Bill Text: IA SSB1103 | 2023-2024 | 90th General Assembly | Introduced
Bill Title: A bill for an act relating to the dispensing of an epinephrine auto-injector by a pharmacist without a prescription.(See SF 326.)
Spectrum: Committee Bill
Status: (Introduced - Dead) 2023-02-20 - Committee report approving bill, renumbered as SF 326. [SSB1103 Detail]
Download: Iowa-2023-SSB1103-Introduced.html
Senate
Study
Bill
1103
-
Introduced
SENATE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
HEALTH
AND
HUMAN
SERVICES
BILL
BY
CHAIRPERSON
EDLER)
A
BILL
FOR
An
Act
relating
to
the
dispensing
of
an
epinephrine
1
auto-injector
by
a
pharmacist
without
a
prescription.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
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Section
1.
NEW
SECTION
.
155A.49
Pharmacist
dispensing
of
1
epinephrine
auto-injectors
without
a
prescription
——
protocol
——
2
immunity.
3
1.
Notwithstanding
any
other
provision
of
law
to
the
4
contrary,
in
accordance
with
a
protocol
developed
pursuant
5
to
this
section,
a
pharmacist
may
dispense
an
epinephrine
6
auto-injector
without
a
prescription
to
a
person
who
is
at
7
least
eighteen
years
of
age
if
the
pharmacist
has
a
record
8
of
previously
dispensing
epinephrine
to
the
person
in
9
accordance
with
a
prescription
issued
by
a
licensed
health
care
10
professional
authorized
to
prescribe
drugs.
11
2.
A
pharmacist
who
dispenses
an
epinephrine
auto-injector
12
under
this
section
shall
do
all
of
the
following:
13
a.
Provide
instruction
to
the
person
to
whom
the
epinephrine
14
auto-injector
is
dispensed
to
summon
emergency
services
as
15
soon
as
practicable
either
before
or
after
administering
the
16
epinephrine.
17
b.
Provide
notice
of
the
dispensing
to
the
person’s
primary
18
care
provider,
if
known,
or
to
the
prescriber
who
issued
the
19
person
the
initial
prescription
for
epinephrine.
20
3.
A
pharmacist
may
document
the
dispensing
of
an
21
epinephrine
auto-injector
on
a
prescription
form
for
22
recordkeeping
purposes.
23
4.
This
section
does
not
affect
the
authority
of
a
24
pharmacist
to
fill
or
refill
a
prescription
for
epinephrine.
25
5.
A
prescriber
or
pharmacist
acting
reasonably
and
in
good
26
faith,
in
accordance
and
compliance
with
the
protocol
developed
27
under
this
section,
shall
not
be
subject
to
licensee
discipline
28
or
liable
for
any
injury
arising
from
the
prescribing
or
29
dispensing
of
an
epinephrine
auto-injector
as
provided
in
this
30
section.
31
6.
The
board
of
pharmacy
in
consultation
with
the
board
32
of
medicine
shall
develop
the
protocol
to
be
applied
under
33
this
section
and
shall
adopt
rules
pursuant
to
chapter
17A
to
34
administer
this
section.
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7.
For
the
purposes
of
this
section,
“epinephrine
1
auto-injector”
and
“licensed
health
care
professional”
mean
the
2
same
as
defined
in
section
280.16.
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
dispensing
of
epinephrine
7
auto-injectors
by
a
pharmacist
without
a
prescription.
8
The
bill
provides
that
in
accordance
with
a
protocol
9
developed
under
the
bill,
a
pharmacist
may
dispense
an
10
epinephrine
auto-injector
without
a
prescription
to
a
person
11
who
is
at
least
18
years
of
age
if
the
pharmacist
has
a
12
record
of
previously
dispensing
epinephrine
to
the
person
in
13
accordance
with
a
prescription
issued
by
a
licensed
health
care
14
professional
authorized
to
prescribe
drugs.
15
A
pharmacist
who
dispenses
an
epinephrine
auto-injector
16
under
the
bill
shall
provide
instruction
to
the
person
to
17
whom
the
epinephrine
auto-injector
is
dispensed
to
summon
18
emergency
services
as
soon
as
practicable
either
before
or
19
after
administering
the
epinephrine
and
provide
notice
of
the
20
dispensing
to
the
person’s
primary
care
provider,
if
known,
21
or
to
the
prescriber
who
issued
the
individual
the
initial
22
prescription
for
epinephrine.
A
pharmacist
may
document
the
23
dispensing
of
an
epinephrine
auto-injector
on
a
prescription
24
form
for
recordkeeping
purposes.
The
bill
does
not
affect
the
25
authority
of
a
pharmacist
to
fill
or
refill
a
prescription
for
26
epinephrine.
27
A
prescriber
or
pharmacist
acting
reasonably
and
in
good
28
faith
in
accordance
and
compliance
with
the
protocol
developed
29
under
the
bill
is
not
subject
to
licensee
discipline
or
liable
30
for
any
injury
arising
from
the
prescribing
or
dispensing
of
an
31
epinephrine
auto-injector
under
the
bill.
32
The
board
of
pharmacy
in
consultation
with
the
board
33
of
medicine
shall
develop
the
protocol
and
shall
adopt
34
administrative
rules
to
administer
the
bill.
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For
the
purposes
of
the
bill,
“epinephrine
auto-injector”
1
means
a
device
for
immediate
self-administration
or
2
administration
by
another
trained
individual
of
a
measured
dose
3
of
epinephrine
to
a
person
at
risk
of
anaphylaxis
and
“licensed
4
health
care
professional”
means
a
person
licensed
to
practice
5
medicine
and
surgery
or
osteopathic
medicine
and
surgery,
6
an
advanced
registered
nurse
practitioner,
or
a
physician
7
assistant.
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