Bill Text: CA AB977 | 2009-2010 | Regular Session | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Pharmacists: immunization protocols.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Engrossed - Dead) 2010-06-14 - In committee: Set, first hearing. Hearing canceled at the request of author. [AB977 Detail]

Download: California-2009-AB977-Amended.html

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BILL NUMBER: AB 977	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  JANUARY 13, 2010
	AMENDED IN ASSEMBLY  JANUARY 6, 2010
	AMENDED IN ASSEMBLY  JANUARY 4, 2010
	AMENDED IN ASSEMBLY  APRIL 23, 2009
	AMENDED IN ASSEMBLY  APRIL 13, 2009

INTRODUCED BY   Assembly Member Skinner

                        FEBRUARY 26, 2009

   An act to add and repeal Section 4052.8 of the Business and
Professions Code, relating to pharmacy.


	LEGISLATIVE COUNSEL'S DIGEST


   AB 977, as amended, Skinner. Pharmacists: immunization protocols
with physicians.
   Existing law, the Pharmacy Law, provides for the licensing and
regulation of pharmacists by the California State Board of Pharmacy.
A violation of the Pharmacy Law is a crime. Existing law, among other
things, authorizes a pharmacist to administer immunizations pursuant
to a protocol with a prescriber.
   This bill, until January 1, 2015, would additionally authorize a
pharmacist  , in consultation with a physician and surgeon, 
to initiate and administer influenza immunizations to any person 18
years of age or older pursuant to standardized protocols developed
and approved by  both the board and  the Medical
Board of California  in consultation with public  
health officers  .  The bill would, with respect to the
development and approval of those standardized protocols, authorize
the Medical Board of California to consult with the board.  The
bill would require a pharmacist, prior to initiating and
administering those immunizations, to complete a specified
pharmacy-based immunization delivery training program. The bill would
also require a pharmacist initiating and administering those
immunizations to complete 3 hours of immunization-related continuing
education coursework annually and to be certified in basic life
support. The bill would require a pharmacist, at the time of
administration of that immunization, to provide the patient with a
Vaccine Information Statement and to provide the patient and the
patient's physician with documentation of administration of the
immunization. The bill would also require a pharmacist administering
that immunization to maintain a specified immunization record,
provide documentation of administration to the appropriate
immunization registry, report any adverse event and ensure proper
storage and handling of vaccines. The bill would authorize a
pharmacist initiating and administering vaccines under these
provisions to initiate and administer epinephrine for severe allergic
reactions.
   This bill would require the board and the Medical Board of
California to complete an evaluation of influenza immunizations
initiated and administered under the standardized protocols
authorized by the bill, and  would require the board  to
report to the appropriate policy committees of the Legislature by
January 1, 2014.
   Because this bill would create new requirements under the Pharmacy
Law, the violation of which would be a crime, it would impose a
state-mandated local program.
   The California Constitution requires the state to reimburse local
agencies and school districts for certain costs mandated by the
state. Statutory provisions establish procedures for making that
reimbursement.
   This bill would provide that no reimbursement is required by this
act for a specified reason.
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: yes.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  The Legislature finds and declares all of the
following:
   (a) Vaccines are a safe, effective, and efficient means to prevent
sickness and death from infectious diseases as reported by the
United States Department of Health and Human Services (HHS).
   (b) The federal Centers for Disease Control and Prevention report
that 220,000,000 persons should get the influenza vaccination
annually, however, fewer than 100,000,000 do.
   (c) According to the California Health Care Foundation, 6,600,000
Californians are uninsured and may not have access to immunizations.
   (d) Pharmacists represent the third largest health professional
group in the United States and are on the front line of preventative
care.
   (e) Pharmacists are trained to screen, administer, and properly
deal with any adverse events that may arise from vaccines.
   (f) Primary care physicians play an integral role in preventative
health care for Californians. This act will provide an adjunct to
that preventative health care.
   (g) Therefore, in order to achieve greater access to immunization
and to protect Californians, it is the intent of the Legislature to
provide greater access to lifesaving vaccinations and to ensure that
pharmacists may administer influenza vaccinations.
  SEC. 2.  Section 4052.8 is added to the Business and Professions
Code, to read:
   4052.8.  (a) A pharmacist may  , in consultation with a
physician and surgeon,  initiate and administer influenza
immunizations, pursuant to standardized protocols developed and
approved by  both the board and  the Medical Board
of California in consultation with public health officers, to any
person 18 years of age or older.  With respect to the development
and approval of those standardized protocols, the Medical Board of
California may consult with the board.  The standardized
protocols shall be consistent with protocols developed by the
Advisory Committee on Immunization Practices of the federal Centers
for Disease Control and Prevention.
   (b) Prior to initiating and administering immunizations, a
pharmacist shall complete the American Pharmacists Association's
Pharmacy-Based Immunization Delivery Certificate Training Program or
another pharmacy-based immunization training certificate program
endorsed by the federal Centers for Disease Control and Prevention or
the Accreditation Council for Pharmaceutical Education.
   (c) (1) A pharmacist initiating and administering any immunization
pursuant to this section shall also complete three hours of
immunization-related continuing education coursework annually.
   (2) If a pharmacist fails to satisfy this requirement, he or she
shall, in addition to any other applicable disciplinary action,
retake the training identified in subdivision (b) and also complete
the three hours of immunization-related continuing education
coursework described in paragraph (1) prior to initiating and
administering any further immunizations.
   (3) The three hours of immunization-related continuing education
may be applied toward the continuing education requirement described
in Section 4231.
   (d) A pharmacist initiating and administering any immunization
pursuant to this section shall at all times be certified in basic
life support.
   (e) At the time of administration of an immunization, the
pharmacist shall do all of the following:
   (1) Provide the patient or the patient's agent with the
appropriate Vaccine Information Statement, produced by the federal
Centers for Disease Control and Prevention, for each immunization
administered.
   (2) Provide documentation of administration of the immunization to
the patient and the patient's physician or primary care provider, if
one can be identified.
   (3) Provide documentation of administration of the immunization to
the appropriate immunization registry.
   (f) The pharmacist shall maintain an immunization administration
record, which shall include, but not be limited to, the name of the
vaccine, the expiration date, the date of administration, the
manufacturer and lot number, the administration site and route, the
Vaccine Information Statement date, and the name and title of the
person administering, for
    10 years from the date of administration.
   (g) Any pharmacist initiating and administering vaccines may
initiate and administer epinephrine by injection for severe allergic
reactions.
   (h) Any adverse event shall be reported to the Vaccine Adverse
Event Reporting System within the United States Department of Health
and Human Services.
   (i) Upon receipt of a vaccine as authorized by this section, a
pharmacist is responsible for ensuring that proper vaccine
temperatures are maintained during subsequent storage and handling to
preserve the potency of the vaccine.
   (j) The board and the Medical Board of California shall evaluate
the effectiveness of the initiation and administration of
immunizations pursuant to this section, and  the board shall
 report to the appropriate policy committees of the Legislature
by January 1, 2014.
   (k) This section shall remain in effect only until January 1,
2015, and as of that date is repealed, unless a later enacted
statute, that is enacted before January 1, 2015, deletes or extends
that date.
  SEC. 4.  No reimbursement is required by this act pursuant to
Section 6 of Article XIII B of the California Constitution because
the only costs that may be incurred by a local agency or school
district will be incurred because this act creates a new crime or
infraction, eliminates a crime or infraction, or changes the penalty
for a crime or infraction, within the meaning of Section 17556 of the
Government Code, or changes the definition of a crime within the
meaning of Section 6 of Article XIII B of the California
Constitution.