HB 2582
Initials AG/KT Page 1 House Engrossed
ARIZONA HOUSE OF REPRESENTATIVES
Fifty-sixth Legislature
Second Regular Session
House: HHS DP 7-3-0-0
HB 2582: pharmacists; collaborative practice agreements
Sponsor: Representative Gillette, LD 30
House Engrossed
Overview
Includes physician assistants and certified nurse midwifes in the statutory definition of a
provider who may enter into a collaborative practice agreement with a pharmacist.
History
A collaborative practice agreement is an agreement between a pharmacist and a provider that
outlines the drug therapy and disease management services, including initiating, monitoring
and modifying prescription drug and laboratory test orders that are authorized by the
provider and delegated to the pharmacist for the purpose of drug therapy management or
disease management based on the pharmacist's skills or training. Initiating, monitoring and
modifying does not include a pharmacist's selection of drug products that are not prescribed
by the provider unless the selection of specific drug products is authorized by the
collaborative practice agreement.
These collaborative practice agreements may be between one or more pharmacists and one
or more providers. A provider can be a licensed medical doctor, osteopathic physician or
registered nurse practitioner.
A collaborative practice agreement must:
1) outline the duties related to drug therapy and disease management that the provider
is delegating to the pharmacist to perform;
2) specify, at a minimum, the conditions to be managed by the pharmacist through
disease management and drug therapy management, the circumstances for which the
pharmacist must notify the provider and any documentation or recordkeeping
requirements; and
3) specify that the pharmacist must follow the written drug therapy and disease
management guidelines provided by the provider and may provide drug therapy and
disease management services only pursuant to those guidelines.
The Arizona State Board of Pharmacy, the Arizona Medical Board, the Arizona Board of
Osteopathic Examiners in Medicine and Surgery and the Arizona State Board of Nursing
may adopt rules relating to collaborative practice agreements (A.R.S. § 32-1970).
Provisions
1. Adds physician assistants and certified nurse midwives to the list of providers who may
enter into a collaborative practice agreement with a pharmacist. (Sec. 1)
2. Makes a technical change. (Sec. 1)
☐ Prop 105 (45 votes) ☐ Prop 108 (40 votes) ☐ Emergency (40 votes) ☐ Fiscal Note