Transcript State Legislation Pharmaceuticals Product Stewardship

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
would make a
medicine return program
possible for the long term
States with Product Stewardship
Bills in 2009
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Florida (SB 2650)
Maine (LD 821)
Minnesota (HB 1217)
Oregon (SB 598)
Washington (2SHB 1165,
SB 5279)
Washington and Oregon
Similarities Between the Bills
In 2009
Producer Responsibility

Producers provide & pay for program

State agency may establish fees on
producers to recover expenses

No fee to customer at time of
sale or collection
What’s Covered

All medicines

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
Over-the-counter
Prescriptions,
including controlled
substances
From households
& residential
sources
Not Prescriptive

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Producers determine
how to collect drugs
Pharmacy take-back ,
mail-in, combination, or other idea
Pharmacies not required to
participate
Expect many pharmacies to
be eager to participate
Administration

All producers must participate in an
approved plan
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WA - Board of Pharmacy
OR – Department of Human Services

Can coordinate with other producers or
have their own plan

Must accept all medicines regardless
of who produced them
Oversight – State Role
Washington Board of Pharmacy
Oregon Department of Human Services

Review & approve plans

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Adopt rules

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WA – in consultation with DOE
OR – in consultation with DEQ
WA – Shall adopt rules
OR – Shall adopt rules on admin fee & retail signs
Enforcement
Outreach & Evaluation

Producers provide education and outreach
about the program

Oregon: Must include method of
evaluation & improvement of program

Washington: Must annually evaluate
outreach & program including:

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% of residents aware of program
What extent residents find program
convenient
Washington and Oregon
Differences Between the Bills
In 2009
Pharmacies
Oregon
 Pharmacies must post signs
Washington
 Not specific about signs
Both Oregon & Washington
 If producers set up pharmacy take-back
program, pharmacies may voluntarily participate
Reporting
Oregon
 No annual report
required
Washington
 Annual report
required
Recovery Requirements
Washington
 No recovery goals or
requirements. BUT:
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
Board of Pharmacy may
establish performance
standards
Collection must be
provided in all counties &
in cities of 10,000 or
greater population
Board of Pharmacy must
invite comments on
satisfaction with services
Oregon
 Recovery goals
included in plan for
1st, 2nd, and 3rd years
expressed as
pounds per capita
Final Disposal
Washington
Oregon

Must be disposed at
hazardous waste facility

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Allows use of new
technology if superior
protection of human
health and
environment, and
approved by
Department of Ecology
Must be disposed by
incineration or
hazardous waste
disposal
Oregon Politics
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Sponsor-Committee on Human Services
and Health Policy
Champion-Senator Jackie Dingfelder
Engine-ACWA and City of Eugene
Committee Hearings
Amendment---Pilot
Resurrection-SB 649
Story may not be over yet
Opposition Arguments in Oregon
or
“Solution in Search of a Problem”…
Primary arguments against the bill
were environmental

Quantities detected small so very
small or no impact to water quality

Human use is responsible for the
vast majority of drugs ---Excretion.

Landfills are environmentally safe
for pharmaceutical disposal.
Opposition Solutions:
 Education about proper disposal in
trash is most efficient and effective
method

SMARxT Disposal™ will work.
Take back might even make it worse
 Collection program may increase
diversion.
Supporters of SB 598
Oregon’s
Drug
Take
Back
Program
Health/Medical/Environmental
Local and Government Programs
Programs
Oregon Nurses Association
Oregon Board of Pharmacy
Oregon Hospice Association
Oregon Public Health Association
Oregon Society of Health System
Pharmacists
Oregon Department of Environmental
Quality
Oregon Environmental Quality
Commission
Environmental Organizations
Oregon Center for Environmental Health
Northwest Product Stewardship Council
Oregon Environmental Council
Tualatin Riverkeepers
Cities: Bend, Eugene, Gresham, Hillsboro
(Water Department), Pendleton,
Portland, Rogue River, and Springfield
Tualatin Valley Water District
Tualatin Valley Watershed Council
Tri-County Water Resources Association
Medford Water Commission
Lower Columbia River Estuary Partnership
Benton County Commissioners
Lane County Commissioners
Affiliated Tribes of Northwest Indians
Eugene Water and Electric Board
Oregon Water Utilities Council
Oregon Association of Clean Water
Agencies
Oregon Drinking Water Advisory
Committee
Pacific Northwest Clean Water Association
Joint Water Commission
Regional Water Providers Consortium
South Fork Water Board
Bridlemile Neighborhood Creek Stewards
Washington Politics

Prime sponsors = champions
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Rep. Dawn Morrell
Sen. Adam Kline
33 House sponsors
16 Senate sponsors
Passed out of House policy
& fiscal committees
 Moved out of Rules
 Ran out of time
 Done for this year
Opposition Arguments
in Washington

Similar to arguments
made in Oregon
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PLUS: Where is the
evidence that existing
programs make a
difference?

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accidental poisonings
prescription drug
abuse
environmental
contamination
Businesses & Associations
Bartell Drugs
Jim’s Pharmacy, Sequim
Washington State Recycling Association
Washington: Endorsers
Local Governments & Associations
City of Kirkland
City of Seattle
Clark County
Coalition for Clean Water
King County
Local Hazardous Waste Management Program in King
County
Public Health – Seattle & King County
Snohomish County
Washington State Association of Counties
Environmental Organizations
American Rivers
Environment Washington
National Wildlife Foundation
People For Puget Sound
Sierra Club Cascade Chapter
Surfrider Foundation
The Nature Conservancy
Washington Citizens for Resource Conservation
Washington Environmental Council
Washington Toxics Coalition
Civic & Faith Organizations
Earth Ministry
League of Women Voters of Washington
Lutheran Public Policy Office of Washington State
Ryan’s Solution
Washington State Senior Citizens’ Lobby
WashPIRG
Law Enforcement
Clallam County Sheriff
Snohomish County Sheriff’s Office
Washington Association of Sheriffs and Police Chiefs
Washington Council of Police and Sheriffs (WACOPS)
Health & Medical Organizations
American Academy of Pediatrics – WA State Chapter
Association of Advanced Practice Psychiatric Nurses
Breast Cancer Fund
Children’s Alliance
Compassion & Choices of Washington
Home Care Association of Washington
Institute for Children’s Environmental Health
Institute for Neurotoxicology & Neurological Disorders
Planned Parenthood Public Policy Network of WA
School Nurse Organization of Washington
Science and Management of Addictions (SAMA)
Foundation
WA Acupuncture and Oriental Medicine Association
Washington Association for Substance Abuse and
Violence Prevention
Washington Chapter of the American College of
Emergency Physicians
Washington Poison Center
Washington Private Duty Association
Washington State Assoc of Local Public Health Officials
Washington State Assoc of Occupational Health Nurses
Washington State Hospice and Palliative Care
Organization
Washington State Medical Association
Washington State Nurses Association
Washington State Psychological Association
This issue isn’t going away …
Shirley
Next Steps
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Continue participating in
PSI’s National Stakeholder
Dialogue
Drug manufacturer support?
Continue local conversations
with stakeholders
Broaden & deepen support
Bill passage
Additional Information
Abby Boudouris, DEQ
[email protected]
Suellen Mele, WCRC
[email protected]
Oregon Bill
http://www.leg.state.or.us/searchmeas.html (type in SB598)
Washington Bill
www.leg.wa.gov (type in 1165 under “bill search”)