state legislation pharmaceuticals product stewardship
DESCRIPTION
State Legislation Pharmaceuticals Product Stewardship. Abby Boudouris, Oregon Department of Environmental Quality Suellen Mele, Washington Citizens for Resource Conservation. June 2009 National Product Stewardship Forum & NW Hazardous Materials Conference. Producer responsibility - PowerPoint PPT PresentationTRANSCRIPT
State LegislationState LegislationPharmaceuticals Product StewardshipPharmaceuticals Product Stewardship
Abby Boudouris, Oregon Department of Abby Boudouris, Oregon Department of Environmental QualityEnvironmental Quality
Suellen Mele, Washington Citizens for Suellen Mele, Washington Citizens for Resource ConservationResource Conservation
June 2009 National Product Stewardship Forum &
NW Hazardous Materials Conference
Producer responsibilityProducer responsibilitywould make a would make a
medicine return program medicine return program possible for the long termpossible for the long term
States with Product Stewardship States with Product Stewardship Bills in 2009Bills in 2009
Florida (SB 2650)Florida (SB 2650) Maine (LD 821)Maine (LD 821) Minnesota (HB 1217)Minnesota (HB 1217) Oregon (SB 598)Oregon (SB 598) Washington (2SHB 1165, Washington (2SHB 1165,
SB 5279)SB 5279)
Washington and OregonWashington and Oregon
Similarities Between the BillsSimilarities Between the Bills
In 2009In 2009
Producer ResponsibilityProducer Responsibility
Producers provide & pay for programProducers provide & pay for program
State agency may establish fees on State agency may establish fees on producers to recover expensesproducers to recover expenses
No fee to customer at time of No fee to customer at time of sale or collectionsale or collection
What’s CoveredWhat’s Covered
All medicinesAll medicines Over-the-counterOver-the-counter
Prescriptions, Prescriptions, including controlled including controlled substancessubstances
From households From households & residential & residential sourcessources
Not PrescriptiveNot Prescriptive Producers determine how to Producers determine how to
collect drugscollect drugs Pharmacy take-back , mail-in, Pharmacy take-back , mail-in,
combination, or other ideacombination, or other idea
Pharmacies not required to Pharmacies not required to
participateparticipate
Expect many pharmacies to Expect many pharmacies to
be eager to participatebe eager to participate
AdministrationAdministration
All producers must participate in an All producers must participate in an approved plan approved plan WA - Board of PharmacyWA - Board of Pharmacy OR – Department of Human ServicesOR – Department of Human Services
Can coordinate with other producers or Can coordinate with other producers or have their own planhave their own plan
MustMust accept all medicines regardless of accept all medicines regardless of who produced themwho produced them
Oversight – State RoleOversight – State RoleWashington Board of PharmacyWashington Board of Pharmacy
Oregon Department of Human ServicesOregon Department of Human Services
Review & approve plansReview & approve plans WA – in consultation with DOEWA – in consultation with DOE OR – in consultation with DEQOR – in consultation with DEQ
Adopt rulesAdopt rules WA – Shall adopt rules WA – Shall adopt rules OR – Shall adopt rules on admin fee & retail signsOR – Shall adopt rules on admin fee & retail signs
EnforcementEnforcement
Outreach & EvaluationOutreach & Evaluation
Producers provide education and outreach Producers provide education and outreach about the programabout the program
Oregon: Must include method of Oregon: Must include method of evaluation & improvement of programevaluation & improvement of program
Washington: Must annually evaluate Washington: Must annually evaluate outreach & program including:outreach & program including: % of residents aware of program% of residents aware of program What extent residents find program What extent residents find program
convenientconvenient
Washington and OregonWashington and Oregon
Differences Between the BillsDifferences Between the Bills
In 2009In 2009
PharmaciesPharmacies
OregonOregon Pharmacies must post signsPharmacies must post signs
WashingtonWashington Not specific about signsNot specific about signs
Both Oregon & WashingtonBoth Oregon & Washington If producers set up pharmacy take-back If producers set up pharmacy take-back
program, pharmacies may voluntarily participateprogram, pharmacies may voluntarily participate
ReportingReporting
OregonOregon No annual report No annual report
requiredrequired
WashingtonWashington Annual report Annual report
requiredrequired
Recovery RequirementsRecovery Requirements
OregonOregon Recovery goals Recovery goals
included in plan for included in plan for 11stst, 2, 2ndnd, and 3, and 3rdrd years years expressed as expressed as pounds per capitapounds per capita
WashingtonWashington No recovery goals or No recovery goals or
requirements. BUT:requirements. BUT: Board of Pharmacy may Board of Pharmacy may
establish performance establish performance standardsstandards
Collection must be Collection must be provided in all counties & provided in all counties & in cities of 10,000 or in cities of 10,000 or greater populationgreater population
Board of Pharmacy must Board of Pharmacy must invite comments on invite comments on satisfaction with servicessatisfaction with services
Final DisposalFinal Disposal
WashingtonWashington
Must be disposed at Must be disposed at hazardous waste facilityhazardous waste facility
Allows use of new Allows use of new technology if superior technology if superior protection of human protection of human health and health and environment, and environment, and approved by approved by Department of EcologyDepartment of Ecology
OregonOregon
Must be disposed by Must be disposed by incineration or incineration or hazardous waste hazardous waste disposaldisposal
Oregon PoliticsOregon Politics
Sponsor-Committee on Human Services Sponsor-Committee on Human Services and Health Policyand Health Policy
Champion-Senator Jackie DingfelderChampion-Senator Jackie Dingfelder Engine-ACWA and City of EugeneEngine-ACWA and City of Eugene Committee HearingsCommittee Hearings Amendment---PilotAmendment---Pilot Resurrection-SB 649Resurrection-SB 649 Story may not be over yetStory may not be over yet
Opposition Arguments in OregonOpposition Arguments in Oregonoror
“Solution in Search of a Problem”…“Solution in Search of a Problem”…Primary arguments against the bill Primary arguments against the bill
were environmental were environmental
Quantities detected small so very Quantities detected small so very small or small or no impact to water quality no impact to water quality
Human use is responsible for the Human use is responsible for the vast majority of drugs ---vast majority of drugs ---Excretion.Excretion.
LandfillsLandfills are environmentally safe are environmentally safe for pharmaceutical disposal.for pharmaceutical disposal.
Opposition Solutions:Opposition Solutions: Education about proper disposal in Education about proper disposal in
trash is most efficient and effective trash is most efficient and effective methodmethod
SMARxT Disposal™ will work. SMARxT Disposal™ will work.
Take back might even make it worseTake back might even make it worse Collection program may increase Collection program may increase
diversion.diversion.
Supporters of SB 598Supporters of SB 598Oregon’s Drug Take Back ProgramOregon’s Drug Take Back Program
Health/Medical/Environmental Health/Medical/Environmental ProgramsPrograms
Oregon Nurses AssociationOregon Nurses AssociationOregon Board of PharmacyOregon Board of PharmacyOregon Hospice AssociationOregon Hospice AssociationOregon Public Health AssociationOregon Public Health AssociationOregon Society of Health System Oregon Society of Health System
PharmacistsPharmacistsOregon Department of Environmental Oregon Department of Environmental
QualityQualityOregon Environmental Quality Oregon Environmental Quality
CommissionCommission
Environmental OrganizationsEnvironmental OrganizationsOregon Center for Environmental HealthOregon Center for Environmental HealthNorthwest Product Stewardship CouncilNorthwest Product Stewardship CouncilOregon Environmental CouncilOregon Environmental CouncilTualatin RiverkeepersTualatin Riverkeepers
Local and Government ProgramsLocal and Government ProgramsCities: Bend, Eugene, Gresham, Hillsboro Cities: Bend, Eugene, Gresham, Hillsboro
(Water Department), Pendleton, Portland, (Water Department), Pendleton, Portland, Rogue River, and SpringfieldRogue River, and Springfield
Tualatin Valley Water DistrictTualatin Valley Water DistrictTualatin Valley Watershed CouncilTualatin Valley Watershed CouncilTri-County Water Resources AssociationTri-County Water Resources AssociationMedford Water CommissionMedford Water CommissionLower Columbia River Estuary PartnershipLower Columbia River Estuary PartnershipBenton County CommissionersBenton County CommissionersLane County CommissionersLane County CommissionersAffiliated Tribes of Northwest IndiansAffiliated Tribes of Northwest IndiansEugene Water and Electric BoardEugene Water and Electric BoardOregon Water Utilities CouncilOregon Water Utilities CouncilOregon Association of Clean Water AgenciesOregon Association of Clean Water AgenciesOregon Drinking Water Advisory CommitteeOregon Drinking Water Advisory CommitteePacific Northwest Clean Water AssociationPacific Northwest Clean Water AssociationJoint Water CommissionJoint Water CommissionRegional Water Providers ConsortiumRegional Water Providers ConsortiumSouth Fork Water BoardSouth Fork Water BoardBridlemile Neighborhood Creek StewardsBridlemile Neighborhood Creek Stewards
Washington PoliticsWashington Politics Prime sponsors = championsPrime sponsors = champions
Rep. Dawn MorrellRep. Dawn Morrell Sen. Adam KlineSen. Adam Kline
33 House sponsors33 House sponsors 16 Senate sponsors16 Senate sponsors Passed out of House policy Passed out of House policy
& fiscal committees& fiscal committees Moved out of RulesMoved out of Rules Ran out of timeRan out of time Done for this yearDone for this year
Opposition Arguments Opposition Arguments in Washingtonin Washington
Similar to arguments Similar to arguments made in Oregonmade in Oregon
PLUS: Where is the PLUS: Where is the evidence that existing evidence that existing programs make a programs make a difference?difference? accidental poisoningsaccidental poisonings prescription drug prescription drug
abuseabuse environmental environmental
contaminationcontamination
Washington: EndorsersWashington: EndorsersBusinesses & AssociationsBusinesses & AssociationsBartell DrugsBartell DrugsJim’s Pharmacy, SequimJim’s Pharmacy, SequimWashington State Recycling AssociationWashington State Recycling Association
Local Governments & AssociationsLocal Governments & AssociationsCity of KirklandCity of KirklandCity of SeattleCity of SeattleClark CountyClark CountyCoalition for Clean WaterCoalition for Clean WaterKing CountyKing CountyLocal Hazardous Waste Management Program in King Local Hazardous Waste Management Program in King
CountyCountyPublic Health – Seattle & King CountyPublic Health – Seattle & King CountySnohomish CountySnohomish CountyWashington State Association of CountiesWashington State Association of Counties
Environmental OrganizationsEnvironmental OrganizationsAmerican RiversAmerican RiversEnvironment WashingtonEnvironment WashingtonNational Wildlife FoundationNational Wildlife FoundationPeople For Puget SoundPeople For Puget SoundSierra Club Cascade ChapterSierra Club Cascade ChapterSurfrider FoundationSurfrider FoundationThe Nature ConservancyThe Nature ConservancyWashington Citizens for Resource ConservationWashington Citizens for Resource ConservationWashington Environmental CouncilWashington Environmental CouncilWashington Toxics CoalitionWashington Toxics Coalition
Civic & Faith OrganizationsCivic & Faith OrganizationsEarth MinistryEarth MinistryLeague of Women Voters of WashingtonLeague of Women Voters of WashingtonLutheran Public Policy Office of Washington StateLutheran Public Policy Office of Washington StateRyan’s SolutionRyan’s SolutionWashington State Senior Citizens’ LobbyWashington State Senior Citizens’ LobbyWashPIRGWashPIRG
Law EnforcementLaw EnforcementClallam County SheriffClallam County SheriffSnohomish County Sheriff’s OfficeSnohomish County Sheriff’s OfficeWashington Association of Sheriffs and Police ChiefsWashington Association of Sheriffs and Police ChiefsWashington Council of Police and Sheriffs (WACOPS)Washington Council of Police and Sheriffs (WACOPS)
Health & Medical OrganizationsHealth & Medical OrganizationsAmerican Academy of Pediatrics – WA State ChapterAmerican Academy of Pediatrics – WA State ChapterAssociation of Advanced Practice Psychiatric NursesAssociation of Advanced Practice Psychiatric NursesBreast Cancer FundBreast Cancer FundChildren’s AllianceChildren’s AllianceCompassion & Choices of WashingtonCompassion & Choices of WashingtonHome Care Association of WashingtonHome Care Association of WashingtonInstitute for Children’s Environmental HealthInstitute for Children’s Environmental HealthInstitute for Neurotoxicology & Neurological DisordersInstitute for Neurotoxicology & Neurological DisordersPlanned Parenthood Public Policy Network of WAPlanned Parenthood Public Policy Network of WASchool Nurse Organization of WashingtonSchool Nurse Organization of WashingtonScience and Management of Addictions (SAMA) Science and Management of Addictions (SAMA)
FoundationFoundationWA Acupuncture and Oriental Medicine AssociationWA Acupuncture and Oriental Medicine AssociationWashington Association for Substance Abuse and Washington Association for Substance Abuse and
Violence PreventionViolence PreventionWashington Chapter of the American College of Washington Chapter of the American College of
Emergency PhysiciansEmergency PhysiciansWashington Poison CenterWashington Poison CenterWashington Private Duty AssociationWashington Private Duty AssociationWashington State Assoc of Local Public Health OfficialsWashington State Assoc of Local Public Health OfficialsWashington State Assoc of Occupational Health Washington State Assoc of Occupational Health
NursesNursesWashington State Hospice and Palliative Care Washington State Hospice and Palliative Care
OrganizationOrganizationWashington State Medical AssociationWashington State Medical AssociationWashington State Nurses AssociationWashington State Nurses AssociationWashington State Psychological AssociationWashington State Psychological Association
This issue isn’t going awayThis issue isn’t going away … …Shirley
Next StepsNext Steps
Continue participating in Continue participating in PSI’s National Stakeholder PSI’s National Stakeholder DialogueDialogue
Drug manufacturer support?Drug manufacturer support? Continue local conversations Continue local conversations
with stakeholders with stakeholders Broaden & deepen supportBroaden & deepen support Bill passageBill passage
Additional InformationAdditional Information
Abby Boudouris, DEQAbby Boudouris, [email protected]
Suellen Mele, WCRCSuellen Mele, [email protected]
Oregon BillOregon Bill
http://www.leg.state.or.us/searchmeas.html (type in SB598) (type in SB598)
Washington BillWashington Billwww.leg.wa.gov (type in 1165 under “bill search”) (type in 1165 under “bill search”)