California Clinics: Lizzie's Law

California law changes

Recently the state of California passed a law referred to as Lizzie's Law which has implications for veterinary clinics when prescribing medications.  The text of the law that applies to veterinary professions is listed below for reference.

SEC. 26.

 Section 4829.5 is added to the Business and Professions Code, to read:
4829.5.
 (a) Each time a veterinarian initially prescribes, dispenses, or furnishes a dangerous drug, as defined in Section 4022, to an animal patient in an outpatient setting, the veterinarian shall offer to provide, in person or through electronic means, to the client responsible for the animal, or his or her agent, a consultation that includes the following information:
(1) The name and description of the dangerous drug.
(2) Route of administration, dosage form, dosage, duration of drug therapy, the duration of the effects of the drug, and the common severe adverse effects associated with the use of a short-acting or long-acting drug.
(3) Any special directions for proper use and storage.
(4) Actions to be taken in the event of a missed dose.
(5) If available, precautions and relevant warnings provided by the drug’s manufacturer, including common severe adverse effects of the drug.
(b) If requested, a veterinarian shall provide drug documentation, if available.
(c) A veterinarian may delegate to a registered veterinary technician or veterinary assistant the task of providing the consultation and drug documentation required by this section.
(d) It shall be noted in the medical record of the animal patient if the consultation described in this section is provided or declined by the client or his or her agent.
 

Recommendations

Our recommendations for complying with this law are below, however this cannot be considered legal advice.  If you are needing specific legal advice for complying with this law please contact your legal counsel.
 
1. To add drug documentation to your prescription items you can use handouts for this purpose.  Our existing knowledge base article on handouts is available here: https://evetpractice.zendesk.com/hc/en-us/articles/218971338-Creating-and-Distributing-Handouts
 
2. If you have a need to collect a signature on your documents then you will want to use the "Generate Patient Document" option on the patient's EMR to generate the document and collect a signature.  The signature collection process is not currently available during the checkout process in eVetPractice where the handouts are generated and printed.
 
3. Regarding both of these approaches, as long as the document template involved has the "Store generated document into the patient's medical record" option checked off in its options then a copy will be added to the patient's medical record.
 
While we are unable to answer questions about the new law specifically please feel free to reach out to our support team for assistance implementing any of these options.
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