SB 1374
Initials AG Page 1 House Engrossed
ARIZONA HOUSE OF REPRESENTATIVES
Fifty-fifth Legislature
Second Regular Session
Senate: ED DP 7-1-0-0 | 3
rd
Read 26-2-2-0
House: APPROP DPA/SE 8-5-0-0 | 3
rd
Read 45-13-2-0
SB 1374: full-time equivalent student; expenditure limitation
NOW: immunizations; pharmacists
Sponsor: Senator Shope, LD 8
House Engrossed
Overview
Permits pharmacists to order and administer immunizations or vaccines recommended by the
U.S. Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization
Practices (ACIP) for children at least six years old, rather than just for adults. Allows pharmacists
to administer immunizations or vaccines to a person who is at least three years old with a
prescription order or under a collaborative practice agreement.
History
The Arizona State Board of Pharmacy (Board) protects the health, safety and welfare of Arizona
citizens by regulating the practice of pharmacy which includes issuing licenses to pharmacists,
pharmacy interns and pharmacy technicians and permits to pharmacies, manufacturers,
wholesalers, distributors and third-party logistic providers (A.R.S. § 32-1904).
Licensed pharmacists that meet certain requirements may administer immunizations or vaccines
without a prescription if they are recommended for adults by the CDC and the CDC's Health
Information for International Travel. Additionally, pharmacists are authorized to provide the
following services to minors without a prescription: 1) influenza immunizations or vaccines to a
person who is at least three years old; 2) booster doses for the primary adolescent series as
recommended by the CDC; and 3) immunizations recommended by the CDC to a person who is
at least 13 years old. Pharmacists are additionally allowed to administer vaccines to a person who
is at least 6 years old and under 13 years old with a prescription order (A.R.S. § 32-1974).
ACIP provides advice and guidance to the CDC Director regarding use of vaccines and related
agents for control of vaccine-preventable diseases in the U.S. civilian population.
Recommendations made by ACIP are reviewed by the CDC Director and if adopted are published
as official CDC recommendations in the Morbidity and Mortality Weekly Report (MMWR).
Provisions
1. Allows licensed pharmacists to order and administer immunizations or vaccines for the
following age groups, rather than just to adults:
a) A person who is at least three years old immunizations or vaccines for influenza as
recommended by ACIP;
b) A person who is at least six years old as recommended by ACIP; and
c) A person who is at least 18 years old as recommended by ACIP for international travel.
(Sec. 1)
2. Specifies that except for influenza immunizations or vaccinations, licensed pharmacists who
meet certain requirements may administer immunizations and vaccines to a person who is at
☐ Prop 105 (45 votes) ☐ Prop 108 (40 votes) ☐ Emergency (40 votes) ☐ Fiscal Note SB 1374
Initials AG Page 2 House Engrossed
least three years old pursuant to a prescription order or under a collaborative practice
agreement. (Sec. 1)
3. Requires a pharmacist wishing to order and administer immunizations and vaccines to update
their online profile with the Board indicating that they are an active immunizer, rather than
being certified to do so by the Board. (Sec. 1)
4. Allows an authorized pharmacist to order and administer emergency medication to manage
an acute allergic reaction to an immunization, vaccine or medication in accordance with
guidelines from ACIP for adults and the American Academy of Pediatrics for minors. (Sec. 1)
5. Requires a pharmacist who administers an immunization, vaccine or emergency medication
to:
a) Report information to the Arizona State Immunization Information System (ASIIS);
b) Notify the Vaccine Adverse Event Reporting System in accordance with ACIP
recommendations;
c) Provide vaccine information materials to those requesting immunizations or vaccines;
d) Provide educational materials to a person's parent or guardian about the importance of
pediatric preventive health care visits as recommended by the American Academy of
Pediatrics for person's under 18 years old;
e) Follow standing operating procedures adopted by the pharmacy or institution where the
immunization, vaccine or emergency medication is administered that are based upon the
vaccine administration protocols and immunization practices published in the CDC's
MMWR. (Sec. 1)
6. Requires standard operating procedures to include:
a) Patient screening requirements for relevant health condition information before
administering a vaccine;
b) A requirement to review the vaccine information, ASIIS and any other patient information
on record to determine the person's past immunizations and adverse reactions
administering a vaccine; and
c) Emergency management policies and procedures. (Sec. 1)
7. Directs the Board to adopt rules regarding requirements and qualifications for authorizing
pharmacists to order and administer vaccines, immunizations and emergency medications.
(Sec. 1)
8. Removes the Board's ability to adopt rules for the administration of immunizations or vaccines
regarding:
a) Protocols that are based on protocols approved by the CDC and any advisory committee
appointed by the Board for the purpose of recommending protocols;
b) Vaccine information and educational materials for those requesting vaccines and
immunizations; and
c) The administration of emergency medication. (Sec. 1)
9. Directs the Department of Health Services (DHS) to establish and maintain a list of all
immunizations or vaccines to be administered by a pharmacist, rather than those administered
to adults pursuant to a prescription order. (Sec. 1)
10. Deletes the requirement that DHS must adopt rules within six months after receipt of the
recommendations of the advisory committee appointed by the Board and hold one public
hearing before implementing rules and any amendments to the rules. (Sec. 1)
11. Requires the list to include immunizations or vaccines recommended by the CDC Health
Information for International Travel that have adverse reactions that could cause significant SB 1374
Initials AG Page 3 House Engrossed
harm to a patient's health, rather than the CDC's recommended adult immunization schedule.
(Sec. 1)
12. Allows a pharmacy intern that is trained, rather than certified, to administer immunizations and
vaccines under supervision of an authorized pharmacist. (Sec. 1)
13. Modifies emergency medication. (Sec. 1)
14. Deletes primary adolescent series. (Sec. 1)