House File 2287 - Introduced HOUSE FILE 2287 BY CROKEN , ABDUL-SAMAD , and STECKMAN A BILL FOR An Act relating to the ordering, administering, and dispensing 1 of point-of-care HIV-related tests and prophylaxis drugs by 2 a pharmacist. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 5510YH (11) 90 pf/ko

H.F. 2287 Section 1. Section 155A.46, subsection 1, Code 2024, is 1 amended by adding the following new paragraph: 2 NEW PARAGRAPH . f. (1) A pharmacist may, pursuant to 3 statewide protocols developed by the board in consultation with 4 the department of health and human services and consistent with 5 subsection 2, do all of the following: 6 (a) Order and administer point-of-care HIV-related tests. 7 (b) Order and administer or dispense HIV pre-exposure 8 prophylaxis or HIV post-exposure prophylaxis. 9 (2) Notwithstanding any provision of a health benefit plan 10 to the contrary, if a health benefit plan provides for payment 11 or reimbursement for a service that is within the lawful scope 12 of practice of a practitioner or a pharmacist, and a service 13 is provided by a pharmacist pursuant to a statewide protocol 14 under this paragraph “f” , the health carrier that issued the 15 health benefit plan shall provide payment or reimbursement for 16 the service. 17 (3) For the purposes of this paragraph “f” : 18 (a) “Health benefit plan” means the same as defined in 19 section 514J.102. 20 (b) “Health carrier” means the same as defined in section 21 514J.102. 22 (c) “HIV” means the same as defined in section 141A.1. 23 (d) “HIV-related test” means the same as defined in section 24 141A.1. 25 EXPLANATION 26 The inclusion of this explanation does not constitute agreement with 27 the explanation’s substance by the members of the general assembly. 28 This bill relates to the ordering, administering, and 29 dispensing of point-of-care HIV-related tests and prophylaxis 30 drugs by a pharmacist. 31 The bill provides that in accordance with statewide 32 protocols developed by the board of pharmacy (board) in 33 consultation with the department of health and human services, 34 a pharmacist may order and administer a point-of-care 35 -1- LSB 5510YH (11) 90 pf/ko 1/ 2

H.F. 2287 HIV-related test and order, administer, or dispense HIV 1 pre-exposure prophylaxis or HIV post-exposure prophylaxis. 2 A pharmacist offering services under the bill shall: 3 maintain a record of all point-of-care HIV-related tests and 4 HIV pre-exposure prophylaxis or HIV post-exposure prophylaxis 5 administered; notify the patient’s primary health care provider 6 of tests or prophylaxis administered or enter such information 7 in a patient record system also used by the primary health care 8 provider, as permitted by the primary health care provider; 9 if the patient does not have a primary health care provider, 10 provide the patient with a written record of the tests or 11 prophylaxis provided, and advise the patient to consult a 12 physician; and complete continuing pharmacy education related 13 to the statewide protocols. 14 The bill also requires that if a health benefit plan provides 15 for payment or reimbursement for a service that is within the 16 lawful scope of practice of a practitioner or a pharmacist, and 17 a service is provided by a pharmacist pursuant to a statewide 18 protocol under the bill, the health carrier shall provide 19 payment or reimbursement for the service. 20 The bill provides definitions of terms used in the bill 21 including “health benefit plan”, “health carrier”, “HIV”, and 22 “HIV-related test”. 23 -2- LSB 5510YH (11) 90 pf/ko 2/ 2