SLS 14RS-1580 ENGROSSED Page 1 of 4 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Regular Session, 2014 SENATE BILL NO. 600 BY SENATOR MILLS HEALTH SERVICES. Provides relative to immunizations. (8/1/14) AN ACT1 To amend and reenact R.S. 37:1218.1, relative to immunizations and vaccines; to provide2 for the administering of immunizations and vaccines other than influenza3 immunizations by a pharmacist; and to provide for related matters.4 Be it enacted by the Legislature of Louisiana:5 Section 1. R.S. 37:1218.1 is hereby amended and reenacted to read as follows: 6 ยง1218.1. Administration of certain immunizations in primary care health7 professional shortage areas and vaccines other than influenza8 immunizations9 A. In any parish designated wholly or in part as a primary care health10 professional shortage area as set forth under Section 332 of the Public Health Service11 Act, as determined by the United States Department of Health and Human Services,12 a pharmacist may administer any of the following vaccines, but only in conformance13 with the provisions of Subsection B of this Section:14 (1) Pneumococcal, to any person eighteen years of age or older.15 (2) Zoster, to any person fifty years of age or older.16 B. The pharmacist shall administer each immunization in conformance with17 SB NO. 600 SLS 14RS-1580 ENGROSSED Page 2 of 4 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. the most current vaccination administration as set forth by the United States Public1 Health Service Advisory Committee on Immunization Practices, following guidance2 published in the Louisiana State Immunization Policies and Procedures Manual, to3 participate in the program and to be covered by the National Vaccine Injury4 Compensation Fund.5 A. A pharmacist may administer to an individual age fourteen or older6 an immunization or a vaccine without a patient specific prescription or medical7 order if the immunization or the vaccine is administered in conformance with8 the most current immunization administration protocol as set forth by the9 United States Centers for Disease Control and Prevention Advisory Committee10 on Immunization Practice.11 (1) The pharmacist shall report each immunization to the Department of12 Health and Hospitals, office of public health's Louisiana Immunization Network for13 Kids Statewide at the time of the immunization or as soon as reasonably practicable14 thereafter, as this is the official state vaccination record.15 (2) The pharmacist shall report all adverse events he observes or which are16 reported to him to the Vaccine Adverse Events Reporting System, the cooperative17 program of the United States Centers for Disease Control and Prevention and the18 United States Food and Drug Administration for vaccine safety, or its successor19 program; and further, the pharmacist shall refer the patient with an adverse event to20 an immunization for appropriate medical care.21 (3) The pharmacist shall maintain for at least two years a record of each22 immunization administered.23 (4) The pharmacist shall obtain the appropriate credentials to administer24 immunizations from the board, as administratively defined, prior to administering25 any such immunization.26 (5) The pharmacist shall request the name of a patient's primary care provider27 prior to the administering of any immunization. If the patient identifies such primary28 care provider to the pharmacist, the pharmacist shall notify the primary care29 SB NO. 600 SLS 14RS-1580 ENGROSSED Page 3 of 4 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. provider, by written or electronic communication, as soon as reasonably possible1 thereafter that the immunization was administered.2 B. This Section shall not apply to the administering of an immunization3 pursuant to R.S. 37:1218.4 The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Christopher D. Adams. DIGEST Mills (SB 600) Present law provides in any parish designated wholly or in part as a primary care health professional shortage area as set forth under federal regulations, a pharmacist may administer any of the following vaccines, but only in conformance with the present law: (1) Pneumococcal, to any person eighteen years of age or older. (2) Zoster, to any person fifty years of age or older. Present law provides the pharmacist shall administer each immunization in conformance with the most current vaccination administration as set forth by the United States Public Health Service Advisory Committee on Immunization Practices, following guidance published in the Louisiana State Immunization Policies and Procedures Manual, to participate in the program and to be covered by the National Vaccine Injury Compensation Fund. (1) The pharmacist shall report each immunization to the Department of Health and Hospitals, office of public health's Louisiana Immunization Network for Kids Statewide at the time of the immunization or as soon as reasonably practicable thereafter, as this is the official state vaccination record. (2) The pharmacist shall report all adverse events he observes or which are reported to him to the Vaccine Adverse Events Reporting System, the cooperative program of the United States Centers for Disease Control and Prevention and the United States Food and Drug Administration for vaccine safety, or its successor program; and further, the pharmacist shall refer the patient with an adverse event to an immunization for appropriate medical care. (3) The pharmacist shall maintain for at least two years a record of each immunization administered. (4) The pharmacist shall obtain the appropriate credentials to administer immunizations from the board, as administratively defined, prior to administering any such immunization. (5) The pharmacist shall request the name of a patient's primary care provider prior to the administering of any immunization. If the patient identifies such primary care provider to the pharmacist, the pharmacist shall notify the primary care provider, by written or electronic communication, as soon as reasonably possible thereafter that the immunization was administered. Proposed law amends present law to provide a pharmacist may administer to an individual age 14 or older an immunization or a vaccine without a patient specific prescription or medical order if the immunization or the vaccine is administered in conformance with the SB NO. 600 SLS 14RS-1580 ENGROSSED Page 4 of 4 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. most current immunization administration protocol as set forth by the United States Centers for Disease Control and Prevention Advisory Committee on Immunization Practice. (1) The pharmacist shall report each immunization to the Department of Health and Hospitals, office of public health's Louisiana Immunization Network for Kids Statewide at the time of the immunization or as soon as reasonably practicable thereafter, as this is the official state vaccination record. (2) The pharmacist shall report all adverse events he observes or which are reported to him to the Vaccine Adverse Events Reporting System, the cooperative program of the United States Centers for Disease Control and Prevention and the United States Food and Drug Administration for vaccine safety, or its successor program; and further, the pharmacist shall refer the patient with an adverse event to an immunization for appropriate medical care. (3) The pharmacist shall maintain for at least two years a record of each immunization administered. (4) The pharmacist shall obtain the appropriate credentials to administer immunizations from the board, as administratively defined, prior to administering any such immunization. (5) The pharmacist shall request the name of a patient's primary care provider prior to the administering of any immunization. If the patient identifies such primary care provider to the pharmacist, the pharmacist shall notify the primary care provider, by written or electronic communication, as soon as reasonably possible thereafter that the immunization was administered. Proposed law does not apply to the administering of an immunization pursuant to R.S. 37:1218. Effective August 1, 2014. (Amends R.S. 37:1218.1) Summary of Amendments Adopted by Senate Committee Amendments Proposed by Senate Committee on Health and Welfare to the original bill 1. Changes providing an immunization or vaccine by a pharmacist from applying to any individual to applying to an individual age fourteen or older.