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NOH: proposed adoption of Lewis County Code Chapter 8.65 BEFORE THE BOARD OF COUNTY COMMISSIONERS OF LEWIS COUNTY, WASHINGTON IN RE: Notice of Public Hearing to inform citizens of ) proposed adoption of Lewis County Code Chapter 8.65 ) RESOLUTION No. 18-162 - Secure Medication Return and addition to 2018 ) County Fee Schedule NOTICE IS HEREBY GIVEN that a public hearing will be held by the Lewis County Board of County Commissioners in the Hearing Room at 351 NW North Street, Chehalis, Washington on June 4, 2018 on or after 10:00 am; AND WHEREAS, public notice of said hearing is required by law; NOW, THEREFORE BE IT RESOLVED, the purpose of the public hearing is to inform residents of a proposed ordinance enacting a new chapter 8.65 LCC - Secure Medication Return and update County Fee Schedule to include fees generated by this ordinance and to provide community members opportunity to offer input; AND BE IT RESOLVED that a hearing is hereby scheduled for June 4, 2018 to take public testimony and input with final Board of County Commissioners' action to take place on June 4, 2018 following the public hearing. BE IT FURTHER RESOLVED that the Clerk of the Board is hereby instructed to proceed with all appropriate and necessary notifications, posting, and publication as required by law. DONE IN OPEN SESSION this 14th of May, 2018. SUBSTITUTED THIS JUNE 11, 2018, NUNC PRO TUNC FOR THE RESOLUTION PASSED IN OPEN SESSION ON MAY 14, 2018, WHICH LISTED JUNE INSTEAD OF MAY AS A SCRIVENER'S ERROR IN THE DATE UNDERLINED ABOVE. APPROVED AS TO FORM: BOARD OF COUNTY COMMISSIONERS Jonathan Meyer, Prosecuting Attorney LEWIS COUNTY, WASHINGTON al" ee L/ B . • moss Pcl-e rs�►� Edna J. Fund, Chair / Ghief Deputy Prosecuting Attorney ••tis cots2�,- � i �W ATTEST: : �%6,R0 / Robert C. Jackson, Vice Chair • o \ . , r SINCE ` a: St't Rieva Lester, Clerk of the Boa ,\/� O3ry Star e r r, Member colvrtvis-sc3, ••• ••G2bNS tscc, •••••e BEFORE THE BOARD OF COUNTY COMMISSIONERS OF LEWIS COUNTY, WASHINGTON IN RE: ) Notice of Public Hearing to inform citizens of ) proposed adoption of Lewis County Code Chapter 1 RESOLUTION No. IS - Ito g- 8.65 - Secure Medication Return and addition to ) 2018 County Fee Schedule ) NOTICE IS HEREBY GIVEN that a public hearing will be held by the Lewis County Board of County Commissioners in the Hearing Room at 351 NW North Street, Chehalis, Washington on June 4, 2018 on or after 10:00 am; AND WHEREAS, public notice of said hearing is required by law; NOW, THEREFORE BE IT RESOLVED, the purpose of the public hearing is to inform residents of a proposed ordinance enacting a new chapter 8.65 LCC - Secure Medication Return and update County Fee Schedule to include fees generated by this ordinance and to provide community members opportunity to offer input; AND BE IT RESOLVED that a hearing is hereby scheduled for June 4, 2018 to take public testimony and input with final Board of County Commissioners' action to take place on June 4, 2018 following the public hearing. BE IT FURTHER RESOLVED that the Clerk of the Board is hereby instructed to proceed with all appropriate and necessary notifications, posting, and publication as required by law. DONE IN OPEN SESSION this 14th of June, 2018. APPROVED AS TO FORM: BOARD OF COUNTY COMMISSIONERS Jonathan Meyer, ' y. u ng Attorney LEWIS COUNTY, WASHINGTON / ! ! e'd/ru-et. By: Davi. Fine ,EdrrEA J. Fund, CIylr Deputy Prosecuting Attorney / ' '-2, - I' --- - ATTEST: Robert C. Jackson, Vice Chair ®•s..... °\,'• oCOUNT �0 7� 4 %pARD' if-i�•° r Rieva Lester, Clerk of thed E 'i` ary St mper, ember •• * `rte 1845 wz1/ z0 NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that the Board of County Commissioners of Lewis County, Washington will conduct a public hearing for the purpose of taking public testimony regarding Ordinance 1285 which adds Chapter 8.65, Secure Medication Return, to the Lewis County Code. The public hearing will be held as follows: DATE: Monday, June 4, 2018 TIME: 10:00 am PLACE: County Commissioners Hearing Room Lewis County Historic Courthouse - 2nd Floor 351 NW North Street Chehalis, WA The proposed addition of LCC Chapter 8.65, entitled, "Secure Medication Return" is summarized as follows: • Provide for and promote the health, safety, and welfare of the general public by providing effective disposal methods for expired or otherwise unwanted prescription medication in attempts to prevent such substances from: o Being obtained for unauthorized purposes; and/or o Being disposed of in a manner which could have adverse effects on the environment. • Place the obligation of complying with its requirements upon drug producers, wholesalers, and others designated within the scope of this Chapter. No provision nor term used in this chapter is intended to impose any duty whatsoever upon the Lewis County Board of Commissioners, Lewis County Public Health & Social Services, or any of its officers, for whom the implementation or enforcement of this Chapter shall be discretionary and not mandatory. • Add fees imposed by this ordinance to the 2018 Fee Schedule. Copies of Ordinance 1285 will be available for review at no charge from the Clerk of the Board of County Commissioners, 351 NW North Street, Chehalis, and at the Lewis County Public Health building, located at 360 NW North Street, 3`d floor, Chehalis. Anyone desiring to voice an opinion for or against the proposed ordinance should appear and be heard. Written comments may be submitted to the BOCC by June 1, 2018. The BOCC Hearing Room is handicap accessible. Arrangements to reasonably accommodate the special needs, including handicap accessibility or interpreter, will be made upon receiving twenty-four(24) hour advance notice. Contact Rieva Lester at 360-740-1419. DATED this 14th day of May 2018. Rieva Lester, Clerk of the Board of County Commissioners DATE OF PUBLICATION: The Chronicle: May 17,2018 .•••••• •▪ V � 0• • � 1845 1oe• • 22)A,,_ */••` IS . Chapter 8.65 SECURE MEDICATION RETURN Sections: 8.65.010 Purpose, Objectives, and Authority 8.65.020 Definitions 8.65.030 Participation 8.65.040 Plan Components 8.65.050 Collection of Covered Drugs 8.65.060 Promotion R• 8.65.070 Disposal of Covered Drugs 8.65.080 Administrative and Operational Costs and Fees 8.65.090 Reporting Requirements 8.65.100 Identification of Producers of Covered Drugs 8.65.110 Review of Proposed Plans 8.65.120 Prior Approval for Plan Changes 8.65.130 Enforcement 8.65.140 Regulations, Performance StaOdardstid Report 8.65.150 Plan Review and Annual Ope 444! ees , gym. 8.65.160 Appeals 8.65.170 Severability 8.65.010 Purpose, Objectives, and Authority (1) The purpose of this chapter is to provide for and promote the health, safety, and welfare of the general public by providing effective disposal methods for expired or otherwise unwanted prescription meditation in attempts to prevent such substances from a. Being obtained for unauthorized purposes; and/or b.' Being disposed of in a manner which could have adverse effects on the environment. (2) This chapter is intended to place the obligation of complying with its requirements upon drug producers, wholesalers, and others designated within the scope of this Chapter. No provision nor term used in this chapter is intended to impose any duty whatsoever upon the Lewis County Board of Commissioners, Lewis County Public Health & Social Services, or any of its officers, for whom the implementation or enforcement of this Chapter shall be discretionary and not mandatory. (3) This Chapter is adopted by the Lewis County Board of County Commissioners in accordance with the authority granted in LCC 1.05. 8.65.020 Definitions The following definitions apply throughout this Chapter, unless clearly indicated otherwise: Proposed LCC Chapter 8.65—Secure Medication Return 1 (1) "Authorized collector" means any person authorized as a collector by the United States Drug Enforcement Administration pursuant to 21 CFR 1317, such as manufactures, distributors, reverse distributors, retail pharmacies, hospitals/clinics with an on-site pharmacy, or narcotic treatment programs that gather unwanted drugs, including controlled substances, from covered entities for the purpose of collection, transportation, and disposal. For the purposes of this Chapter, "authorized collector" shall also include law enforcement agencies. (2) "Covered drug" means a drug sold in any form and used by covered entities, including prescription and nonprescription drugs, brand name and generic drugs, drugs for veterinary use, and drugs in medical devices and combination products, including pre- filled inhaler devices and pre-filled injector devices with a retractable or otherwise securely covered needle. Covered drug does not include: a. Vitamins or supplements; b. Herbal-based remedies and homeopathic drugs, products, or remedies; c. Cosmetics, shampoos, sunscreens, toothpaste, lip balm, antiperspirants or other personal care products that are regulated as both cosmetics and nonprescription drugs under the federal Food, Drug, and Cosmetic Act (Title 21 U.S.0 Chapter 9); d. Drugs for which producers provide a pharmaceutical product stewardship or take-back program as part of a federal food and drug administration managed risk evaluation and mitigation strategy (Title 21 U.S.C. Sec. 355-1); e. Drugs that are biological products as defined by 21 CFR 600.3(h) as it exists on the effective date of this ordinance if the producer already provides a pharmaceutical product stewardship or take-back program; f. Injector products and medical devices or their component parts or accessories that have been emptied or contain no more than trace residual amounts of a covered drug; and g. Pet pesticide products contained in pet collars, powders, shampoos, topical applications, or similar products. (3) "Covered entities" means residents of Lewis County, including individuals living in single and multiple family residences and other residential settings, and including other non- business sources of prescription and nonprescription drugs that are unused, unwanted, disposed of or abandoned by residents as identified by Public Health. "Covered entities" does not include business generators of pharmaceutical waste such as hospitals, clinics, doctor's offices, veterinarian clinics, pharmacies or airport security and law enforcement drug seizures. Proposed LCC Chapter 8.65—Secure Medication Return 2 (4) "Director" means the administrative director of Lewis County Public Health & Social Services, or a designated authorized representative. (5) "Drop off site" means the location of an authorized collector where a secure drop box for the collection of unwanted covered drugs is provided for residents of the county, or the location of a long-term care facility at which a hospital/clinic or retail pharmacy is authorized by the United States Drug Enforcement Administration to maintain a secure drop box for unwanted covered drugs from residents of the long-term care facility. (6) "Drug wholesaler" means a corporation, individual or other entity that buys drugs or devices for resale and distribution to corporations, individuals or entities other than consumers. (7) "Drug" means: a. Articles recognized in the official United State pharmacopoeia, the official national formulary; the official homeopathic pharmacopoeia of the United States or any supplement of the formulary or those pharmacopoeias as published by the U.S. Pharmacopeia! Convention and the Homeopathic Pharmacopoeia Convention of the United States; b. Substances intended for use in the diagnosis, cure, mitigation, treatment or prevention of disease in humans or other animals; c. Substances, other than food, intended to affect the structure or any function of the body of humans or other animals; or d. Substances intended for use as a component of any substances specified in a., b. or c. of this subsection. (8) "Independent stewardship plan" means a plan other than the standard stewardship plan for the collection, transportation and disposal of unwanted covered drugs that: a. May be proposed by a producer or group of producers; and b. If approved, is financed, developed and implemented by the participating producer or group of producers, and operated by the participating producer or group of producers or a stewardship organization. (9) "Long-term care facility" means a nursing home, retirement care, mental care or other health care to resident patients and for the facility or institution which provides extended hea p and, purposes of this Chapter, a facility where covered drugs that may be disposed in a secure drop box pursuant to 21 CFR 1317.80 are in the lawful possession of the resident. (10) "Mail-back services" means a collection method for the return of unwanted covered drugs from covered entities utilizing prepaid and preaddressed mailing envelopes. Proposed LCC Chapter 8.65—Secure Medication Return 3 (11) "Manufacturer" means a person, corporation or other entity engaged in the manufacture of drugs or devices. (12)"Nonprescription drug" means a drug that may be lawfully sold without a prescription. (13) "Ordinance" means the "Secure Medicine Return" ordinance adopted by the Lewis County Board of County Commissioners. (14) "Person" means individual, firm, sole proprietorship, corporation, limited liability company, general partnership, limited partnership, limited liability partnership, association, cooperative or other entity of any kind or nature (15) "Pharmacy" means a place licensed by the Washington State Pharmacy Quality Assurance Commission where the practice of pharmacy, as defined in RCW 18.64.011, is conducted. (16)"Potential authorized collector" means any person, such as manufacturers, distributors, reverse distributors, retail pharmacies, hospitals/clinics with an on-site pharmacy, or narcotic treatment programs, that may modify their registration with the United States Drug Enforcement Administration to be authorized for collection of drugs, including controlled substances. For purposes of this Chapter, "Potential authorized collector" shall also include law enforcement agencies. (17) "Prescription drug" means any drugs, including controlled substances that are required by an applicable federal or state law or regulation to be dispensed by prescription only or are restricted to use by practitioners only. (18)"Producer" means a manufacturer that is engaged in the manufacture of a covered drug sold in or into Lewis County, including a brand-name or generic drug. Producer does not include: a. A retailer whose store label appears on a covered drug or the drug's packaging if the manufacturer from whom the retailer obtains the drug is identified under LCC 8.65.040; b. A pharmacist who compounds a prescribed individual drug product for a consumer; or c. A drug wholesaler who is not also the manufacturer. (19)"Public Health" means Lewis County Public Health & Social Services. (20) "Retail pharmacy" means a pharmacy licensed by the Washington State Pharmacy Quality Assurance Commission for retail sale and dispensing of drugs. (21)"Standard stewardship plan" means the plan for the collection, transportation, and disposal of unwanted covered drugs that is: Proposed LCC Chapter 8.65—Secure Medication Return 4 a. Financed, developed, implemented, and participated in by producers; b. Operated by the participating producers or a stewardship organization; and c. Approved as the standard stewardship plan. (22) "Stewardship organization" means an organization designated by a producer or group of producers to act as an agent on behalf of each producer to develop and implement and operate the standard stewardship plan or an independent stewardship plan. (23) "Unwanted covered drug" means any covered drug no longer wanted by its owner, that: a. Has been abandoned or discarded; or b. Is intended to be discarded by its owner. 8.65.030 Participation (1) Each producer shall participate in the standard stewardship plan approved by Public Health except that a producer may individually, or with a group of producers, form and participate in an independent stewardship plan approved by Public Health. (2) The standard stewardship plan and any independent stewardship plan shall be approved by Public Health before collecting unwanted covered drugs. Once approved, stewardship plans must have prior written approval from Public Health for proposed changes as described under section 8.65.120 of this regulation. (3) Within 60 days after the adoption of this regulation: a. A producer shall notify Public Health in writing of the producer's intent to participate in the standard stewardship plan or to form and participate in an independent stewardship plan; and b. A retailer whose store label appears on a covered drug or the drug's packaging shall notify Public Health of intent to participate or provide written notification that the manufacturer firm whom the retailer obtains the drug has provided its notice of intent to participate. c. For a covered drug not sold in or into Lewis County at the date of this regulation, the producer of the covered drug, and if applicable, the retailer whose store label appears on a covered drug or the drug's packaging, shall have 180 days from the date of initiating sales of the covered drug in or into the county to make this notification to Public Health. (4) A producer or group of producers participating in the standard stewardship plan or an independent stewardship plan shall: Proposed LCC Chapter 8.65—Secure Medication Return 5 a. Within 120 days after this regulation is adopted, identify in writing to Public Health a plan operator, including the plan operator's telephone, mailing address, and email contact information, who is authorized to be the official point of contact for the stewardship plan; b. Within 120 days after this regulation is adopted, notify all potential authorized collectors in the county of the opportunity to participate as a drop-off site in accordance with section 8.65.050 of this regulation, and provide a process for forming an agreement between the plan and interested potential authorized collectors, and: i. Annually thereafter, make the same notification to any non-participating potential authorized collectors in the county; and ii. Commence good faith nonfictions with each potential authorized collector expressing an interest in participating as a drop-off site within 30 calendar days of the expression of such interest. c. Within 90 days of Public Health's approval of the stewardship plan: i. Provide documentation to Public Health confirming that all potential authorized collectors participating in the approved stewardship plan, not including law enforcement, have amended their registrations with the United States Drug Enforcement Administration; and ii. Begin operation of the approved stewardship plan and provide the collection system for unwanted covered drugs required under this Chapter. d. At least every four years after each plan initiates operations, submit an updated plan to Public Health explaining any substantial changes to components of the stewardship plan required in section 8.65.040 of this regulation, and accompanied by the review fee in accordance with section 8.65.150 of this regulation. Public Health shall review updated stewardship plans using the process described in section 8.65.110 of this regulation. e. Pay all administrative and operational costs and fees associated with their stewardship plan as required under sections 8.65.080 and 8.65.150 of this regulation. (5) A producer or group of producers participating in the standard stewardship plan or an independent stewardship plan may: a. Enter into contracts and agreements with stewardship organizations, service providers, or other entities as necessary, useful or convenient to provide all or portions of their stewardship plan; Proposed LCC Chapter 8.65—Secure Medication Return 6 b. Notify Public Health of any producer selling covered drugs in or into the county that is failing to participate in a stewardship plan; or c. Perform any other functions that may be necessary or proper to provide the stewardship plan and to fulfill any or all of the purposes for which the plan is organized. (6) After the first full year of operation of the approved standard stewardship plan, a producer or group of producers participating in the standard stewardship plan may notify Public Health in writing of intent to form an independent stewardship plan, and identify a plan operator, including the plan operator's telephone, mailing address and email contact information, who is authorized to be the official point of contact for the proposed independent stewardship plan. Within 90 days of such notification, the producer or group of producers may submit a proposed independent stewardship plan as described under section 8.65.040 of this regulation to Public Health for review and approval. (7) Public Health may provide written approval extensions to later dates for the submission dates and deadlines in this section. (8) Public Health may, upon request, provide consultation and technical assistance regarding the requirements of this Chapter to assist a producer, group of producers, or stewardship organization in developing its proposed plan. 8.65.040 Plan Components The standard stewardship plan or any independent stewardship plan, which must be submitted and reviewed according to section 8.65.110 of this regulation, shall include: (1) Contact information for all drug producers participating in the stewardship plan; (2) A description of the proposed collection system to provide convenient ongoing collection services for all unwanted covered drugs from covered entities in compliance with the provisions and requirements in section 8.65.030 of this regulation, including: a. A list of all collection methods and participating potential authorized collectors; b. A list of drop-off sites, with addresses; c. A description of how periodic collection events will be scheduled and located, if applicable; d. A list of potential authorized collectors contacted by the plan under section 8.65.030(4)(b) and a list of all potential authorized collectors who offered to participate, and, if any potential authorized collector who offered to participate was not included in the plan, an explanation for the reasons for such decision; Proposed LCC Chapter 8.65—Secure Medication Return 7 e. A description of proposed alternative collection methods for any covered drugs that may not be acceptable in secure drop boxes, collection events, or mailers; and f. An example of the agreement that the stewardship plan provides to a potential authorized collector to arrange services at a drop-off site. (3) A description of the handling and disposal system, including identification of and contact information for potential authorized collectors, transporters, and waste disposal facilities to be used by the stewardship plan in accordance with section 8.65.050 and 8.65.070 of this regulation. (4) A description of the policies and procedures to be followed by persons handling unwanted covered drugs collected under the stewardship plan, including; a. A description of how all authorized collectors, transporters, and waste disposal facilities being utilized will ensure that the collected, unwanted, covered drugs are safely and securely tracked from collection through final disposal; b. How all entities participating in the stewardship plan will operate under all applicable federal and state laws, regulations, and guidelines, including those of the United States Rig Enforcement Administration; and c. How any pharmacy drop-off site will operate under applicable regulations and guidance of the Washington State Pharmacy Quality Assurance Commission; (5) A description of how patient information on drug packaging will be kept secure during: collection, transportation, and recycling or disposal; (6) A description of the public education effort and promotion strategy required in section 8 65.060 of this regulation, including a copy of standardized instructions for covered ergs, signage developed for authorized collectors, and required promotional materials; (7) A proposal on the short-term and long-term goals of the stewardship plan for the collection amounts and public awareness; and (8) A description of how the stewardship plan will consider: a. Use of existing providers of waste pharmaceutical services b. Separating covered drugs from packaging to the extent possible to reduce transportation and disposal costs; and c. Recycling of drug packaging to the extent feasible. Proposed LCC Chapter 8.65 Secure Medication Return 8 8.65.050 Collection of Covered Drugs (1) This Chapter does not require any person to serve as an authorized collector in a stewardship plan. A person may offer to participate as an authorized collector voluntarily, or may agree to participate as an authorized collector in exchange for compensation offered by a producer, group of producers or stewardship organization. Retail pharmacies, hospitals/clinics with an on-site pharmacy, law enforcement agencies, and any other entities participating as authorized collectors in a stewardship plan, shall operate in accordance with state and federal laws and regulations for the handling of unwanted covered drugs, including those of the United States Drug Enforcement Administration, and in compliance with this Chapter. A pharmacy drop-off site shall operate under applicable regulations and guidance of the Washington State Pharmacy Quality Assurance Commission. (2) The collection system shall be convenient on an ongoing, year-round basis to adequately serve the needs of covered entities and shall be designed in consideration of equitable opportunities for all Lewis County residents for the safe and convenient return of unwanted covered drugs, in accordance with this section. (3) The collection system for all unwanted covered drugs shall be safe and secure, including protection of patient information on drug packaging. (4) The service convenience goal for the standard stewardship plan and any independent stewardship plan is a system of drop-off sites distributed to provide reasonably convenient and equitable access for all residents in incorporated and unincorporated areas of the county, and meeting the requirements of this subsection. a. In establishing and operating a stewardship plan, a producer, group of producers or stewardship organization shall give preference to having drop-off sites located at retail pharmacies, hospitals/clinics with an on-site pharmacy, and law enforcement agencies. A stewardship plan shall include, within 90 days of their offer to participate, any retail pharmacy, any hospital/clinic with an on-site pharmacy or any law enforcement agency willing voluntarily to participate as a drop-off site for unwanted covered drugs and able to meet the requirements of this Chapter, unless the collector requests a longer time frame. A producer or group of producers establishing and operating a stewardship plan may also accept any potential authorized collector, narcotic treatment program, or long- term care facility willing to participate as a drop-off site for unwanted covered drugs and able to meet the requirements of this Chapter. b. In every city and town with a potential authorized collector and in the unincorporated county, the system of drop-off sites shall provide a minimum of one drop-off site at the locations of retail pharmacies, hospitals/clinics with an on- site pharmacy, or law enforcement agencies, geographically distributed to provide reasonably convenient and equitable access. A minimum of two drop-off sites shall be provided in both Centralia and Chehalis Proposed LCC Chapter 8.65—Secure Medication Return 9 c. If the minimum number of drop-off sites in (b) of this subsection cannot be achieved by the standard stewardship plan or any independent stewardship plan due to a lack of potential drop-off sites in specific areas of the county, then service to those areas shall be supplemented by periodic collection events and mail-back services. d. In the following communities in unincorporated areas of the county, a stewardship plan shall provide these services: i. In Adna, Boistfort, Cinebar, Curtis, Evaline, Glenoma, Onalaska, Packwood, Randle, Silver Creek, and Salkum, if no drop-off site can be arranged, mailback services shall be provided to residents through distribution of prepaid, preaddressed mailers at libraries and fire stations serving each community. Pre-paid, preaddressed mailers shall also be provided upon request to grocery stores located in these communities. ii. In Onalaska and Packwood, if no drop-off site can be arranged, at least one collection event shall be provided to residents annually. e. In determining the collection services required under this subsection, the annual population estimate provided by the Washington State Office of Financial Management shall be utilized to define the population of cities, towns and unincorporated areas of Lewis County. (5) Drop-off sites shall accept all covered drugs from covered entities during all hours that the authorized collector is normally open for business with the public. Drop-off sites at long-term care facilities shall only accept covered drugs from individuals who reside, or have resided, at the long-term care facility, pursuant to 21 CFR 1317.80. (6) Drop-off sites shall utilize secure drop boxes in compliance with all applicable federal and state laws, including requirements of the United States Drug Enforcement Administration. A producer, group of producers, or stewardship organization shall provide a service schedule that meets the needs of each drop-off site to ensure that each secure drop box is serviced as often as necessary to avoid reaching capacity and that collected covered drugs are transported to final disposal in a timely manner, including a process for additional prompt collection service upon notification from the drop-off site. Secure drop box signage shall include a prominently displayed 24 hours, toll-free telephone number and website for the stewardship plan, by which any resident can provide feedback on collection activities, including but not limited to the need to empty the receptacle. (7) Mail-back services shall be free of charge, and shall be made available to differentially- abled and home bound residents upon request through the stewardship plan's toll-free telephone number and web site. An adequate and ongoing supply of prepaid, preaddressed mailers shall be: Proposed LCC Chapter 8.65—Secure Medication Return 10 a. Provided upon request to persons providing services to differentially-abled and home bound residents, including hospice service providers; b. Provided to each long-term care facility in the county; and c. Provided to libraries, fire stations, and any other mailer distribution locations according to subsection (4). of this section. (8) Periodic collection if utilized as a collection method according to subsection (4). of this section, must be arranged with law enforcement personnel through voluntary agreements, and shall be conducted in compliance with United States Drug Enforcement Administration protocols, any additional requirements of participating law enforcement agencies, and in compliance with this Chapter. (9) Alternative collection methods shall be provided for any covered drugs that cannot be accepted or comingled with other covered drugs in secure drop boxes, in mailers, or at collection events. Such collection methods shall be reviewed and approved by Public Health and shall operate in compliance with applicable regulations 8.65.060 Promotion (1) A producer or group of producers participating in the standard stewardship plan or an independent stewardship plan nit dev . and provide a system of promotion, education, and public outreach alt sa ref .e and secure collection of covered drugs. Each stewardship plan shalt "` lude ye.a plan for performing the following activities: a. Promote the use of their stewardship plan so that where and how to return unwanted covered drugs to drop-off sites and how to use other collection options for unwanted covered drugs are widely understood by residents, pharmacists, retailers of covered drugs, health care practitioners including doctors, dentists, and other prescribers, veterinarians, and veterinary hospitals; b. Discourage the disposal of unwanted covered drugs in the garbage; c. Promote the safe storage of prescription and nonprescription drugs by residents before secure Fdisposal through their stewardship plan; d. Work with a orized collectors participating in their stewardship plan to develop clear, standardized instructions for residents on the use of drop boxes and a readily recognizable, consistent design of drop boxes. Public Health may provide guidance to producers and authorized collectors on the development of the instructions and design; e. A toll-free telephone number and web site where collection options and current locations of drop-off sites will be publicized and prepare educational and outreach materials promoting safe storage of prescription and nonprescription drugs and describing where and how to return unwanted covered drugs to the Proposed LCC Chapter 8.65—Secure Medication Return 11 stewardship plan. These materials must be provided to pharmacies, health care facilities, county agencies, and other interested parties for dissemination to residents. Plain language and explanatory images should be utilized to make use of medicine collection services readily understandable by all residents, including individuals with limited English proficiency. The web site and all materials shall discourage disposal of unused, expired, or contaminated pharmaceutical wastes in the solid waste system in Lewis County; f. Conduct a survey of residents of Lewis County and a survey of pharmacists, health professionals, and veterinarians in the county who interact with residents on use of prescription and nonprescription drugs and law enforcement, prior to the start of operation of the approved plan, after the first full year of operation of the plan, and again biennially thereafter until such time as Public Health designates a less frequent schedule. Survey questions shall measure percent awareness of drop-off sites in the county for unwanted covered drugs, assess to what extent drop-off sites, mail-back services, and other collection methods are convenient and easy to use, and assess knowledge and attitudes about risks of abuse, poisonings and overdoses from prescription and nonprescription drugs used in the home. Draft survey questions shall be submitted to Public Health for review and comment at least 30 days prior to initiation of the survey. All survey data and results shall be reported to Public Health and made available to the public on the stewardship plan's website within 90 days of the end of the survey period; g. Annually evaluate the effectiveness of its promotion, outreach, and public education, and include this evaluation in its annual report; and h. All educational and outreach materials and surveys required in this section shall be provided in English, Spanish, and Chinese, and any additional languages that may be designated by Public Health on an annual basis. (2) If more than one stewardship plan is approved then all approved stewardship plans shall coordinate their promotional activities to ensure that all residents can easily identify, understand and access the collection services provided by any stewardship plan, including providing residents with a single toll-free telephone number and a single web site to access information about collection services for every approved plan. (3) Pharmacies and other entities selling prescription and nonprescription drugs in or into Lewis County are encouraged to promote secure disposal of covered drugs by covered entities through the use of an approved stewardship plan or plans. Pharmacies must provide materials explaining the use of approved stewardship plans to customers upon request. (4) Public Health and government agencies throughout the county responsible for health, solid waste management, and wastewater treatment shall promote safe storage of prescription and nonprescription drugs by residents, secure disposal of covered drugs by residents through the use of the stewardship plans, and the toll-free telephone number Proposed LCC Chapter 8.65—Secure Medication Return 12 and web site for approved stewardship plans through their standard educational methods. 8.65.070 Disposal of Covered Drugs (1) Covered drugs collected under a stewardship plan must be disposed of at a permitted hazardous waste disposal facility as defined by the United States Environmental Protection Agency under 40 CFR parts 264 and 265. (2) Public Health may grant approval for a producer or group of producers participating in the standard stewardship plan or an independent stewardship plan to dispose of some or all collected covered drugs at a permitted large municipal waste combustor, as defined by the United States Environmental Protection Agency under 40 CFR parts 60 and 62, if use of a hazardous waste disposal facility described under subsection (1) of this section is deemed not feasible for the stewardship plan based on cost, logistics or other considerations. (3) A producer or group of producers participating in the standard stewardship plan or an independent stewardship plan may petition Public Health for approval to use final disposal technologies that provide superior environmental and human health protection than provided by the disposal technologies in subsections (1) and (2) of this section, or equivalent protection at lesser' sst The proposed technology must provide equivalent or superior protection in each of tom` ollowng areas a. Monitoring of any emission 4 wast_° b. Worker health and safety; c. Air, water, or land emissions contributing to persistent, bioaccumulative, and toxic pollution; and d. Overall impact to the environment and human health. 8.65.080 Administrative and Operational Cost and Fees (1) A producer or group of producers participating in the standard stewardship plan or an independent stewardship plan shall pay all administrative and operational costs related to their stewardship plan, except as provided under this section. Administrative and operational costs related to the stewardship plan include: a. Collection and transportation supplies for each drop-off site; b. Purchase and installation of secure drop boxes for each drop-off site; c. Ongoing maintenance or replacement of secure drop boxes, as requested by authorized collectors; d. Providing mail-back services and providing prepaid, preaddressed mailers to differentially-abled and home bound residents and their services providers, to Proposed LCC Chapter 8.65-Secure Medication Return 13 long-term care facilities, and to libraries, fire stations, and other mailer distribution locations in specific areas of the county under section 8.65.050; e. Operating periodic collection events, including costs of law enforcement staff time, if necessary; f. Transportation of all collected drugs to final disposal; g. Environmentally sound disposal of all collected drugs under section 8.65.070 of this regulation; and h. Program promotion, surveys, and evaluation under section 8.65.060 of this regulation, including costs of providing materials to pharmacies to fulfill customer requests. (2) No person or producer may charge a specific point-of-sale fee to consumers to recoup the costs of their stewardship plan, nor may they charge a specific point-of-collection fee at the time the covered drugs are collected from covered entities. (3) Producers are not required to pay for costs of staff time at drop-off sites provided by authorized collectors volunteering for a stewardship plan, but may offer compensation to authorized collectors for their participation. 8.65.090 Reporting Requirements (1) Quarterly reports-Within 30 days after each 90-day period of operation, the plan operator of the standard stewardship plan and of any independent stewardship plan shall submit a quarterly report to Public Health on behalf of participating producers that provides the total amount, by weight, of unwanted covered drugs collected during the previous 90-day period. After the first two years of operation of an approved stewardship plan, Public Health may determine that quarterly reporting of the collection amount is no longer required and shall notify the plan operator of any change in the reporting schedule. (2) Annual Report-Within 180 days after the end of the first one-year period of operation, and annually thereafter, the plan operator of the standard stewardship plan and of any independent stewardship plan shall submit an annual report to Public Health on behalf of participating produP'-` `describing their plan's activities during the previous annual reporting period tO'i,ertiply with this Chapter. The annual report must include: a. A list of producers participating in the stewardship plan; b. The total amount, by weight, of unwanted covered drugs collected during the annual reporting period, and the amount by weight from each collection method during each 90-day period of the annual reporting period; c. A list of drop-off sites with addresses, and the amount by weight of unwanted covered drugs collected at each drop-off site during each 90-day period of the Proposed LCC Chapter 8.65—Secure Medication Return 14 annual reporting period; d. The number of mailers provided for differentially-abled and home bound residents, a list of locations where mailers were provided, and the number of mailers received by the plan during each 90-day period of the annual reporting period; e. A list of dates and locations of any collection events held and the total amount, by weight, of unwanted covered drugs collected at each event; f. A list of transporters used, and the disposal facility or facilities used; g. Whether any safety or security problems occurred during collection, transportation or disposal of unwanted covered drugs during the annual reporting period and if so, what changes have or will be made to policies, procedures or tracking mechanisms to alleviate the problem and to improve safety and security in the future; h. A description of the public education, outreach, survey, and evaluation activities implemented during the reporting period; i. A description of how collected packaging was recycled to the extent feasible, including the recycling facility or facilities used j. A summary of the stewardship plan's goals for collection amounts and public awareness, the degree of success in meeting those goals during the previous annual reporting period and if any goals have not been met, what effort will be made to achieve the goals in the next year and k. The total expenditure of the stewardship plan during the annual reporting period. (3) Public Health may specify a report format or form that plan operators shall use for quarterly or annual reports. Public Health shall make reports submitted under this section available to the public. (4) For the purposes of this section, "annual reporting period" means the period from January 1 through December 31 of the same calendar year, unless otherwise specified to the plan operator by Public Health. 8.65.100 Identification of Producers of Covered Drugs (1) Within 60 days of a request from Public Health, any drug wholesaler that sells any covered drug in or into the county must provide a list of producers of covered drugs to Public Health in a form agreed upon with Public Health. Wholesalers must update the list, no more than annually, if requested by Public Health. (2) Any person receiving a letter of inquiry from Public Health regarding whether or not it is a producer under this Chapter must respond in writing within 60 days. If such person does Proposed LCC Chapter 8.65—Secure Medication Return 15 not believe it is a producer under this Chapter, it must state the basis for such belief and provide a list of any covered drugs it sells, distributes, repackages, or otherwise offers for sale within the county, and identify the name and contact information of the manufacturer of the covered drug. 8.65.110 Review of Proposed Plans (1) Within 180 days after the date of adoption of this regulation, a producer, group of producers or stewardship organization shall submit its proposed stewardship plan to Public Health for review, accompanied by the plan review fee in accordance with section 8.65.150 of this regulation and indicating whether the plan is proposed as the standard stewardship plan or an independent stewardship plan. If multiple proposals are submitted for the standard stewardship plan, Public Health shall designate the standard stewardship plan at time of plan approval. (2) Public Health shall review each proposed stewardship plan and determine whether the proposed plan meets the requirements of section 8.65.040 of this regulation and other applicable sections of this regulation. In reviewing a proposed stewardship plan, Public Health shall provide opportunity for written public comment and consider any comments received. (3) After the review under subsection (2)of this section and within 90 days after receipt of the proposed stewardship plan, Public Health shall either (1) approve as submitted, (2) approve subject to conditions, or(3) reject the proposed stewardship plan in writing to a producer, group of producers or stewardship organization and, if approved subject to conditions or rejected, provide reasons for the decision. (4) Plan Rejection - If the proposed stewardship plan is rejected, a producer, group of producers or stewardship organization must submit a revised stewardship plan to Public Health within 60 days after receiving written notice of the rejection. Public Health shall review and approve or reject a revised stewardship plan as provided under subsections (2) and (3) of this section. (5) Conditional Plan Approval - If the proposed stewardship plan is approved subject to conditions, Public Health shall provide a written notice to the plan operator that lists the conditions that must be addressed by the producer or group of producers participating in the stewardship plan or their stewardship organization. Public Health shall define the timeframe, which shall not be less than 30 days, of each required action that must be taken or each revision to the stewardship plan that shall be made by the producer, group of producers or stewardship organization. Public Health will identify any conditions that must be addressed prior to operation of the stewardship plan as required under Section 8.65.030 subsection (4)(d). (6) Revised Plan Rejection - If Public Health rejects a revised stewardship plan, or any subsequently revised plan, Public Health may deem the producer or group of producers out of compliance with this Chapter and subject to the enforcement provisions in this Chapter. Proposed LCC Chapter 8.65—Secure Medication Return 16 a. If a revised proposal for the standard stewardship plan is rejected, Public Health may require the submission of a further revised standard stewardship plan or develop and impose changes to some or all components of the rejected plan to constitute an approved standard stewardship plan. If Public Health imposes some or all of the approved plan, Public Health may not deem the producers participating in and complying with the approved standard stewardship plan in accordance with this Chapter out of compliance with this Chapter. b. If a revised independent stewardship plan is rejected, the producer or group of producers submitting the independent stewardship plan shall participate in the standard stewardship plan and are not eligible to propose an independent stewardship plan for 180 days after the rejection. Public Health may not deem out of compliance with this Chapter a producer whose revised independent stewardship plan is rejected if the producer participates in and complies with the standard stewardship plan. (7) In approving a proposed stewardship plan, Public Health may exercise reasonable discretion to waive strict compliance with the requirements of this Chapter that apply to producers in order to achieve the objectives of this Chapter. (8) Public Health shall make all stewardship plans submitted under this section available to the public and shall provide an opportunity,for written public comment on each plan as described in subsection (2). 8.65.120 Prior Approval for Plan Changes (1) Proposed changes to an approved stewardship plan that substantively alter plan operations, including, but not limited to changes to participating producers, collection methods, achievement of the service convenience goal, policies and procedures for handling covered drugs, education and promotion methods or disposal facilities, must have prior written approval of Public Health. (2) A producer or group of producers participating in an approved stewardship plan shall submit to Public Health any proposed change to a stewardship plan as described under subsection (1) of this section in writing at least 30 days before the change is scheduled to occur and accompanu y the review fee in accordance with section 8.65.150 of this regulation (3) The plan operator aofan approved stewardship plan shall notify Public Health at least 15 days before implementing any changes to drop-off site locations, methods for scheduling and locating periodic collection events, methods for distributing prepaid, preaddressed mailers, or significant changes to agreements with authorized collectors for services at drop-off sites that do not substantively alter achievement of the service convenience goal under section 8.65.050 subsection (4) of this regulation, or other changes that do not substantively alter plan operations under subsection (1) of this section. (4) The producer or group of producers participating in an approved stewardship plan shall notify Public Health of any changes to the plan operator who is the official point of Proposed LCC Chapter 8.65—Secure Medication Return 17 contact for the stewardship plan within 15 days of the change. The plan operator shall notify Public Health of any changes in ownership or contact information for participating producers within 30 days of such change. 8.65.130 Enforcement (1) Public Health is authorized to administer and enforce this chapter. Enforcement may include, but is not limited to, issuance of notices of violation of a requirement under this Chapter and issuance of further enforcement orders. (2) After presenting official credentials and providing notice of an audit or inspection to determine compliance with this Chapter or to investigate a complaint, the Director or his/her duly authorized inspector may audit a producer's, group of producers' or stewardship organization's records related to a stewardship plan or request that the producer, group of producers or stewardship organization arrange for Public Health to inspect at reasonable times a stewardship plan's or an authorized collector's facilities, vehicles and equipment used in carrying out the stewardship plan. (3) Enforcement of the requirements and restrictions of this Chapter may be carried out by one or a combination of the following, by a written order' a. Requiring an informal administrative conference; b. Prohibiting certain conduct or directing certain conduct; c. Issuing a warning notice; and d. Imposing a civil penalty of up to one thousand dollars that may be assessed against a producer or group of producers or drug wholesalers. Each day upon which a violation occurs or is permitted to continue constitutes a separate violation, in determining the appropriate penalty, Public Health shall consider the extent of harm caused by the violation, the nature and persistence of the violation, the frequency of past violations, any action taken to mitigate the violation, the financial burden to the violator and the size of the violator's business. (4) The Director shall send a written order and a copy of this Chapter and any regulations adopted to implement this Chapter to a producer who is not participating in the standard stewardship plan or an independent stewardship plan as required under this Chapter. The Director shall state that participation in a plan is required and warn of penalties for noncompliance, including all costs incurred for enforcement as provided in the adopted fee schedule for Public Health. (5) A producer not participating in the standard stewardship plan or an independent stewardship plan and whose covered drug continues to be sold in or into the county 60 days after receiving a written violation order may be assessed a penalty. Proposed LCC Chapter 8.65—Secure Medication Return 18 (6) Failure to begin operation of an approved stewardship plan and provide the collection system for unwanted covered drugs required under this Chapter within 90 days of Public Health's approval of the stewardship plan may result in a fine. Each day of delayed implementation of the stewardship plan will constitute a new and separate offense. (7) If the Director determines that a stewardship plan is not in compliance with this Chapter or its plan approved or conditionally approved under section 8.65.110 of this regulation, Public Health may send the producer or group of producers participating in the plan a notice of violation stating the plan is in noncompliance, providing notice of the compliance requirements and warning of penalties for noncompliance, including all costs incurred for enforcement of that violation, as provided itjhe adopted fee schedule for Public Health. (8) The producer or group of producers has 30 days after receipt of the notice to achieve compliance. This subsection does not preclude Public Health from suspending an approved plan, in addition to other penalties, if a violation of this Chapter or an approved plan creates a condition that, in Public Health's judgment, constitutes an immediate hazard. (9) The Director is authorized to enforce the restrictions or requirements of this Chapter against any person or entity, whether it be a producer, group of producers, or drug wholesaler who is not in compliance; assess all costs of enforcement against the person or entity, whether it be a producer, group of producers or drug wholesaler, who is in noncompliance; and otherwise pursue compliance with this Chapter. (10) The Director is authorized to pursue civil penalties andeosts including attorney fees by commencement of civil action in the name of Lewis County Public Health & Social Services independent of and/or as a means of enforcing the violations referenced above. 8.65.140 Regulations, Performance Standards, and Report (1) The Lewis County Board of County Commissioners may adopt regulations necessary to implement, administer, and enforce this Chapter. (2) Public Health may work with the plan operator to define goals for collection amounts and public awareness for a stewardship plan. a. Upon review of collection amounts in annual reports, Public Health may direct a producer or group of producers participating in an approved stewardship plan to change the frequency of collection events or the provision of mail-back services to improve the plan's performance in providing adequate and reasonably convenient service to all Lewis County residents as required under Section 8.65.050 of this Chapter. b. Upon review of annual reports or results of public awareness surveys, Public Health may direct a producer or group of producers participating in an approved stewardship program to modify the plan's promotion and outreach activities to better achieve widespread awareness and understanding among Lewis County Proposed LCC Chapter 8.65—Secure Medication Return 19 residents and healthcare providers about how to use collection options for unwanted covered drugs as required under Section 8.65.060 of this Chapter. (3) The Director shall report annually to the Lewis County Board of County Commissioners concerning the status of the standard and independent stewardship plans and recommendations for changes to this Chapter. The annual report shall include an evaluation of the secure medicine return system, a summary of available data on indicators and trends of abuse, poisonings and overdoses from prescription and nonprescription drugs and a review of comprehensive prevention strategies to reduce risks of drug abuse, overdoses and preventable poisonings. 8.65.150 Plan Review and Annual Operating Fees (1) A producer or group of producers participating in the standard stewardship plan or an independent stewardship plan shall pay to Public Health elan review fees to be established under subsection (4) of this section for a. Review of a proposed stewardship plan; b. Re-submittal of a proposed stewardship plan; c. Submittal of revisions to a stewardship plan approved subject to conditions; d. Review of changes to an approved stewardship plan; e. Submittal of an updated stewardship plan at least every four years under section 8.65.030 of this regulation; and f. Review of any petition for approval to use alternative final disposal technologies under section 8.65.070 of this regulation (2) In addition to plan review fees, a producer or group of producers participating in the • standard stewardship .-n or an independent stewardship plan shall pay to Public Health annual operatin '4es and an evaluation fee to be established in accordance with subsection (4)of this section. (3) A plan operator or a stewardship organization may remit the fee on behalf of participating providers. (4) Fees shall be set by the Lewis County Board of County Commissioners through the adopted fee schedule, and shall be subject to revision. All fees collected under the provision of this Chapter shall be payable to Lewis County Public Health & Social Services. 8.65.160 Appeals Any person aggrieved by a decision or final order of the Director shall have the right to appeal such decision or order in accordance with the appeal procedures set forth in LCC Chapter 2.25. Proposed LCC Chapter 8.65—Secure Medication Return 20 8.65.170 Sever blt (1) The provisions o this Chapter a re hereby declared m be Sep rate and. sev ra BE K any section'.sentenc, claus or phrase o this Chaptershould be held b e invalid or unconstitutional by a court o c m petem]urisda%% such invalidity or unconstitutionality sh/Inot area the validity o c nstitutonalit o any other section, sentence, clause, or phraseo this re ggaton. am. -1,,» ,..,...4,„v « ©» :. +( Z IAA,. x\» y\ .^\\» 4 4:'..„ ,,:„.... ,,,.,,g,.,,,,,,,,,„..„, -,,,. :& 4%!,,,,,.",,, , : \ ti,iAtu Zirt 2l i "turn L C chapter&65-Secure Medic a) a) oo Ea_ r2 0 a A O a) L 15 N co L `- O O O (q n ca co 0 0 L Cll a) Cl) Q) a) a) N _c .) c O a) i 1 _c n = o 0 ot5 3 .c .c a) a) > a) _ 2 as a) a) _ I ) n L n V L it it L CI_a) L n C) c) 0 c) C) c) a N- (0 00 CD CO Q 1- N r- N N- O aj EA En En- in- 4E"' En a) L1_ t as 0.. a) 0 . a) y.. L O a) a) U C -0 (o O c U) U 2 co c a) o 0 a) z ❑_ V- — cn co c L C a) Q o c v 4- C co ° v O a) N -0 W Q L O _ > O -a) ° °Q a) a c o a) a) a m a a) I a) co o c a O Q � O c co 2 Cl- o a (6 O (n Ft D .� C .� L a) _ c > a) 5 = BOCC AGENDA ITEMSUMMARY Resolution: BOCC Meeting Date: May 14, 2018 Suggested Wording for Agenda Item: Agenda Type: Notice Notice of Public Hearing to inform citizens of adoption of Lewis County Code Chapter 8.65 - Secure Medication Return and addition to 2018 County Fee Schedule Contact Danette York Phone: 2774 Department: Public Health and Social Services Action Needed: Notice for Public Hearing Description Provide for and promote the health, safety, and welfare of the general public by providing effective disposal methods for expired or otherwise unwanted prescription medication in attempts to prevent such substances from: - Being obtained for unauthorized purposes; and/or -Being disposed of in a manner which could have adverse effects on the environment. Place the obligation of complying with its requirements upon drug producers,wholesalers, and others designated within the scope of this Chapter.No provision nor term used in this chapter is intended to impose any duty whatsoever upon the Lewis County Board of Commissioners, Lewis County Public Health & Social Services, or any of its officers, for whom the implementation or enforcement of this Chapter shall be discretionary and not mandatory. Add fees imposed by this ordinance to the 2018 Fee Schedule. Approvals: User Group Status j' York, Danette Pending Pending Additional Copies Danette York JP Anderson Sandi Andrus Katie Strozyk David Fine Wayne Whiton 104066 Secure Medication The BOCC Hearing Room is handicap accessible. NOTICE OF Arrangernent$_IQ..reasona- PUBLIC HEARING bly accommodate the spe- NOTICE IS HEREBY GIV- cial needs, including handi- EN that the Board of cap accessibility or inter- County Commissioners of preter, will be made upon Lewis County, Washington receiving twenty-four (24) will conduct a public hear- hour advance notice. Con- ing for the purpose of tact Rieva Lester at taking public testimony re- 360-740-1419. garding Ordinance 1285 DATED this 14th day of which adds Chapter 8.65, May 2018. Secure Medication Return, Rieva Lester, Clerk of the to the Lewis County Code. Board of County Commis- The public hearing will be sioners held as follows: DATE OF PUBLICATION: DATE: Monday, June 4, The Chronicle: May 17, 2018 2018 TIME: 10:00 am PLACE: County Commis- Published:The Chronicle sioners Hearing Room May 17,2018 Lewis County Historic Courthouse-2nd Floor AFFIDAVIT 351 NW North Street Chehalis,WA OF PUBLICATION The proposed addition of LCC Chapter 8.65,entitled, STATE OF WASHINGTON "Secure Medication Re- COUNTY OF LEWIS follows summarized as •Provide for and promote Amanda Curry,and/or Kim Proffitt,says that she is the legal clerk the health, safety, and welfare of the general of public by providing effec- tive disposal methods for Irbt expired or otherwise un- ronitte wanted prescription medi- cation in attempts to pre- vent such substances a semi-weekly newspaper,which has been established,published from: in the English language,and circulated continuously as a semi- •Being obtained for unau- weekly newspaper in the City of Centralia,and in Lewis County. thorized purposes:and/or Washington,general circulation in Lewis County for more than •Being disposed of in a six(6)months prior to the date of the first publication of the manner which could have notice hereto attached,and that the said Chronicle was on the 7th adverse effects on the environment. day of July 1941,approved as a legal newspaper by the Superior •Place the obligation of Court of said Lewis County.And that the attached is a true copy complying with its require- and was published in regular issues(and not in supplement form) ments upon drug produc- of said news per as LEGAL# 104066 R :Secure Medication ers, wholesalers, and oth- ers designated within the once each for a period of 1 ...I' 5 .J scope of this Chapter. No 41 provision nor term used in commencing on 05/17/2018 and ending on '=/17/2018 this chapter is intended to impose any duty whatsoev- er upon the Lewis County and both regularly distributed to its subscribers during all of said Board of Commissioners, period.That the full amount of the fee charged for the foregoing Lewis County Public publication is the m�� Health & Social Services, L I y or any of its officers, for I whom the implementation Sub :• and sworn t&i_)ore me 'ij 7/2018 or enforcement of this . Chapter shall be discre- ij'.t Ali tionary and not mandatory. l �1 •Add fees imposed by this ordinance to the 2018 Fee Notary 'ublic in and for the State of Washington, Schedule. residit at ` `��i111111///� Copies of Ordinance 1285 ,N` P 5ARp /,• will be available for review 0,171,eival& V Q .• >� at no charge from the Clerk r •`,N "c �,. of the Board of County F`f'•4` ' Commissioners, 351 NW t. et^q,AN' = North Street,Chehalis, and :° \fir :Z,'at the Lewis County Public � Q• 7 Health building, located at i` 0.0 43.•; 4 360 NW North Street, 3rd -� FFB •2.:,..",.Z.ri floor,Chehalis. �/•9 6'ja \iyp ��� Anyone desiring to voice eo,.E ;�i�.0 an opinion for or against the proposed ordinance should appear and be heard. Written comments may be submitted to the BOCC by June 1,2018.