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3 | 3 | | HB 963 2023 |
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9 | 9 | | Page 1 of 4 |
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10 | 10 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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14 | 14 | | A bill to be entitled 1 |
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15 | 15 | | An act relating to HIV infection prevention drugs; 2 |
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16 | 16 | | creating s. 465.1861, F.S.; defining terms; 3 |
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17 | 17 | | authorizing licensed pharmacists to screen for HIV 4 |
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18 | 18 | | exposure and order and dispense HIV infection 5 |
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19 | 19 | | prevention drugs in accordance with a certain written 6 |
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20 | 20 | | supervisory protocol or statewide drug therapy 7 |
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21 | 21 | | protocol; requiring pharmacists to be certified by the 8 |
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22 | 22 | | Board of Pharmacy before ordering and dispensing HIV 9 |
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23 | 23 | | infection prevention drugs; requiring the board, in 10 |
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24 | 24 | | consultation with the Board of Medicine and the Board 11 |
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25 | 25 | | of Osteopathic Medicine, to adopt rules for such 12 |
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26 | 26 | | certification; specifying minimum requirements for the 13 |
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27 | 27 | | certification; requiring the board, in consultation 14 |
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28 | 28 | | with the Board of Medicine, the Board of Osteopathic 15 |
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29 | 29 | | Medicine, and the Department of Health, to develop a 16 |
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30 | 30 | | certain statewide drug therapy protocol; providing 17 |
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31 | 31 | | requirements for development of the protocol; 18 |
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32 | 32 | | requiring the board to adopt rules, including 19 |
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33 | 33 | | specified rules; providing an effective date. 20 |
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34 | 34 | | 21 |
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35 | 35 | | Be It Enacted by the Legislature of the State of Florida: 22 |
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36 | 36 | | 23 |
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37 | 37 | | Section 1. Section 465.1861, Florida Statutes, is created 24 |
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38 | 38 | | to read: 25 |
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40 | 40 | | HB 963 2023 |
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46 | 46 | | Page 2 of 4 |
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47 | 47 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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51 | 51 | | 465.1861 Ordering and dispensing HIV infection prevention 26 |
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52 | 52 | | drugs.— 27 |
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53 | 53 | | (1) As used in this section, the term: 28 |
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54 | 54 | | (a) "HIV" means the human immunodeficiency virus. 29 |
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55 | 55 | | (b) "HIV infection prevention drug" means preexposure 30 |
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56 | 56 | | prophylaxis, postexposure prophylaxis, and any other drug 31 |
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57 | 57 | | approved by the United States Food and Drug Administration for 32 |
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58 | 58 | | the prevention of HIV infection. 33 |
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59 | 59 | | (c) "Postexposure prophylaxis" means a drug or drug 34 |
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60 | 60 | | combination that meets the clinical eligibility recommendations 35 |
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61 | 61 | | of the United States Centers for Disease Control and Prevention 36 |
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62 | 62 | | guidelines for antiretroviral treatment following potential 37 |
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63 | 63 | | exposure to HIV. 38 |
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64 | 64 | | (d) "Preexposure prophylaxis" means a drug or drug 39 |
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65 | 65 | | combination that meets the clinical eligibility recommendations 40 |
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66 | 66 | | of the United States Centers for Disease Control and Prevention 41 |
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67 | 67 | | guidelines for antiretroviral treatment for the prevention of 42 |
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68 | 68 | | HIV transmission. 43 |
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69 | 69 | | (2) A pharmacist may screen for HIV exposure and order and 44 |
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70 | 70 | | dispense HIV infection prevention drugs in accordance with a 45 |
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71 | 71 | | written protocol between the pharmacist and a supervising 46 |
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72 | 72 | | physician or a statewide drug therapy proto col developed 47 |
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73 | 73 | | pursuant to subsection (4). 48 |
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74 | 74 | | (3) Before ordering or dispensing HIV infection prevention 49 |
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75 | 75 | | drugs under this section, a pharmacist must be certified by the 50 |
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83 | 83 | | Page 3 of 4 |
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84 | 84 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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88 | 88 | | board, according to the rules adopted by the board, in 51 |
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89 | 89 | | consultation with the Board of Med icine and the Board of 52 |
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90 | 90 | | Osteopathic Medicine. To be certified, a pharmacist must, at a 53 |
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91 | 91 | | minimum, meet all of the following criteria: 54 |
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92 | 92 | | (a) Hold an active and unencumbered license to practice 55 |
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93 | 93 | | pharmacy under this chapter. 56 |
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94 | 94 | | (b) Be engaged in the active practic e of pharmacy. 57 |
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95 | 95 | | (c) Have earned a doctorate of pharmacy degree or have 58 |
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96 | 96 | | completed at least 5 years of experience as a licensed 59 |
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97 | 97 | | pharmacist. 60 |
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98 | 98 | | (d) Maintain at least $250,000 of liability coverage. A 61 |
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99 | 99 | | pharmacist who maintains liability coverage pursuant to s. 62 |
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100 | 100 | | 465.1865 or s. 465.1895 satisfies this requirement. 63 |
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101 | 101 | | (e) Have completed a course approved by the board, in 64 |
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102 | 102 | | consultation with the Board of Medicine and the Board of 65 |
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103 | 103 | | Osteopathic Medicine, which includes, at a minimum, instruction 66 |
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104 | 104 | | on all of the following: 67 |
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105 | 105 | | 1. Performance of patient assessments. 68 |
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106 | 106 | | 2. Point-of-care testing procedures. 69 |
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107 | 107 | | 3. Safe and effective treatment of HIV exposure with HIV 70 |
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108 | 108 | | infection prevention drugs. 71 |
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109 | 109 | | 4. Identification of contraindications. 72 |
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110 | 110 | | (4) The board, in consultation with the Board o f Medicine, 73 |
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111 | 111 | | the Board of Osteopathic Medicine, and the department, shall 74 |
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112 | 112 | | develop a statewide drug therapy protocol for pharmacists to 75 |
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120 | 120 | | Page 4 of 4 |
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121 | 121 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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125 | 125 | | test or screen for HIV exposure and order and dispense HIV 76 |
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126 | 126 | | infection prevention drugs. In development of the statewide dru g 77 |
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127 | 127 | | therapy protocol, the board must consider, at a minimum, all of 78 |
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128 | 128 | | the following: 79 |
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129 | 129 | | (a) Physician referrals. 80 |
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130 | 130 | | (b) Lab testing, including prescribing HIV preexposure and 81 |
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131 | 131 | | postexposure screening tests. 82 |
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132 | 132 | | (c) Appropriate referrals consistent with guidelines of 83 |
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133 | 133 | | the United States Centers for Disease Control and Prevention. 84 |
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134 | 134 | | (d) Counseling consistent with guidelines of the United 85 |
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135 | 135 | | States Centers for Disease Control and Prevention. 86 |
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136 | 136 | | (e) Patient follow-up care and counseling. 87 |
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137 | 137 | | (5) The board shall adopt rules to im plement this section, 88 |
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138 | 138 | | including rules that establish protocols for ordering and 89 |
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139 | 139 | | dispensing HIV infection prevention drugs. 90 |
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140 | 140 | | Section 2. This act shall take effect July 1, 2023. 91 |
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