California 2021 2021-2022 Regular Session

California Assembly Bill AB1064 Amended / Bill

Filed 08/16/2021

                    Amended IN  Senate  August 16, 2021 Amended IN  Assembly  March 15, 2021 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 1064Introduced by Assembly Member FongFebruary 18, 2021 An act to amend Section 4052.8 of the Business and Professions Code, relating to pharmacy.LEGISLATIVE COUNSEL'S DIGESTAB 1064, as amended, Fong. Pharmacy practice: vaccines: independent initiation and administration.Existing law, the Pharmacy Law, establishes the California State Board of Pharmacy within the Department of Consumer Affairs and sets forth its powers and duties relating to the licensing and regulation of pharmacists. A violation of the Pharmacy Law is a crime.Existing law authorizes a pharmacist to administer immunizations pursuant to a protocol with the prescriber.Existing law provides additional authority for the pharmacist to independently initiate and administer any COVID-19 vaccines approved or authorized by the federal Food and Drug Administration, Administration (FDA), or vaccines listed on the routine immunization schedules recommended by the federal Advisory Committee on Immunization Practices (ACIP), in compliance with individual ACIP vaccine recommendations, and published by the federal Centers for Disease Control and Prevention (CDC) for persons 3 years of age and older.This bill would recast this provision to instead authorize a pharmacist to independently initiate and administer any vaccine that has been approved or authorized by the United States Food and Drug Administration FDA and received an ACIP individual vaccine recommendation published by the CDC for persons 3 years of age and older.Digest Key Vote: MAJORITY  Appropriation: NO  Fiscal Committee: YES  Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 4052.8 of the Business and Professions Code is amended to read:4052.8. (a) In addition to the authority provided in paragraph (11) of subdivision (a) of Section 4052, a pharmacist may independently initiate and administer any vaccine that has been approved or authorized by the United States federal Food and Drug Administration  (FDA) and received a federal Advisory Committee on Immunization Practices individual vaccine recommendation published by the federal Centers for Disease Control and Prevention (CDC) for persons three years of age and older.(b) In order to initiate and administer an immunization described in subdivision (a), a pharmacist shall do all of the following:(1) Complete an immunization training program endorsed by the CDC or the Accreditation Council for Pharmacy Education that, at a minimum, includes hands-on injection technique, clinical evaluation of indications and contraindications of vaccines, and the recognition and treatment of emergency reactions to vaccines, and shall maintain that training.(2) Be certified in basic life support.(3) Comply with all state and federal recordkeeping and reporting requirements, including providing documentation to the patients primary care provider and entering information in the appropriate immunization registry designated by the immunization branch of the State Department of Public Health.(c) A pharmacist administering immunizations pursuant to this section, or paragraph (11) of subdivision (a) of Section 4052, may also initiate and administer epinephrine or diphenhydramine by injection for the treatment of a severe allergic reaction.

 Amended IN  Senate  August 16, 2021 Amended IN  Assembly  March 15, 2021 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 1064Introduced by Assembly Member FongFebruary 18, 2021 An act to amend Section 4052.8 of the Business and Professions Code, relating to pharmacy.LEGISLATIVE COUNSEL'S DIGESTAB 1064, as amended, Fong. Pharmacy practice: vaccines: independent initiation and administration.Existing law, the Pharmacy Law, establishes the California State Board of Pharmacy within the Department of Consumer Affairs and sets forth its powers and duties relating to the licensing and regulation of pharmacists. A violation of the Pharmacy Law is a crime.Existing law authorizes a pharmacist to administer immunizations pursuant to a protocol with the prescriber.Existing law provides additional authority for the pharmacist to independently initiate and administer any COVID-19 vaccines approved or authorized by the federal Food and Drug Administration, Administration (FDA), or vaccines listed on the routine immunization schedules recommended by the federal Advisory Committee on Immunization Practices (ACIP), in compliance with individual ACIP vaccine recommendations, and published by the federal Centers for Disease Control and Prevention (CDC) for persons 3 years of age and older.This bill would recast this provision to instead authorize a pharmacist to independently initiate and administer any vaccine that has been approved or authorized by the United States Food and Drug Administration FDA and received an ACIP individual vaccine recommendation published by the CDC for persons 3 years of age and older.Digest Key Vote: MAJORITY  Appropriation: NO  Fiscal Committee: YES  Local Program: NO 

 Amended IN  Senate  August 16, 2021 Amended IN  Assembly  March 15, 2021

Amended IN  Senate  August 16, 2021
Amended IN  Assembly  March 15, 2021

 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION

 Assembly Bill 

No. 1064

Introduced by Assembly Member FongFebruary 18, 2021

Introduced by Assembly Member Fong
February 18, 2021

 An act to amend Section 4052.8 of the Business and Professions Code, relating to pharmacy.

LEGISLATIVE COUNSEL'S DIGEST

## LEGISLATIVE COUNSEL'S DIGEST

AB 1064, as amended, Fong. Pharmacy practice: vaccines: independent initiation and administration.

Existing law, the Pharmacy Law, establishes the California State Board of Pharmacy within the Department of Consumer Affairs and sets forth its powers and duties relating to the licensing and regulation of pharmacists. A violation of the Pharmacy Law is a crime.Existing law authorizes a pharmacist to administer immunizations pursuant to a protocol with the prescriber.Existing law provides additional authority for the pharmacist to independently initiate and administer any COVID-19 vaccines approved or authorized by the federal Food and Drug Administration, Administration (FDA), or vaccines listed on the routine immunization schedules recommended by the federal Advisory Committee on Immunization Practices (ACIP), in compliance with individual ACIP vaccine recommendations, and published by the federal Centers for Disease Control and Prevention (CDC) for persons 3 years of age and older.This bill would recast this provision to instead authorize a pharmacist to independently initiate and administer any vaccine that has been approved or authorized by the United States Food and Drug Administration FDA and received an ACIP individual vaccine recommendation published by the CDC for persons 3 years of age and older.

Existing law, the Pharmacy Law, establishes the California State Board of Pharmacy within the Department of Consumer Affairs and sets forth its powers and duties relating to the licensing and regulation of pharmacists. A violation of the Pharmacy Law is a crime.

Existing law authorizes a pharmacist to administer immunizations pursuant to a protocol with the prescriber.

Existing law provides additional authority for the pharmacist to independently initiate and administer any COVID-19 vaccines approved or authorized by the federal Food and Drug Administration, Administration (FDA), or vaccines listed on the routine immunization schedules recommended by the federal Advisory Committee on Immunization Practices (ACIP), in compliance with individual ACIP vaccine recommendations, and published by the federal Centers for Disease Control and Prevention (CDC) for persons 3 years of age and older.

This bill would recast this provision to instead authorize a pharmacist to independently initiate and administer any vaccine that has been approved or authorized by the United States Food and Drug Administration FDA and received an ACIP individual vaccine recommendation published by the CDC for persons 3 years of age and older.

## Digest Key

## Bill Text

The people of the State of California do enact as follows:SECTION 1. Section 4052.8 of the Business and Professions Code is amended to read:4052.8. (a) In addition to the authority provided in paragraph (11) of subdivision (a) of Section 4052, a pharmacist may independently initiate and administer any vaccine that has been approved or authorized by the United States federal Food and Drug Administration  (FDA) and received a federal Advisory Committee on Immunization Practices individual vaccine recommendation published by the federal Centers for Disease Control and Prevention (CDC) for persons three years of age and older.(b) In order to initiate and administer an immunization described in subdivision (a), a pharmacist shall do all of the following:(1) Complete an immunization training program endorsed by the CDC or the Accreditation Council for Pharmacy Education that, at a minimum, includes hands-on injection technique, clinical evaluation of indications and contraindications of vaccines, and the recognition and treatment of emergency reactions to vaccines, and shall maintain that training.(2) Be certified in basic life support.(3) Comply with all state and federal recordkeeping and reporting requirements, including providing documentation to the patients primary care provider and entering information in the appropriate immunization registry designated by the immunization branch of the State Department of Public Health.(c) A pharmacist administering immunizations pursuant to this section, or paragraph (11) of subdivision (a) of Section 4052, may also initiate and administer epinephrine or diphenhydramine by injection for the treatment of a severe allergic reaction.

The people of the State of California do enact as follows:

## The people of the State of California do enact as follows:

SECTION 1. Section 4052.8 of the Business and Professions Code is amended to read:4052.8. (a) In addition to the authority provided in paragraph (11) of subdivision (a) of Section 4052, a pharmacist may independently initiate and administer any vaccine that has been approved or authorized by the United States federal Food and Drug Administration  (FDA) and received a federal Advisory Committee on Immunization Practices individual vaccine recommendation published by the federal Centers for Disease Control and Prevention (CDC) for persons three years of age and older.(b) In order to initiate and administer an immunization described in subdivision (a), a pharmacist shall do all of the following:(1) Complete an immunization training program endorsed by the CDC or the Accreditation Council for Pharmacy Education that, at a minimum, includes hands-on injection technique, clinical evaluation of indications and contraindications of vaccines, and the recognition and treatment of emergency reactions to vaccines, and shall maintain that training.(2) Be certified in basic life support.(3) Comply with all state and federal recordkeeping and reporting requirements, including providing documentation to the patients primary care provider and entering information in the appropriate immunization registry designated by the immunization branch of the State Department of Public Health.(c) A pharmacist administering immunizations pursuant to this section, or paragraph (11) of subdivision (a) of Section 4052, may also initiate and administer epinephrine or diphenhydramine by injection for the treatment of a severe allergic reaction.

SECTION 1. Section 4052.8 of the Business and Professions Code is amended to read:

### SECTION 1.

4052.8. (a) In addition to the authority provided in paragraph (11) of subdivision (a) of Section 4052, a pharmacist may independently initiate and administer any vaccine that has been approved or authorized by the United States federal Food and Drug Administration  (FDA) and received a federal Advisory Committee on Immunization Practices individual vaccine recommendation published by the federal Centers for Disease Control and Prevention (CDC) for persons three years of age and older.(b) In order to initiate and administer an immunization described in subdivision (a), a pharmacist shall do all of the following:(1) Complete an immunization training program endorsed by the CDC or the Accreditation Council for Pharmacy Education that, at a minimum, includes hands-on injection technique, clinical evaluation of indications and contraindications of vaccines, and the recognition and treatment of emergency reactions to vaccines, and shall maintain that training.(2) Be certified in basic life support.(3) Comply with all state and federal recordkeeping and reporting requirements, including providing documentation to the patients primary care provider and entering information in the appropriate immunization registry designated by the immunization branch of the State Department of Public Health.(c) A pharmacist administering immunizations pursuant to this section, or paragraph (11) of subdivision (a) of Section 4052, may also initiate and administer epinephrine or diphenhydramine by injection for the treatment of a severe allergic reaction.

4052.8. (a) In addition to the authority provided in paragraph (11) of subdivision (a) of Section 4052, a pharmacist may independently initiate and administer any vaccine that has been approved or authorized by the United States federal Food and Drug Administration  (FDA) and received a federal Advisory Committee on Immunization Practices individual vaccine recommendation published by the federal Centers for Disease Control and Prevention (CDC) for persons three years of age and older.(b) In order to initiate and administer an immunization described in subdivision (a), a pharmacist shall do all of the following:(1) Complete an immunization training program endorsed by the CDC or the Accreditation Council for Pharmacy Education that, at a minimum, includes hands-on injection technique, clinical evaluation of indications and contraindications of vaccines, and the recognition and treatment of emergency reactions to vaccines, and shall maintain that training.(2) Be certified in basic life support.(3) Comply with all state and federal recordkeeping and reporting requirements, including providing documentation to the patients primary care provider and entering information in the appropriate immunization registry designated by the immunization branch of the State Department of Public Health.(c) A pharmacist administering immunizations pursuant to this section, or paragraph (11) of subdivision (a) of Section 4052, may also initiate and administer epinephrine or diphenhydramine by injection for the treatment of a severe allergic reaction.

4052.8. (a) In addition to the authority provided in paragraph (11) of subdivision (a) of Section 4052, a pharmacist may independently initiate and administer any vaccine that has been approved or authorized by the United States federal Food and Drug Administration  (FDA) and received a federal Advisory Committee on Immunization Practices individual vaccine recommendation published by the federal Centers for Disease Control and Prevention (CDC) for persons three years of age and older.(b) In order to initiate and administer an immunization described in subdivision (a), a pharmacist shall do all of the following:(1) Complete an immunization training program endorsed by the CDC or the Accreditation Council for Pharmacy Education that, at a minimum, includes hands-on injection technique, clinical evaluation of indications and contraindications of vaccines, and the recognition and treatment of emergency reactions to vaccines, and shall maintain that training.(2) Be certified in basic life support.(3) Comply with all state and federal recordkeeping and reporting requirements, including providing documentation to the patients primary care provider and entering information in the appropriate immunization registry designated by the immunization branch of the State Department of Public Health.(c) A pharmacist administering immunizations pursuant to this section, or paragraph (11) of subdivision (a) of Section 4052, may also initiate and administer epinephrine or diphenhydramine by injection for the treatment of a severe allergic reaction.



4052.8. (a) In addition to the authority provided in paragraph (11) of subdivision (a) of Section 4052, a pharmacist may independently initiate and administer any vaccine that has been approved or authorized by the United States federal Food and Drug Administration  (FDA) and received a federal Advisory Committee on Immunization Practices individual vaccine recommendation published by the federal Centers for Disease Control and Prevention (CDC) for persons three years of age and older.

(b) In order to initiate and administer an immunization described in subdivision (a), a pharmacist shall do all of the following:

(1) Complete an immunization training program endorsed by the CDC or the Accreditation Council for Pharmacy Education that, at a minimum, includes hands-on injection technique, clinical evaluation of indications and contraindications of vaccines, and the recognition and treatment of emergency reactions to vaccines, and shall maintain that training.

(2) Be certified in basic life support.

(3) Comply with all state and federal recordkeeping and reporting requirements, including providing documentation to the patients primary care provider and entering information in the appropriate immunization registry designated by the immunization branch of the State Department of Public Health.

(c) A pharmacist administering immunizations pursuant to this section, or paragraph (11) of subdivision (a) of Section 4052, may also initiate and administer epinephrine or diphenhydramine by injection for the treatment of a severe allergic reaction.