155A.39 - PROGRAMS TO AID IMPAIRED PHARMACISTS, PHARMACIST-INTERNS, OR PHARMACY TECHNICIANS -- REPORTING, CONFIDENTIALITY, IMMUNITY, FUNDING.

        155A.39  PROGRAMS TO AID IMPAIRED PHARMACISTS,
      PHARMACIST-INTERNS, OR PHARMACY TECHNICIANS -- REPORTING,
      CONFIDENTIALITY, IMMUNITY, FUNDING.
         1.  A person or pharmaceutical peer review committee may report
      relevant facts to the board relating to the acts of a pharmacist in
      this state, a pharmacist-intern as defined in section 155A.3,
      subsection 30, or a pharmacy technician in this state if the person
      or peer review committee has knowledge relating to the pharmacist,
      pharmacist-intern, or pharmacy technician which, in the opinion of
      the person or pharmaceutical peer review committee, might impair
      competency due to chemical abuse, chemical dependence, or mental or
      physical illness, or which might endanger the public health and
      safety, or which provide grounds for disciplinary action as specified
      in this chapter and in the rules of the board.
         2.  A committee of a professional pharmaceutical organization, its
      staff, or a district or local intervenor participating in a program
      established to aid pharmacists, pharmacist-interns, or pharmacy
      technicians impaired by chemical abuse, chemical dependence, or
      mental or physical illness may report in writing to the board the
      name of the impaired pharmacist, pharmacist-intern, or pharmacy
      technician together with pertinent information relating to the
      impairment.  The board may report to a committee of a professional
      pharmaceutical organization or the organization's designated staff
      information which the board receives with regard to a pharmacist,
      pharmacist-intern, or pharmacy technician who may be impaired by
      chemical abuse, chemical dependence, or mental or physical illness.
         3.  Upon determination by the board that a report submitted by a
      peer review committee or a professional pharmaceutical organization
      committee is without merit, the report shall be expunged from the
      pharmacist's, pharmacist-intern's, or pharmacy technician's
      individual record in the board's office.  A pharmacist,
      pharmacist-intern, pharmacy technician, or an authorized
      representative of the pharmacist, pharmacist-intern, or pharmacy
      technician shall be entitled on request to examine the peer review
      committee report or the pharmaceutical organization committee report
      submitted to the board and to place into the record a statement of
      reasonable length of the pharmacist's, pharmacist-intern's, or
      pharmacy technician's view with respect to any information existing
      in the report.
         4.  Notwithstanding other provisions of the Code, the records and
      proceedings of the board, its authorized agents, a peer review
      committee, or a pharmaceutical organization committee as set out in
      subsections 1 and 2 shall be privileged and confidential and shall
      not be considered public records or open records unless the affected
      pharmacist, pharmacist-intern, or pharmacy technician so requests and
      shall not be subject to a subpoena or to a discovery proceeding.  The
      board may disclose the records and proceedings only as follows:
         a.  In a criminal proceeding.
         b.  In a disciplinary hearing before the board or in a
      subsequent trial or appeal of a board action or order.
         c.  To the pharmacist licensing or disciplinary authorities of
      other jurisdictions.
         d.  To the pharmacy technician registering, licensing, or
      disciplinary authorities of other jurisdictions.
         e.  Pursuant to an order of a court of competent jurisdiction.

         f.  Pursuant to subsection 11.
         g.  As otherwise provided by law.
         5.  An employee or a member of the board, a peer review committee
      member, a professional pharmaceutical organization committee member,
      a professional pharmaceutical organization district or local
      intervenor, or any other person who furnishes information, data,
      reports, or records in good faith for the purpose of aiding the
      impaired pharmacist, pharmacist-intern, or pharmacy technician, shall
      be immune from civil liability.  This immunity from civil liability
      shall be liberally construed to accomplish the purpose of this
      section and is in addition to other immunity provided by law.
         6.  An employee or member of the board or a committee or
      intervenor program is presumed to have acted in good faith.  A person
      alleging a lack of good faith has the burden of proof on that issue.

         7.  The board may contract with professional pharmaceutical
      associations or societies to provide a program for pharmacists,
      pharmacist-interns, and pharmacy technicians who are impaired by
      chemical abuse, chemical dependence, or mental or physical illness.
      Such programs shall include, but not be limited to, education,
      intervention, and posttreatment monitoring.  A contract with a
      professional pharmaceutical association or society shall include the
      following requirements:
         a.  Periodic reports to the board regarding education,
      intervention, and treatment activities.
         b.  Immediate notification to the board's executive secretary
      or director or the executive secretary's or director's designee of
      the identity of the pharmacist, pharmacist-intern, or pharmacy
      technician who is participating in a program to aid impaired
      pharmacists, pharmacist-interns, or pharmacy technicians.
         c.  Release to the board's executive secretary or director or
      the executive secretary's or director's designee upon written request
      of all treatment records of a participant.
         d.  Quarterly reports to the board, by case number, regarding
      each participant's diagnosis, prognosis, and recommendations for
      continuing care, treatment, and supervision which maintain the
      anonymity of the participant.
         e.  Immediate reporting to the board of the name of an
      impaired pharmacist, pharmacist-intern, or pharmacy technician who
      the treatment organization believes to be an imminent danger to
      either the public or to the pharmacist, pharmacist-intern, or
      pharmacy technician.
         f.  Reporting to the board, as soon as possible, the name of a
      participant who refuses to cooperate with the program, who refuses to
      submit to treatment, or whose impairment is not substantially
      alleviated through intervention and treatment.
         g.  Immediate reporting to the board of the name of a
      participant where additional information is evident that known
      distribution of controlled substances or legend drugs to other
      individuals has taken place.
         8.  The board may add a surcharge of not more than ten percent of
      the applicable fee to a pharmacist license fee, pharmacist license
      renewal fee, pharmacist-intern registration fee, pharmacy technician
      registration fee, or pharmacy technician registration renewal fee
      authorized under this chapter to fund programs to aid impaired
      pharmacists, pharmacist-interns, or pharmacy technicians.
         9.  The board may accept, transfer, and expend funds made
      available by the federal or state government or by another public or
      private source to be used in programs authorized by this section.
      The board may contract to provide funding on an annual basis to a
      professional pharmaceutical association or society for expenses
      incurred in management and operation of a program to aid impaired
      pharmacists, pharmacist-interns, or pharmacy technicians.
      Documentation of the use of these funds shall be provided to the
      board not less than annually for review and comment.
         10.  Funds and surcharges collected under this section shall be
      deposited in an account and may be used by the board to administer
      programs authorized by this section, including the provision of
      education, intervention, and posttreatment monitoring to an impaired
      pharmacist, pharmacist-intern, or pharmacy technician and to pay the
      administrative costs incurred by the board in connection with that
      funding and appropriate oversight, but not for costs incurred for a
      participant's initial evaluation, referral services, treatment, or
      rehabilitation subsequent to intervention.
         11.  The board may disclose that the license of a pharmacist, the
      registration of a pharmacist-intern, or the registration of a
      pharmacy technician who is the subject of an order of the board that
      is confidential pursuant to subsection 4 is suspended, revoked,
      canceled, restricted, or retired; or that the pharmacist,
      pharmacist-intern, or pharmacy technician is in any manner otherwise
      limited in the practice of pharmacy; or other relevant information
      pertaining to the pharmacist, pharmacist-intern, or pharmacy
      technician which the board deems appropriate.
         12.  The board may adopt rules necessary for the implementation of
      this section.  
         Section History: Recent Form
         97 Acts, ch 39, §5