of
this section, the superintendent or the superintendent's designee
may provide and exchange the information, data, and statistics
pursuant to the national crime prevention and privacy compact as
described in division (A)(5) of this section.
(4) The attorney general may adopt rules under Chapter 119.
of the Revised Code establishing guidelines for the operation of
and participation in the Ohio law enforcement gateway. The rules
may include criteria for granting and restricting access to
information gathered and disseminated through the Ohio law
enforcement gateway. The attorney general shall permit the state
medical board and board of nursing to access and view, but not
alter, information gathered and disseminated through the Ohio law
enforcement gateway.
The attorney general may appoint a steering committee to
advise the attorney general in the operation of the Ohio law
enforcement gateway that is comprised of persons who are
representatives of the criminal justice agencies in this state
that use the Ohio law enforcement gateway and is chaired by the
superintendent or the superintendent's designee.
(D)(1) The following are not public records under section
149.43 of the Revised Code:
(a) Information and materials furnished to the superintendent
pursuant to division (A) of this section;
(b) Information, data, and statistics gathered or
disseminated through the Ohio law enforcement gateway pursuant to
division (C)(1) of this section;
(c) Information and materials furnished to any board or
person under division (F) or (G) of this section.
(2) The superintendent or the superintendent's designee shall
gather and retain information so furnished under division (A) of
this section that pertains to the offense and delinquency history
of a person who has been convicted of, pleaded guilty to, or been
adjudicated a delinquent child for committing a sexually oriented
offense or a child-victim oriented offense for the purposes
described in division (C)(2) of this section.
(E) The attorney general shall adopt rules, in accordance
with Chapter 119. of the Revised Code, setting forth the procedure
by which a person may receive or release information gathered by
the superintendent pursuant to division (A) of this section. A
reasonable fee may be charged for this service. If a temporary
employment service submits a request for a determination of
whether a person the service plans to refer to an employment
position has been convicted of or pleaded guilty to an offense
listed in division (A)(1), (3), (4), (5), or (6) of section
109.572 of the Revised Code, the request shall be treated as a
single request and only one fee shall be charged.
(F)(1) As used in division (F)(2) of this section, "head
start agency" means an entity in this state that has been approved
to be an agency for purposes of subchapter II of the "Community
Economic Development Act," 95 Stat. 489 (1981), 42 U.S.C.A. 9831,
as amended.
(2)(a) In addition to or in conjunction with any request that
is required to be made under section 109.572, 2151.86, 3301.32,
3301.541, 3319.39, 3319.391, 3327.10, 3701.881, 5104.012,
5104.013, 5123.081, 5126.28, 5126.281, or 5153.111 of the Revised
Code or that is made under section 3314.41, 3319.392, or 3326.25
of the Revised Code, the board of education of any school
district; the director of developmental disabilities; any county
board of developmental disabilities; any entity under contract
with a county board of developmental disabilities; the chief
administrator of any chartered nonpublic school; the chief
administrator of any home health agency; the chief administrator
of or person operating any child day-care center, type A family
day-care home, or type B family day-care home licensed or
certified under Chapter 5104. of the Revised Code; the
administrator of any type C family day-care home certified
pursuant to Section 1 of Sub. H.B. 62 of the 121st general
assembly or Section 5 of Am. Sub. S.B. 160 of the 121st general
assembly; the chief administrator of any head start agency; the
executive director of a public children services agency; a private
company described in section 3314.41, 3319.392, or 3326.25 of the
Revised Code; or an employer described in division (J)(2) of
section 3327.10 of the Revised Code may request that the
superintendent of the bureau investigate and determine, with
respect to any individual who has applied for employment in any
position after October 2, 1989, or any individual wishing to apply
for employment with a board of education may request, with regard
to the individual, whether the bureau has any information gathered
under division (A) of this section that pertains to that
individual. On receipt of the request, the superintendent shall
determine whether that information exists and, upon request of the
person, board, or entity requesting information, also shall
request from the federal bureau of investigation any criminal
records it has pertaining to that individual. The superintendent
or the superintendent's designee also may request criminal history
records from other states or the federal government pursuant to
the national crime prevention and privacy compact set forth in
section 109.571 of the Revised Code. Within thirty days of the
date that the superintendent receives a request, the
superintendent shall send to the board, entity, or person a report
of any information that the superintendent determines exists,
including information contained in records that have been sealed
under section 2953.32 of the Revised Code, and, within thirty days
of its receipt, shall send the board, entity, or person a report
of any information received from the federal bureau of
investigation, other than information the dissemination of which
is prohibited by federal law.
(b) When a board of education is required to receive
information under this section as a prerequisite to employment of
an individual pursuant to section 3319.39 of the Revised Code, it
may accept a certified copy of records that were issued by the
bureau of criminal identification and investigation and that are
presented by an individual applying for employment with the
district in lieu of requesting that information itself. In such a
case, the board shall accept the certified copy issued by the
bureau in order to make a photocopy of it for that individual's
employment application documents and shall return the certified
copy to the individual. In a case of that nature, a district only
shall accept a certified copy of records of that nature within one
year after the date of their issuance by the bureau.
(c) Notwithstanding division (F)(2)(a) of this section, in
the case of a request under section 3319.39, 3319.391, or 3327.10
of the Revised Code only for criminal records maintained by the
federal bureau of investigation, the superintendent shall not
determine whether any information gathered under division (A) of
this section exists on the person for whom the request is made.
(3) The state board of education may request, with respect to
any individual who has applied for employment after October 2,
1989, in any position with the state board or the department of
education, any information that a school district board of
education is authorized to request under division (F)(2) of this
section, and the superintendent of the bureau shall proceed as if
the request has been received from a school district board of
education under division (F)(2) of this section.
(4) When the superintendent of the bureau receives a request
for information under section 3319.291 of the Revised Code, the
superintendent shall proceed as if the request has been received
from a school district board of education and shall comply with
divisions (F)(2)(a) and (c) of this section.
(5) When a recipient of a classroom reading improvement grant
paid under section 3301.86 of the Revised Code requests, with
respect to any individual who applies to participate in providing
any program or service funded in whole or in part by the grant,
the information that a school district board of education is
authorized to request under division (F)(2)(a) of this section,
the superintendent of the bureau shall proceed as if the request
has been received from a school district board of education under
division (F)(2)(a) of this section.
(G) In addition to or in conjunction with any request that is
required to be made under section 3701.881, 3712.09, 3721.121, or
3722.151 of the Revised Code with respect to an individual who has
applied for employment in a position that involves providing
direct care to an older adult, the chief administrator of a home
health agency, hospice care program, home licensed under Chapter
3721. of the Revised Code, adult day-care program operated
pursuant to rules adopted under section 3721.04 of the Revised
Code, or adult care facility may request that the superintendent
of the bureau investigate and determine, with respect to any
individual who has applied after January 27, 1997, for employment
in a position that does not involve providing direct care to an
older adult, whether the bureau has any information gathered under
division (A) of this section that pertains to that individual.
In addition to or in conjunction with any request that is
required to be made under section 173.27 of the Revised Code with
respect to an individual who has applied for employment in a
position that involves providing ombudsperson services to
residents of long-term care facilities or recipients of
community-based long-term care services, the state long-term care
ombudsperson, ombudsperson's designee, or director of health may
request that the superintendent investigate and determine, with
respect to any individual who has applied for employment in a
position that does not involve providing such ombudsperson
services, whether the bureau has any information gathered under
division (A) of this section that pertains to that applicant.
In addition to or in conjunction with any request that is
required to be made under section 173.394 of the Revised Code with
respect to an individual who has applied for employment in a
position that involves providing direct care to an individual, the
chief administrator of a community-based long-term care agency may
request that the superintendent investigate and determine, with
respect to any individual who has applied for employment in a
position that does not involve providing direct care, whether the
bureau has any information gathered under division (A) of this
section that pertains to that applicant.
On receipt of a request under this division, the
superintendent shall determine whether that information exists
and, on request of the individual requesting information, shall
also request from the federal bureau of investigation any criminal
records it has pertaining to the applicant. The superintendent or
the superintendent's designee also may request criminal history
records from other states or the federal government pursuant to
the national crime prevention and privacy compact set forth in
section 109.571 of the Revised Code. Within thirty days of the
date a request is received, the superintendent shall send to the
requester a report of any information determined to exist,
including information contained in records that have been sealed
under section 2953.32 of the Revised Code, and, within thirty days
of its receipt, shall send the requester a report of any
information received from the federal bureau of investigation,
other than information the dissemination of which is prohibited by
federal law.
(H) Information obtained by a government entity or person
under this section is confidential and shall not be released or
disseminated.
(I) The superintendent may charge a reasonable fee for
providing information or criminal records under division (F)(2) or
(G) of this section.
(J) As used in this section, "sexually oriented offense" and
"child-victim oriented offense" have the same meanings as in
section 2950.01 of the Revised Code.
Sec. 109.90. (A) The attorney general shall collaborate with
the state board of pharmacy and director of alcohol and drug
addiction services in the establishment and administration of a
drug take-back program, as provided under section 4729.69 of the
Revised Code. The office of the attorney general is solely
responsible for the costs incurred in the establishment and
administration of the program.
(B) The attorney general may accept grants, gifts, or
donations for purposes of the program. Money received under this
division or section 3793.22 or 4729.69 of the Revised Code shall
be deposited into the state treasury to the credit of the drug
take-back program fund, which is hereby created. Money credited to
the fund shall be used solely for purposes of the program.
Sec. 313.212. If the coroner determines that a drug overdose
is the cause of death of a person, the coroner may provide a
notice of the death to the state medical board. The coroner may
include in the notice any information relating to the drug that
resulted in the overdose, including the individual authorized
under Chapter 4731. of the Revised Code to practice medicine or
surgery, osteopathic medicine or surgery, or podiatric medicine or
surgery who prescribed the drug to the decedent.
Sec. 325.19. (A)(1) The granting of vacation leave under
division (A)(1) of this section is subject to divisions (A)(2) and
(3) of this section. Each full-time employee in the several
offices and departments of the county service, including full-time
hourly rate employees, after service of one year with the county
or any political subdivision of the state, shall have earned and
will be due upon the attainment of the first year of employment,
and annually thereafter, eighty hours of vacation leave with full
pay. One year of service shall be computed on the basis of
twenty-six biweekly pay periods. A full-time county employee with
eight or more years of service with the county or any political
subdivision of the state shall have earned and is entitled to one
hundred twenty hours of vacation leave with full pay. A full-time
county employee with fifteen or more years of service with the
county or any political subdivision of the state shall have earned
and is entitled to one hundred sixty hours of vacation leave with
full pay. A full-time county employee with twenty-five years of
service with the county or any political subdivision of the state
shall have earned and is entitled to two hundred hours of vacation
leave with full pay. Such vacation leave shall accrue to the
employee at the rate of three and one-tenth hours each biweekly
period for those entitled to eighty hours per year; four and
six-tenths hours each biweekly period for those entitled to one
hundred twenty hours per year; six and two-tenths hours each
biweekly period for those entitled to one hundred sixty hours per
year; and seven and seven-tenths hours each biweekly period for
those entitled to two hundred hours per year.
The appointing authorities of the offices and departments of
the county service may permit all or any part of a person's prior
service with any regional council of government established in
accordance with Chapter 167. of the Revised Code to be considered
service with the county or a political subdivision of the state
for the purpose of determining years of service under this
division.
(2) Full-time employees granted vacation leave under division
(A)(1) of this section who render any standard of service other
than forty hours per week as described in division
(J)(K) of this
section and who are in active pay status in a biweekly pay period,
shall accrue a number of hours of vacation leave during each such
pay period that bears the same ratio to the number of hours
specified in division (A)(1) of this section as their number of
hours which are accepted as full-time in active pay status,
excluding overtime hours, bears to eighty hours.
(3) Full-time employees granted vacation leave under division
(A)(1) of this section who are in active pay status in a biweekly
pay period for less than eighty hours or the number of hours of
service otherwise accepted as full-time by their employing office
or department shall accrue a number of hours of vacation leave
during that pay period that bears the same ratio to the number of
hours specified in division (A)(1) of this section as their number
of hours in active pay status, excluding overtime hours, bears to
eighty or the number of hours of service accepted as full-time,
whichever is applicable.
(B) A board of county commissioners, by resolution, may grant
vacation leave with full pay to part-time county employees. A
part-time county employee shall be eligible for vacation leave
with full pay upon the attainment of the first year of employment,
and annually thereafter. The ratio between the hours worked and
the vacation hours awarded to a part-time employee shall be the
same as the ratio between the hours worked and the vacation hours
earned by a full-time employee as provided for in this section.
(C) Days specified as holidays in section 124.19 of the
Revised Code shall not be charged to an employee's vacation leave.
Vacation leave shall be taken by the employee during the year in
which it accrued and prior to the next recurrence of the
anniversary date of the employee's employment, provided that the
appointing authority may, in special and meritorious cases, permit
such employee to accumulate and carry over the employee's vacation
leave to the following year. No vacation leave shall be carried
over for more than three years. An employee is entitled to
compensation, at the employee's current rate of pay, for the
prorated portion of any earned but unused vacation leave for the
current year to the employee's credit at time of separation, and
in addition shall be compensated for any unused vacation leave
accrued to the employee's credit, with the permission of the
appointing authority, for the three years immediately preceding
the last anniversary date of employment.
(D)(1) In addition to vacation leave, a full-time county
employee is entitled to eight hours of holiday pay for New Year's
day, Martin Luther King day, Washington-Lincoln day, Memorial day,
Independence day, Labor day, Columbus day, Veterans' day,
Thanksgiving day, and Christmas day, of each year. Except as
provided in division (D)(2) of this section, holidays shall occur
on the days specified in section 1.14 of the Revised Code. If any
of those holidays fall on Saturday, the Friday immediately
preceding shall be observed as the holiday. If any of those
holidays fall on Sunday, the Monday immediately succeeding shall
be observed as the holiday. If an employee's work schedule is
other than Monday through Friday, the employee is entitled to
holiday pay for holidays observed on the employee's day off
regardless of the day of the week on which they are observed.
(2)(a) When a classified employee of a county board of
developmental disabilities works at a site maintained by a
government entity other than the board, such as a public school,
the board may adjust the employee's holiday schedule to conform to
the schedule adopted by the government entity. Under an adjusted
holiday schedule, an employee shall receive the number of hours of
holiday pay granted under division (D)(1) of this section.
(b) Pursuant to division (J)(6) of section 339.06 of the
Revised Code, a county hospital may observe Martin Luther King
day, Washington-Lincoln day, Columbus day, and Veterans' day on
days other than those specified in section 1.14 of the Revised
Code.
(E) In the case of the death of a county employee, the unused
vacation leave and unpaid overtime to the credit of the employee
shall be paid in accordance with section 2113.04 of the Revised
Code, or to the employee's estate.
(F) Notwithstanding this section or any other section of the
Revised Code, any appointing authority of a county office,
department, commission, board, or body may, upon notification to
the board of county commissioners, establish alternative schedules
of vacation leave and holidays for employees of the appointing
authority for whom the state employment relations board has not
established an appropriate bargaining unit pursuant to section
4117.06 of the Revised Code, as long as the alternative schedules
are not inconsistent with the provisions of at least one
collective bargaining agreement covering other employees of that
appointing authority, if such an agreement exists. If no such
collective bargaining agreement exists, an appointing authority,
upon notification to the board of county commissioners, may
establish an alternative schedule of vacation leave and holidays
for its employees that does not diminish the vacation leave and
holiday benefits granted by this section.
(G) The employees of a county children services board that
establishes vacation benefits under section 5153.12 of the Revised
Code are exempt from division (A) of this section.
(H) The provisions of this section do not apply to
superintendents and management employees of county boards of
developmental disabilities.
(I) Division (A) of this section does not apply to an
employee of a county board of developmental disabilities who works
at, or provides transportation services to pupils of, a special
education program provided by the county board pursuant to
division (A)(4) of section 5126.05 of the Revised Code, if the
employee's employment is based on a school year and the employee
is not subject to a contract with the county board that provides
for division (A) of this section to apply to the employee.
(J) Notwithstanding division (C) of this section or any other
section of the Revised Code, if a separation from county service
occurs in connection with the lease, sale, or other transfer of
all or substantially all the business and assets of a county
hospital organized under Chapter 339. of the Revised Code to a
private corporation or other entity, the appointing authority
shall have no obligation to pay any compensation with respect to
unused vacation leave accrued to the credit of an employee who
accepts employment with the acquiring corporation or other entity,
if at the effective time of separation the acquiring corporation
or other entity expressly assumes such unused vacation leave
accrued to the employee's credit.
(K) As used in this section:
(1) "Full-time employee" means an employee whose regular
hours of service for a county total forty hours per week, or who
renders any other standard of service accepted as full-time by an
office, department, or agency of county service.
(2) "Part-time employee" means an employee whose regular
hours of service for a county total less than forty hours per
week, or who renders any other standard of service accepted as
part-time by an office, department, or agency of county service,
and whose hours of county service total at least five hundred
twenty hours annually.
(3) "Management employee" has the same meaning as in section
5126.20 of the Revised Code.
Sec. 3719.031. If the state board of pharmacy determines that
there is clear and convincing evidence that the method used by a
wholesaler of controlled substances licensed under section
3719.021 of the Revised Code to distribute controlled substances
presents a danger of immediate and serious harm to others, the
board may suspend the wholesaler's license without a hearing. The
board shall follow the procedure for suspension without a prior
hearing in section 119.07 of the Revised Code. The suspension
shall remain in effect, unless removed by the board, until the
board's final adjudication order becomes effective, except that if
the board does not issue its final adjudication order within
ninety days after the hearing, the suspension shall be void on the
ninety-first day after the suspension.
Sec. 3719.08. (A) Whenever a manufacturer sells a controlled
substance, and whenever a wholesaler sells a controlled substance
in a package the wholesaler has prepared, the manufacturer or
wholesaler shall securely affix to each package in which the
controlled substance is contained a label showing in legible
English the name and address of the vendor and the quantity, kind,
and form of controlled substance contained therein. No person,
except a pharmacist for the purpose of dispensing a controlled
substance upon a prescription shall alter, deface, or remove any
label so affixed.
(B) Except as provided in division (C) of this section, when
a pharmacist dispenses any controlled substance on a prescription
for use by a patient, or supplies a controlled substance to a
licensed health professional authorized to prescribe drugs for use
by the professional in personally furnishing patients with
controlled substances, the pharmacist shall affix to the container
in which the controlled substance is dispensed or supplied a label
showing the following:
(1) The name and address of the pharmacy dispensing or
supplying the controlled substance;
(2) The name of the patient for whom the controlled substance
is prescribed and, if the patient is an animal, the name of the
owner and the species of the animal;
(3) The name of the prescriber;
(4) All directions for use stated on the prescription or
provided by the prescriber;
(5) The date on which the controlled substance was dispensed
or supplied;
(6) The name, quantity, and strength of the controlled
substance and, if applicable, the name of the distributor or
manufacturer.
(C) The requirements of division (B) of this section do not
apply when a controlled substance is prescribed or supplied for
administration to an ultimate user who is institutionalized.
(D) A licensed health professional authorized to prescribe
drugs who personally furnishes a controlled substance to a patient
shall comply with division (B)(A) of section 4729.29 4729.291 of
the Revised Code with respect to labeling and packaging of the
controlled substance.
(E) No person shall alter, deface, or remove any label
affixed pursuant to this section as long as any of the original
contents remain.
(F) Every label for a schedule II, III, or IV controlled
substance shall contain the following warning:
"Caution: federal law prohibits the transfer of this drug to
any person other than the patient for whom it was prescribed."
Sec. 3793.22. (A) The director of alcohol and drug addiction
services shall collaborate with the state board of pharmacy and
attorney general in the establishment and administration of a drug
take-back program, as provided under section 4729.69 of the
Revised Code.
(B) The department may accept grants, gifts, or donations for
purposes of the program. Money received under this division shall
be deposited into the drug take-back program fund established
under section 109.90 of the Revised Code.
Sec. 4121.50. Not later than July 1, 2012, the administrator
of workers' compensation shall adopt rules in accordance with
Chapter 119. of the Revised Code to implement a coordinated
services program for claimants under this chapter or Chapter
4123., 4127., or 4131. of the Revised Code who are found to have
obtained prescription drugs that were reimbursed pursuant to an
order of the administrator or of the industrial commission or by a
self-insuring employer but were obtained at a frequency or in an
amount that is not medically necessary. The program shall be
implemented in a manner that is substantially similar to the
coordinated services programs established for the medicaid program
under section 5111.085 and 5111.179 of the Revised Code.
Sec. 4715.30. (A) An applicant for or holder of a
certificate or license issued under this chapter is subject to
disciplinary action by the state dental board for any of the
following reasons:
(1) Employing or cooperating in fraud or material deception
in applying for or obtaining a license or certificate;
(2) Obtaining or attempting to obtain money or anything of
value by intentional misrepresentation or material deception in
the course of practice;
(3) Advertising services in a false or misleading manner or
violating the board's rules governing time, place, and manner of
advertising;
(4) Conviction of a misdemeanor committed in the course of
practice or of any felony;
(5) Engaging in lewd or immoral conduct in connection with
the provision of dental services;
(6) Selling, prescribing, giving away, or administering drugs
for other than legal and legitimate therapeutic purposes, or
conviction of violating any law of this state or the federal
government regulating the possession, distribution, or use of any
drug;
(7) Providing or allowing dental hygienists, expanded
function dental auxiliaries, or other practitioners of auxiliary
dental occupations working under the certificate or license
holder's supervision, or a dentist holding a temporary limited
continuing education license under division (C) of section 4715.16
of the Revised Code working under the certificate or license
holder's direct supervision, to provide dental care that departs
from or fails to conform to accepted standards for the profession,
whether or not injury to a patient results;
(8) Inability to practice under accepted standards of the
profession because of physical or mental disability, dependence on
alcohol or other drugs, or excessive use of alcohol or other
drugs;
(9) Violation of any provision of this chapter or any rule
adopted thereunder;
(10) Failure to use universal blood and body fluid
precautions established by rules adopted under section 4715.03 of
the Revised Code;
(11) Waiving the payment of all or any part of a deductible
or copayment that a patient, pursuant to a health insurance or
health care policy, contract, or plan that covers dental services,
would otherwise be required to pay if the waiver is used as an
enticement to a patient or group of patients to receive health
care services from that provider.;
(12) Advertising that the certificate or license holder will
waive the payment of all or any part of a deductible or copayment
that a patient, pursuant to a health insurance or health care
policy, contract, or plan that covers dental services, would
otherwise be required to pay;
(13) Failure to comply with section 4729.79 of the Revised
Code, unless the state board of pharmacy no longer maintains a
drug database pursuant to section 4729.75 of the Revised Code.
(B) A manager, proprietor, operator, or conductor of a dental
facility shall be subject to disciplinary action if any dentist,
dental hygienist, expanded function dental auxiliary, or qualified
personnel providing services in the facility is found to have
committed a violation listed in division (A) of this section and
the manager, proprietor, operator, or conductor knew of the
violation and permitted it to occur on a recurring basis.
(C) Subject to Chapter 119. of the Revised Code, the board
may take one or more of the following disciplinary actions if one
or more of the grounds for discipline listed in divisions (A) and
(B) of this section exist:
(1) Censure the license or certificate holder;
(2) Place the license or certificate on probationary status
for such period of time the board determines necessary and require
the holder to:
(a) Report regularly to the board upon the matters which are
the basis of probation;
(b) Limit practice to those areas specified by the board;
(c) Continue or renew professional education until a
satisfactory degree of knowledge or clinical competency has been
attained in specified areas.
(3) Suspend the certificate or license;
(4) Revoke the certificate or license.
Where the board places a holder of a license or certificate
on probationary status pursuant to division (C)(2) of this
section, the board may subsequently suspend or revoke the license
or certificate if it determines that the holder has not met the
requirements of the probation or continues to engage in activities
that constitute grounds for discipline pursuant to division (A) or
(B) of this section.
Any order suspending a license or certificate shall state the
conditions under which the license or certificate will be
restored, which may include a conditional restoration during which
time the holder is in a probationary status pursuant to division
(C)(2) of this section. The board shall restore the license or
certificate unconditionally when such conditions are met.
(D) If the physical or mental condition of an applicant or a
license or certificate holder is at issue in a disciplinary
proceeding, the board may order the license or certificate holder
to submit to reasonable examinations by an individual designated
or approved by the board and at the board's expense. The physical
examination may be conducted by any individual authorized by the
Revised Code to do so, including a physician assistant, a clinical
nurse specialist, a certified nurse practitioner, or a certified
nurse-midwife. Any written documentation of the physical
examination shall be completed by the individual who conducted the
examination.
Failure to comply with an order for an examination shall be
grounds for refusal of a license or certificate or summary
suspension of a license or certificate under division (E) of this
section.
(E) If the board has reason to believe that a license or
certificate holder represents a clear and immediate danger to the
public health and safety if the holder is allowed to continue to
practice, or if the holder has failed to comply with an order
under division (D) of this section, the board may apply to the
court of common pleas of the county in which the holder resides
for an order temporarily suspending the holder's license or
certificate, without a prior hearing being afforded by the board,
until the board conducts an adjudication hearing pursuant to
Chapter 119. of the Revised Code. If the court temporarily
suspends a holder's license or certificate, the board shall give
written notice of the suspension personally or by certified mail
to the license or certificate holder. Such notice shall include
specific facts and reasons for finding a clear and immediate
danger to the public health and safety and shall inform the
license or certificate holder of the right to a hearing pursuant
to Chapter 119. of the Revised Code.
(F) Any holder of a certificate or license issued under this
chapter who has pleaded guilty to, has been convicted of, or has
had a judicial finding of eligibility for intervention in lieu of
conviction entered against the holder in this state for aggravated
murder, murder, voluntary manslaughter, felonious assault,
kidnapping, rape, sexual battery, gross sexual imposition,
aggravated arson, aggravated robbery, or aggravated burglary, or
who has pleaded guilty to, has been convicted of, or has had a
judicial finding of eligibility for treatment or intervention in
lieu of conviction entered against the holder in another
jurisdiction for any substantially equivalent criminal offense, is
automatically suspended from practice under this chapter in this
state and any certificate or license issued to the holder under
this chapter is automatically suspended, as of the date of the
guilty plea, conviction, or judicial finding, whether the
proceedings are brought in this state or another jurisdiction.
Continued practice by an individual after the suspension of the
individual's certificate or license under this division shall be
considered practicing without a certificate or license. The board
shall notify the suspended individual of the suspension of the
individual's certificate or license under this division by
certified mail or in person in accordance with section 119.07 of
the Revised Code. If an individual whose certificate or license is
suspended under this division fails to make a timely request for
an adjudicatory hearing, the board shall enter a final order
revoking the individual's certificate or license.
(G) Notwithstanding divisions (A)(11) and (12) of this
section, sanctions shall not be imposed against any licensee who
waives deductibles and copayments:
(1) In compliance with the health benefit plan that expressly
allows such a practice. Waiver of the deductibles or copayments
shall be made only with the full knowledge and consent of the plan
purchaser, payer, and third-party administrator. Such consent
shall be made available to the board upon request.
(2) For professional services rendered to any other person
licensed pursuant to this chapter to the extent allowed by this
chapter and the rules of the board.
(H) In no event shall the board consider or raise during a
hearing required by Chapter 119. of the Revised Code the
circumstances of, or the fact that the board has received, one or
more complaints about a person unless the one or more complaints
are the subject of the hearing or resulted in the board taking an
action authorized by this section against the person on a prior
occasion.
Sec. 4715.302. (A) As used in this section, "drug database"
means the database established and maintained by the state board
of pharmacy pursuant to section 4729.75 of the Revised Code.
(B) The state dental board shall adopt rules in accordance
with Chapter 119. of the Revised Code that establish standards and
procedures to be followed by a dentist regarding the review of
patient information available through the drug database.
(C) This section and the rules adopted under it do not apply
if the state board of pharmacy no longer maintains the drug
database.
Sec. 4723.064. The board of nursing may access and view, but
not alter, information gathered and disseminated through the Ohio
law enforcement gateway established under section 109.57 of the
Revised Code.
Sec. 4723.28. (A) The board of nursing, by a vote of a
quorum, may revoke or may refuse to grant a nursing license,
certificate of authority, or dialysis technician certificate to a
person found by the board to have committed fraud in passing an
examination required to obtain the license, certificate of
authority, or dialysis technician certificate or to have committed
fraud, misrepresentation, or deception in applying for or securing
any nursing license, certificate of authority, or dialysis
technician certificate issued by the board.
(B) Subject to division (N) of this section, the board of
nursing, by a vote of a quorum, may impose one or more of the
following sanctions: deny, revoke, suspend, or place restrictions
on any nursing license, certificate of authority, or dialysis
technician certificate issued by the board; reprimand or otherwise
discipline a holder of a nursing license, certificate of
authority, or dialysis technician certificate; or impose a fine of
not more than five hundred dollars per violation. The sanctions
may be imposed for any of the following:
(1) Denial, revocation, suspension, or restriction of
authority to practice a health care occupation, including nursing
or practice as a dialysis technician, for any reason other than a
failure to renew, in Ohio or another state or jurisdiction;
(2) Engaging in the practice of nursing or engaging in
practice as a dialysis technician, having failed to renew a
nursing license or dialysis technician certificate issued under
this chapter, or while a nursing license or dialysis technician
certificate is under suspension;
(3) Conviction of, a plea of guilty to, a judicial finding of
guilt of, a judicial finding of guilt resulting from a plea of no
contest to, or a judicial finding of eligibility for intervention
in lieu of conviction for, a misdemeanor committed in the course
of practice;
(4) Conviction of, a plea of guilty to, a judicial finding of
guilt of, a judicial finding of guilt resulting from a plea of no
contest to, or a judicial finding of eligibility for intervention
in lieu of conviction for, any felony or of any crime involving
gross immorality or moral turpitude;
(5) Selling, giving away, or administering drugs or
therapeutic devices for other than legal and legitimate
therapeutic purposes; or conviction of, a plea of guilty to, a
judicial finding of guilt of, a judicial finding of guilt
resulting from a plea of no contest to, or a judicial finding of
eligibility for intervention in lieu of conviction for, violating
any municipal, state, county, or federal drug law;
(6) Conviction of, a plea of guilty to, a judicial finding of
guilt of, a judicial finding of guilt resulting from a plea of no
contest to, or a judicial finding of eligibility for intervention
in lieu of conviction for, an act in another jurisdiction that
would constitute a felony or a crime of moral turpitude in Ohio;
(7) Conviction of, a plea of guilty to, a judicial finding of
guilt of, a judicial finding of guilt resulting from a plea of no
contest to, or a judicial finding of eligibility for intervention
in lieu of conviction for, an act in the course of practice in
another jurisdiction that would constitute a misdemeanor in Ohio;
(8) Self-administering or otherwise taking into the body any
dangerous drug, as defined in section 4729.01 of the Revised Code,
in any way not in accordance with a legal, valid prescription
issued for that individual;
(9) Habitual indulgence in the use of controlled substances,
other habit-forming drugs, or alcohol or other chemical substances
to an extent that impairs ability to practice;
(10) Impairment of the ability to practice according to
acceptable and prevailing standards of safe nursing care because
of habitual or excessive use of drugs, alcohol, or other chemical
substances that impair the ability to practice;
(11) Impairment of the ability to practice according to
acceptable and prevailing standards of safe nursing care because
of a physical or mental disability;
(12) Assaulting or causing harm to a patient or depriving a
patient of the means to summon assistance;
(13) Obtaining or attempting to obtain money or anything of
value by intentional misrepresentation or material deception in
the course of practice;
(14) Adjudication by a probate court of being mentally ill or
mentally incompetent. The board may restore the person's nursing
license or dialysis technician certificate upon adjudication by a
probate court of the person's restoration to competency or upon
submission to the board of other proof of competency.
(15) The suspension or termination of employment by the
department of defense or the veterans administration of the United
States for any act that violates or would violate this chapter;
(16) Violation of this chapter or any rules adopted under it;
(17) Violation of any restrictions placed on a nursing
license or dialysis technician certificate by the board;
(18) Failure to use universal blood and body fluid
precautions established by rules adopted under section 4723.07 of
the Revised Code;
(19) Failure to practice in accordance with acceptable and
prevailing standards of safe nursing care or safe dialysis care;
(20) In the case of a registered nurse, engaging in
activities that exceed the practice of nursing as a registered
nurse;
(21) In the case of a licensed practical nurse, engaging in
activities that exceed the practice of nursing as a licensed
practical nurse;
(22) In the case of a dialysis technician, engaging in
activities that exceed those permitted under section 4723.72 of
the Revised Code;
(23) Aiding and abetting a person in that person's practice
of nursing without a license or practice as a dialysis technician
without a certificate issued under this chapter;
(24) In the case of a certified registered nurse anesthetist,
clinical nurse specialist, certified nurse-midwife, or certified
nurse practitioner, except as provided in division (M) of this
section, either of the following:
(a) Waiving the payment of all or any part of a deductible or
copayment that a patient, pursuant to a health insurance or health
care policy, contract, or plan that covers such nursing services,
would otherwise be required to pay if the waiver is used as an
enticement to a patient or group of patients to receive health
care services from that provider;
(b) Advertising that the nurse will waive the payment of all
or any part of a deductible or copayment that a patient, pursuant
to a health insurance or health care policy, contract, or plan
that covers such nursing services, would otherwise be required to
pay.
(25) Failure to comply with the terms and conditions of
participation in the chemical dependency monitoring program
established under section 4723.35 of the Revised Code;
(26) Failure to comply with the terms and conditions required
under the practice intervention and improvement program
established under section 4723.282 of the Revised Code;
(27) In the case of a certified registered nurse anesthetist,
clinical nurse specialist, certified nurse-midwife, or certified
nurse practitioner:
(a) Engaging in activities that exceed those permitted for
the nurse's nursing specialty under section 4723.43 of the Revised
Code;
(b) Failure to meet the quality assurance standards
established under section 4723.07 of the Revised Code.
(28) In the case of a clinical nurse specialist, certified
nurse-midwife, or certified nurse practitioner, failure to
maintain a standard care arrangement in accordance with section
4723.431 of the Revised Code or to practice in accordance with the
standard care arrangement;
(29) In the case of a clinical nurse specialist, certified
nurse-midwife, or certified nurse practitioner who holds a
certificate to prescribe issued under section 4723.48 of the
Revised Code, failure to prescribe drugs and therapeutic devices
in accordance with section 4723.481 of the Revised Code;
(30) Prescribing any drug or device to perform or induce an
abortion, or otherwise performing or inducing an abortion;
(31) Failure to establish and maintain professional
boundaries with a patient, as specified in rules adopted under
section 4723.07 of the Revised Code;
(32) Regardless of whether the contact or verbal behavior is
consensual, engaging with a patient other than the spouse of the
registered nurse, licensed practical nurse, or dialysis technician
in any of the following:
(a) Sexual contact, as defined in section 2907.01 of the
Revised Code;
(b) Verbal behavior that is sexually demeaning to the patient
or may be reasonably interpreted by the patient as sexually
demeaning.
(33) Assisting suicide as defined in section 3795.01 of the
Revised Code.
(C) Disciplinary actions taken by the board under divisions
(A) and (B) of this section shall be taken pursuant to an
adjudication conducted under Chapter 119. of the Revised Code,
except that in lieu of a hearing, the board may enter into a
consent agreement with an individual to resolve an allegation of a
violation of this chapter or any rule adopted under it. A consent
agreement, when ratified by a vote of a quorum, shall constitute
the findings and order of the board with respect to the matter
addressed in the agreement. If the board refuses to ratify a
consent agreement, the admissions and findings contained in the
agreement shall be of no effect.
(D) The hearings of the board shall be conducted in
accordance with Chapter 119. of the Revised Code, the board may
appoint a hearing examiner, as provided in section 119.09 of the
Revised Code, to conduct any hearing the board is authorized to
hold under Chapter 119. of the Revised Code.
In any instance in which the board is required under Chapter
119. of the Revised Code to give notice of an opportunity for a
hearing and the applicant or license holder does not make a timely
request for a hearing in accordance with section 119.07 of the
Revised Code, the board is not required to hold a hearing, but may
adopt, by a vote of a quorum, a final order that contains the
board's findings. In the final order, the board may order any of
the sanctions listed in division (A) or (B) of this section.
(E) If a criminal action is brought against a registered
nurse, licensed practical nurse, or dialysis technician for an act
or crime described in divisions (B)(3) to (7) of this section and
the action is dismissed by the trial court other than on the
merits, the board shall conduct an adjudication to determine
whether the registered nurse, licensed practical nurse, or
dialysis technician committed the act on which the action was
based. If the board determines on the basis of the adjudication
that the registered nurse, licensed practical nurse, or dialysis
technician committed the act, or if the registered nurse, licensed
practical nurse, or dialysis technician fails to participate in
the adjudication, the board may take action as though the
registered nurse, licensed practical nurse, or dialysis technician
had been convicted of the act.
If the board takes action on the basis of a conviction, plea,
or a judicial finding as described in divisions (B)(3) to (7) of
this section that is overturned on appeal, the registered nurse,
licensed practical nurse, or dialysis technician may, on
exhaustion of the appeal process, petition the board for
reconsideration of its action. On receipt of the petition and
supporting court documents, the board shall temporarily rescind
its action. If the board determines that the decision on appeal
was a decision on the merits, it shall permanently rescind its
action. If the board determines that the decision on appeal was
not a decision on the merits, it shall conduct an adjudication to
determine whether the registered nurse, licensed practical nurse,
or dialysis technician committed the act on which the original
conviction, plea, or judicial finding was based. If the board
determines on the basis of the adjudication that the registered
nurse, licensed practical nurse, or dialysis technician committed
such act, or if the registered nurse, licensed practical nurse, or
dialysis technician does not request an adjudication, the board
shall reinstate its action; otherwise, the board shall permanently
rescind its action.
Notwithstanding the provision of division (C)(2) of section
2953.32 of the Revised Code specifying that if records pertaining
to a criminal case are sealed under that section the proceedings
in the case shall be deemed not to have occurred, sealing of the
records of a conviction on which the board has based an action
under this section shall have no effect on the board's action or
any sanction imposed by the board under this section.
The board shall not be required to seal, destroy, redact, or
otherwise modify its records to reflect the court's sealing of
conviction records.
(F) The board may investigate an individual's criminal
background in performing its duties under this section.
(G) During the course of an investigation conducted under
this section, the board may compel any registered nurse, licensed
practical nurse, or dialysis technician or applicant under this
chapter to submit to a mental or physical examination, or both, as
required by the board and at the expense of the individual, if the
board finds reason to believe that the individual under
investigation may have a physical or mental impairment that may
affect the individual's ability to provide safe nursing care.
Failure of any individual to submit to a mental or physical
examination when directed constitutes an admission of the
allegations, unless the failure is due to circumstances beyond the
individual's control, and a default and final order may be entered
without the taking of testimony or presentation of evidence.
If the board finds that an individual is impaired, the board
shall require the individual to submit to care, counseling, or
treatment approved or designated by the board, as a condition for
initial, continued, reinstated, or renewed authority to practice.
The individual shall be afforded an opportunity to demonstrate to
the board that the individual can begin or resume the individual's
occupation in compliance with acceptable and prevailing standards
of care under the provisions of the individual's authority to
practice.
For purposes of this division, any registered nurse, licensed
practical nurse, or dialysis technician or applicant under this
chapter shall be deemed to have given consent to submit to a
mental or physical examination when directed to do so in writing
by the board, and to have waived all objections to the
admissibility of testimony or examination reports that constitute
a privileged communication.
(H) The board shall investigate evidence that appears to show
that any person has violated any provision of this chapter or any
rule of the board. Any person may report to the board any
information the person may have that appears to show a violation
of any provision of this chapter or rule of the board. In the
absence of bad faith, any person who reports such information or
who testifies before the board in any adjudication conducted under
Chapter 119. of the Revised Code shall not be liable for civil
damages as a result of the report or testimony.
(I) All of the following apply under this chapter with
respect to the confidentiality of information:
(1) Information received by the board pursuant to an
investigation is confidential and not subject to discovery in any
civil action, except that the board may disclose information to
law enforcement officers and government entities investigating
either a licensed health care professional, including a registered
nurse, licensed practical nurse, or dialysis technician, or a
person who may have engaged in the unauthorized practice of
nursing. No law enforcement officer or government entity with
knowledge of any information disclosed by the board pursuant to
this division shall divulge the information to any other person or
government entity except for the purpose of a government
investigation, a prosecution, or an adjudication by a court or
licensing or registration board or officer to which the person to
whom the information relates is a party government entity.
(2) If an investigation requires a review of patient records,
the investigation and proceeding shall be conducted in such a
manner as to protect patient confidentiality.
(3) All adjudications and investigations of the board shall
be considered civil actions for the purposes of section 2305.252
of the Revised Code.
(4) Any board activity that involves continued monitoring of
an individual as part of or following any disciplinary action
taken under this section shall be conducted in a manner that
maintains the individual's confidentiality. Information received
or maintained by the board with respect to the board's monitoring
activities is confidential and not subject to discovery in any
civil action.
(J) Any action taken by the board under this section
resulting in a suspension from practice shall be accompanied by a
written statement of the conditions under which the person may be
reinstated to practice.
(K) When the board refuses to grant a license or certificate
to an applicant, revokes a license or certificate, or refuses to
reinstate a license or certificate, the board may specify that its
action is permanent. An individual subject to permanent action
taken by the board is forever ineligible to hold a license or
certificate of the type that was refused or revoked and the board
shall not accept from the individual an application for
reinstatement of the license or certificate or for a new license
or certificate.
(L) No unilateral surrender of a nursing license, certificate
of authority, or dialysis technician certificate issued under this
chapter shall be effective unless accepted by majority vote of the
board. No application for a nursing license, certificate of
authority, or dialysis technician certificate issued under this
chapter may be withdrawn without a majority vote of the board. The
board's jurisdiction to take disciplinary action under this
section is not removed or limited when an individual has a license
or certificate classified as inactive or fails to renew a license
or certificate.
(M) Sanctions shall not be imposed under division (B)(24) of
this section against any licensee who waives deductibles and
copayments as follows:
(1) In compliance with the health benefit plan that expressly
allows such a practice. Waiver of the deductibles or copayments
shall be made only with the full knowledge and consent of the plan
purchaser, payer, and third-party administrator. Documentation of
the consent shall be made available to the board upon request.
(2) For professional services rendered to any other person
licensed pursuant to this chapter to the extent allowed by this
chapter and the rules of the board.
(N)(1) Any person who enters a prelicensure nursing education
program on or after June 1, 2003, and who subsequently applies
under division (A) of section 4723.09 of the Revised Code for
licensure to practice as a registered nurse or as a licensed
practical nurse and any person who applies under division (B) of
that section for license by endorsement to practice nursing as a
registered nurse or as a licensed practical nurse shall submit a
request to the bureau of criminal identification and investigation
for the bureau to conduct a criminal records check of the
applicant and to send the results to the board, in accordance with
section 4723.09 of the Revised Code.
The board shall refuse to grant a license to practice nursing
as a registered nurse or as a licensed practical nurse under
section 4723.09 of the Revised Code to a person who entered a
prelicensure nursing education program on or after June 1, 2003,
and applied under division (A) of section 4723.09 of the Revised
Code for the license or a person who applied under division (B) of
that section for the license, if the criminal records check
performed in accordance with division (C) of that section
indicates that the person has pleaded guilty to, been convicted
of, or has had a judicial finding of guilt for violating section
2903.01, 2903.02, 2903.03, 2903.11, 2905.01, 2907.02, 2907.03,
2907.05, 2909.02, 2911.01, or 2911.11 of the Revised Code or a
substantially similar law of another state, the United States, or
another country.
(2) Any person who enters a dialysis training program on or
after June 1, 2003, and who subsequently applies for a certificate
to practice as a dialysis technician shall submit a request to the
bureau of criminal identification and investigation for the bureau
to conduct a criminal records check of the applicant and to send
the results to the board, in accordance with section 4723.75 of
the Revised Code.
The board shall refuse to issue a certificate to practice as
a dialysis technician under section 4723.75 of the Revised Code to
a person who entered a dialysis training program on or after June
1, 2003, and whose criminal records check performed in accordance
with division (C) of that section indicates that the person has
pleaded guilty to, been convicted of, or has had a judicial
finding of guilt for violating section 2903.01, 2903.02, 2903.03,
2903.11, 2905.01, 2907.02, 2907.03, 2907.05, 2909.02, 2911.01, or
2911.11 of the Revised Code or a substantially similar law of
another state, the United States, or another country.
Sec. 4723.487. (A) As used in this section, "drug database"
means the database established and maintained by the state board
of pharmacy pursuant to section 4729.75 of the Revised Code.
(B) The board of nursing shall adopt rules in accordance with
Chapter 119. of the Revised Code that establish standards and
procedures to be followed by an advanced practice nurse with a
certificate to prescribe issued under section 4723.48 of the
Revised Code regarding the review of patient information available
through the drug database.
(C) This section and the rules adopted under it do not apply
if the state board of pharmacy no longer maintains the drug
database.
Sec. 4725.092. (A) As used in this section, "drug database"
means the database established and maintained by the state board
of pharmacy pursuant to section 4729.75 of the Revised Code.
(B) The state board of optometry shall adopt rules in
accordance with Chapter 119. of the Revised Code that establish
standards and procedures to be followed by an optometrist who
holds a therapeutic pharmaceutical agents certificate regarding
the review of patient information available through the drug
database.
(C) This section and the rules adopted under it do not apply
if the state board of pharmacy no longer maintains the drug
database.
Sec. 4729.01. As used in this chapter:
(A) "Pharmacy," except when used in a context that refers to
the practice of pharmacy, means any area, room, rooms, place of
business, department, or portion of any of the foregoing where the
practice of pharmacy is conducted.
(B) "Practice of pharmacy" means providing pharmacist care
requiring specialized knowledge, judgment, and skill derived from
the principles of biological, chemical, behavioral, social,
pharmaceutical, and clinical sciences. As used in this division,
"pharmacist care" includes the following:
(1) Interpreting prescriptions;
(2) Dispensing drugs and drug therapy related devices;
(4) Counseling individuals with regard to their drug therapy,
recommending drug therapy related devices, and assisting in the
selection of drugs and appliances for treatment of common diseases
and injuries and providing instruction in the proper use of the
drugs and appliances;
(5) Performing drug regimen reviews with individuals by
discussing all of the drugs that the individual is taking and
explaining the interactions of the drugs;
(6) Performing drug utilization reviews with licensed health
professionals authorized to prescribe drugs when the pharmacist
determines that an individual with a prescription has a drug
regimen that warrants additional discussion with the prescriber;
(7) Advising an individual and the health care professionals
treating an individual with regard to the individual's drug
therapy;
(8) Acting pursuant to a consult agreement with a physician
authorized under Chapter 4731. of the Revised Code to practice
medicine and surgery or osteopathic medicine and surgery, if an
agreement has been established with the physician;
(9) Engaging in the administration of immunizations to the
extent authorized by section 4729.41 of the Revised Code.
(C) "Compounding" means the preparation, mixing, assembling,
packaging, and labeling of one or more drugs in any of the
following circumstances:
(1) Pursuant to a prescription issued by a licensed health
professional authorized to prescribe drugs;
(2) Pursuant to the modification of a prescription made in
accordance with a consult agreement;
(3) As an incident to research, teaching activities, or
chemical analysis;
(4) In anticipation of orders for drugs pursuant to
prescriptions, based on routine, regularly observed dispensing
patterns;
(5) Pursuant to a request made by a licensed health
professional authorized to prescribe drugs for a drug that is to
be used by the professional for the purpose of direct
administration to patients in the course of the professional's
practice, if all of the following apply:
(a) At the time the request is made, the drug is not
commercially available regardless of the reason that the drug is
not available, including the absence of a manufacturer for the
drug or the lack of a readily available supply of the drug from a
manufacturer.
(b) A limited quantity of the drug is compounded and provided
to the professional.
(c) The drug is compounded and provided to the professional
as an occasional exception to the normal practice of dispensing
drugs pursuant to patient-specific prescriptions.
(D) "Consult agreement" means an agreement to manage an
individual's drug therapy that has been entered into by a
pharmacist and a physician authorized under Chapter 4731. of the
Revised Code to practice medicine and surgery or osteopathic
medicine and surgery.
(1) Any article recognized in the United States pharmacopoeia
and national formulary, or any supplement to them, intended for
use in the diagnosis, cure, mitigation, treatment, or prevention
of disease in humans or animals;
(2) Any other article intended for use in the diagnosis,
cure, mitigation, treatment, or prevention of disease in humans or
animals;
(3) Any article, other than food, intended to affect the
structure or any function of the body of humans or animals;
(4) Any article intended for use as a component of any
article specified in division (E)(1), (2), or (3) of this section;
but does not include devices or their components, parts, or
accessories.
(F) "Dangerous drug" means any of the following:
(1) Any drug to which either of the following applies:
(a) Under the "Federal Food, Drug, and Cosmetic Act," 52
Stat. 1040 (1938), 21 U.S.C.A. 301, as amended, the drug is
required to bear a label containing the legend "Caution: Federal
law prohibits dispensing without prescription" or "Caution:
Federal law restricts this drug to use by or on the order of a
licensed veterinarian" or any similar restrictive statement, or
the drug may be dispensed only upon a prescription;
(b) Under Chapter 3715. or 3719. of the Revised Code, the
drug may be dispensed only upon a prescription.
(2) Any drug that contains a schedule V controlled substance
and that is exempt from Chapter 3719. of the Revised Code or to
which that chapter does not apply;
(3) Any drug intended for administration by injection into
the human body other than through a natural orifice of the human
body.
(G) "Federal drug abuse control laws" has the same meaning as
in section 3719.01 of the Revised Code.
(H) "Prescription" means a written, electronic, or oral order
for drugs or combinations or mixtures of drugs to be used by a
particular individual or for treating a particular animal, issued
by a licensed health professional authorized to prescribe drugs.
(I) "Licensed health professional authorized to prescribe
drugs" or "prescriber" means an individual who is authorized by
law to prescribe drugs or dangerous drugs or drug therapy related
devices in the course of the individual's professional practice,
including only the following:
(1) A dentist licensed under Chapter 4715. of the Revised
Code;
(2) A clinical nurse specialist, certified nurse-midwife, or
certified nurse practitioner who holds a certificate to prescribe
issued under section 4723.48 of the Revised Code;
(3) An optometrist licensed under Chapter 4725. of the
Revised Code to practice optometry under a therapeutic
pharmaceutical agents certificate;
(4) A physician authorized under Chapter 4731. of the Revised
Code to practice medicine and surgery, osteopathic medicine and
surgery, or podiatry podiatric medicine and surgery;
(5) A physician assistant who holds a certificate to
prescribe issued under Chapter 4730. of the Revised Code;
(6) A veterinarian licensed under Chapter 4741. of the
Revised Code.
(J) "Sale" and "sell" include delivery, transfer, barter,
exchange, or gift, or offer therefor, and each such transaction
made by any person, whether as principal proprietor, agent, or
employee.
(K) "Wholesale sale" and "sale at wholesale" mean any sale in
which the purpose of the purchaser is to resell the article
purchased or received by the purchaser.
(L) "Retail sale" and "sale at retail" mean any sale other
than a wholesale sale or sale at wholesale.
(M) "Retail seller" means any person that sells any dangerous
drug to consumers without assuming control over and responsibility
for its administration. Mere advice or instructions regarding
administration do not constitute control or establish
responsibility.
(N) "Price information" means the price charged for a
prescription for a particular drug product and, in an easily
understandable manner, all of the following:
(1) The proprietary name of the drug product;
(2) The established (generic) name of the drug product;
(3) The strength of the drug product if the product contains
a single active ingredient or if the drug product contains more
than one active ingredient and a relevant strength can be
associated with the product without indicating each active
ingredient. The established name and quantity of each active
ingredient are required if such a relevant strength cannot be so
associated with a drug product containing more than one
ingredient.
(5) The price charged for a specific quantity of the drug
product. The stated price shall include all charges to the
consumer, including, but not limited to, the cost of the drug
product, professional fees, handling fees, if any, and a statement
identifying professional services routinely furnished by the
pharmacy. Any mailing fees and delivery fees may be stated
separately without repetition. The information shall not be false
or misleading.
(O) "Wholesale distributor of dangerous drugs" means a person
engaged in the sale of dangerous drugs at wholesale and includes
any agent or employee of such a person authorized by the person to
engage in the sale of dangerous drugs at wholesale.
(P) "Manufacturer of dangerous drugs" means a person, other
than a pharmacist, who manufactures dangerous drugs and who is
engaged in the sale of those dangerous drugs within this state.
(Q) "Terminal distributor of dangerous drugs" means a person
who is engaged in the sale of dangerous drugs at retail, or any
person, other than a wholesale distributor or a pharmacist, who
has possession, custody, or control of dangerous drugs for any
purpose other than for that person's own use and consumption, and
includes pharmacies, hospitals, nursing homes, and laboratories
and all other persons who procure dangerous drugs for sale or
other distribution by or under the supervision of a pharmacist or
licensed health professional authorized to prescribe drugs.
(R) "Promote to the public" means disseminating a
representation to the public in any manner or by any means, other
than by labeling, for the purpose of inducing, or that is likely
to induce, directly or indirectly, the purchase of a dangerous
drug at retail.
(S) "Person" includes any individual, partnership,
association, limited liability company, or corporation, the state,
any political subdivision of the state, and any district,
department, or agency of the state or its political subdivisions.
(T) "Finished dosage form" has the same meaning as in section
3715.01 of the Revised Code.
(U) "Generically equivalent drug" has the same meaning as in
section 3715.01 of the Revised Code.
(V) "Animal shelter" means a facility operated by a humane
society or any society organized under Chapter 1717. of the
Revised Code or a dog pound operated pursuant to Chapter 955. of
the Revised Code.
(W) "Food" has the same meaning as in section 3715.01 of the
Revised Code.
(X) "Pain management clinic" has the same meaning as in
section 4731.054 of the Revised Code.
Sec. 4729.071. (A) As used in this section, "license" and
"applicant for an initial license" have the same meanings as in
section 4776.01 of the Revised Code, except that "license" as used
in both of those terms refers to the types of authorizations
otherwise issued or conferred under this chapter.
(B) In addition to any other eligibility requirement set
forth in this chapter, each applicant for an initial license shall
comply with sections 4776.01 to 4776.04 of the Revised Code. The
state board of pharmacy shall not grant a license to an applicant
for an initial license unless the applicant complies with sections
4776.01 to 4776.04 of the Revised Code and the board, in its
discretion, decides that the results of the criminal records check
do not make the applicant ineligible for a license issued pursuant
to section 4729.08, 4729.09, or 4729.11, or 4729.552 of the
Revised Code.
Sec. 4729.162. (A) As used in this section, "drug database"
means the database established and maintained by the state board
of pharmacy pursuant to section 4729.75 of the Revised Code.
(B) The state board of pharmacy shall adopt rules in
accordance with Chapter 119. of the Revised Code that establish
standards and procedures to be followed by a pharmacist regarding
the review of patient information available through the drug
database.
(C) This section and the rules adopted under it do not apply
if the board no longer maintains the drug database.
Sec. 4729.29. (A) Divisions (A) and (B) of section 4729.01
and section 4729.28 of the Revised Code do not do either any of
the following:
(1)(A) Apply to a licensed health professional authorized to
prescribe drugs or prevent who is acting within the prescriber's
scope of professional practice;
(B) Prevent a prescriber from personally furnishing the
prescriber's patients with drugs, within the prescriber's scope of
professional practice, that seem proper to the prescriber., as
long as the drugs are furnished in accordance with section
4729.291 of the Revised Code;
(2)(C) Apply to the sale of oxygen, peritoneal dialysis
solutions, or the sale of drugs that are not dangerous drugs by a
retail dealer, in original packages when labeled as required by
the "Federal Food, Drug, and Cosmetic Act," 52 Stat. 1040 (1938),
21 U.S.C.A. 301, as amended.
(B) When a prescriber personally furnishes drugs to a patient
pursuant to division (A)(1) of this section, the prescriber shall
ensure that the drugs are labeled and packaged in accordance with
state and federal drug laws and any rules and regulations adopted
pursuant to those laws. Records of purchase and disposition of all
drugs personally furnished to patients shall be maintained by the
prescriber in accordance with state and federal drug statutes and
any rules adopted pursuant to those statutes.
When personally furnishing to a patient RU-486
(mifepristone), a prescriber is subject to section 2919.123 of the
Revised Code. A prescription for RU-486 (mifepristone) shall be in
writing and in accordance with section 2919.123 of the Revised
Code.
Sec. 4729.291. (A) When a licensed health professional
authorized to prescribe drugs personally furnishes drugs to a
patient pursuant to division (B) of section 4729.29 of the Revised
Code, the prescriber shall ensure that the drugs are labeled and
packaged in accordance with state and federal drug laws and any
rules and regulations adopted pursuant to those laws. Records of
purchase and disposition of all drugs personally furnished to
patients shall be maintained by the prescriber in accordance with
state and federal drug statutes and any rules adopted pursuant to
those statutes.
(B) When personally furnishing to a patient RU-486
(mifepristone), a prescriber is subject to section 2919.123 of the
Revised Code. A prescription for RU-486 (mifepristone) shall be in
writing and in accordance with section 2919.123 of the Revised
Code.
(C)(1) Except as provided in division (C)(2) of this section,
a prescriber may not do either of the following:
(a) In any thirty-day period, personally furnish to all
patients, taken as a whole, controlled substances in an amount
that exceeds a total of two thousand five hundred dosage units;
(b) In any seventy-two-hour period, personally furnish to or
for a patient an amount of a controlled substance that exceeds the
amount necessary for the patient's use in a seventy-two-hour
period.
(2) Division (C)(1) of this section does not apply to either
of the following:
(b) The amount of any methadone personally furnished to a
patient by a prescriber for the purpose of treating drug
addiction.
(3) The state board of pharmacy may impose a fine of not more
than five thousand dollars on a prescriber who fails to comply
with the limits established under division (C)(1) of this section.
A separate fine may be imposed for each instance of failing to
comply with the limits. In imposing the fine, the board's actions
shall be taken in accordance with Chapter 119. of the Revised
Code.
Sec. 4729.51. (A) No person other than a registered
wholesale distributor of dangerous drugs shall possess for sale,
sell, distribute, or deliver, at wholesale, dangerous drugs,
except as follows:
(1) A pharmacist who is a licensed terminal distributor of
dangerous drugs or who is employed by a licensed terminal
distributor of dangerous drugs may make occasional sales of
dangerous drugs at wholesale;
(2) A licensed terminal distributor of dangerous drugs having
more than one establishment or place may transfer or deliver
dangerous drugs from one establishment or place for which a
license has been issued to the terminal distributor to another
establishment or place for which a license has been issued to the
terminal distributor if the license issued for each establishment
or place is in effect at the time of the transfer or delivery.
(B)(1) No registered wholesale distributor of dangerous drugs
shall possess for sale, or sell, at wholesale, dangerous drugs to
any person other than the following:
(a) A Except as provided in division (B)(3) of this section,
a licensed health professional authorized to prescribe drugs;
(b) An optometrist licensed under Chapter 4725. of the
Revised Code who holds a topical ocular pharmaceutical agents
certificate;
(c) A registered wholesale distributor of dangerous drugs;
(d) A manufacturer of dangerous drugs;
(e) A Subject to division (B)(3) of this section, a licensed
terminal distributor of dangerous drugs, subject to division
(B)(2) of this section;
(f) Carriers or warehousers for the purpose of carriage or
storage;
(g) Terminal or wholesale distributors of dangerous drugs who
are not engaged in the sale of dangerous drugs within this state;
(h) An individual who holds a current license, certificate,
or registration issued under Title 47 of the Revised Code and has
been certified to conduct diabetes education by a national
certifying body specified in rules adopted by the state board of
pharmacy under section 4729.68 of the Revised Code, but only with
respect to insulin that will be used for the purpose of diabetes
education and only if diabetes education is within the
individual's scope of practice under statutes and rules regulating
the individual's profession;
(i) An individual who holds a valid certificate issued by a
nationally recognized S.C.U.B.A. diving certifying organization
approved by the state board of pharmacy board in rule, but only
with respect to medical oxygen that will be used for the purpose
of emergency care or treatment at the scene of a diving emergency;
(j) A Except as provided in division (B)(2) of this section,
a business entity that is a corporation formed under division (B)
of section 1701.03 of the Revised Code, a limited liability
company formed under Chapter 1705. of the Revised Code, or a
professional association formed under Chapter 1785. of the Revised
Code if the entity has a sole shareholder who is a licensed health
professional authorized to prescribe drugs and is authorized to
provide the professional services being offered by the entity;
(k) A Except as provided in division (B)(2) of this section,
a business entity that is a corporation formed under division (B)
of section 1701.03 of the Revised Code, a limited liability
company formed under Chapter 1705. of the Revised Code, a
partnership or a limited liability partnership formed under
Chapter 1775. of the Revised Code, or a professional association
formed under Chapter 1785. of the Revised Code, if, to be a
shareholder, member, or partner, an individual is required to be
licensed, certified, or otherwise legally authorized under Title
XLVII of the Revised Code to perform the professional service
provided by the entity and each such individual is a licensed
health professional authorized to prescribe drugs.
(2) No registered wholesaler of dangerous drugs shall possess
for sale, or sell, at wholesale, dangerous drugs to any of the
following:
(a) A prescriber who is employed by a pain management clinic
that is not licensed as a terminal distributor of dangerous drugs
with a pain management clinic classification issued under section
4729.552 of the Revised Code;
(b) A business entity described in division (B)(1)(j) of this
section that is, or is operating, a pain management clinic without
a license as a terminal distributor of dangerous drugs with a pain
management clinic classification issued under section 4729.552 of
the Revised Code;
(c) A business entity described in division (B)(1)(k) of this
section that is, or is operating, a pain management clinic without
a license as a terminal distributor of dangerous drugs with a pain
management clinic classification issued under section 4729.552 of
the Revised Code.
(3) No registered wholesale distributor of dangerous drugs
shall possess dangerous drugs for sale at wholesale, or sell such
drugs at wholesale, to a licensed terminal distributor of
dangerous drugs, except to as follows:
(a) A In the case of a terminal distributor who has with a
category I license, only dangerous drugs described in category I,
as defined in division (A)(1) of section 4729.54 of the Revised
Code;
(b) A In the case of a terminal distributor who has with a
category II license, only dangerous drugs described in category I
and category II, as defined in divisions (A)(1) and (2) of section
4729.54 of the Revised Code;
(c) A In the case of a terminal distributor who has with a
category III license, dangerous drugs described in category I,
category II, and category III, as defined in divisions (A)(1),
(2), and (3) of section 4729.54 of the Revised Code;
(d) A In the case of a terminal distributor who has with a
limited category I, II, or III license, only the dangerous drugs
specified in the certificate furnished by the terminal distributor
in accordance with section 4729.60 of the Revised Code.
(C)(1) Except as provided in division (C)(4) of this section,
no person shall sell, at retail, dangerous drugs.
(2) Except as provided in division (C)(4) of this section, no
person shall possess for sale, at retail, dangerous drugs.
(3) Except as provided in division (C)(4) of this section, no
person shall possess dangerous drugs.
(4) Divisions (C)(1), (2), and (3) of this section do not
apply to a registered wholesale distributor of dangerous drugs, a
licensed terminal distributor of dangerous drugs, or a person who
possesses, or possesses for sale or sells, at retail, a dangerous
drug in accordance with Chapters 3719., 4715., 4723., 4725.,
4729., 4730., 4731., and 4741. of the Revised Code.
Divisions (C)(1), (2), and (3) of this section do not apply
to an individual who holds a current license, certificate, or
registration issued under Title XLVII of the Revised Code and has
been certified to conduct diabetes education by a national
certifying body specified in rules adopted by the state board of
pharmacy under section 4729.68 of the Revised Code, but only to
the extent that the individual possesses insulin or personally
supplies insulin solely for the purpose of diabetes education and
only if diabetes education is within the individual's scope of
practice under statutes and rules regulating the individual's
profession.
Divisions (C)(1), (2), and (3) of this section do not apply
to an individual who holds a valid certificate issued by a
nationally recognized S.C.U.B.A. diving certifying organization
approved by the state board of pharmacy board in rule, but only to
the extent that the individual possesses medical oxygen or
personally supplies medical oxygen for the purpose of emergency
care or treatment at the scene of a diving emergency.
(D) No licensed terminal distributor of dangerous drugs shall
purchase for the purpose of resale dangerous drugs from any person
other than a registered wholesale distributor of dangerous drugs,
except as follows:
(1) A licensed terminal distributor of dangerous drugs may
make occasional purchases of dangerous drugs for resale from a
pharmacist who is a licensed terminal distributor of dangerous
drugs or who is employed by a licensed terminal distributor of
dangerous drugs;
(2) A licensed terminal distributor of dangerous drugs having
more than one establishment or place may transfer or receive
dangerous drugs from one establishment or place for which a
license has been issued to the terminal distributor to another
establishment or place for which a license has been issued to the
terminal distributor if the license issued for each establishment
or place is in effect at the time of the transfer or receipt.
(E) No licensed terminal distributor of dangerous drugs shall
engage in the sale or other distribution of dangerous drugs at
retail or maintain possession, custody, or control of dangerous
drugs for any purpose other than the distributor's personal use or
consumption, at any establishment or place other than that or
those described in the license issued by the state board of
pharmacy to such terminal distributor.
(F) Nothing in this section shall be construed to interfere
with the performance of official duties by any law enforcement
official authorized by municipal, county, state, or federal law to
collect samples of any drug, regardless of its nature or in whose
possession it may be.
Sec. 4729.54. (A) As used in this section and section
4729.541 of the Revised Code:
(1) "Category I" means single-dose injections of intravenous
fluids, including saline, Ringer's lactate, five per cent dextrose
and distilled water, and other intravenous fluids or parenteral
solutions included in this category by rule of the state board of
pharmacy, that have a volume of one hundred milliliters or more
and that contain no added substances, or single-dose injections of
epinephrine to be administered pursuant to sections 4765.38 and
4765.39 of the Revised Code.
(2) "Category II" means any dangerous drug that is not
included in category I or III.
(3) "Category III" means any controlled substance that is
contained in schedule I, II, III, IV, or V.
(4) "Emergency medical service organization" has the same
meaning as in section 4765.01 of the Revised Code.
(5) "Person" includes an emergency medical service
organization.
(6) "Schedule I, schedule II, schedule III, schedule IV, and
schedule V" mean controlled substance schedules I, II, III, IV,
and V, respectively, as established pursuant to section 3719.41 of
the Revised Code and as amended.
(B)(1) A person who desires to be licensed as a terminal
distributor of dangerous drugs shall file with the executive
director of the state board of pharmacy a verified application
that contains. After it is filed, the application may not be
withdrawn without approval of the board.
(2) An application shall contain all the following that apply
in the applicant's case:
(1)(a) Information that the board requires relative to the
qualifications of a terminal distributor of dangerous drugs set
forth in section 4729.55 of the Revised Code;
(2)(b) A statement that the person wishes to be licensed as a
category I, category II, category III, limited category I, limited
category II, or limited category III terminal distributor of
dangerous drugs;
(3)(c) If the person wishes to be licensed as a limited
category I, limited category II, or limited category III terminal
distributor of dangerous drugs, a notarized list of the dangerous
drugs that the person wishes to possess, have custody or control
of, and distribute, which list shall also specify the purpose for
which those drugs will be used and their source;
(4)(d) If the person is an emergency medical service
organization, the information that is specified in division (C)(1)
of this section;
(5)(e) Except for an emergency medical service organization,
the identity of the one establishment or place at which the person
intends to engage in the sale or other distribution of dangerous
drugs at retail, and maintain possession, custody, or control of
dangerous drugs for purposes other than the person's own use or
consumption;
(f) If the application pertains to a pain management clinic,
information that demonstrates, to the satisfaction of the board,
compliance with division (A) of section 4729.552 of the Revised
Code.
(C)(1) An emergency medical service organization that wishes
to be licensed as a terminal distributor of dangerous drugs shall
list in its application for licensure the following additional
information:
(a) The units under its control that the organization
determines will possess dangerous drugs for the purpose of
administering emergency medical services in accordance with
Chapter 4765. of the Revised Code;
(b) With respect to each such unit, whether the dangerous
drugs that the organization determines the unit will possess are
in category I, II, or III.
(2) An emergency medical service organization that is
licensed as a terminal distributor of dangerous drugs shall file a
new application for such licensure if there is any change in the
number, or location of, any of its units or any change in the
category of the dangerous drugs that any unit will possess.
(3) A unit listed in an application for licensure pursuant to
division (C)(1) of this section may obtain the dangerous drugs it
is authorized to possess from its emergency medical service
organization or, on a replacement basis, from a hospital pharmacy.
If units will obtain dangerous drugs from a hospital pharmacy, the
organization shall file, and maintain in current form, the
following items with the pharmacist who is responsible for the
hospital's terminal distributor of dangerous drugs license:
(a) A copy of its standing orders or protocol;
(b) A list of the personnel employed or used by the
organization to provide emergency medical services in accordance
with Chapter 4765. of the Revised Code, who are authorized to
possess the drugs, which list also shall indicate the personnel
who are authorized to administer the drugs.
(D) Each emergency medical service organization that applies
for a terminal distributor of dangerous drugs license shall submit
with its application the following:
(1) A notarized copy of its standing orders or protocol,
which orders or protocol shall be signed by a physician and
specify the dangerous drugs that its units may carry, expressed in
standard dose units;
(2) A list of the personnel employed or used by the
organization to provide emergency medical services in accordance
with Chapter 4765. of the Revised Code.
An emergency medical service organization that is licensed as
a terminal distributor shall notify the board immediately of any
changes in its standing orders or protocol.
(E) There shall be six categories of terminal distributor of
dangerous drugs licenses, which categories shall be as follows:
(1) Category I license. A person who obtains this license may
possess, have custody or control of, and distribute only the
dangerous drugs described in category I.
(2) Limited category I license. A person who obtains this
license may possess, have custody or control of, and distribute
only the dangerous drugs described in category I that were listed
in the application for licensure.
(3) Category II license. A person who obtains this license
may possess, have custody or control of, and distribute only the
dangerous drugs described in category I and category II.
(4) Limited category II license. A person who obtains this
license may possess, have custody or control of, and distribute
only the dangerous drugs described in category I or category II
that were listed in the application for licensure.
(5) Category III license, which may include a pain management
clinic classification issued under section 4729.552 of the Revised
Code. A person who obtains this license may possess, have custody
or control of, and distribute the dangerous drugs described in
category I, category II, and category III. If the license includes
a pain management clinic classification, the person may operate a
pain management clinic.
(6) Limited category III license. A person who obtains this
license may possess, have custody or control of, and distribute
only the dangerous drugs described in category I, category II, or
category III that were listed in the application for licensure.
(F) Except for an application made on behalf of an animal
shelter, if an applicant for licensure as a limited category I,
II, or III terminal distributor of dangerous drugs intends to
administer dangerous drugs to a person or animal, the applicant
shall submit, with the application, a notarized copy of its
protocol or standing orders, which protocol or orders shall be
signed by a licensed health professional authorized to prescribe
drugs, specify the dangerous drugs to be administered, and list
personnel who are authorized to administer the dangerous drugs in
accordance with federal law or the law of this state. An
application made on behalf of an animal shelter shall include a
notarized list of the dangerous drugs to be administered to
animals and the personnel who are authorized to administer the
drugs to animals in accordance with section 4729.532 of the
Revised Code. After obtaining a terminal distributor license, a
licensee shall notify the board immediately of any changes in its
protocol or standing orders, or in such personnel.
(G)(1) Except as provided in division (G)(2) of this section,
each applicant for licensure as a terminal distributor of
dangerous drugs shall submit, with the application, a license fee
determined as follows:
(a) For a category I or limited category I license,
forty-five dollars;
(b) For a category II or limited category II license, one
hundred twelve dollars and fifty cents;
(c) For a category III license, including a license with a
pain management clinic classification issued under section
4729.552 of the Revised Code, or a limited category III license,
one hundred fifty dollars.
(2) For a professional association, corporation, partnership,
or limited liability company organized for the purpose of
practicing veterinary medicine, the fee shall be forty dollars.
(3) Fees assessed under divisions (G)(1) and (2) of this
section shall not be returned if the applicant fails to qualify
for registration.
(H)(1) The board shall issue a terminal distributor of
dangerous drugs license to each person who submits an application
for such licensure in accordance with this section, pays the
required license fee, is determined by the board to meet the
requirements set forth in section 4729.55 of the Revised Code, and
satisfies any other applicable requirements of this section.
(2) The license of a person other than an emergency medical
service organization shall describe the one establishment or place
at which the licensee may engage in the sale or other distribution
of dangerous drugs at retail and maintain possession, custody, or
control of dangerous drugs for purposes other than the licensee's
own use or consumption. The one establishment or place shall be
that which is described in the application for licensure.
No such license shall authorize or permit the terminal
distributor of dangerous drugs named in it to engage in the sale
or other distribution of dangerous drugs at retail or to maintain
possession, custody, or control of dangerous drugs for any purpose
other than the distributor's own use or consumption, at any
establishment or place other than that described in the license,
except that an agent or employee of an animal shelter may possess
and use dangerous drugs in the course of business as provided in
division (D) of section 4729.532 of the Revised Code.
(3) The license of an emergency medical service organization
shall cover and describe all the units of the organization listed
in its application for licensure.
(4) The license of every terminal distributor of dangerous
drugs shall indicate, on its face, the category of licensure. If
the license is a limited category I, II, or III license, it shall
specify, and shall authorize the licensee to possess, have custody
or control of, and distribute only, the dangerous drugs that were
listed in the application for licensure.
(I) All licenses issued pursuant to this section shall be
effective for a period of twelve months from the first day of
January of each year. A license shall be renewed by the board for
a like period, annually, according to the provisions of this
section, and the standard renewal procedure of Chapter 4745. of
the Revised Code. A person who desires to renew a license shall
submit an application for renewal and pay the required fee on or
before the thirty-first day of December each year. The fee
required for the renewal of a license shall be the same as the fee
paid for the license being renewed, and shall accompany the
application for renewal.
A license that has not been renewed during December in any
year and by the first day of February of the following year may be
reinstated only upon payment of the required renewal fee and a
penalty fee of fifty-five dollars.
(J)(1) No emergency medical service organization that is
licensed as a terminal distributor of dangerous drugs shall fail
to comply with division (C)(2) or (3) of this section.
(2) No emergency medical service organization that is
licensed as a terminal distributor of dangerous drugs shall fail
to comply with division (D) of this section.
(3) No licensed terminal distributor of dangerous drugs shall
possess, have custody or control of, or distribute dangerous drugs
that the terminal distributor is not entitled to possess, have
custody or control of, or distribute by virtue of its category of
licensure.
(4) No licensee that is required by division (F) of this
section to notify the board of changes in its protocol or standing
orders, or in personnel, shall fail to comply with that division.
Sec. 4729.541. A person (A) Except as provided in division
(B) of this section, a business entity described in division
(B)(1)(j) or (k) of section 4729.51 of the Revised Code may
possess, have custody or control of, and distribute the dangerous
drugs in category I, category II, and category III of section
4729.54 of the Revised Code without holding a terminal distributor
of dangerous drugs license issued under that section.
(B) If a business entity described in division (B)(1)(j) or
(k) of section 4729.51 of the Revised Code is a pain management
clinic or is operating a pain management clinic, the entity shall
hold a license as a terminal distributor of dangerous drugs with a
pain management clinic classification issued under section
4729.552 of the Revised Code.
Sec. 4729.55. No license shall be issued to an applicant for
licensure as a terminal distributor of dangerous drugs unless the
applicant has furnished satisfactory proof to the state board of
pharmacy that:
(A) The applicant is equipped as to land, buildings, and
equipment to properly carry on the business of a terminal
distributor of dangerous drugs within the category of licensure
approved by the board.
(B) A pharmacist, licensed health professional authorized to
prescribe drugs, animal shelter licensed with the state board of
pharmacy under section 4729.531 of the Revised Code, or a
laboratory as defined in section 3719.01 of the Revised Code will
maintain supervision and control over the possession and custody
of dangerous drugs that may be acquired by or on behalf of the
applicant.
(C) Adequate safeguards are assured to prevent the sale or
other distribution of dangerous drugs by any person other than a
pharmacist or licensed health professional authorized to prescribe
drugs.
(D) Adequate safeguards are assured that the applicant will
carry on the business of a terminal distributor of dangerous drugs
in a manner that allows pharmacists and pharmacy interns employed
by the terminal distributor to practice pharmacy in a safe and
effective manner.
(E) If the applicant, or any agent or employee of the
applicant, has been found guilty of violating section 4729.51 of
the Revised Code, the "Federal Food, Drug, and Cosmetic Act," 52
Stat. 1040 (1938), 21 U.S.C.A. 301, the federal drug abuse control
laws, Chapter 2925., 3715., 3719., or 4729. of the Revised Code,
or any rule of the board, adequate safeguards are assured to
prevent the recurrence of the violation.
(F) In the case of an applicant who is a food processor or
retail seller of food, the applicant will maintain supervision and
control over the possession and custody of nitrous oxide.
(G) In the case of an applicant who is a retail seller of
oxygen in original packages labeled as required by the "Federal
Food, Drug, and Cosmetic Act," the applicant will maintain
supervision and control over the possession, custody, and retail
sale of the oxygen.
(H) If the application is made on behalf of an animal
shelter, at least one of the agents or employees of the animal
shelter is certified in compliance with section 4729.532 of the
Revised Code.
(I) In the case of an applicant who is a retail seller of
peritoneal dialysis solutions in original packages labeled as
required by the "Federal Food, Drug, and Cosmetic Act," 52 Stat.
1040 (1938), 21 U.S.C.A. 301, the applicant will maintain
supervision and control over the possession, custody, and retail
sale of the peritoneal dialysis solutions.
(J) In the case of an applicant who is a pain management
clinic, the applicant meets the requirements to receive a license
with a pain management clinic classification issued under section
4729.552 of the Revised Code.
Sec. 4729.552. (A) To be eligible to receive a license as a
category III terminal distributor of dangerous drugs with a pain
management clinic classification, an applicant shall submit
evidence satisfactory to the board that the applicant's pain
management clinic will be operated in accordance with the
requirements specified in division (B) of this section and that
the applicant meets any other applicable requirements under this
chapter or Chapter 3719. of the Revised Code.
If the board determines that an applicant meets all of the
requirements, the board shall issue to the applicant a license as
a category III terminal distributor of dangerous drugs and specify
on the license that the terminal distributor is classified as a
pain management clinic.
(B) The holder of a terminal distributor license with a pain
management clinic classification shall do all of the following:
(1) Be in control of a facility that is owned and operated
solely by one or more physicians authorized under Chapter 4731. of
the Revised Code to practice medicine and surgery or osteopathic
medicine and surgery;
(2) Ensure that any person employed by the facility complies
with the requirements for the operation of a pain management
clinic established by the state medical board in rules adopted
under section 4731.054 of the Revised Code;
(3) Require any person with ownership of the facility to
submit to a criminal records check in accordance with section
4776.02 of the Revised Code and send the results of the criminal
records check directly to the state board of pharmacy for review
and decision under section 4729.071 of the Revised Code;
(4) Require all employees of the facility to submit to a
criminal records check in accordance with section 4776.02 of the
Revised Code and ensure that no person is employed who has
previously been convicted of, or pleaded guilty to, any felony in
this state, another state, or the United States;
(5) Maintain a list of each person with ownership of the
facility and notify the state board of pharmacy of any change to
that list.
(C) No person shall operate a facility that under this
chapter is subject to licensure as a category III terminal
distributor of dangerous drugs with a pain management clinic
classification without obtaining and maintaining the license with
the classification.
No person who holds a category III license with a pain
management clinic classification shall fail to remain in
compliance with the requirements of division (A) of this section
and any other applicable requirements under this chapter or
Chapter 3719. of the Revised Code.
(D) The board may impose a fine of not more than five
thousand dollars on a terminal distributor of dangerous drugs
license holder who violates division (C) of this section. A
separate fine may be imposed for each day the violation continues.
In imposing the fine, the board's actions shall be taken in
accordance with Chapter 119. of the Revised Code.
Sec. 4729.571. If the state board of pharmacy determines that
there is clear and convincing evidence that the method used by a
terminal distributor of dangerous drugs to distribute controlled
substances presents a danger of immediate and serious harm to
others, the board may suspend the terminal distributor's license
without a hearing. The board shall follow the procedure for
suspension without a prior hearing in section 119.07 of the
Revised Code. The suspension shall remain in effect, unless
removed by the board, until the board's final adjudication order
becomes effective, except that if the board does not issue its
final adjudication order within ninety days after the hearing, the
suspension shall be void on the ninety-first day after the
suspension.
If the terminal distributor holds a license with a pain
management clinic classification issued under section 4729.552 of
the Revised Code and the person holding the license also holds a
certificate issued under Chapter 4731. of the Revised Code to
practice medicine and surgery or osteopathic medicine and surgery,
prior to suspending the license without a hearing, the board shall
consult with the secretary of the state medical board or, if the
secretary is unavailable, another physician member of the board.
Sec. 4729.69. (A) The state board of pharmacy, in
collaboration with the director of alcohol and drug addiction
services and attorney general, shall establish and administer a
drug take-back program under which drugs are collected from the
community for the purpose of destruction or disposal of the drugs.
(B) The program shall be established and administered in such
a manner that it does both of the following:
(1) Complies with any state or federal laws regarding the
collection, destruction, or disposal of drugs;
(2) Maintains the confidentiality of individuals who submit
or otherwise provide drugs under the program.
(C) In consultation with the director of alcohol and drug
addiction services and attorney general, the board shall adopt
rules governing the program. The rules shall be adopted in
accordance with Chapter 119. of the Revised Code. In adopting the
rules, the board shall specify all of the following:
(1) The entities that may participate;
(2) Guidelines and responsibilities for accepting drugs by
participating entities;
(3) Drugs that may be collected;
(4) Record-keeping requirements;
(5) Proper methods to destroy unused drugs;
(6) Privacy protocols and security standards;
(7) Drug transportation procedures;
(8) The schedule, duration, and frequency of the collections
of drugs, except that the first collection shall occur not later
than one year after the effective date of this section;
(9) Any other standards and procedures the board considers
necessary for purposes of governing the program.
(D) In accordance with state and federal law, the board may
adopt rules to allow an entity participating in the program to
return any unused drugs to the pharmacy that originally dispensed
the drug. The rules shall include procedures to be followed to
maintain the confidentiality of the person for whom the drug was
dispensed.
(E) Rules adopted under this section may not do any of the
following:
(1) Require any entity to establish, fund, or operate a drug
take-back program;
(2) Establish any new licensing requirement or fee to
participate in the program;
(3) Require any entity to compile data on drugs collected.
(F) The board may compile data on the amount and type of
drugs collected under the program. For purposes of this division,
the board may cooperate with a public or private entity in
obtaining assistance in the compilation of data. An entity
providing the assistance shall not be reimbursed under the program
for any costs incurred in providing the assistance.
(G) If the board compiles data under division (F) of this
section, the board shall submit a report to the governor and, in
accordance with section 101.68 of the Revised Code, the general
assembly. The report, to the extent possible, shall include the
following information:
(1) Total weight of drugs collected, both with and without
packaging;
(2) The weight of controlled substances;
(3) The amount of all of the following as a per cent of total
drugs collected:
(a) Controlled substances;
(e) Non-prescription drugs.
(4) The amount of vitamins, herbal supplements, and personal
care products collected;
(5) If provided by the person who submitted or otherwise
donated drugs to the program, the reasons why the drugs were
returned or unused.
(H) No entity is required to participate in a drug take-back
program established under this section, and no entity shall be
subject to civil liability or professional disciplinary action for
declining to participate.
(I) The board may accept grants, gifts, or donations for
purposes of the program. Money received under this division shall
be deposited into the drug take-back program fund established
under section 109.90 of the Revised Code.
Sec. 4729.75. The state board of pharmacy may establish and
maintain a drug database. The board shall use the drug database to
monitor the misuse and diversion of controlled substances, as
defined in section 3719.01 of the Revised Code, and other
dangerous drugs the board includes in the database pursuant to
rules adopted under section 4729.83 4729.84 of the Revised Code.
In establishing and maintaining the database, the board shall
electronically collect information pursuant to sections 4729.77
and 4729.78 4729.79 of the Revised Code and shall disseminate
information as authorized or required by sections 4729.79 4729.80
and 4729.80 4729.81 of the Revised Code. The board's collection
and dissemination of information shall be conducted in accordance
with rules adopted under section 4729.83 4729.84 of the Revised
Code.
Sec. 4729.77. (A) If the state board of pharmacy establishes
and maintains a drug database pursuant to section 4729.75 of the
Revised Code, each pharmacy licensed as a terminal distributor of
dangerous drugs that dispenses drugs to patients in this state and
is included in the types of pharmacies specified in rules adopted
under section 4729.83 4729.84 of the Revised Code shall submit to
the board the following prescription information:
(1) Terminal distributor identification;
(2) Patient identification;
(3) Prescriber identification;
(4) Date prescription was issued by prescriber;
(5) Date prescription drug was dispensed;
(6) Indication of whether prescription the drug dispensed is
new or a refill;
(7) Name, strength, and national drug code of the drug
dispensed;
(8) Quantity of drug dispensed;
(9) Number of days' supply of drug dispensed;
(10) Serial or prescription number assigned by the terminal
distributor;
(11) Source of payment for the prescription drug dispensed.
(B)(1) The information shall be transmitted as specified by
the board in rules adopted under section 4729.83 4729.84 of the
Revised Code.
(1)(2) The information shall be submitted electronically in
the format specified by the board, except that the board may grant
a waiver allowing the distributor to submit the information in
another format.
(2)(3) The information shall be submitted in accordance with
any time limits specified by the board, except that the board may
grant an extension if either of the following occurs:
(a) The distributor suffers a mechanical or electronic
failure, or cannot meet the deadline for other reasons beyond the
distributor's control.
(b) The board is unable to receive electronic submissions.
(C) This section does not apply to a prescriber personally
furnishing or administering dangerous drugs to the prescriber's
patient.
Sec. 4729.78. (A) If the state board of pharmacy establishes
and maintains a drug database pursuant to section 4729.75 of the
Revised Code, each wholesale distributor of dangerous drugs that
delivers drugs in this state to prescribers in this state or
terminal distributors of dangerous drugs shall submit to the board
the following purchase information:
(1) Purchaser identification;
(2) Identification of the drug sold;
(3) Quantity of the drug sold;
(5) The wholesale distributor's license number issued by the
board.
(B)(1) The information shall be transmitted as specified by
the board in rules adopted under section 4729.83 4729.84 of the
Revised Code.
(1)(2) The information shall be submitted electronically in
the format specified by the board, except that the board may grant
a waiver allowing the distributor to submit the information in
another format.
(2)(3) The information shall be submitted in accordance with
any time limits specified by the board, except that the board may
grant an extension if either of the following occurs:
(a) The distributor suffers a mechanical or electronic
failure, or cannot meet the deadline for other reasons beyond the
distributor's control.
(b) The board is unable to receive electronic submissions.
Sec. 4729.79. (A) If the state board of pharmacy establishes
and maintains a drug database pursuant to section 4729.75 of the
Revised Code, each licensed health professional authorized to
prescribe drugs, other than a veterinarian, who personally
furnishes a controlled substance or other dangerous drug the board
includes in the database pursuant to rules adopted under section
4729.84 of the Revised Code to a patient in this state shall
submit to the board the following information:
(1) Prescriber identification;
(2) Patient identification;
(3) Date drug was furnished by the prescriber;
(4) Indication of whether the drug furnished is new or a
refill;
(5) Name, strength, and national drug code of drug furnished;
(6) Quantity of drug furnished;
(7) Number of days' supply of drug furnished;
(8) Source of payment for the drug furnished.
(B)(1) The information shall be transmitted as specified by
the board in rules adopted under section 4729.84 of the Revised
Code.
(2) The information shall be submitted electronically in the
format specified by the board, except that the board may grant a
waiver allowing the prescriber to submit the information in
another format.
(3) The information shall be submitted in accordance with any
time limits specified by the board, except that the board may
grant an extension if either of the following occurs:
(a) The prescriber's transmission system suffers a mechanical
or electronic failure, or the prescriber cannot meet the deadline
for other reasons beyond the prescriber's control.
(b) The board is unable to receive electronic submissions.
(C) If the board becomes aware of a prescriber's failure to
comply with this section, the board shall notify the government
entity responsible for licensing the prescriber.
Sec. 4729.79 4729.80. (A) If the state board of pharmacy
establishes and maintains a drug database pursuant to section
4729.75 of the Revised Code, the board may is authorized or
required to provide information from the database in accordance
with the following:
(1) On receipt of a request from a designated representative
of a government entity responsible for the licensure, regulation,
or discipline of licensed health care professionals authorized
with authority to prescribe, administer, or dispense drugs, the
board may provide to the representative information from the
database relating to the professional who is the subject of an
active investigation being conducted by the government entity.
(2) On receipt of a request from a federal officer, or a
state or local officer of this or any other state, whose duties
include enforcing laws relating to drugs, the board may shall
provide to the officer information from the database relating to
the person who is the subject of an active investigation of a drug
abuse offense, as defined in section 2925.01 of the Revised Code,
being conducted by the officer's employing government entity.
(3) Pursuant to a subpoena issued by a grand jury, the board
may shall provide to the grand jury information from the database
relating to the person who is the subject of an investigation
being conducted by the grand jury.
(4) Pursuant to a subpoena, search warrant, or court order in
connection with the investigation or prosecution of a possible or
alleged criminal offense, the board shall provide information from
the database as necessary to comply with the subpoena, search
warrant, or court order.
(5) On receipt of a request from a pharmacist or prescriber
or the prescriber's agent registered with the board, the board may
provide to the requestor prescriber information from the database
relating to a current patient of the requestor prescriber, if the
requestor prescriber certifies in a form specified by the board
that it is for the purpose of providing medical or pharmaceutical
treatment to the patient who is the subject of the request.
(5)(6) On receipt of a request from a pharmacist, the board
may provide to the pharmacist information from the database
relating to a current patient of the pharmacist, if the pharmacist
certifies in a form specified by the board that it is for the
purpose of the pharmacist's practice of pharmacy involving the
patient who is the subject of the request.
(7) On receipt of a request from an individual seeking the
individual's own database information in accordance with the
procedure established in rules adopted under section 4729.83
4729.84 of the Revised Code, the board may provide to the
individual the individual's own database information.
(8) On receipt of a request from the medical director of a
managed care organization that has entered into a data security
agreement with the board required by section 5111.1710 of the
Revised Code, the board may provide to the medical director
information from the database relating to a medicaid recipient
enrolled in the managed care organization.
(9) On receipt of a request from the director of job and
family services, the board may provide to the director information
from the database relating to a recipient of a program
administered by the department of job and family services.
(10) On receipt of a request from the administrator of
workers' compensation, the board may provide to the administrator
information from the database relating to a claimant under Chapter
4121., 4123., 4127., or 4131. of the Revised Code.
(11) On receipt of a request from a requestor described in
division (A)(1), (2), (5), or (6) of this section who is from or
participating with another state's prescription monitoring
program, the board may provide to the requestor information from
the database, but only if there is a written agreement under which
the information is to be used and disseminated according to the
laws of this state.
(B) The state board of pharmacy shall maintain a record of
each individual or entity that requests information from the
database pursuant to this section. In accordance with rules
adopted under section 4729.83 4729.84 of the Revised Code, the
board may use the records to document and report statistics and
law enforcement outcomes.
The board may provide records of an individual's requests for
database information to the following:
(1) A designated representative of a government entity that
is responsible for the licensure, regulation, or discipline of
licensed health care professionals authorized with authority to
prescribe, administer, or dispense drugs who is involved in an
active investigation being conducted by the government entity of
the individual who submitted the requests for database
information;
(2) A federal officer, or a state or local officer of this or
any other state, whose duties include enforcing laws relating to
drugs and who is involved in an active investigation being
conducted by the officer's employing government entity of the
individual who submitted the requests for database information.
(C) Information contained in the database and any information
obtained from it is not a public record. Information contained in
the records of requests for information from the database is not a
public record. Information that does not identify a person may be
released in summary, statistical, or aggregate form.
(D) Nothing in this section requires a pharmacist or
prescriber to obtain information about a patient from the
database. A pharmacist or prescriber shall not be held liable in
damages to any person in any civil action for injury, death, or
loss to person or property on the basis that the pharmacist or
prescriber did or did not seek or obtain information from the
database.
Sec. 4729.80 4729.81. If the state board of pharmacy
establishes and maintains a drug database pursuant to section
4729.75 of the Revised Code, the board shall review the
information in the drug database. If the board determines from the
review that a violation of law may have occurred, it shall notify
the appropriate law enforcement agency or a government entity
responsible for the licensure, regulation, or discipline of
licensed health care professionals authorized to prescribe drugs
and supply information required by the agency or entity for an
investigation of the violation of law that may have occurred.
Sec. 4729.81 4729.82. If the state board of pharmacy
establishes a drug database pursuant to section 4729.75 of the
Revised Code, the information collected for the database shall be
retained in the database for at least two years.
The Any
information that identifies a patient shall then be destroyed
after it has been retained for two years unless a law enforcement
agency or a government entity responsible for the licensure,
regulation, or discipline of licensed health care professionals
authorized to prescribe drugs has submitted a written request to
the board for retention of
specific the information in accordance
with rules adopted by the board under section 4729.83 4729.84 of
the Revised Code.
Sec. 4729.82 4729.83. (A) If the state board of pharmacy
establishes and maintains a drug database pursuant to section
4729.75 of the Revised Code, the board shall not impose any charge
on a terminal distributor of dangerous drugs, pharmacist, or
prescriber for the establishment or maintenance of the database.
The board shall not charge any fees for the transmission of data
to the database or for the receipt of information from the
database, except that the board may charge a fee in accordance
with rules adopted under section 4729.83 4729.84 of the Revised
Code to an individual who requests the individual's own database
information under section 4729.79 4729.80 of the Revised Code.
(B) The board may accept grants, gifts, or donations for
purposes of the drug database. Any money received shall be
deposited into the state treasury to the credit of the drug
database fund, which is hereby created. Money in the fund shall be
used solely for purposes of the drug database.
Sec. 4729.83 4729.84. For purposes of establishing and
maintaining a drug database pursuant to section 4729.75 of the
Revised Code, the state board of pharmacy shall adopt rules in
accordance with Chapter 119. of the Revised Code to carry out and
enforce sections 4729.75 to 4729.82 4729.83 of the Revised Code.
The rules shall specify all of the following:
(A) A means of identifying each patient, each terminal
distributor of dangerous drugs, and each purchase at wholesale of
dangerous drugs about which information is entered into the drug
database;
(B) Requirements for the transmission of information from
terminal distributors and of dangerous drugs, wholesale
distributors of dangerous drugs for purposes of the database, and
prescribers;
(C) An electronic format for the submission of information
from terminal distributors and, wholesale distributors of
dangerous drugs, and prescribers;
(D) A procedure whereby a terminal distributor or a,
wholesale distributor of dangerous drugs, or prescriber unable to
submit information electronically may obtain a waiver to submit
information in another format;
(E) A procedure whereby the board may grant a request from a
law enforcement agency or a government entity responsible for the
licensure, regulation, or discipline of licensed health care
professionals authorized to prescribe drugs that information that
has been stored for two years be retained when the information
pertains to an open investigation being conducted by the agency or
entity;
(F) A procedure whereby a terminal or distributor, wholesale
distributor, or prescriber may apply for an extension to the time
by which information must be transmitted to the board;
(G) A procedure whereby a person or government entity to
which the board is authorized to provide information may submit a
request to the board for the information and the board may verify
the identity of the requestor;
(H) A procedure whereby the board can use the database
request records required by division (B) of section
4729.79
4729.80 of the Revised Code to document and report statistics and
law enforcement outcomes;
(I) A procedure whereby an individual may request the
individual's own database information and the board may verify the
identity of the requestor;
(J) A reasonable fee that the board may charge under section
4729.82 4729.83 of the Revised Code for providing an individual
with the individual's own database information pursuant to section
4729.79 4729.80 of the Revised Code;
(K) The other specific dangerous drugs other than that, in
addition to controlled substances that, must be included in the
database;
(L) The types of pharmacies licensed as terminal distributors
of dangerous drugs that are required to submit prescription
information to the board pursuant to section 4729.77 of the
Revised Code.
Sec. 4729.84 4729.85. (A) If the state board of pharmacy
establishes and maintains a drug database pursuant to section
4729.75 of the Revised Code, the board shall present a biennial
report to the standing committees of the house of representatives
and the senate that are primarily responsible for considering
health and human services issues. The initial report shall be
presented not later than two years after the database is
established.
(B) Each report presented under this section shall include
all of the following:
(1) The cost to the state of establishing and maintaining the
database;
(2) Information from terminal distributors of dangerous
drugs, prescribers, and the board regarding the board's
effectiveness in providing information from the database;
(3) The board's timeliness in transmitting information from
the database.
Sec. 4729.86. If the state board of pharmacy establishes and
maintains a drug database pursuant to section 4729.75 of the
Revised Code, all of the following apply:
(A)(1) No person identified in divisions (A)(1) to (10) or
(B) of section 4729.80 of the Revised Code shall disseminate any
written or electronic document the person receives from the drug
database, except as necessary in the investigation or prosecution
of a possible or alleged criminal offense.
(2) No person shall provide false information to the state
board of pharmacy with the intent to obtain information contained
in the drug database.
(3) No person shall obtain drug database information by any
means except as provided under section 4729.80 or 4729.81 of the
Revised Code.
(B) A person shall not use a document obtained pursuant to
division (A) of section 4729.80 of the Revised Code as evidence in
any civil or administrative proceeding.
(C)(1) The board may restrict a person from obtaining further
information from the drug database if any of the following is the
case:
(a) The person is convicted of or pleads guilty to a
violation of division (A)(1), (2), or (3) of this section;
(b) The person is a requestor identified in division (A)(11)
of section 4729.80 of the Revised Code and the board determines
that the person's actions in another state would have constituted
a violation of division (A)(1), (2), or (3) of this section;
(c) The person fails to comply with division (B) of this
section, regardless of the jurisdiction in which the failure to
comply occurred.
(2) The board shall determine the extent to which the person
is restricted from obtaining further information from the
database.
Sec. 4729.99. (A) Whoever violates section 4729.16, division
(A) or (B) of section 4729.38, or section 4729.57 of the Revised
Code is guilty of a minor misdemeanor. Each day's violation
constitutes a separate offense.
(B) Whoever violates section 4729.27, 4729.28, or 4729.36 of
the Revised Code is guilty of a misdemeanor of the third degree.
Each day's violation constitutes a separate offense. If the
offender previously has been convicted of or pleaded guilty to a
violation of this chapter, that person is guilty of a misdemeanor
of the second degree.
(C) Whoever violates section 4729.32, 4729.33, or 4729.34 of
the Revised Code is guilty of a misdemeanor.
(D) Whoever violates division (A), (B), (D), or (E) of
section 4729.51 of the Revised Code is guilty of a misdemeanor of
the first degree.
(E)(1) Whoever violates section 4729.37, division (C)(2) of
section 4729.51, division (J) of section 4729.54, or section
4729.61 of the Revised Code is guilty of a felony of the fifth
degree. If the offender previously has been convicted of or
pleaded guilty to a violation of this chapter or a violation of
Chapter 2925. or 3719. of the Revised Code, that person is guilty
of a felony of the fourth degree.
(2) If an offender is convicted of or pleads guilty to a
violation of section 4729.37, division (C) of section 4729.51,
division (J) of section 4729.54, or section 4729.61 of the Revised
Code, if the violation involves the sale, offer to sell, or
possession of a schedule I or II controlled substance, with the
exception of marihuana, and if the court imposing sentence upon
the offender finds that the offender as a result of the violation
is a major drug offender, as defined in section 2929.01 of the
Revised Code, and is guilty of a specification of the type
described in section 2941.1410 of the Revised Code, the court, in
lieu of the prison term authorized or required by division (E)(1)
of this section and sections 2929.13 and 2929.14 of the Revised
Code and in addition to any other sanction imposed for the offense
under sections 2929.11 to 2929.18 of the Revised Code, shall
impose upon the offender, in accordance with division (D)(3)(a) of
section 2929.14 of the Revised Code, the mandatory prison term
specified in that division and may impose an additional prison
term under division (D)(3)(b) of that section.
(3) Notwithstanding any contrary provision of section 3719.21
of the Revised Code, the clerk of court shall pay any fine imposed
for a violation of section 4729.37, division (C) of section
4729.51, division (J) of section 4729.54, or section 4729.61 of
the Revised Code pursuant to division (A) of section 2929.18 of
the Revised Code in accordance with and subject to the
requirements of division (F) of section 2925.03 of the Revised
Code. The agency that receives the fine shall use the fine as
specified in division (F) of section 2925.03 of the Revised Code.
(F) Whoever violates section 4729.531 of the Revised Code or
any rule adopted thereunder or section 4729.532 of the Revised
Code is guilty of a misdemeanor of the first degree.
(G) Whoever violates division (C)(1) of section 4729.51 of
the Revised Code is guilty of a felony of the fourth degree. If
the offender has previously been convicted of or pleaded guilty to
a violation of this chapter, or of a violation of Chapter 2925. or
3719. of the Revised Code, that person is guilty of a felony of
the third degree.
(H) Whoever violates division (C)(3) of section 4729.51 of
the Revised Code is guilty of a misdemeanor of the first degree.
If the offender has previously been convicted of or pleaded guilty
to a violation of this chapter, or of a violation of Chapter 2925.
or 3719. of the Revised Code, that person is guilty of a felony of
the fifth degree.
(I)(1) Whoever violates division (B) of section 4729.42 of
the Revised Code is guilty of unauthorized pharmacy-related drug
conduct. Except as otherwise provided in this section,
unauthorized pharmacy-related drug conduct is a misdemeanor of the
second degree. If the offender previously has been convicted of or
pleaded guilty to a violation of division (B), (C), (D), or (E) of
that section, unauthorized pharmacy-related drug conduct is a
misdemeanor of the first degree on a second offense and a felony
of the fifth degree on a third or subsequent offense.
(2) Whoever violates division (C) or (D) of section 4729.42
of the Revised Code is guilty of permitting unauthorized
pharmacy-related drug conduct. Except as otherwise provided in
this section, permitting unauthorized pharmacy-related drug
conduct is a misdemeanor of the second degree. If the offender
previously has been convicted of or pleaded guilty to a violation
of division (B), (C), (D), or (E) of that section, permitting
unauthorized pharmacy-related drug conduct is a misdemeanor of the
first degree on a second offense and a felony of the fifth degree
on a third or subsequent offense.
(3) Whoever violates division (E) of section 4729.42 of the
Revised Code is guilty of the offense of falsification under
section 2921.13 of the Revised Code. In addition to any other
sanction imposed for the violation, the offender is forever
disqualified from engaging in any activity specified in division
(B)(1), (2), or (3) of section 4729.42 of the Revised Code and
from performing any function as a health care professional or
health care worker. As used in this division, "health care
professional" and "health care worker" have the same meanings as
in section 2305.234 of the Revised Code.
(4) Notwithstanding any contrary provision of section 3719.21
of the Revised Code or any other provision of law that governs the
distribution of fines, the clerk of the court shall pay any fine
imposed pursuant to division (I)(1), (2), or (3) of this section
to the state board of pharmacy if the board has adopted a written
internal control policy under division (F)(2) of section 2925.03
of the Revised Code that addresses fine moneys that it receives
under Chapter 2925. of the Revised Code and if the policy also
addresses fine moneys paid under this division. The state board of
pharmacy shall use the fines so paid in accordance with the
written internal control policy to subsidize the board's law
enforcement efforts that pertain to drug offenses.
(J)(1) Whoever violates division (A)(1) of section 4729.86 of
the Revised Code is guilty of a misdemeanor of the third degree.
If the offender has previously been convicted of or pleaded guilty
to a violation of division (A)(1), (2), or (3) of section 4729.86
of the Revised Code, that person is guilty of a misdemeanor of the
first degree.
(2) Whoever violates division (A)(2) of section 4729.86 of
the Revised Code is guilty of a misdemeanor of the first degree.
If the offender has previously been convicted of or pleaded guilty
to a violation of division (A)(1), (2), or (3) of section 4729.86
of the Revised Code, that person is guilty of a felony of the
fifth degree.
(3) Whoever violates division (A)(3) of section 4729.86 of
the Revised Code is guilty of a felony of the fifth degree. If the
offender has previously been convicted of or pleaded guilty to a
violation of division (A)(1), (2), or (3) of section 4729.86 of
the Revised Code, that person is guilty of a felony of the fourth
degree.
(K) A person who violates division (C) of section 4729.552 of
the Revised Code is guilty of a misdemeanor of the first degree.
If the person previously has been convicted of or pleaded guilty
to a violation of division (C) of section 4729.552 of the Revised
Code, that person is guilty of a felony of the fifth degree.
Sec. 4730.53. (A) As used in this section, "drug database"
means the database established and maintained by the state board
of pharmacy pursuant to section 4729.75 of the Revised Code.
(B) The medical board shall adopt rules in accordance with
Chapter 119. of the Revised Code that establish standards and
procedures to be followed by a physician assistant who holds a
certificate to prescribe issued under this chapter regarding the
review of patient information available through the drug database.
(C) This section and the rules adopted under it do not apply
if the state board of pharmacy no longer maintains the drug
database.
Sec. 4731.052. (A) As used in this section:
(1) "Dangerous drug" has the same meaning as in section
4729.01 of the Revised Code.
(2) "Intractable pain" means a state of pain that is
determined, after reasonable medical efforts have been made to
relieve the pain or cure its cause, to have a cause for which no
treatment or cure is possible or for which none has been found
Chronic pain" means pain that has persisted after reasonable
medical efforts have been made to relieve the pain or cure its
cause and that has continued, either continuously or episodically,
for longer than three continuous months. "Chronic pain" does not
include pain associated with a terminal condition or with a
progressive disease that, in the normal course of progression, may
reasonably be expected to result in a terminal condition.
(3) "Physician" means an individual authorized under this
chapter to practice medicine and surgery or osteopathic medicine
and surgery.
(B) The state medical board shall adopt rules in accordance
with Chapter 119. of the Revised Code that establish standards and
procedures to be followed by physicians in the diagnosis and
treatment of
intractable chronic pain, including standards for
managing intractable chronic pain by prescribing, personally
furnishing, or administering dangerous drugs in amounts or
combinations that may not be appropriate when treating other
medical conditions. In developing the rules, the board shall
consult with and permit review by physicians who are experienced
in the diagnosis and treatment of intractable chronic pain.
(C) When a physician diagnoses an individual as having
intractable chronic pain, the physician may treat the pain by
managing it with dangerous drugs in amounts or combinations that
may not be appropriate when treating other medical conditions. The
physician's diagnosis shall be made after having the individual
evaluated by one or more other physicians who specialize in the
treatment of the area, system, or organ of the body perceived as
the source of the pain. The physician's diagnosis and treatment
decisions shall be made according to accepted and prevailing
standards for medical care. The physician shall maintain a record
of all of the following:
(1) Medical history and physical examination of the
individual;
(2) The diagnosis of intractable chronic pain, including
signs, symptoms, and causes;
(3) The plan of treatment proposed, the patient's response to
treatment, and any modification to the plan of treatment;
(4) The dates on which dangerous drugs were prescribed,
furnished, or administered, the name and address of the individual
to or for whom the dangerous drugs were prescribed, dispensed, or
administered, and the amounts and dosage forms for the dangerous
drugs prescribed, furnished, or administered;
(5) A copy of the report made by the physician or the
physician to whom referral for evaluation was made under this
division.
(D) A physician who treats intractable chronic pain by
managing it with dangerous drugs is not subject to disciplinary
action by the board under section 4731.22 of the Revised Code
solely because the physician treated the intractable chronic pain
with dangerous drugs. The physician is subject to disciplinary
action only if the dangerous drugs are not prescribed, furnished,
or administered in accordance with this section and the rules
adopted under it.
Sec. 4731.054. (A) As used in this section:
(1) "Chronic pain" has the same meaning as in section
4731.052 of the Revised Code.
(2) "Controlled substance" has the same meaning as in section
3719.01 of the Revised Code.
(3) "Owner" means each person included on the list maintained
under division (B)(5) of section 4729.552 of the Revised Code.
(4)(a) "Pain management clinic" means a facility to which all
of the following apply:
(i) The primary component of practice is treatment of pain or
chronic pain;
(ii) The majority of patients of the prescribers at the
facility are provided treatment for pain or chronic pain that
includes the use of controlled substances, tramadol, carisoprodol,
or other drugs specified in rules adopted under this section;
(iii) The facility meets any other identifying criteria
established in rules adopted under this section.
(b) "Pain management clinic" does not include any of the
following:
(i) A hospital registered with the department of health under
section 3701.07 of the Revised Code or a facility owned in whole
or in part by a hospital;
(ii) A school, college, university, or other educational
institution or program to the extent that it provides instruction
to individuals preparing to practice as physicians, podiatrists,
dentists, nurses, physician assistants, optometrists, or
veterinarians or any affiliated facility to the extent that it
participates in the provision of that instruction;
(iii) A hospice program licensed under Chapter 3712. of the
Revised Code;
(iv) An ambulatory surgical facility licensed under section
3702.30 of the Revised Code.
(5) "Physician" means an individual authorized under this
chapter to practice medicine and surgery or osteopathic medicine
and surgery.
(6) "Prescriber" has the same meaning as in section 4729.01
of the Revised Code.
(B) Each owner shall supervise, control, and direct the
activities of each individual, including an employee, volunteer,
or individual under contract, who provides treatment of pain or
chronic pain at the clinic or is associated with the provision of
that treatment. The supervision, control, and direction shall be
provided in accordance with rules adopted under this section.
(C) The state medical board shall adopt rules in accordance
with Chapter 119. of the Revised Code that establish all of the
following:
(1) Standards and procedures for the operation of a pain
management clinic;
(2) Standards and procedures to be followed by a physician
who provides care at a pain management clinic;
(3) For purposes of division (A)(4)(a)(ii) of this section,
the other drugs used to treat pain or chronic pain that identify a
facility as a pain management clinic;
(4) For purposes of division (A)(4)(a)(iii) of this section,
the other criteria that identify a facility as a pain management
clinic;
(5) For purposes of division (B) of this section, standards
and procedures to be followed by an owner in providing
supervision, direction, and control of individuals at a pain
management clinic.
(D) The board may impose a fine of not more than twenty
thousand dollars on a physician who fails to comply with rules
adopted under this section. The fine may be in addition to or in
lieu of any other action that may be taken under section 4731.22
of the Revised Code. The board shall deposit any amounts received
under this division in accordance with section 4731.24 of the
Revised Code.
Sec. 4731.055. (A) As used in this section:
(1) "Drug database" means the database established and
maintained by the state board of pharmacy pursuant to section
4729.75 of the Revised Code.
(2) "Physician" means an individual authorized under this
chapter to practice medicine and surgery, osteopathic medicine and
surgery, or podiatric medicine and surgery.
(B) The state medical board shall adopt rules in accordance
with Chapter 119. of the Revised Code that establish standards and
procedures to be followed by a physician regarding the review of
patient information available through the drug database.
(C) This section and the rules adopted under it do not apply
if the state board of pharmacy no longer maintains the drug
database.
Sec. 4731.22. (A) The state medical board, by an affirmative
vote of not fewer than six of its members, may revoke or may
refuse to grant a certificate to a person found by the board to
have committed fraud during the administration of the examination
for a certificate to practice or to have committed fraud,
misrepresentation, or deception in applying for or securing any
certificate to practice or certificate of registration issued by
the board.
(B) The board, by an affirmative vote of not fewer than six
members, shall, to the extent permitted by law, limit, revoke, or
suspend an individual's certificate to practice, refuse to
register an individual, refuse to reinstate a certificate, or
reprimand or place on probation the holder of a certificate for
one or more of the following reasons:
(1) Permitting one's name or one's certificate to practice or
certificate of registration to be used by a person, group, or
corporation when the individual concerned is not actually
directing the treatment given;
(2) Failure to maintain minimal standards applicable to the
selection or administration of drugs, or failure to employ
acceptable scientific methods in the selection of drugs or other
modalities for treatment of disease;
(3) Selling, giving away, personally furnishing, prescribing,
or administering drugs for other than legal and legitimate
therapeutic purposes or a plea of guilty to, a judicial finding of
guilt of, or a judicial finding of eligibility for intervention in
lieu of conviction of, a violation of any federal or state law
regulating the possession, distribution, or use of any drug;
(4) Willfully betraying a professional confidence.
For purposes of this division, "willfully betraying a
professional confidence" does not include providing any
information, documents, or reports to a child fatality review
board under sections 307.621 to 307.629 of the Revised Code and
does not include the making of a report of an employee's use of a
drug of abuse, or a report of a condition of an employee other
than one involving the use of a drug of abuse, to the employer of
the employee as described in division (B) of section 2305.33 of
the Revised Code. Nothing in this division affects the immunity
from civil liability conferred by that section upon a physician
who makes either type of report in accordance with division (B) of
that section. As used in this division, "employee," "employer,"
and "physician" have the same meanings as in section 2305.33 of
the Revised Code.
(5) Making a false, fraudulent, deceptive, or misleading
statement in the solicitation of or advertising for patients; in
relation to the practice of medicine and surgery, osteopathic
medicine and surgery, podiatric medicine and surgery, or a limited
branch of medicine; or in securing or attempting to secure any
certificate to practice or certificate of registration issued by
the board.
As used in this division, "false, fraudulent, deceptive, or
misleading statement" means a statement that includes a
misrepresentation of fact, is likely to mislead or deceive because
of a failure to disclose material facts, is intended or is likely
to create false or unjustified expectations of favorable results,
or includes representations or implications that in reasonable
probability will cause an ordinarily prudent person to
misunderstand or be deceived.
(6) A departure from, or the failure to conform to, minimal
standards of care of similar practitioners under the same or
similar circumstances, whether or not actual injury to a patient
is established;
(7) Representing, with the purpose of obtaining compensation
or other advantage as personal gain or for any other person, that
an incurable disease or injury, or other incurable condition, can
be permanently cured;
(8) The obtaining of, or attempting to obtain, money or
anything of value by fraudulent misrepresentations in the course
of practice;
(9) A plea of guilty to, a judicial finding of guilt of, or a
judicial finding of eligibility for intervention in lieu of
conviction for, a felony;
(10) Commission of an act that constitutes a felony in this
state, regardless of the jurisdiction in which the act was
committed;
(11) A plea of guilty to, a judicial finding of guilt of, or
a judicial finding of eligibility for intervention in lieu of
conviction for, a misdemeanor committed in the course of practice;
(12) Commission of an act in the course of practice that
constitutes a misdemeanor in this state, regardless of the
jurisdiction in which the act was committed;
(13) A plea of guilty to, a judicial finding of guilt of, or
a judicial finding of eligibility for intervention in lieu of
conviction for, a misdemeanor involving moral turpitude;
(14) Commission of an act involving moral turpitude that
constitutes a misdemeanor in this state, regardless of the
jurisdiction in which the act was committed;
(15) Violation of the conditions of limitation placed by the
board upon a certificate to practice;
(16) Failure to pay license renewal fees specified in this
chapter;
(17) Except as authorized in section 4731.31 of the Revised
Code, engaging in the division of fees for referral of patients,
or the receiving of a thing of value in return for a specific
referral of a patient to utilize a particular service or business;
(18) Subject to section 4731.226 of the Revised Code,
violation of any provision of a code of ethics of the American
medical association, the American osteopathic association, the
American podiatric medical association, or any other national
professional organizations that the board specifies by rule. The
state medical board shall obtain and keep on file current copies
of the codes of ethics of the various national professional
organizations. The individual whose certificate is being suspended
or revoked shall not be found to have violated any provision of a
code of ethics of an organization not appropriate to the
individual's profession.
For purposes of this division, a "provision of a code of
ethics of a national professional organization" does not include
any provision that would preclude the making of a report by a
physician of an employee's use of a drug of abuse, or of a
condition of an employee other than one involving the use of a
drug of abuse, to the employer of the employee as described in
division (B) of section 2305.33 of the Revised Code. Nothing in
this division affects the immunity from civil liability conferred
by that section upon a physician who makes either type of report
in accordance with division (B) of that section. As used in this
division, "employee," "employer," and "physician" have the same
meanings as in section 2305.33 of the Revised Code.
(19) Inability to practice according to acceptable and
prevailing standards of care by reason of mental illness or
physical illness, including, but not limited to, physical
deterioration that adversely affects cognitive, motor, or
perceptive skills.
In enforcing this division, the board, upon a showing of a
possible violation, may compel any individual authorized to
practice by this chapter or who has submitted an application
pursuant to this chapter to submit to a mental examination,
physical examination, including an HIV test, or both a mental and
a physical examination. The expense of the examination is the
responsibility of the individual compelled to be examined. Failure
to submit to a mental or physical examination or consent to an HIV
test ordered by the board constitutes an admission of the
allegations against the individual unless the failure is due to
circumstances beyond the individual's control, and a default and
final order may be entered without the taking of testimony or
presentation of evidence. If the board finds an individual unable
to practice because of the reasons set forth in this division, the
board shall require the individual to submit to care, counseling,
or treatment by physicians approved or designated by the board, as
a condition for initial, continued, reinstated, or renewed
authority to practice. An individual affected under this division
shall be afforded an opportunity to demonstrate to the board the
ability to resume practice in compliance with acceptable and
prevailing standards under the provisions of the individual's
certificate. For the purpose of this division, any individual who
applies for or receives a certificate to practice under this
chapter accepts the privilege of practicing in this state and, by
so doing, shall be deemed to have given consent to submit to a
mental or physical examination when directed to do so in writing
by the board, and to have waived all objections to the
admissibility of testimony or examination reports that constitute
a privileged communication.
(20) Except when civil penalties are imposed under section
4731.225 or 4731.281 of the Revised Code, and subject to section
4731.226 of the Revised Code, violating or attempting to violate,
directly or indirectly, or assisting in or abetting the violation
of, or conspiring to violate, any provisions of this chapter or
any rule promulgated by the board.
This division does not apply to a violation or attempted
violation of, assisting in or abetting the violation of, or a
conspiracy to violate, any provision of this chapter or any rule
adopted by the board that would preclude the making of a report by
a physician of an employee's use of a drug of abuse, or of a
condition of an employee other than one involving the use of a
drug of abuse, to the employer of the employee as described in
division (B) of section 2305.33 of the Revised Code. Nothing in
this division affects the immunity from civil liability conferred
by that section upon a physician who makes either type of report
in accordance with division (B) of that section. As used in this
division, "employee," "employer," and "physician" have the same
meanings as in section 2305.33 of the Revised Code.
(21) The violation of section 3701.79 of the Revised Code or
of any abortion rule adopted by the public health council pursuant
to section 3701.341 of the Revised Code;
(22) Any of the following actions taken by the an agency
responsible for authorizing, certifying, or regulating the
practice of medicine and surgery, osteopathic medicine and
surgery, podiatric medicine and surgery, or the limited branches
of medicine in an individual to practice a health care occupation
or provide health care services in this state or another
jurisdiction, for any reason other than the nonpayment of fees:
the limitation, revocation, or suspension of an individual's
license to practice; acceptance of an individual's license
surrender; denial of a license; refusal to renew or reinstate a
license; imposition of probation; or issuance of an order of
censure or other reprimand;
(23) The violation of section 2919.12 of the Revised Code or
the performance or inducement of an abortion upon a pregnant woman
with actual knowledge that the conditions specified in division
(B) of section 2317.56 of the Revised Code have not been satisfied
or with a heedless indifference as to whether those conditions
have been satisfied, unless an affirmative defense as specified in
division (H)(2) of that section would apply in a civil action
authorized by division (H)(1) of that section;
(24) The revocation, suspension, restriction, reduction, or
termination of clinical privileges by the United States department
of defense or department of veterans affairs or the termination or
suspension of a certificate of registration to prescribe drugs by
the drug enforcement administration of the United States
department of justice;
(25) Termination or suspension from participation in the
medicare or medicaid programs by the department of health and
human services or other responsible agency for any act or acts
that also would constitute a violation of division (B)(2), (3),
(6), (8), or (19) of this section;
(26) Impairment of ability to practice according to
acceptable and prevailing standards of care because of habitual or
excessive use or abuse of drugs, alcohol, or other substances that
impair ability to practice.
For the purposes of this division, any individual authorized
to practice by this chapter accepts the privilege of practicing in
this state subject to supervision by the board. By filing an
application for or holding a certificate to practice under this
chapter, an individual shall be deemed to have given consent to
submit to a mental or physical examination when ordered to do so
by the board in writing, and to have waived all objections to the
admissibility of testimony or examination reports that constitute
privileged communications.
If it has reason to believe that any individual authorized to
practice by this chapter or any applicant for certification to
practice suffers such impairment, the board may compel the
individual to submit to a mental or physical examination, or both.
The expense of the examination is the responsibility of the
individual compelled to be examined. Any mental or physical
examination required under this division shall be undertaken by a
treatment provider or physician who is qualified to conduct the
examination and who is chosen by the board.
Failure to submit to a mental or physical examination ordered
by the board constitutes an admission of the allegations against
the individual unless the failure is due to circumstances beyond
the individual's control, and a default and final order may be
entered without the taking of testimony or presentation of
evidence. If the board determines that the individual's ability to
practice is impaired, the board shall suspend the individual's
certificate or deny the individual's application and shall require
the individual, as a condition for initial, continued, reinstated,
or renewed certification to practice, to submit to treatment.
Before being eligible to apply for reinstatement of a
certificate suspended under this division, the impaired
practitioner shall demonstrate to the board the ability to resume
practice in compliance with acceptable and prevailing standards of
care under the provisions of the practitioner's certificate. The
demonstration shall include, but shall not be limited to, the
following:
(a) Certification from a treatment provider approved under
section 4731.25 of the Revised Code that the individual has
successfully completed any required inpatient treatment;
(b) Evidence of continuing full compliance with an aftercare
contract or consent agreement;
(c) Two written reports indicating that the individual's
ability to practice has been assessed and that the individual has
been found capable of practicing according to acceptable and
prevailing standards of care. The reports shall be made by
individuals or providers approved by the board for making the
assessments and shall describe the basis for their determination.
The board may reinstate a certificate suspended under this
division after that demonstration and after the individual has
entered into a written consent agreement.
When the impaired practitioner resumes practice, the board
shall require continued monitoring of the individual. The
monitoring shall include, but not be limited to, compliance with
the written consent agreement entered into before reinstatement or
with conditions imposed by board order after a hearing, and, upon
termination of the consent agreement, submission to the board for
at least two years of annual written progress reports made under
penalty of perjury stating whether the individual has maintained
sobriety.
(27) A second or subsequent violation of section 4731.66 or
4731.69 of the Revised Code;
(28) Except as provided in division (N) of this section:
(a) Waiving the payment of all or any part of a deductible or
copayment that a patient, pursuant to a health insurance or health
care policy, contract, or plan that covers the individual's
services, otherwise would be required to pay if the waiver is used
as an enticement to a patient or group of patients to receive
health care services from that individual;
(b) Advertising that the individual will waive the payment of
all or any part of a deductible or copayment that a patient,
pursuant to a health insurance or health care policy, contract, or
plan that covers the individual's services, otherwise would be
required to pay.
(29) Failure to use universal blood and body fluid
precautions established by rules adopted under section 4731.051 of
the Revised Code;
(30) Failure to provide notice to, and receive acknowledgment
of the notice from, a patient when required by section 4731.143 of
the Revised Code prior to providing nonemergency professional
services, or failure to maintain that notice in the patient's
file;
(31) Failure of a physician supervising a physician assistant
to maintain supervision in accordance with the requirements of
Chapter 4730. of the Revised Code and the rules adopted under that
chapter;
(32) Failure of a physician or podiatrist to enter into a
standard care arrangement with a clinical nurse specialist,
certified nurse-midwife, or certified nurse practitioner with whom
the physician or podiatrist is in collaboration pursuant to
section 4731.27 of the Revised Code or failure to fulfill the
responsibilities of collaboration after entering into a standard
care arrangement;
(33) Failure to comply with the terms of a consult agreement
entered into with a pharmacist pursuant to section 4729.39 of the
Revised Code;
(34) Failure to cooperate in an investigation conducted by
the board under division (F) of this section, including failure to
comply with a subpoena or order issued by the board or failure to
answer truthfully a question presented by the board at a
deposition or in written interrogatories, except that failure to
cooperate with an investigation shall not constitute grounds for
discipline under this section if a court of competent jurisdiction
has issued an order that either quashes a subpoena or permits the
individual to withhold the testimony or evidence in issue;
(35) Failure to supervise an acupuncturist in accordance with
Chapter 4762. of the Revised Code and the board's rules for
supervision of an acupuncturist;
(36) Failure to supervise an anesthesiologist assistant in
accordance with Chapter 4760. of the Revised Code and the board's
rules for supervision of an anesthesiologist assistant;
(37) Assisting suicide as defined in section 3795.01 of the
Revised Code;
(38) Failure to comply with the requirements of section
2317.561 of the Revised Code;
(39) Failure to supervise a radiologist assistant in
accordance with Chapter 4774. of the Revised Code and the board's
rules for supervision of radiologist assistants;
(40) Performing or inducing an abortion at an office or
facility with knowledge that the office or facility fails to post
the notice required under section 3701.791 of the Revised Code;
(41) Failure to comply with the standards and procedures
established in rules under section 4731.054 of the Revised Code
for the operation of or the provision of care at a pain management
clinic;
(42) Failure to comply with the standards and procedures
established in rules under section 4731.054 of the Revised Code
for providing supervision, direction, and control of individuals
at a pain management clinic;
(43) Failure to comply with the requirements of section
4729.79 of the Revised Code, unless the state board of pharmacy no
longer maintains a drug database pursuant to section 4729.75 of
the Revised Code.
(C) Disciplinary actions taken by the board under divisions
(A) and (B) of this section shall be taken pursuant to an
adjudication under Chapter 119. of the Revised Code, except that
in lieu of an adjudication, the board may enter into a consent
agreement with an individual to resolve an allegation of a
violation of this chapter or any rule adopted under it. A consent
agreement, when ratified by an affirmative vote of not fewer than
six members of the board, shall constitute the findings and order
of the board with respect to the matter addressed in the
agreement. If the board refuses to ratify a consent agreement, the
admissions and findings contained in the consent agreement shall
be of no force or effect.
A telephone conference call may be utilized for ratification
of a consent agreement that revokes or suspends an individual's
certificate to practice. The telephone conference call shall be
considered a special meeting under division (F) of section 121.22
of the Revised Code.
If the board takes disciplinary action against an individual
under division (B) of this section for a second or subsequent plea
of guilty to, or judicial finding of guilt of, a violation of
section 2919.123 of the Revised Code, the disciplinary action
shall consist of a suspension of the individual's certificate to
practice for a period of at least one year or, if determined
appropriate by the board, a more serious sanction involving the
individual's certificate to practice. Any consent agreement
entered into under this division with an individual that pertains
to a second or subsequent plea of guilty to, or judicial finding
of guilt of, a violation of that section shall provide for a
suspension of the individual's certificate to practice for a
period of at least one year or, if determined appropriate by the
board, a more serious sanction involving the individual's
certificate to practice.
(D) For purposes of divisions (B)(10), (12), and (14) of this
section, the commission of the act may be established by a finding
by the board, pursuant to an adjudication under Chapter 119. of
the Revised Code, that the individual committed the act. The board
does not have jurisdiction under those divisions if the trial
court renders a final judgment in the individual's favor and that
judgment is based upon an adjudication on the merits. The board
has jurisdiction under those divisions if the trial court issues
an order of dismissal upon technical or procedural grounds.
(E) The sealing of conviction records by any court shall have
no effect upon a prior board order entered under this section or
upon the board's jurisdiction to take action under this section
if, based upon a plea of guilty, a judicial finding of guilt, or a
judicial finding of eligibility for intervention in lieu of
conviction, the board issued a notice of opportunity for a hearing
prior to the court's order to seal the records. The board shall
not be required to seal, destroy, redact, or otherwise modify its
records to reflect the court's sealing of conviction records.
(F)(1) The board shall investigate evidence that appears to
show that a person has violated any provision of this chapter or
any rule adopted under it. Any person may report to the board in a
signed writing any information that the person may have that
appears to show a violation of any provision of this chapter or
any rule adopted under it. In the absence of bad faith, any person
who reports information of that nature or who testifies before the
board in any adjudication conducted under Chapter 119. of the
Revised Code shall not be liable in damages in a civil action as a
result of the report or testimony. Each complaint or allegation of
a violation received by the board shall be assigned a case number
and shall be recorded by the board.
(2) Investigations of alleged violations of this chapter or
any rule adopted under it shall be supervised by the supervising
member elected by the board in accordance with section 4731.02 of
the Revised Code and by the secretary as provided in section
4731.39 of the Revised Code. The president may designate another
member of the board to supervise the investigation in place of the
supervising member. No member of the board who supervises the
investigation of a case shall participate in further adjudication
of the case.
(3) In investigating a possible violation of this chapter or
any rule adopted under this chapter, the board may administer
oaths, order the taking of depositions, inspect and copy any
books, accounts, papers, records, or documents, issue subpoenas,
and compel the attendance of witnesses and production of books,
accounts, papers, records, documents, and testimony, except that a
subpoena for patient record information shall not be issued
without consultation with the attorney general's office and
approval of the secretary and supervising member of the board.
Before issuance of a subpoena for patient record information, the
secretary and supervising member shall determine whether there is
probable cause to believe that the complaint filed alleges a
violation of this chapter or any rule adopted under it and that
the records sought are relevant to the alleged violation and
material to the investigation. The subpoena may apply only to
records that cover a reasonable period of time surrounding the
alleged violation.
On failure to comply with any subpoena issued by the board
and after reasonable notice to the person being subpoenaed, the
board may move for an order compelling the production of persons
or records pursuant to the Rules of Civil Procedure.
A subpoena issued by the board may be served by a sheriff,
the sheriff's deputy, or a board employee designated by the board.
Service of a subpoena issued by the board may be made by
delivering a copy of the subpoena to the person named therein,
reading it to the person, or leaving it at the person's usual
place of residence. When the person being served is a person whose
practice is authorized by this chapter, service of the subpoena
may be made by certified mail, restricted delivery, return receipt
requested, and the subpoena shall be deemed served on the date
delivery is made or the date the person refuses to accept
delivery.
A sheriff's deputy who serves a subpoena shall receive the
same fees as a sheriff. Each witness who appears before the board
in obedience to a subpoena shall receive the fees and mileage
provided for under section 119.094 of the Revised Code.
(4) All hearings and investigations of the board shall be
considered civil actions for the purposes of section 2305.252 of
the Revised Code.
(5) Information received by the board pursuant to an
investigation is confidential and not subject to discovery in any
civil action.
The board shall conduct all investigations and proceedings in
a manner that protects the confidentiality of patients and persons
who file complaints with the board. The board shall not make
public the names or any other identifying information about
patients or complainants unless proper consent is given or, in the
case of a patient, a waiver of the patient privilege exists under
division (B) of section 2317.02 of the Revised Code, except that
consent or a waiver of that nature is not required if the board
possesses reliable and substantial evidence that no bona fide
physician-patient relationship exists.
The board may share any information it receives pursuant to
an investigation, including patient records and patient record
information, with law enforcement agencies, other licensing
boards, and other governmental agencies that are prosecuting,
adjudicating, or investigating alleged violations of statutes or
administrative rules. An agency or board that receives the
information shall comply with the same requirements regarding
confidentiality as those with which the state medical board must
comply, notwithstanding any conflicting provision of the Revised
Code or procedure of the agency or board that applies when it is
dealing with other information in its possession. In a judicial
proceeding, the information may be admitted into evidence only in
accordance with the Rules of Evidence, but the court shall require
that appropriate measures are taken to ensure that confidentiality
is maintained with respect to any part of the information that
contains names or other identifying information about patients or
complainants whose confidentiality was protected by the state
medical board when the information was in the board's possession.
Measures to ensure confidentiality that may be taken by the court
include sealing its records or deleting specific information from
its records.
(6) On a quarterly basis, the board shall prepare a report
that documents the disposition of all cases during the preceding
three months. The report shall contain the following information
for each case with which the board has completed its activities:
(a) The case number assigned to the complaint or alleged
violation;
(b) The type of certificate to practice, if any, held by the
individual against whom the complaint is directed;
(c) A description of the allegations contained in the
complaint;
(d) The disposition of the case.
The report shall state how many cases are still pending and
shall be prepared in a manner that protects the identity of each
person involved in each case. The report shall be a public record
under section 149.43 of the Revised Code.
(G) If the secretary and supervising member determine that
there both of the following, they may recommend that the board
suspend an individual's certificate to practice without a prior
hearing:
(1) That there is clear and convincing evidence that an
individual has violated division (B) of this section and that;
(2) That the individual's continued practice presents a
danger of immediate and serious harm to the public, they may
recommend that the board suspend the individual's certificate to
practice without a prior hearing. Written
Written allegations shall be prepared for consideration by
the board. The
The board, upon review of those allegations and by an
affirmative vote of not fewer than six of its members, excluding
the secretary and supervising member, may suspend a certificate
without a prior hearing. A telephone conference call may be
utilized for reviewing the allegations and taking the vote on the
summary suspension.
The board shall issue a written order of suspension by
certified mail or in person in accordance with section 119.07 of
the Revised Code. The order shall not be subject to suspension by
the court during pendency of any appeal filed under section 119.12
of the Revised Code. If the individual subject to the summary
suspension requests an adjudicatory hearing by the board, the date
set for the hearing shall be within fifteen days, but not earlier
than seven days, after the individual requests the hearing, unless
otherwise agreed to by both the board and the individual.
Any summary suspension imposed under this division shall
remain in effect, unless reversed on appeal, until a final
adjudicative order issued by the board pursuant to this section
and Chapter 119. of the Revised Code becomes effective. The board
shall issue its final adjudicative order within seventy-five days
after completion of its hearing. A failure to issue the order
within seventy-five days shall result in dissolution of the
summary suspension order but shall not invalidate any subsequent,
final adjudicative order.
(H) If the board takes action under division (B)(9), (11), or
(13) of this section and the judicial finding of guilt, guilty
plea, or judicial finding of eligibility for intervention in lieu
of conviction is overturned on appeal, upon exhaustion of the
criminal appeal, a petition for reconsideration of the order may
be filed with the board along with appropriate court documents.
Upon receipt of a petition of that nature and supporting court
documents, the board shall reinstate the individual's certificate
to practice. The board may then hold an adjudication under Chapter
119. of the Revised Code to determine whether the individual
committed the act in question. Notice of an opportunity for a
hearing shall be given in accordance with Chapter 119. of the
Revised Code. If the board finds, pursuant to an adjudication held
under this division, that the individual committed the act or if
no hearing is requested, the board may order any of the sanctions
identified under division (B) of this section.
(I) The certificate to practice issued to an individual under
this chapter and the individual's practice in this state are
automatically suspended as of the date of the individual's second
or subsequent plea of guilty to, or judicial finding of guilt of,
a violation of section 2919.123 of the Revised Code, or the date
the individual pleads guilty to, is found by a judge or jury to be
guilty of, or is subject to a judicial finding of eligibility for
intervention in lieu of conviction in this state or treatment or
intervention in lieu of conviction in another jurisdiction for any
of the following criminal offenses in this state or a
substantially equivalent criminal offense in another jurisdiction:
aggravated murder, murder, voluntary manslaughter, felonious
assault, kidnapping, rape, sexual battery, gross sexual
imposition, aggravated arson, aggravated robbery, or aggravated
burglary. Continued practice after suspension shall be considered
practicing without a certificate.
The board shall notify the individual subject to the
suspension by certified mail or in person in accordance with
section 119.07 of the Revised Code. If an individual whose
certificate is automatically suspended under this division fails
to make a timely request for an adjudication under Chapter 119. of
the Revised Code, the board shall do whichever of the following is
applicable:
(1) If the automatic suspension under this division is for a
second or subsequent plea of guilty to, or judicial finding of
guilt of, a violation of section 2919.123 of the Revised Code, the
board shall enter an order suspending the individual's certificate
to practice for a period of at least one year or, if determined
appropriate by the board, imposing a more serious sanction
involving the individual's certificate to practice.
(2) In all circumstances in which division (I)(1) of this
section does not apply, enter a final order permanently revoking
the individual's certificate to practice.
(J) If the board is required by Chapter 119. of the Revised
Code to give notice of an opportunity for a hearing and if the
individual subject to the notice does not timely request a hearing
in accordance with section 119.07 of the Revised Code, the board
is not required to hold a hearing, but may adopt, by an
affirmative vote of not fewer than six of its members, a final
order that contains the board's findings. In that final order, the
board may order any of the sanctions identified under division (A)
or (B) of this section.
(K) Any action taken by the board under division (B) of this
section resulting in a suspension from practice shall be
accompanied by a written statement of the conditions under which
the individual's certificate to practice may be reinstated. The
board shall adopt rules governing conditions to be imposed for
reinstatement. Reinstatement of a certificate suspended pursuant
to division (B) of this section requires an affirmative vote of
not fewer than six members of the board.
(L) When the board refuses to grant a certificate to an
applicant, revokes an individual's certificate to practice,
refuses to register an applicant, or refuses to reinstate an
individual's certificate to practice, the board may specify that
its action is permanent. An individual subject to a permanent
action taken by the board is forever thereafter ineligible to hold
a certificate to practice and the board shall not accept an
application for reinstatement of the certificate or for issuance
of a new certificate.
(M) Notwithstanding any other provision of the Revised Code,
all of the following apply:
(1) The surrender of a certificate issued under this chapter
shall not be effective unless or until accepted by the board. A
telephone conference call may be utilized for acceptance of the
surrender of an individual's certificate to practice. The
telephone conference call shall be considered a special meeting
under division (F) of section 121.22 of the Revised Code.
Reinstatement of a certificate surrendered to the board requires
an affirmative vote of not fewer than six members of the board.
(2) An application for a certificate made under the
provisions of this chapter may not be withdrawn without approval
of the board.
(3) Failure by an individual to renew a certificate of
registration in accordance with this chapter shall not remove or
limit the board's jurisdiction to take any disciplinary action
under this section against the individual.
(N) Sanctions shall not be imposed under division (B)(28) of
this section against any person who waives deductibles and
copayments as follows:
(1) In compliance with the health benefit plan that expressly
allows such a practice. Waiver of the deductibles or copayments
shall be made only with the full knowledge and consent of the plan
purchaser, payer, and third-party administrator. Documentation of
the consent shall be made available to the board upon request.
(2) For professional services rendered to any other person
authorized to practice pursuant to this chapter, to the extent
allowed by this chapter and rules adopted by the board.
(O) Under the board's investigative duties described in this
section and subject to division (F) of this section, the board
shall develop and implement a quality intervention program
designed to improve through remedial education the clinical and
communication skills of individuals authorized under this chapter
to practice medicine and surgery, osteopathic medicine and
surgery, and podiatric medicine and surgery. In developing and
implementing the quality intervention program, the board may do
all of the following:
(1) Offer in appropriate cases as determined by the board an
educational and assessment program pursuant to an investigation
the board conducts under this section;
(2) Select providers of educational and assessment services,
including a quality intervention program panel of case reviewers;
(3) Make referrals to educational and assessment service
providers and approve individual educational programs recommended
by those providers. The board shall monitor the progress of each
individual undertaking a recommended individual educational
program.
(4) Determine what constitutes successful completion of an
individual educational program and require further monitoring of
the individual who completed the program or other action that the
board determines to be appropriate;
(5) Adopt rules in accordance with Chapter 119. of the
Revised Code to further implement the quality intervention
program.
An individual who participates in an individual educational
program pursuant to this division shall pay the financial
obligations arising from that educational program.
Sec. 4731.241. The state medical board may solicit and accept
grants and services from public and private sources for the
purpose of developing and maintaining programs that address
patient safety and education, supply and demand of health care
professionals, and information sharing with the public and the
individuals regulated by the board. The board shall not solicit or
accept a grant or service that would interfere with the board's
independence or objectivity, as determined by the board.
Money received by the board under this section shall be
deposited into the state treasury to the credit of the medical
board education and patient safety fund, which is hereby created.
The money shall be used solely in accordance with this section.
Sec. 4731.283. Not later than ninety days after the
effective date of this section, the The state medical board shall
approve one or more continuing medical education courses of study
included within the programs certified by the Ohio state medical
association and the Ohio osteopathic association pursuant to
section 4731.281 of the Revised Code that assist doctors of
medicine and doctors of osteopathic medicine in diagnosing and
treating intractable chronic pain, as defined in section 4731.052
of the Revised Code.
Sec. 4731.391. The state medical board may access and view,
but not alter, information gathered and disseminated through the
Ohio law enforcement gateway established under section 109.57 of
the Revised Code.
Sec. 4776.02. (A) An applicant for an initial license or
restored license from a licensing agency, or a person seeking to
satisfy the criteria for being a qualified pharmacy technician
that are specified in section 4729.42 of the Revised Code, or a
person seeking to satisfy the requirements to be an employee of a
pain management clinic as specified in section 4729.552 of the
Revised Code shall submit a request to the bureau of criminal
identification and investigation for a criminal records check of
the applicant or person. The request shall be accompanied by a
completed copy of the form prescribed under division (C)(1) of
section 109.572 of the Revised Code, a set of fingerprint
impressions obtained as described in division (C)(2) of that
section, and the fee prescribed under division (C)(3) of that
section. The applicant or person shall ask the superintendent of
the bureau of criminal identification and investigation in the
request to obtain from the federal bureau of investigation any
information it has pertaining to the applicant or person.
An applicant or person requesting a criminal records check
shall provide the bureau of criminal identification and
investigation with the applicant's or person's name and address
and, regarding an applicant, with the licensing agency's name and
address.
(B) Upon receipt of the completed form, the set of
fingerprint impressions, and the fee provided for in division (A)
of this section, the superintendent of the bureau of criminal
identification and investigation shall conduct a criminal records
check of the applicant or person under division (B) of section
109.572 of the Revised Code. Upon completion of the criminal
records check, the superintendent shall do whichever of the
following is applicable:
(1) If the request was submitted by an applicant for an
initial license or restored license, report the results of the
criminal records check and any information the federal bureau of
investigation provides to the licensing agency identified in the
request for a criminal records check;
(2) If the request was submitted by a person seeking to
satisfy the criteria for being a qualified pharmacy technician
that are specified in section 4729.42 of the Revised Code or a
person seeking to satisfy the requirements to be an employee of a
pain management clinic as specified in section 4729.552 of the
Revised Code, do both of the following:
(a) Report the results of the criminal records check and any
information the federal bureau of investigation provides to the
person who submitted the request;
(b) Report the results of the portion of the criminal records
check performed by the bureau of criminal identification and
investigation under division (B)(1) of section 109.572 of the
Revised Code to the employer or potential employer specified in
the request of the person who submitted the request and send a
letter to that employer or potential employer regarding the
information provided by the federal bureau of investigation that
states either that based on that information there is no record of
any conviction or that based on that information the person who
submitted the request may not meet the criteria that are specified
in section 4729.42 of the Revised Code, whichever is applicable.
Sec. 4776.04. The results of any criminal records check
conducted pursuant to a request made under this chapter and any
report containing those results, including any information the
federal bureau of investigation provides, are not public records
for purposes of section 149.43 of the Revised Code and shall not
be made available to any person or for any purpose other than as
follows:
(A) If the request for the criminal records check was
submitted by an applicant for an initial license or restored
license, as follows:
(1) The superintendent of the bureau of criminal
identification and investigation shall make the results available
to the licensing agency for use in determining, under the agency's
authorizing chapter of the Revised Code, whether the applicant who
is the subject of the criminal records check should be granted a
license under that chapter.
(2) The licensing agency shall make the results available to
the applicant who is the subject of the criminal records check.
(B) If the request for the criminal records check was
submitted by a person seeking to satisfy the criteria for being a
qualified pharmacy technician that are specified in section
4729.42 of the Revised Code or a person seeking to satisfy the
requirements to be an employee of a pain management clinic as
specified in section 4729.552 of the Revised Code, the
superintendent of the bureau of criminal identification and
investigation shall make the results available in accordance with
the following:
(1) The superintendent shall make the results of the criminal
records check, including any information the federal bureau of
investigation provides, available to the person who submitted the
request and is the subject of the criminal records check.
(2) The superintendent shall make the results of the portion
of the criminal records check performed by the bureau of criminal
identification and investigation under division (B)(1) of section
109.572 of the Revised Code available to the employer or potential
employer specified in the request of the person who submitted the
request and shall send a letter of the type described in division
(B)(2) of section 4776.02 of the Revised Code to that employer or
potential employer regarding the information provided by the
federal bureau of investigation that contains one of the types of
statements described in that division.
Sec. 5111.085. Not later than July 1, 2012, the department of
job and family services shall adopt rules in accordance with
Chapter 119. of the Revised Code to implement a coordinated
services program for medicaid recipients who are found to have
obtained prescription drugs under the medicaid program at a
frequency or in an amount that is not medically necessary. The
program shall be implemented in a manner that is consistent with
section 1915(a)(2) of the "Social Security Act," 95 Stat. 810
(1981), 42 U.S.C. 1396n(a)(2), as amended, and 42 C.F.R.
431.54(e).
Sec. 5111.172. (A) When contracting under section 5111.17 of
the Revised Code with a managed care organization that is a health
insuring corporation, the department of job and family services
may require the health insuring corporation to provide coverage of
prescription drugs for medicaid recipients enrolled in the health
insuring corporation. In providing the required coverage, the
health insuring corporation may, subject to the department's
approval, use strategies for the management of drug utilization.
(B) As used in this division, "controlled substance" has the
same meaning as in section 3719.01 of the Revised Code.
If a health insuring corporation is required under this
section to provide coverage of prescription drugs, the department
shall permit the health insuring corporation to develop and
implement a pharmacy utilization management program under which
prior authorization through the program is established as a
condition of obtaining a controlled substance pursuant to a
prescription. The program may include processes for requiring
medicaid recipients at high risk for fraud or abuse involving
controlled substances to have their prescriptions for controlled
substances filled by a pharmacy, medical provider, or health care
facility designated by the program.
Sec. 5111.179. Each contract the department of job and family
services enters into with a managed care organization under
section 5111.17 of the Revised Code shall require the managed care
organization to implement a coordinated services program for
medicaid recipients enrolled in the organization who are found to
have obtained prescription drugs under the medicaid program at a
frequency or in an amount that is not medically necessary. The
program shall be implemented in a manner that is consistent with
section 1915(a)(2) of the "Social Security Act," 95 Stat. 810
(1981), 42 U.S.C. 1396n(a)(2), as amended, and 42 C.F.R.
431.54(e).
Sec. 5111.1710. Each contract the department of job and
family services enters into with a managed care organization under
section 5111.17 of the Revised Code shall require the managed care
organization to enter into a data security agreement with the
state board of pharmacy governing the managed care organization's
use of the board's drug database established and maintained under
section 4729.75 of the Revised Code.
This section does not apply if the board no longer maintains
the drug database.
Section 2. That existing sections 109.57, 325.19, 3719.08,
4715.30, 4723.28, 4729.01, 4729.071, 4729.29, 4729.51, 4729.54,
4729.541, 4729.55, 4729.75, 4729.77, 4729.78, 4729.79, 4729.80,
4729.81, 4729.82, 4729.83, 4729.84, 4729.99, 4731.052, 4731.22,
4731.283, 4776.02, 4776.04, and 5111.172 of the Revised Code are
hereby repealed.
Section 3. This act is hereby declared to be an emergency
measure necessary for the immediate preservation of the public
peace, health, and safety. The reason for such necessity is that
the incidence of unintentional drug poisoning in this state has
increased significantly in recent years and is now a leading cause
of death among the state's citizens, and that immediate action is
necessary to ensure that the sale of certain county hospitals is
not impeded. Therefore, this act shall go into immediate effect.
Section 4. Division (C) of section 4729.552 of the Revised
Code, as enacted by this act, shall take effect thirty days after
the effective date of this section.
Section 5. (A) The State Board of Pharmacy, in consultation
with prescribers and pharmacists, shall consider improvements to
the state's methods of monitoring, through the drug database
established and maintained under section 4729.75 of the Revised
Code, the misuse and diversion of controlled substances. Not later
than six months after the effective date of this section, the
Board shall prepare a report of its findings and recommendations.
(B) In preparing the report, the Board shall include all of
the following:
(1) Recommendations on the establishment of a real-time drug
database that permits information to be immediately submitted to
the database and immediately accessible to the individuals
authorized to access information in the database;
(2) Recommendations on potential improvements to the Board's
existing drug database, including both of the following:
(a) Improvements that are necessary to facilitate information
exchange between the database and database users;
(b) Improvements that allow a drug utilization review to
occur whereby patient use of controlled substances is monitored.
(3) The potential cost of upgrading the Board's existing drug
database or establishing a new database to monitor the misuse or
diversion of controlled substances in this state;
(4) Information on the availability of, and methods to
secure, federal grants necessary to implement the Board's
recommendations;
(5) A description of any other matters the Board considers
relevant to the report.
(C) On completion of the report, the Board shall submit
copies to the Speaker of the House of Representatives, President
of the Senate, and Governor.
Section 6. Section 5111.179 of the Revised Code, as enacted
by this act, shall be implemented by the Department of Job and
Family Services not later than July 1, 2012. On and after the
Department's implementation date, that section applies to
contracts under section 5111.17 of the Revised Code as follows:
(A) To each contract the Department enters into with a
managed care organization on or after the Department's
implementation date;
(B) To each contract between the Department and a managed
care organization that is in effect on the Department's
implementation date if on or after that date the contract is
renewed or the contract is amended or otherwise modified.
Section 7. Section 5111.1710 of the Revised Code, as enacted
by this act, shall be implemented by the Department of Job and
Family Services not later than one year after the effective date
of this section. On and after the Department's implementation
date, that section applies to contracts under section 5111.17 of
the Revised Code as follows:
(A) To each contract the Department enters into with a
managed care organization on or after the Department's
implementation date;
(B) To each contract between the Department and a managed
care organization that is in effect on the Department's
implementation date if on or after that date the contract is
renewed or the contract is amended or otherwise modified.
Section 8. (A) Not later than one year after the effective
date of this section, and annually each year for four years
thereafter, the State Board of Pharmacy shall prepare a report on
all of the following:
(1) The total number of applications received by the Board
for a terminal distributor of dangerous drugs license with a pain
management clinic classification;
(2) The total number of licenses with a pain management
clinic classification granted or denied by the Board;
(3) Any disciplinary actions taken by the Board against
holders of licenses with a pain management clinic classification;
(4) Total revenues generated from fees for licenses with a
pain management clinic classification, fines and penalties paid by
license holders, or other disciplinary actions taken against
license holders;
(5) Any other relevant information regarding the
implementation of this act.
(B) On completion of each report, the Board shall submit a
copy of the report to the Governor and, in accordance with section
101.68 of the Revised Code, the General Assembly. In accordance
with that section, the Board shall display the report on the
Board's internet web site.
Section 9. Section 4731.22 of the Revised Code is presented
in this act as a composite of the section as amended by Am. Sub.
H.B. 280, Sub. H.B. 525, and Sub. S.B. 229 of the 127th General
Assembly. The General Assembly, applying the principle stated in
division (B) of section 1.52 of the Revised Code that amendments
are to be harmonized if reasonably capable of simultaneous
operation, finds that the composite is the resulting version of
the section in effect prior to the effective date of the section
as presented in this act.
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