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    AB-447
    Health & Public Health

    Emergency room patient prescriptions.

    Engrossed
    CA
    ∙
    2025-2026 Regular Session
    0
    0
    Track
    Track

    Key Takeaways

    • Authorizes emergency room doctors to provide unused portions of non-controlled medications upon discharge.
    • Permits dispensing of self-administered drugs like inhalers and eye drops to continue treatment.
    • Exempts hospital automated drug systems from licensing when used for emergency room patients.
    • Requires prescribers to ensure proper labeling and accept responsibility for dispensing errors.

    Summary

    Assembly Member Mark González's proposal to modify California's emergency room prescription practices would allow medical providers to dispense unused portions of certain medications to patients upon discharge. The measure permits prescribers to provide remaining quantities of non-controlled dangerous drugs that were initially administered during emergency room visits, provided the medications come in self-administrable forms like inhalers or eye drops and are necessary for continuing treatment.

    The legislation also revises licensing requirements for automated drug delivery systems in hospital settings. Hospital pharmacies operating automated unit dose systems would be exempt from obtaining separate licenses when these systems dispense medications to emergency room patients, provided the pharmacy owns or leases the equipment and maintains ownership of the drugs. Hospitals must maintain lists of system locations and make these records available to the California State Board of Pharmacy upon request.

    Under the measure's provisions, prescribers remain legally responsible for any errors or omissions related to medications dispensed through these mechanisms. The bill maintains existing requirements for proper labeling and documentation while adding specific conditions for emergency room dispensing, including limiting eligible medications to those already ordered and administered during the patient's visit.

    Key Dates

    Next Step
    Referred to the Senate Standing Committee on Rules
    Next Step
    Senate Committee
    Referred to the Senate Standing Committee on Rules
    Hearing has not been scheduled yet
    Vote on Assembly Floor
    Assembly Floor
    Vote on Assembly Floor
    Vote on Assembly Floor
    Assembly Appropriations Hearing
    Assembly Committee
    Assembly Appropriations Hearing
    Assembly Appropriations Hearing
    Assembly Health Hearing
    Assembly Committee
    Assembly Health Hearing
    Assembly Health Hearing
    Assembly Business And Professions Hearing
    Assembly Committee
    Assembly Business And Professions Hearing
    Assembly Business And Professions Hearing
    Read first time. To print.
    Assembly Floor
    Read first time. To print.
    Read first time. To print.

    Contacts

    Profile
    Shannon GroveR
    Senator
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Brian JonesR
    Senator
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Mike McGuireD
    Senator
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Eloise ReyesD
    Senator
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    John LairdD
    Senator
    Committee Member
    Not Contacted
    Not Contacted
    0 of 6 row(s) selected.
    Page 1 of 2
    Select All Legislators
    Profile
    Shannon GroveR
    Senator
    Committee Member
    Profile
    Brian JonesR
    Senator
    Committee Member
    Profile
    Mike McGuireD
    Senator
    Committee Member
    Profile
    Eloise ReyesD
    Senator
    Committee Member
    Profile
    John LairdD
    Senator
    Committee Member
    Profile
    Mark GonzalezD
    Assemblymember
    Bill Author

    Get Involved

    Act Now!

    Email the authors or create an email template to send to all relevant legislators.

    Introduced By

    Mark Gonzalez
    Mark GonzalezD
    California State Assembly Member
    40% progression
    Bill has passed all readings in its first house and is ready to move to the other house (5/23/2025)

    Latest Voting History

    View History
    May 23, 2025
    PASS
    Assembly Floor
    Vote on Assembly Floor
    AyesNoesNVRTotalResult
    710879PASS

    Key Takeaways

    • Authorizes emergency room doctors to provide unused portions of non-controlled medications upon discharge.
    • Permits dispensing of self-administered drugs like inhalers and eye drops to continue treatment.
    • Exempts hospital automated drug systems from licensing when used for emergency room patients.
    • Requires prescribers to ensure proper labeling and accept responsibility for dispensing errors.

    Get Involved

    Act Now!

    Email the authors or create an email template to send to all relevant legislators.

    Introduced By

    Mark Gonzalez
    Mark GonzalezD
    California State Assembly Member

    Summary

    Assembly Member Mark González's proposal to modify California's emergency room prescription practices would allow medical providers to dispense unused portions of certain medications to patients upon discharge. The measure permits prescribers to provide remaining quantities of non-controlled dangerous drugs that were initially administered during emergency room visits, provided the medications come in self-administrable forms like inhalers or eye drops and are necessary for continuing treatment.

    The legislation also revises licensing requirements for automated drug delivery systems in hospital settings. Hospital pharmacies operating automated unit dose systems would be exempt from obtaining separate licenses when these systems dispense medications to emergency room patients, provided the pharmacy owns or leases the equipment and maintains ownership of the drugs. Hospitals must maintain lists of system locations and make these records available to the California State Board of Pharmacy upon request.

    Under the measure's provisions, prescribers remain legally responsible for any errors or omissions related to medications dispensed through these mechanisms. The bill maintains existing requirements for proper labeling and documentation while adding specific conditions for emergency room dispensing, including limiting eligible medications to those already ordered and administered during the patient's visit.

    40% progression
    Bill has passed all readings in its first house and is ready to move to the other house (5/23/2025)

    Key Dates

    Next Step
    Referred to the Senate Standing Committee on Rules
    Next Step
    Senate Committee
    Referred to the Senate Standing Committee on Rules
    Hearing has not been scheduled yet
    Vote on Assembly Floor
    Assembly Floor
    Vote on Assembly Floor
    Vote on Assembly Floor
    Assembly Appropriations Hearing
    Assembly Committee
    Assembly Appropriations Hearing
    Assembly Appropriations Hearing
    Assembly Health Hearing
    Assembly Committee
    Assembly Health Hearing
    Assembly Health Hearing
    Assembly Business And Professions Hearing
    Assembly Committee
    Assembly Business And Professions Hearing
    Assembly Business And Professions Hearing
    Read first time. To print.
    Assembly Floor
    Read first time. To print.
    Read first time. To print.

    Latest Voting History

    View History
    May 23, 2025
    PASS
    Assembly Floor
    Vote on Assembly Floor
    AyesNoesNVRTotalResult
    710879PASS

    Contacts

    Profile
    Shannon GroveR
    Senator
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Brian JonesR
    Senator
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Mike McGuireD
    Senator
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Eloise ReyesD
    Senator
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    John LairdD
    Senator
    Committee Member
    Not Contacted
    Not Contacted
    0 of 6 row(s) selected.
    Page 1 of 2
    Select All Legislators
    Profile
    Shannon GroveR
    Senator
    Committee Member
    Profile
    Brian JonesR
    Senator
    Committee Member
    Profile
    Mike McGuireD
    Senator
    Committee Member
    Profile
    Eloise ReyesD
    Senator
    Committee Member
    Profile
    John LairdD
    Senator
    Committee Member
    Profile
    Mark GonzalezD
    Assemblymember
    Bill Author