House File 183 - Introduced HOUSE FILE 183 BY CROKEN , LEVIN , BAGNIEWSKI , GOSA , AMOS JR. , McBURNEY , KURTH , WICHTENDAHL , WILSON , and MATSON A BILL FOR An Act relating to the ordering, administering, and dispensing 1 of point-of-care HIV-related tests and prophylaxis drugs by 2 a pharmacist. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 1241YH (4) 91 lh/ko H.F. 183 Section 1. Section 155A.46, subsection 2, Code 2025, is 1 amended by adding the following new paragraph: 2 NEW PARAGRAPH . 0d. (1) A pharmacist may, pursuant to 3 statewide protocols developed by the board in consultation with 4 the department of health and human services and consistent with 5 subsection 3, do all of the following: 6 (a) Order and administer point-of-care HIV-related tests. 7 (b) Order and administer or dispense HIV pre-exposure 8 prophylaxis or HIV post-exposure prophylaxis. 9 (2) Notwithstanding any provision of a health benefit plan 10 to the contrary, if a health benefit plan provides for payment 11 or reimbursement for a service that is within the lawful scope 12 of practice of a practitioner or a pharmacist, and a service 13 is provided by a pharmacist pursuant to a statewide protocol 14 under this paragraph, the health carrier that issued the health 15 benefit plan shall provide payment or reimbursement for the 16 service. 17 (3) For the purposes of this paragraph: 18 (a) Health benefit plan means the same as defined in 19 section 514J.102. 20 (b) Health carrier means the same as defined in section 21 514J.102. 22 (c) HIV means the same as defined in section 141A.1. 23 (d) HIV-related test means the same as defined in section 24 141A.1. 25 EXPLANATION 26 The inclusion of this explanation does not constitute agreement with 27 the explanations substance by the members of the general assembly. 28 This bill relates to the ordering, administering, and 29 dispensing of point-of-care HIV-related tests and prophylaxis 30 drugs by a pharmacist. 31 The bill provides that in accordance with statewide 32 protocols developed by the board of pharmacy in consultation 33 with the department of health and human services, a pharmacist 34 may order and administer a point-of-care HIV-related test and 35 -1- LSB 1241YH (4) 91 lh/ko 1/ 2 H.F. 183 order, administer, or dispense HIV pre-exposure prophylaxis or 1 HIV post-exposure prophylaxis. 2 The bill requires a health benefit plan that provides for 3 payment or reimbursement for a service that is within the 4 lawful scope of practice of a practitioner or a pharmacist to 5 provide payment or reimbursement for a service when the service 6 is provided by a pharmacist pursuant to a statewide protocol 7 under the bill. 8 The bill provides definitions of terms used in the bill 9 including health benefit plan, health carrier, HIV, and 10 HIV-related test. 11 -2- LSB 1241YH (4) 91 lh/ko 2/ 2