*SB0096.1* February 7, 2025 SENATE BILL No. 96 _____ DIGEST OF SB 96 (Updated February 5, 2025 1:21 pm - DI 140) Citations Affected: IC 25-26. Synopsis: Pharmacist administration of immunizations. Allows a pharmacist to administer an immunization that is recommended by the federal Centers for Disease Control and Prevention Advisory Committee on Immunization Practices to a group of individuals under a drug order, under a prescription, or according to a protocol approved by a physician if certain conditions are met. (Current law allows a pharmacist to administer specified immunizations to a group of individuals under a drug order, under a prescription, or according to a protocol approved by a physician if certain conditions are met.) Effective: July 1, 2025. Becker, Leising, Young M January 8, 2025, read first time and referred to Committee on Public Policy. February 6, 2025, reported favorably — Do Pass. SB 96—LS 6378/DI 104 February 7, 2025 First Regular Session of the 124th General Assembly (2025) PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana Constitution) is being amended, the text of the existing provision will appear in this style type, additions will appear in this style type, and deletions will appear in this style type. Additions: Whenever a new statutory provision is being enacted (or a new constitutional provision adopted), the text of the new provision will appear in this style type. Also, the word NEW will appear in that style type in the introductory clause of each SECTION that adds a new provision to the Indiana Code or the Indiana Constitution. Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts between statutes enacted by the 2024 Regular Session of the General Assembly. SENATE BILL No. 96 A BILL FOR AN ACT to amend the Indiana Code concerning professions and occupations. Be it enacted by the General Assembly of the State of Indiana: 1 SECTION 1. IC 25-26-13-31.2, AS AMENDED BY P.L.56-2023, 2 SECTION 239, IS AMENDED TO READ AS FOLLOWS 3 [EFFECTIVE JULY 1, 2025]: Sec. 31.2. (a) A pharmacist may 4 administer an immunization to an individual under a drug order or 5 prescription. 6 (b) Subject to subsection (c), a pharmacist may administer 7 immunizations for the following an immunization that is 8 recommended by the federal Centers for Disease Control and 9 Prevention Advisory Committee on Immunization Practices to a 10 group of individuals under a drug order, under a prescription, or 11 according to a protocol approved by a physician. 12 (1) Influenza. 13 (2) Shingles (herpes zoster). 14 (3) Pneumonia. 15 (4) Tetanus, diphtheria, and acellular pertussis (whooping cough). 16 (5) Human papillomavirus (HPV) infection. 17 (6) Meningitis. SB 96—LS 6378/DI 104 2 1 (7) Measles, mumps, and rubella. 2 (8) Varicella. 3 (9) Hepatitis A. 4 (10) Hepatitis B. 5 (11) Haemophilus influenzae type b (Hib). 6 (12) Coronavirus disease. 7 (c) A pharmacist may administer an immunization under subsection 8 (b) if the following requirements are met: 9 (1) The physician specifies in the drug order, prescription, or 10 protocol the group of individuals to whom the immunization may 11 be administered. 12 (2) The physician who writes the drug order, prescription, or 13 protocol is licensed and actively practicing with a medical office 14 in Indiana and not employed by a pharmacy. 15 (3) The pharmacist who administers the immunization is 16 responsible for notifying, not later than fourteen (14) days after 17 the pharmacist administers the immunization, the physician who 18 authorized the immunization and the individual's primary care 19 physician that the individual received the immunization. 20 (4) If the physician uses a protocol, the protocol may apply only 21 to an individual or group of individuals who 22 (A) except as provided in clause (B), are at least eleven (11) 23 years of age. or 24 (B) for the pneumonia immunization under subsection (b)(3), 25 are at least fifty (50) years of age. 26 (5) Before administering an immunization to an individual 27 according to a protocol approved by a physician, the pharmacist 28 must receive the consent of one (1) of the following: 29 (A) If the individual to whom the immunization is to be 30 administered is at least eleven (11) years of age but less than 31 eighteen (18) years of age, the parent or legal guardian of the 32 individual. 33 (B) If the individual to whom the immunization is to be 34 administered is at least eighteen (18) years of age but has a 35 legal guardian, the legal guardian of the individual. 36 (C) If the individual to whom the immunization is to be 37 administered is at least eighteen (18) years of age but has no 38 legal guardian, the individual. 39 A parent or legal guardian who is required to give consent under 40 this subdivision must be present at the time of immunization. 41 (d) If the Indiana department of health or the department of 42 homeland security determines that an emergency exists, subject to SB 96—LS 6378/DI 104 3 1 IC 16-41-9-1.7(a)(2), a pharmacist may administer any immunization 2 in accordance with: 3 (1) the requirements of subsection (c)(1) through (c)(3); and 4 (2) any instructions in the emergency determination. 5 (e) A pharmacist or pharmacist's designee shall provide 6 immunization data to the immunization data registry (IC 16-38-5) in a 7 manner prescribed by the Indiana department of health unless: 8 (1) the individual receiving the immunization; 9 (2) the parent of the individual receiving the immunization, if the 10 individual receiving the immunization is less than eighteen (18) 11 years of age; or 12 (3) the legal guardian of the individual receiving the 13 immunization, if a legal guardian has been appointed; 14 has completed and filed with the pharmacist or pharmacist's designee 15 a written immunization data exemption form, as provided in 16 IC 16-38-5-2. 17 (f) If an immunization is administered under a protocol, then the 18 name, license number, and contact information of the physician who 19 wrote the protocol must be posted in the location where the 20 immunization is administered. A copy of the protocol must be available 21 for inspection by the individual receiving the immunization. 22 (g) A pharmacist may administer an immunization that is provided 23 according to a standing order, prescription, or protocol issued under 24 this section or IC 16-19-4-11 by the state health commissioner or the 25 commissioner's designated public health authority who is a licensed 26 prescriber. If a pharmacist has received a protocol to administer an 27 immunization from a physician and that specific immunization is 28 covered by a standing order, prescription, or protocol issued by the 29 state health commissioner or the commissioner's designated public 30 health authority, the pharmacist must administer the immunization 31 according to the standing order, prescription, or protocol issued by the 32 state health commissioner or the commissioner's designated public 33 health authority. SB 96—LS 6378/DI 104 4 COMMITTEE REPORT Mr. President: The Senate Committee on Public Policy, to which was referred Senate Bill No. 96, has had the same under consideration and begs leave to report the same back to the Senate with the recommendation that said bill DO PASS. (Reference is to SB 96 as introduced.) ALTING, Chairperson Committee Vote: Yeas 9, Nays 0 SB 96—LS 6378/DI 104