Bill Text: IA HSB91 | 2021-2022 | 89th General Assembly | Introduced
Bill Title: A bill for an act relating to the practice of pharmacy, including the prescription and administration of vaccines and collaborative pharmacy practice.(See HF 794.)
Spectrum: Committee Bill
Status: (Introduced - Dead) 2021-03-08 - Committee report approving bill, renumbered as HF 794. [HSB91 Detail]
Download: Iowa-2021-HSB91-Introduced.html
House
Study
Bill
91
-
Introduced
HOUSE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
HUMAN
RESOURCES
BILL
BY
CHAIRPERSON
MEYER)
A
BILL
FOR
An
Act
relating
to
the
practice
of
pharmacy,
including
1
the
prescription
and
administration
of
vaccines
and
2
collaborative
pharmacy
practice.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
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Section
1.
Section
155A.46,
Code
2021,
is
amended
to
read
1
as
follows:
2
155A.46
Statewide
Administration
of
drugs
——
statewide
3
protocols.
4
1.
a.
A
pharmacist
may,
pursuant
to
statewide
protocols
5
developed
by
the
board
in
consultation
with
the
department
of
6
public
health
and
consistent
with
subsection
2
3
,
order
and
7
administer
the
following
to
patients
ages
eighteen
years
and
8
older:
9
(1)
a.
Naloxone.
10
(2)
b.
Nicotine
replacement
tobacco
Tobacco
cessation
11
products.
12
c.
Point-of-care
testing
and
treatment
for
influenza,
13
streptococcus
A,
and
COVID-19
as
defined
in
section
686D.2
at
14
the
point
of
interaction
between
a
pharmacist
and
a
patient.
15
d.
Point-of-care
testing
at
the
point
of
interaction
between
16
a
pharmacist
and
a
patient
in
response
to
a
public
health
17
emergency.
18
2.
a.
A
pharmacist
may
prescribe
and
administer
the
19
following
to
patients
ages
three
years
and
older:
20
(3)
(1)
An
immunization
or
vaccination
recommended
by
21
the
United
States
centers
for
disease
control
and
prevention
22
advisory
committee
on
immunization
practices
in
its
approved
23
vaccination
schedule
for
adults
.
24
(4)
(2)
An
immunization
or
vaccination
recommended
by
the
25
United
States
centers
for
disease
control
and
prevention
for
26
international
travel.
27
(5)
A
Tdap
(tetanus,
diphtheria,
acellular
pertussis)
28
vaccination
in
a
booster
application.
29
(3)
Vaccines
currently
licensed
for
use
in
the
United
30
States
on
the
list
issued
by
the
United
States
food
and
drug
31
administration,
including
those
related
to
COVID-19.
32
(6)
(4)
Other
emergency
immunizations
or
vaccinations
in
33
response
to
a
public
health
emergency.
34
b.
A
pharmacist
may
,
pursuant
to
statewide
protocols
35
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developed
by
the
board
in
consultation
with
the
department
of
1
public
health
and
consistent
with
subsection
2
,
order
prescribe
2
and
administer
the
following
to
patients
ages
six
months
and
3
older:
4
(1)
A
vaccine
or
An
immunization
or
vaccination
for
5
influenza.
6
(2)
Other
emergency
immunizations
or
vaccines
vaccinations
7
in
response
to
a
public
health
emergency.
8
c.
A
pharmacist
may,
pursuant
to
statewide
protocols
9
developed
by
the
board
in
consultation
with
the
department
10
of
public
health
and
consistent
with
subsection
2
,
order
and
11
administer
the
final
two
doses
in
a
course
of
vaccinations
for
12
HPV
to
patients
ages
eleven
years
and
older.
13
d.
c.
Prior
to
the
ordering
prescribing
and
administration
14
of
a
vaccination
or
an
immunization
or
vaccination
authorized
15
by
this
subsection
,
pursuant
to
statewide
protocols,
a
licensed
16
pharmacist
shall
consult
and
review
the
statewide
immunization
17
registry
or
health
information
network.
The
board
shall
18
adopt
rules
requiring
the
reporting
of
the
administration
of
19
vaccines
and
immunizations
and
vaccinations
authorized
by
this
20
subsection
to
a
patient’s
primary
health
care
provider,
primary
21
physician,
and
a
statewide
immunization
registry
or
health
22
information
network.
23
2.
3.
A
pharmacist
prescribing,
ordering
,
or
administering
24
a
prescription
drug,
product,
test,
or
treatment
pursuant
to
25
subsection
1
or
2
shall
do
all
of
the
following:
26
a.
Maintain
a
record
of
all
prescription
drugs,
products,
27
tests,
and
treatments
administered
pursuant
to
this
section
.
28
b.
Notify
the
patient’s
primary
health
care
provider
29
of
any
prescription
drugs,
products,
tests,
or
treatments
30
administered
to
the
patient,
or
enter
such
information
in
a
31
patient
record
system
also
used
by
the
primary
health
care
32
provider,
as
permitted
by
the
primary
health
care
provider.
If
33
the
patient
does
not
have
a
primary
health
care
provider,
the
34
pharmacist
shall
provide
the
patient
with
a
written
record
of
35
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the
prescription
drugs,
products,
tests,
or
treatment
provided
1
to
the
patient
and
shall
advise
the
patient
to
consult
a
2
physician.
3
c.
Complete
continuing
pharmacy
education
related
to
4
statewide
protocols
and
immunizations
and
vaccinations
5
recognized
and
approved
by
the
board.
6
Sec.
2.
NEW
SECTION
.
155A.47
Collaborative
pharmacy
7
practice
——
agreements
——
payment.
8
1.
For
the
purposes
of
this
section:
9
a.
“Collaborative
pharmacy
practice”
means
a
practice
of
10
pharmacy
whereby
a
pharmacist
provides
patient
care
and
drug
11
therapy
management
services
not
otherwise
permitted
to
be
12
performed
by
a
pharmacist
to
patients
under
a
collaborative
13
pharmacy
practice
agreement
with
another
pharmacist
or
14
practitioner
which
defines
the
nature,
scope,
conditions,
and
15
limitations
of
the
patient
care
and
drug
therapy
management
16
services
to
be
provided
by
a
pharmacist
in
order
to
ensure
that
17
a
patient
achieves
the
desired
outcomes.
18
b.
“Health
benefit
plan”
means
the
same
as
defined
in
19
section
514J.102.
20
c.
“Health
carrier”
means
the
same
as
defined
in
section
21
514J.102.
22
2.
Notwithstanding
any
provision
of
law
to
the
contrary,
a
23
pharmacist
may
engage
in
a
collaborative
pharmacy
practice,
in
24
accordance
with
rules
adopted
by
the
board
pursuant
to
chapter
25
17A
and
under
a
collaborative
pharmacy
practice
agreement,
to
26
provide
patient
care
and
drug
therapy
management
services
to
27
a
patient.
28
3.
Notwithstanding
any
provision
of
a
health
benefit
plan
29
to
the
contrary,
whenever
a
health
benefit
plan
provides
for
30
payment
or
reimbursement
for
a
service
that
is
within
the
31
lawful
scope
of
practice
of
a
practitioner
or
pharmacist
32
and
the
service
is
provided
by
a
pharmacist
pursuant
to
a
33
collaborative
pharmacy
practice
agreement
under
this
section,
34
the
health
carrier
may
provide
payment
or
reimbursement
for
the
35
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service.
1
EXPLANATION
2
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
3
the
explanation’s
substance
by
the
members
of
the
general
assembly.
4
This
bill
relates
to
the
ordering,
prescribing,
and
5
administration
of
certain
drugs
to
patients
by
pharmacists.
6
With
respect
to
patients
18
years
and
older,
and
pursuant
7
to
statewide
protocols,
the
bill
removes
the
authority
of
8
pharmacists
to
order
and
administer
nicotine
replacement
9
products
and
Tdap
(tetanus,
diphtheria,
acellular
pertussis)
10
vaccinations
in
a
booster
application
and
allows
pharmacists
11
to
order
and
administer
testing
and
treatment
for
influenza,
12
streptococcus
A,
and
COVID-19
as
defined
in
the
bill
at
the
13
point-of-care
testing
between
a
pharmacist
and
a
patient.
The
14
bill
also
removes
the
authority
of
pharmacists
to
order
and
15
administer
the
final
two
doses
in
a
course
of
vaccinations
for
16
HPV
(human
papilloma
virus)
to
patients
11
years
of
age
and
17
older.
18
The
bill
allows
a
pharmacist
to
prescribe
and
administer
to
19
patients
three
years
of
age
and
older
all
of
the
following:
1)
20
an
immunization
or
vaccination
recommended
by
the
United
States
21
centers
for
disease
control
and
prevention
advisory
committee
22
on
immunization
practices
in
its
approved
vaccination
schedule,
23
including
those
related
to
COVID-19,
2)
an
immunization
or
24
vaccination
recommended
by
the
United
States
centers
for
25
disease
control
and
prevention
for
international
travel,
3)
26
vaccines
currently
licensed
for
use
in
the
United
States
on
the
27
list
issued
by
the
United
States
food
and
drug
administration,
28
and
4)
other
emergency
immunizations
or
vaccinations
in
29
response
to
a
public
health
emergency.
Current
law
permits
30
pharmacists
to
order
and
administer
such
immunizations
and
31
vaccinations
to
patients
age
18
years
and
older
pursuant
to
32
statewide
protocols.
33
The
bill
allows
a
pharmacist
to
prescribe
and
administer
34
a
vaccine
or
immunization
for
influenza
and
other
emergency
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immunizations
or
vaccines
in
response
to
a
public
health
1
emergency
to
patients
ages
six
months
and
older.
2
The
bill
allows
a
pharmacist
to
engage
in
a
collaborative
3
pharmacy
practice
under
a
collaborative
pharmacy
practice
4
agreement
to
provide
patient
care
and
drug
therapy
management
5
services
to
a
patient.
6
The
bill
allows
a
health
carrier
to
pay
for
a
service
7
provided
by
a
pharmacist
under
a
collaborative
pharmacy
8
practice
agreement
if
the
health
benefit
plan
provides
for
9
payment
or
reimbursement
for
a
service
when
the
service
is
10
within
the
lawful
scope
of
practice
of
a
practitioner
or
11
pharmacist.
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