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Coding: Words which are struck through are deletions from existing law;
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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
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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. At the time that a pharmacist administers an11
immunization or vaccine under the provisions of this Section, the pharmacist12
shall also inform the individual that the administration of an immunization or13
vaccine under this Section is not to be construed as being in lieu of an annual14
checkup with the individual's primary care or family physician.15
(1) The pharmacist shall report each immunization to the Department of16
Health and Hospitals, office of public health's Louisiana Immunization Network for17
Kids Statewide at the time of the immunization or as soon as reasonably practicable18
thereafter, as this is the official state vaccination record.19
(2) The pharmacist shall report all adverse events he observes or which are20
reported to him to the Vaccine Adverse Events Reporting System, the cooperative21
program of the United States Centers for Disease Control and Prevention and the22
United States Food and Drug Administration for vaccine safety, or its successor23
program; and further, the pharmacist shall refer the patient with an adverse event to24
an immunization for appropriate medical care.25
(3) The pharmacist shall maintain for at least two years a record of each26
immunization administered.27
(4) The pharmacist shall obtain the appropriate credentials to administer28
immunizations from the board, as administratively defined, prior to administering29 SB NO. 600
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any such immunization.1
(5) The pharmacist shall request the name of a patient's primary care provider2
prior to the administering of any immunization. If the patient identifies such primary3
care provider to the pharmacist, the pharmacist shall notify the primary care4
provider, by written or electronic communication, as soon as reasonably possible5
thereafter that the immunization was administered.6
B. This Section shall not apply to the administering of an immunization7
pursuant to R.S. 37:1218.8
The original instrument was prepared by Christopher D. Adams. The
following digest, which does not constitute a part of the legislative
instrument, was prepared by Tammy Crain-Waldrop.
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. SB NO. 600
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
(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
most current immunization administration protocol as set forth by the United States Centers
for Disease Control and Prevention Advisory Committee on Immunization Practice. At the
time that a pharmacist administers an immunization or vaccine under the provisions of this
Section, the pharmacist shall also inform the individual that the administration of an
immunization or vaccine under this Section is not to be construed as being in lieu of an
annual checkup with the individual's primary care or family physician.
(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. SB NO. 600
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
Senate Floor Amendments to engrossed bill
1. Adds at the time that a pharmacist administers an immunization or vaccine,
the pharmacist shall inform the individual that the administration of an
immunization or vaccine is not to be construed as being in lieu of an annual
checkup with the individual's primary care or family physician.