Bill Text: IA SF2019 | 2019-2020 | 88th General Assembly | Introduced
Bill Title: A bill for an act relating to the practice of pharmacy, including the prescription and administration of vaccines. (See SSB 3164, SF 2343.)
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2020-01-21 - Subcommittee: R. Smith, Jochum, and Miller-Meeks. S.J. 121. [SF2019 Detail]
Download: Iowa-2019-SF2019-Introduced.html
Senate
File
2019
-
Introduced
SENATE
FILE
2019
BY
GREENE
A
BILL
FOR
An
Act
relating
to
the
practice
of
pharmacy,
including
the
1
prescription
and
administration
of
vaccines.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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Section
1.
Section
155A.46,
Code
2020,
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
and
streptococcus
A
at
the
point
of
interaction
between
a
14
pharmacist
and
a
patient.
15
2.
a.
A
pharmacist
may
prescribe
and
administer
the
16
following
to
patients
ages
six
years
and
older:
17
(3)
(1)
An
immunization
or
vaccination
recommended
by
18
the
United
States
centers
for
disease
control
and
prevention
19
advisory
committee
on
immunization
practices
in
its
approved
20
vaccination
schedule
for
adults
.
21
(4)
(2)
An
immunization
or
vaccination
recommended
by
the
22
United
States
centers
for
disease
control
and
prevention
for
23
international
travel.
24
(5)
A
Tdap
(tetanus,
diphtheria,
acellular
pertussis)
25
vaccination
in
a
booster
application.
26
(3)
Vaccines
currently
licensed
for
use
in
the
United
27
States
on
the
list
issued
by
the
United
States
food
and
drug
28
administration.
29
(6)
(4)
Other
emergency
immunizations
or
vaccinations
in
30
response
to
a
public
health
emergency.
31
b.
A
pharmacist
may
,
pursuant
to
statewide
protocols
32
developed
by
the
board
in
consultation
with
the
department
of
33
public
health
and
consistent
with
subsection
2
,
order
prescribe
34
and
administer
the
following
to
patients
ages
six
months
and
35
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older:
1
(1)
A
vaccine
or
An
immunization
or
vaccination
for
2
influenza.
3
(2)
Other
emergency
immunizations
or
vaccines
vaccinations
4
in
response
to
a
public
health
emergency.
5
c.
A
pharmacist
may,
pursuant
to
statewide
protocols
6
developed
by
the
board
in
consultation
with
the
department
7
of
public
health
and
consistent
with
subsection
2
,
order
and
8
administer
the
final
two
doses
in
a
course
of
vaccinations
for
9
HPV
to
patients
ages
eleven
years
and
older.
10
d.
c.
Prior
to
the
ordering
prescribing
and
administration
11
of
a
vaccination
or
an
immunization
or
vaccination
authorized
12
by
this
subsection
,
pursuant
to
statewide
protocols,
a
licensed
13
pharmacist
shall
consult
and
review
the
statewide
immunization
14
registry
or
health
information
network.
The
board
shall
15
adopt
rules
requiring
the
reporting
of
the
administration
of
16
vaccines
and
immunizations
and
vaccinations
authorized
by
this
17
subsection
to
a
patient’s
primary
health
care
provider,
primary
18
physician,
and
a
statewide
immunization
registry
or
health
19
information
network.
20
2.
3.
A
pharmacist
prescribing,
ordering
,
or
administering
21
a
prescription
drug,
product,
test,
or
treatment
pursuant
to
22
subsection
1
or
2
shall
do
all
of
the
following:
23
a.
Maintain
a
record
of
all
prescription
drugs,
products,
24
tests,
and
treatments
administered
pursuant
to
this
section
.
25
b.
Notify
the
patient’s
primary
health
care
provider
26
of
any
prescription
drugs,
products,
tests,
or
treatments
27
administered
to
the
patient,
or
enter
such
information
in
a
28
patient
record
system
also
used
by
the
primary
health
care
29
provider,
as
permitted
by
the
primary
health
care
provider.
If
30
the
patient
does
not
have
a
primary
health
care
provider,
the
31
pharmacist
shall
provide
the
patient
with
a
written
record
of
32
the
prescription
drugs,
products,
tests,
or
treatment
provided
33
to
the
patient
and
shall
advise
the
patient
to
consult
a
34
physician.
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c.
Complete
continuing
pharmacy
education
related
to
1
statewide
protocols
and
immunizations
and
vaccinations
2
recognized
and
approved
by
the
board.
3
EXPLANATION
4
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
5
the
explanation’s
substance
by
the
members
of
the
general
assembly.
6
This
bill
relates
to
the
ordering,
prescribing,
and
7
administration
of
certain
drugs
to
patients
by
pharmacists.
8
With
respect
to
patients
18
years
and
older,
and
pursuant
9
to
statewide
protocols,
the
bill
removes
the
authority
of
10
pharmacists
to
order
and
administer
nicotine
replacement
11
products
and
Tdap
(tetanus,
diphtheria,
acellular
pertussis)
12
vaccinations
in
a
booster
application
and
allows
pharmacists
to
13
order
and
administer
testing
and
treatment
for
influenza
and
14
streptococcus
A
at
the
point-of-care
between
a
pharmacist
and
a
15
patient.
The
bill
also
removes
the
authority
of
pharmacists
16
to
order
and
administer
the
final
two
doses
in
a
course
of
17
vaccinations
for
HPV
(human
papilloma
virus)
to
patients
11
18
years
of
age
and
older.
19
The
bill
allows
a
pharmacist
to
prescribe
and
administer
20
to
patients
six
years
of
age
and
older
all
of
the
following:
21
1)
an
immunization
or
vaccination
recommended
by
the
United
22
States
centers
for
disease
control
and
prevention
advisory
23
committee
on
immunization
practices
in
its
approved
vaccination
24
schedule,
2)
an
immunization
or
vaccination
recommended
by
the
25
United
States
centers
for
disease
control
and
prevention
for
26
international
travel,
3)
vaccines
currently
licensed
for
use
in
27
the
United
States
on
the
list
issued
by
the
United
States
food
28
and
drug
administration,
and
4)
other
emergency
immunizations
29
or
vaccinations
in
response
to
a
public
health
emergency.
30
Current
law
permits
pharmacists
to
order
and
administer
such
31
immunizations
and
vaccinations
to
patients
age
18
years
and
32
older
pursuant
to
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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