HB 244 — MEDICAID-PHARMACY-SR DISCOUNT

"_______c______________________d_____________ _____n_____________________g______________________l_____________ _____r_____________________t______________________n_____________ _____2_____________________u_______________ "Person" means and includes a natural person, partnership, association or corporation.

"Pharmacy distributor" means any pharmacy licensed in this State or hospital pharmacy that is engaged in the delivery or distribution of prescription drugs either to any other pharmacy licensed in this State or to any other person or entity including, but not limited to, a wholesale drug distributor engaged in the delivery or distribution of prescription drugs who is involved in the actual, constructive, or attempted transfer of a drug in this State to other than the ultimate consumer except as otherwise provided for by law.

"Prescription drug" means any human drug required by federal law or regulation to be dispensed only by a prescription, including finished dosage forms and active ingredients subject to subsection (b) of Section 503 of the Federal Food, Drug and Cosmetic Act.

"Wholesale distribution" or "wholesale distributions" means distribution of prescription drugs to persons other than a consumer or patient, but does not include any of the following:

(a) Intracompany sales, defined as any transaction or transfer between any division, subsidiary, parent, or affiliated or related company under the common ownership and control of a corporate entity.

(b) The purchase or other acquisition by a hospital or other health care entity that is a member of a group purchasing organization of a drug for its own use from the group purchasing organization or from other hospitals or health care entities that are members of a group HB0244 Engrossed -5- LRB093 02637 DRJ 02647 b organization.

(c) The sale, purchase, or trade of a drug or an offer to sell, purchase, or trade a drug by a charitable organization described in subsection (c)(3) of Section 501 of the U.S.

Internal Revenue Code of 1954 to a nonprofit affiliate of the organization to the extent otherwise permitted by law.

(d) The sale, purchase, or trade of a drug or an offer to sell, purchase, or trade a drug among hospitals or other health care entities that are under common control.

For purposes of this Act, "common control" means the power to direct or cause the direction of the management and policies of a person or an organization, whether by ownership of stock, voting rights, contract, or otherwise.

(e) The sale, purchase, or trade of a drug or an offer to sell, purchase, or trade a drug for emergency medical reasons.

For purposes of this Act, "emergency medical reasons" include transfers of prescription drugs by a retail pharmacy to another retail pharmacy to alleviate a temporary shortage.

(f) The sale, purchase, or trade of a drug, an offer to sell, purchase, or trade a drug, or the dispensing of a drug pursuant to a prescription.

(g) The distribution of drug samples by manufacturers' representatives or distributors' representatives.

(h) The sale, purchase, or trade of blood and blood components intended for transfusion.

"Wholesale drug distributor" means any person or entity engaged in wholesale distribution of prescription drugs, including, but not limited to, manufacturers;

repackers;

own label distributors;

jobbers;

private label distributors;

brokers;

warehouses, including manufacturers' and HB0244 Engrossed -6- LRB093 02637 DRJ 02647 b distributors' warehouses, chain drug warehouses, and wholesale drug warehouses;

independent wholesale drug traders;

and retail pharmacies that conduct wholesale distributions, including, but not limited to, any pharmacy distributor as defined in this Section.

A wholesale drug distributor shall not include any for hire carrier or person or entity hired solely to transport prescription drugs.

87-14.)87-594.) (305Section ILCS15. 5/12-4.25d new) _e_____________________a______________________i_____________ _____a______________________d_________________ _a_______________________c____________________t_____________ _____t______________________i_____________________a_____________ -2- LRB093 02637 DRJ 02647 b ______A__________ _b_____________________e______________________i_____________ _____l_____________________r______________________u_____________ _____n______________________s_____________________a_____________ _____w_____________________o_______________________a____________ _____i_____________________c______________________a_____________ ______t____________________a______________________P_____________ _____f_____________________l_______________________p____________ _____h_____________________l_______________________p____________ _____e_____________________e____________ _________________c______________________a_____________ _r_____________________b______________________e_____________ _i_____________________p_______________________o____________ _o_____________________c______________________r_________ _________________s______________________e_____________ _i_____________________a______________________o_____________ _r_____________________r______________________b_____________ _h_____________________p______________________r_____________ _a_____________________p______________ _h_____________________n______________________s_____________ _____p_____________________i______________________r_____________ ______c____________________i______________________t_____________ _____i________________ _c_____________________o________________________e___________ _____n______________________t_____________________s_____________ _____s_____________________i_______________________f____________ _____l______________________f_____________________d_____________ _____c__________ _d_____________________l______________________e_____________ _____r______________________D_______________________A___________ _____z______________________u_____________________._ _e_______________________o____________________h_____________ _____a_____________________h______________________l_____________ _____t_____________________m______________________l_____________ -3- LRB093 02637 DRJ 02647 b ______1_____________________r______________________b____________ _____i_____________________i______________________m_____________ _____n_____________________i______________________a_____________ _____a_____________________a______________________e_____________ _____a_____________________n______________________._ _f_____________________o______________________n_____________ _____t_____________________s_______________________A____________ _____d_____________________p______________________n_____________ _____c_______________________s____________________n_____________ _____a_____________________y__________ _g______________________P_____________________i_____________ _____m_____________________r______________________e_____________ ______a____________________r______________________l_____________ _______t___________________s_______________________P____________ _____f_____________________A________________________i___________ ______i____________________n______________________d_____________ _____i_____________________s______________________r_____________ _____n________________________a_____________________d___________ _____m_____________________h______________________u_____________ _____i______________________t_____________________a_____________ _____c_____________________o______________________i_____________ _____t______________________t_______________________a___________ _____,_____________________n____ _h_______________________o____________________h_____________ _____a_____________________h______________________i_____________ _____t_____________________s______________________n_____________ ______T_____________________i_____________________o_____________ _____n______________________p_____________________c_____________ ______s____________________t_____________________ _i_____________________e______________________d_____________ _____i_____________________h______________________h_____________ _____u_____________________t______________________o_____________ _____b_____________________a________________________t___________ _______c___________________G_______________________e____________ -4- LRB093 02637 DRJ 02647 b ______u______________________t_____________ __)_____________________p______________________._

The Illinois Public Aid Code is amended by adding Section 12-4.25d as follows:

(305 ILCS 5/12-4.25d new) _e_____________________i________________________o___________ _____r______________ _a_____________________r______________________r_____________ _____d_____________________a______________________t_____________ _____n_____________________a______________________g_____________ _____a_____________________n______________________n_____________ _____t_____________________d______________________t_____________ _____n_____________________f______________________n_____________ _____i_____________________a______________________t_____________ _____r____ _________________c______________________t_____________ _o____________________ __________________i_____________________c____________ _________________e______________________r_____________ _h_____________________o______________________h_____________ _e_____________________p________ _________________i______________________l_____________ _y_____________________s___ _________________s______________________r_____________ _e_____________________-_______________________a____________ _h_____________________D______________________i_____________ HB0244 Engrossed -7- LRB093 02637 DRJ 02647 b _r_____________________d______________________s_____________ _p_____________________a______________________i_____________ _i_____________________i______________________-_____________ _o______________________b_____________________o_____________ _d______________ _________________e______________________t_____________ _n_____________________u________________ _n_______________________a____________________g_____________ _____c______________________a______________________a____________ _____i_____________________m______________________b___ _b_____________________h______________________c__________ __________________p_____________________e_____________ _a_____________________s______________________r_____________ _e_____________________d______________________i_____________ _e_____________________e______________________d_____________ _a______________________u_____________________t_____________ _n_____________________p________ _________________g______________________a_____________ _a_____________________s______________________l_____________ _h______________________b_____________________n_____________ _o_____________________e______________________e_____________ _u_____________ ____________t______________________g_____________ _________________e________________________n___________ _________________r______________________n_____________ __________________d_____________ ____________d______________________p_____________ _________________d______________________n__ ____________c______________________t_____________ _________________a______________________e_____________ _________________a__________ _________________d______________________l_____________ _o_____________________e______________________p_________ _c_____________________g________________________u___________ HB0244 Engrossed -8- LRB093 02637 DRJ 02647 b ______m____________________u_______________________u____________ _____c______________________p_____________________c_____________ _____c___________________ _d______________________P___________ __________________r_____________________b_____________ _n_____________________d______________________e_____________ _a_____________________o________________________a___________ _h_____________________n_______________________d____________ _u______________ _________________u_______________________p____________ _e________________________s_______________________i_________ _m_____________________i______________________r_____________ _i_____________________;_____ _________________s______________________e_____________ _e_____________________e______________________r_____________ _e_____________________c______ _e_____________________o______________________u_____________ _____e_____________________o_______________________a____________ _____o_____________________n______________________d_____________ _____n_____________________n______________________i_____________ _____w_____ _________________y______________________d_____________ _e_____________________n___ _________________o______________________h_____________ _o_____________________u______________________s________ _________________y______________________a_____________ _f______________________w_____________________t_____________ _i_______________________t____________________e_____________ _r_____________________y_______________________i____________ _e_____________________m______________________n___ __________________o______________________f____________ _r________ _________________r______________________e_____________ _e_______ HB0244 Engrossed -9- LRB093 02637 DRJ 02647 b Section 20.

The Senior Pharmaceutical Assistance Act is amended by changing Section 10 as follows:

(320 ILCS 50/10) Sec.

10.

Definitions.

In this Act:

"Manufacturer" includes:

(1) An entity that is engaged in (a) the production, preparation, propagation, compounding, conversion, or processing of prescription drug products (i) directly or indirectly by extraction from substances of natural origin, (ii) independently by means of chemical synthesis, or (iii) by combination of extraction and chemical synthesis;

or (b) the packaging, repackaging, labeling or re-labeling, or distribution of prescription drug products.

(2) The entity holding legal title to or possession of the national drug code number for the covered prescription drug.

The term does not include a wholesale distributor of drugs, drugstore chain organization, or retail pharmacy licensed by the State.

_____________________o_____________ _____y_______________________t____________________a_____________ _____i_____________________n______________________e_____________ ______S____________________t______________________d_______ "Prescription drug" means a drug that may be dispensed only upon prescription by an authorized prescriber and that is approved for safety and effectiveness as a prescription drug under Section 505 or 507 of the Federal Food, Drug and Cosmetic Act.

"Senior citizen" or "senior" means a person 65 years of age or older.

(Source:

P.A.

92-594, eff.

6-27-02.) Section 25.

The Illinois Food, Drug and Cosmetic Act is HB0244 Engrossed -10- LRB093 02637 DRJ 02647 b amended by changing Section 16 and adding Section 16.10 as follows:

(410 ILCS 620/16) (from Ch.

56 1/2, par.

516) Sec.

16.

(a) The Director is hereby authorized to promulgate regulations exempting from any labeling or packaging requirement of this Act drugs and devices which are ___- in accordance with the practice of the trade, to be processed, labeled or repacked in substantial quantities at establishments other than those where originally processed or packaged on condition that such drugs and devices are not adulterated or misbranded under the provisions of this Act upon removal from such processing, labeling or repacking establishment o____________a______________________a_____________ _____t_____________________e______________________t_____________ _____c__________.

(b) Drugs and device labeling or packaging exemptions adopted under the Federal Act and supplements thereto or revisions thereof shall apply to drugs and devices in Illinois except insofar as modified or rejected by regulations promulgated by the Director.

(c) A drug intended for use by man which (A) is a habit-forming drug to which Section 15 (d) applies;

or (B) because of its toxicity or other potentiality for harmful effect or the method of its use or the collateral measures necessary to its use is not safe for use except under the supervision of a practitioner licensed by law to administer such drug;

or (C) is limited by an approved application under Section 505 of the Federal Act or Section 17 of this Act to use under the professional supervision of a practitioner licensed by law to administer such drug, shall be dispensed only in accordance with the provisions of the "Illinois Controlled Substances Act".

The act of dispensing a drug contrary to the provisions of this paragraph shall be deemed HB0244 Engrossed -11- LRB093 02637 DRJ 02647 b to be an act which results in a drug being misbranded while held for sale.

(d) Any drug dispensed by filling or refilling a written or oral prescription of a practitioner licensed by law to administer such drug shall be exempt from the requirements of Section 15, except subsections (a), (k) and (l) and clauses (2) and (3) of subsection (i), and the packaging requirements of subsections (g), (h) and (q), if the drug bears a label containing the proprietary name or names, or if there is none, the established name or names of the drugs, the dosage and quantity, unless the prescribing practitioner, in the interest of the health of the patient, directs otherwise in writing, the name and address of the dispenser, the serial number and date of the prescription or of its filling, the name of the prescriber and, if stated in the prescription, the name of the patient, and the directions for use and the cautionary statements, if any, contained in such prescription.

This exemption shall not apply to any drug dispensed in the course of the conduct of business of dispensing drugs pursuant to diagnosis by mail, or to a drug dispensed in violation of subsection (a) of this Section.

(e) The Director may by regulation remove drugs subject to Section 15 (d) and Section 17 from the requirements of subsection (c) of this Section when such requirements are not necessary for the protection of the public health.

(f) A drug which is subject to subsection (c) of this Section shall be deemed to be misbranded if at any time before dispensing its label fails to bear the statement "Caution:

Federal Law Prohibits Dispensing Without Prescription" or "Caution:

State Law Prohibits Dispensing Without Prescription".

A drug to which subsection (c) of this Section does not apply shall be deemed to be misbranded if at any time prior to dispensing its label bears the caution statement quoted in the preceding sentence.

HB0244 Engrossed -12- LRB093 02637 DRJ 02647 b (g) Nothing in this Section shall be construed to relieve any person from any requirement prescribed by or under authority of law with respect to controlled substances now included or which may hereafter be included within the classifications of controlled substances cannabis as defined in applicable Federal laws relating to controlled substances or cannabis or the Cannabis Control Act.

(Source:

P.A.

84-1308.) (410 ILCS 620/16.10 new) _e_____________________s_______________ _a_____________________n_______________________p____________ _____r_____________________e______________________t_____________ _____D_____________________s______________________e_____________ ____ _b_____________________o______________________u_____________ _____r_____________________p______________________H_____________ _____l_____________________y______________________a_____________ _____r______________________f_____________________i_____________ _____n______________________r_____________________t_____________ _____b_____________________b______________________p_____________ _____t_____________________a______________________b_____________ ______d____________________i______________________a_____________ _____d______________________b_____________________s_____________ _____g_____________________,_______________________p____________ _____e_____________________e______________________n_____________ _____d_____________________d______________________o_____________ _____d_____________________n________________________b___________ _____a_____________________e_______________________t____________ _____i_____________________b______________________s_____________ _______n___________________o_______________________i____________ _____v_____________________a_______________________S____________ _____c_____________________n______________________c_____________ _______d___________________p______________________l_____________ HB0244 Engrossed -13- LRB093 02637 DRJ 02647 b _____a______________________t_____________________i_____________ _____c_____________________u______________________o____________ _c_____________________l______________________c_____________ _____h_____________________d______________________r_____________ ______r______________________T_____________________d____________ _____a_____________________n______________________t_____________ _____c_____________________g______________________r_____________ _____c_____________________r______________________e_____________ _____e_____________________o______________________r_____________ ______P____________________e______________________s_____________ _____o_____________________o______________________t_____________ _____n______________________l_____________________c_____________ _____n_____________________t______________________m__ _d_____________________t______________________n_____________ _____a_____________________g______________________h_____________ ______d_____________________S_____________________a_____________ _____e______________________a_____________________i_____________ _____l_____________________d______________________p_____________ _____s_____________________u________________________o___________ _____n_____________________o______________________i_____________ _____n_____________________l________________________e___________ _____a_____________________e______________________r_____________ _____r_______________________a_____________________p____________ _____r______________________d______________________b____________ _____a_____________________n______________________c_____________ ______m_____________________a_____________________w_____________ _____h_____________________w______________________s_____________ _____r_____________________n______________________e_____________ _______t_____________________t____________________t_____________ _____a_______________________n_____________________m____________ _____i_____________________d______________________h_____________ _____l_____________________e______________________e_____________ _____t_____________________a______________________b_____________ ______d______________________r_____________________m____________ HB0244 Engrossed -14- LRB093 02637 DRJ 02647 b _____d__ _e_______________________w____________________t_____________ _____h_____________________P______________________n_____________ ______g____________________e______________________a_____________ _____f________________ _________________c______________________s_____________ _n_____________________s______________________p_____________ _r_____________________m__ _________________d______________________t_____________ _t_____________________g________________ _________________d______________________c_____________ _r_____________________a______________________o_____________ _s_____________________e______________________e_____________ _n_____________________n______________________s_____ ___________________s____________________d_____________ _e_____________________u______________________b_____________ _n_____________________n_____ _________________u______________________t_____________ _h_____________________o______________________e_____________ _r_____________________t______________________h_____________ _o______________________c______________________d______ ___________________d_____________________p____________ _n___________ ______________o______________________e___________ __________________i_____________________t_____________ _________________i____________ ______________o______________________e___________ __________________i_____________________t_____________ _________________f______________________e_____________ _________________m_______________________s____________ _________________n_______ ____________t______________________s_____________ __________________t_____________________s_____________ _________________n______________________a___ HB0244 Engrossed -15- LRB093 02637 DRJ 02647 b _________________n______________________y_____________ _a__________ ____________t______________________d_____________ _________________d_______________________t____________ _________________h______________________._ ____________t______________________d_____________ _________________d_______________________t____________ ___________________f____________________c_____________ __________________a_____________________y_____________ _________________e_______________ ___________________s____________________o_____________ _e_____________________o_______________________c____________ _i_____________________t______________________h_____________ _p___________ Section 30.

The Illinois Controlled Substances Act is amended by changing Section 102 as follows:

(720 ILCS 570/102) (from Ch.

56 1/2, par.

1102) Sec.

102.

Definitions.

As used in this Act, unless the context otherwise requires:

(a) "Addict" means any person who habitually uses any drug, chemical, substance or dangerous drug other than alcohol so as to endanger the public morals, health, safety or welfare or who is so far addicted to the use of a dangerous drug or controlled substance other than alcohol as to have lost the power of self control with reference to his addiction.

(b) "Administer" means the direct application of a controlled substance, whether by injection, inhalation, ingestion, or any other means, to the body of a patient or research subject by:

(1) a practitioner (or, in his presence, by his authorized agent), or HB0244 Engrossed -16- LRB093 02637 DRJ 02647 b (2) the patient or research subject at the lawful direction of the practitioner.

(c) "Agent" means an authorized person who acts on behalf of or at the direction of a manufacturer, distributor, or dispenser.

It does not include a common or contract carrier, public warehouseman or employee of the carrier or warehouseman.

(c-1) "Anabolic Steroids" means any drug or hormonal substance, chemically and pharmacologically related to testosterone (other than estrogens, progestins, and corticosteroids) that promotes muscle growth, and includes:

(i) boldenone, (ii) chlorotestosterone, (iii) chostebol, (iv) dehydrochlormethyltestosterone, (v) dihydrotestosterone, (vi) drostanolone, (vii) ethylestrenol, (viii) fluoxymesterone, (ix) formebulone, (x) mesterolone, (xi) methandienone, (xii) methandranone, (xiii) methandriol, (xiv) methandrostenolone, (xv) methenolone, (xvi) methyltestosterone, (xvii) mibolerone, (xviii) nandrolone, (xix) norethandrolone, (xx) oxandrolone, (xxi) oxymesterone, (xxii) oxymetholone, (xxiii) stanolone, HB0244 Engrossed -17- LRB093 02637 DRJ 02647 b (xxiv) stanozolol, (xxv) testolactone, (xxvi) testosterone, (xxvii) trenbolone, and (xxviii) any salt, ester, or isomer of a drug or substance described or listed in this paragraph, if that salt, ester, or isomer promotes muscle growth.

Any person who is otherwise lawfully in possession of an anabolic steroid, or who otherwise lawfully manufactures, distributes, dispenses, delivers, or possesses with intent to deliver an anabolic steroid, which anabolic steroid is expressly intended for and lawfully allowed to be administered through implants to livestock or other nonhuman species, and which is approved by the Secretary of Health and Human Services for such administration, and which the person intends to administer or have administered through such implants, shall not be considered to be in unauthorized possession or to unlawfully manufacture, distribute, dispense, deliver, or possess with intent to deliver such anabolic steroid for purposes of this Act.

(d) "Administration" means the Drug Enforcement Administration, United States Department of Justice, or its successor agency.

(e) "Control" means to add a drug or other substance, or immediate precursor, to a Schedule under Article II of this Act whether by transfer from another Schedule or otherwise.

(f) "Controlled Substance" means a drug, substance, or immediate precursor in the Schedules of Article II of this Act.

(g) "Counterfeit substance" means a controlled substance, which, or the container or labeling of which, without authorization bears the trademark, trade name, or other identifying mark, imprint, number or device, or any HB0244 Engrossed -18- LRB093 02637 DRJ 02647 b likeness thereof, of a manufacturer, distributor, or dispenser other than the person who in fact manufactured, distributed, or dispensed the substance.

(h) "Deliver" or "delivery" means the actual, constructive or attempted transfer of possession of a controlled substance, with or without consideration, whether or not there is an agency relationship.

(i) "Department" means the Illinois Department of Human Services (as successor to the Department of Alcoholism and Substance Abuse) or its successor agency.

(j) "Department of State Police" means the Department of State Police of the State of Illinois or its successor agency.

(k) "Department of Corrections" means the Department of Corrections of the State of Illinois or its successor agency.

(l) "Department of Professional Regulation" means the Department of Professional Regulation of the State of Illinois or its successor agency.

(m) "Depressant" or "stimulant substance" means:

(1) a drug which contains any quantity of (i) barbituric acid or any of the salts of barbituric acid which has been designated as habit forming under section 502 (d) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.

352 (d));

or (2) a drug which contains any quantity of (i) amphetamine or methamphetamine and any of their optical isomers;

(ii) any salt of amphetamine or methamphetamine or any salt of an optical isomer of amphetamine;

or (iii) any substance which the Department, after investigation, has found to be, and by rule designated as, habit forming because of its depressant or stimulant effect on the central nervous system;

or (3) lysergic acid diethylamide;

or (4) any drug which contains any quantity of a HB0244 Engrossed -19- LRB093 02637 DRJ 02647 b substance which the Department, after investigation, has found to have, and by rule designated as having, a potential for abuse because of its depressant or stimulant effect on the central nervous system or its hallucinogenic effect.

(n) (Blank).

(o) "Director" means the Director of the Department of State Police or the Department of Professional Regulation or his designated agents.

(p) "Dispense" means to deliver a controlled substance to an ultimate user or research subject by or pursuant to the lawful order of a prescriber, including the prescribing, administering, packaging, labeling, or compounding necessary to prepare the substance for that delivery.

(q) "Dispenser" means a practitioner who dispenses.

(r) "Distribute" means to deliver, other than by administering or dispensing, a controlled substance.

(s) "Distributor" means a person who distributes.

(t) "Drug" means (1) substances recognized as drugs in the official United States Pharmacopoeia, Official Homeopathic Pharmacopoeia of the United States, or official National Formulary, or any supplement to any of them;

(2) substances intended for use in diagnosis, cure, mitigation, treatment, or prevention of disease in man or animals;

(3) substances (other than food) intended to affect the structure of any function of the body of man or animals and (4) substances intended for use as a component of any article specified in clause (1), (2), or (3) of this subsection.

It does not include devices or their components, parts, or accessories.

(t-5) "Euthanasia agency" means an entity certified by the Department of Professional Regulation for the purpose of animal euthanasia that holds an animal control facility license or animal shelter license under the Animal Welfare HB0244 Engrossed -20- LRB093 02637 DRJ 02647 b Act.

A euthanasia agency is authorized to purchase, store, possess, and utilize Schedule II nonnarcotic and Schedule III nonnarcotic drugs for the sole purpose of animal euthanasia.

(u) "Good faith" means the prescribing or dispensing of a controlled substance by a practitioner in the regular course of professional treatment to or for any person who is under his treatment for a pathology or condition other than that individual's physical or psychological dependence upon or addiction to a controlled substance, except as provided herein:

and application of the term to a pharmacist shall mean the dispensing of a controlled substance pursuant to the prescriber's order which in the professional judgment of the pharmacist is lawful.

The pharmacist shall be guided by accepted professional standards including, but not limited to the following, in making the judgment:

(1) lack of consistency of doctor-patient relationship, (2) frequency of prescriptions for same drug by one prescriber for large numbers of patients, (3) quantities beyond those normally prescribed, (4) unusual dosages, (5) unusual geographic distances between patient, pharmacist and prescriber, (6) consistent prescribing of habit-forming drugs.

(u-1) "Home infusion services" means services provided by a pharmacy in compounding solutions for direct administration to a patient in a private residence, long-term care facility, or hospice setting by means of parenteral, intravenous, intramuscular, subcutaneous, or intraspinal infusion.

(v) "Immediate precursor" means a substance:

(1) which the Department has found to be and by rule designated as being a principal compound used, or produced primarily for use, in the manufacture of a HB0244 Engrossed -21- LRB093 02637 DRJ 02647 b controlled substance;

(2) which is an immediate chemical intermediary used or likely to be used in the manufacture of such controlled substance;

and (3) the control of which is necessary to prevent, curtail or limit the manufacture of such controlled substance.

(w) "Instructional activities" means the acts of teaching, educating or instructing by practitioners using controlled substances within educational facilities approved by the State Board of Education or its successor agency.

(x) "Local authorities" means a duly organized State, County or Municipal peace unit or police force.

(y) "Look-alike substance" means a substance, other than a controlled substance which (1) by overall dosage unit appearance, including shape, color, size, markings or lack thereof, taste, consistency, or any other identifying physical characteristic of the substance, would lead a reasonable person to believe that the substance is a controlled substance, or (2) is expressly or impliedly represented to be a controlled substance or is distributed under circumstances which would lead a reasonable person to believe that the substance is a controlled substance.

For the purpose of determining whether the representations made or the circumstances of the distribution would lead a reasonable person to believe the substance to be a controlled substance under this clause (2) of subsection (y), the court or other authority may consider the following factors in addition to any other factor that may be relevant:

(a) statements made by the owner or person in control of the substance concerning its nature, use or effect;

(b) statements made to the buyer or recipient that the substance may be resold for profit;

HB0244 Engrossed -22- LRB093 02637 DRJ 02647 b (c) whether the substance is packaged in a manner normally used for the illegal distribution of controlled substances;

(d) whether the distribution or attempted distribution included an exchange of or demand for money or other property as consideration, and whether the amount of the consideration was substantially greater than the reasonable retail market value of the substance.

Clause (1) of this subsection (y) shall not apply to a noncontrolled substance in its finished dosage form that was initially introduced into commerce prior to the initial introduction into commerce of a controlled substance in its finished dosage form which it may substantially resemble.

Nothing in this subsection (y) prohibits the dispensing or distributing of noncontrolled substances by persons authorized to dispense and distribute controlled substances under this Act, provided that such action would be deemed to be carried out in good faith under subsection (u) if the substances involved were controlled substances.

Nothing in this subsection (y) or in this Act prohibits the manufacture, preparation, propagation, compounding, processing, packaging, advertising or distribution of a drug or drugs by any person registered pursuant to Section 510 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.

360).

(y-1) "Mail-order pharmacy" means a pharmacy that is located in a state of the United States, other than Illinois, that delivers, dispenses or distributes, through the United States Postal Service or other common carrier, to Illinois residents, any substance which requires a prescription.

(z) "Manufacture" means the production, preparation, propagation, compounding, conversion or processing of a controlled substance, either directly or indirectly, by extraction from substances of natural origin, or independently by means of chemical synthesis, or by a HB0244 Engrossed -23- LRB093 02637 DRJ 02647 b combination of extraction and chemical synthesis, and includes any packaging or repackaging of the substance or labeling of its container, except that this term does not include:

(1) by an ultimate user, the preparation or compounding of a controlled substance for his own use;

o -- (2) by a practitioner, or his authorized agent under his supervision, the preparation, compounding, packaging, or labeling of a controlled substance:

(a) as an incident to his administering or dispensing of a controlled substance in the course of his professional practice;

or (b) as an incident to lawful research, teaching or chemical analysis and not for sale;

____- _________________n______________________l_____________ _r_____________________h______________________n_____________ _2_____________________i___________________ (z-1) "Methamphetamine manufacturing chemical" means any of the following chemicals or substances containing any of the following chemicals:

benzyl methyl ketone, ephedrine, methyl benzyl ketone, phenylacetone, phenyl-2-propanone, or pseudoephedrine or any of the salts, optical isomers, or salts of optical isomers of the above-listed chemicals.

(aa) "Narcotic drug" means any of the following, whether produced directly or indirectly by extraction from substances of natural origin, or independently by means of chemical synthesis, or by a combination of extraction and chemical synthesis:

(1) opium and opiate, and any salt, compound, derivative, or preparation of opium or opiate;

(2) any salt, compound, isomer, derivative, or preparation thereof which is chemically equivalent or identical with any of the substances referred to in clause (1), but not including the isoquinoline alkaloids HB0244 Engrossed -24- LRB093 02637 DRJ 02647 b of opium;

(3) opium poppy and poppy straw;

(4) coca leaves and any salts, compound, isomer, salt of an isomer, derivative, or preparation of coca leaves including cocaine or ecgonine, and any salt, compound, isomer, derivative, or preparation thereof which is chemically equivalent or identical with any of these substances, but not including decocainized coca leaves or extractions of coca leaves which do not contain cocaine or ecgonine (for the purpose of this paragraph, the term "isomer" includes optical, positional and geometric isomers).

(bb) "Nurse" means a registered nurse licensed under the Nursing and Advanced Practice Nursing Act.

(cc) (Blank).

(dd) "Opiate" means any substance having an addiction forming or addiction sustaining liability similar to morphine or being capable of conversion into a drug having addiction forming or addiction sustaining liability.

(ee) "Opium poppy" means the plant of the species Papaver somniferum L., except its seeds.

(ff) "Parole and Pardon Board" means the Parole and Pardon Board of the State of Illinois or its successor agency.

(gg) "Person" means any individual, corporation, mail-order pharmacy, government or governmental subdivision or agency, business trust, estate, trust, partnership or association, or any other entity.

(hh) "Pharmacist" means any person who holds a certificate of registration as a registered pharmacist, a local registered pharmacist or a registered assistant pharmacist under the Pharmacy Practice Act of 1987.

(ii) "Pharmacy" means any store, ship or other place in which pharmacy is authorized to be practiced under the HB0244 Engrossed -25- LRB093 02637 DRJ 02647 b Pharmacy Practice Act of 1987.

(jj) "Poppy straw" means all parts, except the seeds, of the opium poppy, after mowing.

(kk) "Practitioner" means a physician licensed to practice medicine in all its branches, dentist, podiatrist, veterinarian, scientific investigator, pharmacist, physician assistant, advanced practice nurse, licensed practical nurse, registered nurse, hospital, laboratory, or pharmacy, or other person licensed, registered, or otherwise lawfully permitted by the United States or this State to distribute, dispense, conduct research with respect to, administer or use in teaching or chemical analysis, a controlled substance in the course of professional practice or research.

(ll) "Pre-printed prescription" means a written prescription upon which the designated drug has been indicated prior to the time of issuance.

(mm) "Prescriber" means a physician licensed to practice medicine in all its branches, dentist, podiatrist or veterinarian who issues a prescription, a physician assistant who issues a prescription for a Schedule III, IV, or V controlled substance in accordance with Section 303.05 and the written guidelines required under Section 7.5 of the Physician Assistant Practice Act of 1987, or an advanced practice nurse with prescriptive authority in accordance with Section 303.05 and a written collaborative agreement under Sections 15-15 and 15-20 of the Nursing and Advanced Practice Nursing Act.

(nn) "Prescription" means a lawful written, facsimile, or verbal order of a physician licensed to practice medicine in all its branches, dentist, podiatrist or veterinarian for any controlled substance, of a physician assistant for a Schedule III, IV, or V controlled substance in accordance with Section 303.05 and the written guidelines required under Section 7.5 of the Physician Assistant Practice Act of 1987, HB0244 Engrossed -26- LRB093 02637 DRJ 02647 b or of an advanced practice nurse who issues a prescription for a Schedule III, IV, or V controlled substance in accordance with Section 303.05 and a written collaborative agreement under Sections 15-15 and 15-20 of the Nursing and Advanced Practice Nursing Act.

(oo) "Production" or "produce" means manufacture, planting, cultivating, growing, or harvesting of a controlled substance.

(pp) "Registrant" means every person who is required to register under Section 302 of this Act.

(qq) "Registry number" means the number assigned to each person authorized to handle controlled substances under the laws of the United States and of this State.

(rr) "State" includes the State of Illinois and any state, district, commonwealth, territory, insular possession thereof, and any area subject to the legal authority of the United States of America.

(ss) "Ultimate user" means a person who lawfully possesses a controlled substance for his own use or for the use of a member of his household or for administering to an animal owned by him or by a member of his household.

(Source:

P.A.

91-403, eff.

1-1-00;

91-714, eff.

6-2-00;

92-449, eff.

1-1-02.) Section 35.

The Cannabis and Controlled Substances Tort Claims Act is amended by changing Section 3 as follows:

(740 ILCS 20/3) (from Ch.

70, par.

903) Sec.

3.

Definitions.

As used in this Act, unless the context otherwise requires:

"Cannabis" includes marihuana, hashish, and other substances that are identified as including any parts of the plant Cannabis Sativa, whether growing or not, the seeds of that plant, the resin extracted from any part of that plant, HB0244 Engrossed -27- LRB093 02637 DRJ 02647 b and any compound, manufacture, salt, derivative, mixture, or preparation of that plant, its seeds, or resin, including tetrahydrocannabinol (THC) and all other cannabinol derivatives, including its naturally occurring or synthetically produced ingredients, whether produced directly or indirectly by extraction, independently by means of chemical synthesis, or by a combination of extraction and chemical synthesis.

"Cannabis" does not include the mature stalks of that plant, fiber produced from those stalks, oil or cake made from the seeds of that plant, any other compound, manufacture, salt, derivative, mixture, or preparation of mature stalks (except the extracted resin), fiber, oil or cake, or the sterilized seeds of that plant that are incapable of germination.

"Controlled substance" means a drug, substance, or immediate precursor in the Schedules of Article II of the Illinois Controlled Substances Act.

"Counterfeit substance" means a controlled substance or the container or labeling of a controlled substance that, without authorization, bears the trademark, trade name, or other identifying mark, imprint, number, device, or any likeness thereof of a manufacturer, distributor, or dispenser other than the person who in fact manufactured, distributed, or dispensed the substance.

"Deliver" or "delivery" means the actual, constructive, or attempted transfer of possession of a controlled substance or cannabis, with or without consideration, whether or not there is an agency relationship.

"Manufacture" means the production, preparation, propagation, compounding, conversion, or processing of a controlled substance, either directly or indirectly, by extraction from substances of natural origin, independently by means of chemical synthesis, or by a combination of extraction and chemical synthesis, and includes any packaging HB0244 Engrossed -28- LRB093 02637 DRJ 02647 b or repackaging of the substance or labeling of its container, except that the term does not include:

(1) by an ultimate user, the preparation or compounding of a controlled substance for his own use;

(2) by a practitioner or his authorized agent under his supervision, the preparation, compounding, packaging, or labeling of a controlled substance;

(A) as an incident to his administering or dispensing of a controlled substance in the course of his professional practice;

or (B) as an incident to lawful research, teaching or chemical analysis and not for sale;

o -- (3) the preparation, compounding, packaging, or labeling of cannabis as an incident to lawful research, teaching, or chemical analysis and not for sale;

____- _________________g______________________b_____________ _r______________________t_____________________u_____________ _2_____________________i___________________ "Owner" means a person who has possession of or any interest whatsoever in the property involved.

"Person" means an individual, a corporation, a government, a governmental subdivision or agency, a business trust, an estate, a trust, a partnership or association, or any other entity.

"Production" means planting, cultivating, tending, or harvesting.

"Property" means real property, including things growing on, affixed to, and found in land, and tangible or intangible personal property, including rights, services, privileges, interests, claims, and securities.

(Source:

P.A.

87-544.)