Bill Text: IA SF67 | 2017-2018 | 87th General Assembly | Introduced
Bill Title: A bill for an act relating to the prescribing and dispensing of self-administered oral hormonal contraceptives including by pharmacists and providing insurance coverage for such contraceptives prescribed and dispensed.
Sponsorship: Partisan Bill (Democrat 1)
Status: (Introduced - Dead) 2017-01-13 - Subcommittee: Greene, Garrett, and Mathis. S.J. 88. [SF67 Detail]
Download: Iowa-2017-SF67-Introduced.html
Senate File 67 - Introduced SENATE FILE BY PETERSEN A BILL FOR 1 An Act relating to the prescribing and dispensing of 2 self=administered oral hormonal contraceptives including 3 by pharmacists and providing insurance coverage for such 4 contraceptives prescribed and dispensed. 5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 1612XS (1) 87 pf/nh PAG LIN 1 1 Section 1. Section 155A.3, Code 2017, is amended by adding 1 2 the following new subsection: 1 3 NEW SUBSECTION. 40A. "Self=administered oral hormonal 1 4 contraceptive" means a drug composed of a combination of 1 5 hormones that is approved by the United States food and drug 1 6 administration to prevent pregnancy and that the patient to 1 7 whom the drug is prescribed may take orally. 1 8 Sec. 2. NEW SECTION. 155A.46 Prescribing and dispensing of 1 9 self=administered oral hormonal contraceptives. 1 10 1. Notwithstanding any provision of law to the contrary, 1 11 a pharmacist may prescribe and dispense self=administered 1 12 oral hormonal contraceptives to a person regardless of 1 13 whether the person has evidence of a previous prescription 1 14 from a practitioner for a self=administered oral hormonal 1 15 contraceptive. 1 16 2. a. The department of public health in consultation with 1 17 the Iowa pharmacy association and the Iowa medical society, and 1 18 in consideration of the guidelines established by the American 1 19 congress of obstetricians and gynecologists, shall adopt by 1 20 rule a statewide protocol for the prescribing and dispensing of 1 21 self=administered oral hormonal contraceptives by pharmacists. 1 22 b. The rules adopted under this subsection shall require a 1 23 pharmacist to do all of the following: 1 24 (1) Complete a standardized training program approved by 1 25 the department of public health that is related to prescribing 1 26 self=administered oral hormonal contraceptives and includes 1 27 education regarding all contraceptive methods approved by the 1 28 federal food and drug administration. 1 29 (2) Provide a standardized self=screening risk assessment 1 30 tool to the patient for completion prior to the pharmacist's 1 31 prescribing of the self=administered oral hormonal 1 32 contraceptive. 1 33 (3) Prior to prescribing and dispensing the 1 34 self=administered oral hormone contraceptive, provide 1 35 the patient with education regarding all contraceptive methods 2 1 approved by the federal food and drug administration. 2 2 (4) Upon prescribing and dispensing the self=administered 2 3 oral hormonal contraceptive, provide the patient with a written 2 4 record of the prescribed and dispensed self=administered oral 2 5 hormonal contraceptive, and refer the patient to the patient's 2 6 primary practitioner or women's health care practitioner for 2 7 preventive visits. 2 8 (5) Dispense the self=administered oral hormonal 2 9 contraceptive to the patient as soon as practicable after the 2 10 pharmacist issues the prescription. 2 11 c. The rules adopted under this subsection shall require 2 12 a pharmacist to prescribe and dispense an initial three=month 2 13 supply of the self=administered oral hormonal contraceptive, 2 14 and shall authorize a pharmacist, upon verification of no 2 15 adverse effects, to issue a prescription for and dispense 2 16 up to a one=year supply of self=administered oral hormonal 2 17 contraceptives to the patient at one time. 2 18 d. The rules adopted under this subsection shall prohibit a 2 19 pharmacist from requiring a patient to schedule an appointment 2 20 with the pharmacist for the prescribing of a self=administered 2 21 oral hormonal contraceptive. 2 22 3. All state and federal laws governing insurance coverage 2 23 of contraceptive drugs, devices, products, and services shall 2 24 apply to a self=administered oral hormonal contraceptive 2 25 prescribed by a pharmacist under this section. 2 26 Sec. 3. Section 514C.19, subsection 1, paragraph a, Code 2 27 2017, is amended to read as follows: 2 28 a. Exclude or restrict benefits for prescription 2 29 contraceptive drugs or prescription contraceptive devices 2 30 which prevent conception and which are approved by the United 2 31 States food and drug administration, or generic equivalents 2 32 approved as substitutable by the United States food and drug 2 33 administration, if such policy or contract provides benefits 2 34 for other outpatient prescription drugs or devices. Such 2 35 policy or contract shall specifically provide for payment 3 1 of up to a one=year supply, dispensed at one time, of 3 2 self=administered oral hormonal contraceptives as defined 3 3 in section 155A.3, which are prescribed by a practitioner 3 4 authorized to prescribe drugs in this state, including a 3 5 pharmacist pursuant to section 155A.46. 3 6 EXPLANATION 3 7 The inclusion of this explanation does not constitute agreement with 3 8 the explanation's substance by the members of the general assembly. 3 9 This bill authorizes a pharmacist to prescribe and dispense 3 10 self=administered oral hormonal contraceptives. Under the 3 11 bill, a pharmacist may prescribe and dispense these items to 3 12 a person whether or not the person has evidence of a previous 3 13 prescription from a practitioner for self=administered oral 3 14 hormonal contraceptives. 3 15 The department of public health in consultation with 3 16 the Iowa pharmacy association and the Iowa medical society, 3 17 and in consideration of the guidelines established by the 3 18 American congress of obstetricians and gynecologists, is 3 19 directed to adopt a statewide protocol for the prescribing and 3 20 dispensing of self=administered oral hormonal contraceptives 3 21 by pharmacists. 3 22 The bill prescribes what the rules are to require a 3 23 pharmacist to do and what a pharmacist is prohibited from 3 24 doing. The rules shall require a pharmacist to complete a 3 25 standardized training program approved by the department of 3 26 public health that is related to prescribing self=administered 3 27 oral hormonal contraceptives and includes education regarding 3 28 all contraceptive methods approved by the federal food and drug 3 29 administration (FDA); to provide a standardized self=screening 3 30 risk assessment tool to the patient for completion prior to 3 31 the pharmacist's prescribing of the self=administered oral 3 32 hormonal contraceptive; prior to prescribing and dispensing 3 33 the self=administered oral hormonal contraceptive, to provide 3 34 the patient with education regarding all contraceptive methods 3 35 approved by the FDA; upon prescribing and dispensing the 4 1 self=administered oral hormonal contraceptive, to provide 4 2 the patient with a written record of the prescribed and 4 3 dispensed self=administered oral hormonal contraceptive, and 4 4 refer the patient to the patient's primary practitioner or 4 5 women's health care practitioner for preventive visits; and 4 6 to dispense the self=administered oral hormonal contraceptive 4 7 to the patient as soon as practicable after the pharmacist 4 8 issues the prescription. The bill provides that the rules 4 9 adopted are to require a pharmacist to prescribe and dispense 4 10 an initial three=month supply of the self=administered oral 4 11 hormonal contraceptive and authorize a pharmacist, upon 4 12 verification of no adverse effects, to issue a prescription 4 13 for and dispense up to a one=year supply of self=administered 4 14 oral hormonal contraceptives to the patient at one time. The 4 15 rules shall prohibit a pharmacist from requiring a patient to 4 16 schedule an appointment with the pharmacist for prescribing the 4 17 self=administered oral hormonal contraceptive. 4 18 All state and federal laws governing insurance coverage of 4 19 contraceptive drugs, devices, products, and services apply to a 4 20 self=administered oral hormonal contraceptive prescribed by a 4 21 pharmacist under the bill. 4 22 The bill amends prescription contraceptive coverage 4 23 provisions to require that a group policy or contract providing 4 24 for third=party payment or prepayment of health or medical 4 25 expenses, and by reference individual policies as well, 4 26 shall specifically provide for payment of up to a one=year 4 27 supply, dispensed at one time, of self=administered oral 4 28 hormonal contraceptives which are prescribed by a practitioner 4 29 authorized to prescribe drugs in this state, including a 4 30 pharmacist pursuant to Code section 155A.46. 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