STATE OF NEW YORK
________________________________________________________________________
4870--B
Cal. No. 1238
2021-2022 Regular Sessions
IN SENATE
February 17, 2021
___________
Introduced by Sens. BRESLIN, ADDABBO -- read twice and ordered printed,
and when printed to be committed to the Committee on Higher Education
-- committee discharged, bill amended, ordered reprinted as amended
and recommitted to said committee -- recommitted to the Committee on
Higher Education in accordance with Senate Rule 6, sec. 8 -- reported
favorably from said committee, ordered to first and second report,
ordered to a third reading, amended and ordered reprinted, retaining
its place in the order of third reading
AN ACT to amend the education law, in relation to the definition of the
practice of pharmacy
The People of the State of New York, represented in Senate and Assem-
bly, do enact as follows:
1 Section 1. Subdivision 22 of section 6802 of the education law, as
2 amended by chapter 555 of the laws of 2021, is amended to read as
3 follows:
4 22. "Administer", for the purpose of section sixty-eight hundred one
5 of this article, means:
6 a. (1) the direct application of an immunizing agent to adults, wheth-
7 er by injection, ingestion, inhalation or any other means, pursuant to a
8 patient specific order or non-patient specific regimen prescribed or
9 ordered by a physician or certified nurse practitioner, for: immuniza-
10 tions to prevent influenza, pneumococcal, acute herpes zoster, hepatitis
11 A, hepatitis B, human papillomavirus, measles, mumps, rubella, varicel-
12 la, COVID-19, meningococcal, tetanus, diphtheria or pertussis disease
13 and medications required for emergency treatment of anaphylaxis; and
14 other immunizations recommended by the advisory committee on immuniza-
15 tion practices of the centers for disease control and prevention for
16 patients eighteen years of age or older if the commissioner of health in
17 consultation with the commissioner determines that an immunization:
18 (i)(A) may be safely administered by a licensed pharmacist within their
19 lawful scope of practice; and (B) is needed to prevent the transmission
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD03519-09-2
S. 4870--B 2
1 of a reportable communicable disease that is prevalent in New York
2 state; or (ii) is a recommended immunization for such patients who: (A)
3 meet age requirements, (B) lack documentation of such immunization, (C)
4 lack evidence of past infection, or (D) have an additional risk factor
5 or another indication as recommended by the advisory committee on immun-
6 ization practices of the centers for disease control and prevention. If
7 the commissioner of health determines that there is an outbreak of
8 disease, or that there is the imminent threat of an outbreak of disease,
9 then the commissioner of health may issue a non-patient specific regimen
10 applicable statewide.
11 [b.] (2) the direct application of an immunizing agent to children
12 between the ages of two and eighteen years of age, whether by injection,
13 ingestion, inhalation or any other means, pursuant to a patient specific
14 order or non-patient specific regimen prescribed or ordered by a physi-
15 cian or certified nurse practitioner, for immunization to prevent influ-
16 enza and medications required for emergency treatment of anaphylaxis
17 resulting from such immunization. If the commissioner of health deter-
18 mines that there is an outbreak of influenza, or that there is the immi-
19 nent threat of an outbreak of influenza, then the commissioner of health
20 may issue a non-patient specific regimen applicable statewide.
21 b. The injection of medications into the deltoid muscle for the treat-
22 ment of mental health and substance use disorder, as prescribed or
23 ordered by a licensed prescriber, acting within the scope of their prac-
24 tice in this state and in accordance with regulations promulgated by the
25 commissioner and the department of health in consultation with any other
26 state agencies as necessary, but not be limited to, providing that:
27 (1) Such administration is conducted pursuant to a valid prescription
28 or order that authorizes a pharmacist to administer medications for the
29 treatment of mental health and substance use disorder and the pharmacist
30 notifies the licensed prescriber that the administration is complete.
31 Administration in a pharmacy may not commence until after the patient
32 has received the initial injection and is considered eligible for main-
33 tenance treatment by the licensed prescriber.
34 (2) Such prescription may be subject to reassessment at appropriate
35 intervals, as determined by the licensed prescriber.
36 (3) Such activity is conducted in accordance with regulations, promul-
37 gated or adopted by the commissioner and the department of health, in
38 consultation with any other state agencies, as necessary, which shall
39 include requirements for the following:
40 (i) Training accredited by the accreditation council for pharmacy
41 education, that may include educational experiences obtained through
42 pharmacy school curricula, or a similar health authority or professional
43 body appropriate for the medications being administered and their
44 respective patient populations. Such training must be satisfactory to
45 the commissioner and the department of health, in consultation with the
46 board of pharmacy and any other state agencies, as necessary, which
47 shall include, but not be limited to learning modules on techniques for
48 administration by injections, indications, precautions, and contraindi-
49 cations in the use of agent or agents; record keeping and information;
50 and handling emergencies, including anaphylaxis, needle-sticks and
51 cardiopulmonary resuscitation.
52 (ii) Maintaining continued competency regarding the populations served
53 and medications administered.
54 (iii) Pre-administration patient consent and education regarding
55 common side effects, drug interactions, injection site reactions and
56 other information routinely provided to patients upon dispensing. If a
S. 4870--B 3
1 patient is unable to provide consent, the pharmacist must obtain consent
2 from a person legally responsible when the recipient is incapable of
3 consenting.
4 (iv) When administering an injection in a pharmacy, the pharmacist
5 shall provide an area for the injection that provides for the patient's
6 privacy.
7 (v) Record keeping and reporting of such administration by electronic
8 transmission or facsimile to the patient's licensed prescriber, and, to
9 the extent practicable, make himself or herself available to discuss the
10 outcome of such injection, including any adverse reactions, with the
11 licensed prescriber acting within their scope of practice.
12 § 2. Section 6801 of the education law is amended by adding a new
13 subdivision 8 to read as follows:
14 8. A licensed pharmacist within their lawful scope of practice may
15 administer injectable medications into the deltoid muscle, pursuant to
16 section six thousand eight hundred two of this article, for the treat-
17 ment of mental health and substance use disorder, as prescribed or
18 ordered by a licensed prescriber, acting within their scope of practice
19 in this state and in accordance with regulations, including but not
20 limited to regulations promulgated by the commissioner in consultation
21 with any other state agencies, as necessary.
22 § 3. This act shall take effect one year after it shall have become a
23 law. Effective immediately, the addition, amendment and/or repeal of any
24 rule or regulation necessary for the implementation of this act on its
25 effective date are authorized to be made and completed by the commis-
26 sioner of education on or before such date.