SLS 20RS-525 ORIGINAL 2020 Regular Session SENATE BILL NO. 296 BY SENATOR BARROW PHARMACISTS. Provides relative to immunizations administered by pharmacists. (8/1/20) 1 AN ACT 2 To amend and reenact the introductory paragraph of R.S. 37:1218, R.S. 37:1218(5), and 3 1218.1(A), relative to the administration of immunizations by pharmacists; to 4 provide for pharmacist training; to provide for authority to administer vaccinations 5 regardless of age of the patient and without an individual prescription; and to provide 6 for related matters. 7 Be it enacted by the Legislature of Louisiana: 8 Section 1. The introductory paragraph of R.S. 37:1218, R.S. 37:1218(5), and 9 1218.1(A) are hereby amended and reenacted to read as follows: 10 §1218. Administration of influenza immunization 11 A pharmacist may administer an influenza immunization to any person seven 12 years of age or older without a prescription or medical order contingent upon all of 13 the following provisions: 14 * * * 15 (5) The pharmacist shall obtain complete the appropriate credential to 16 training to administer influenza immunizations from the board, as administratively 17 defined by the board, prior to administering any such immunization. Page 1 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 296 SLS 20RS-525 ORIGINAL 1 Documentation verifying completion of the administratively required training 2 shall be made available to the board upon request. 3 §1218.1. Administration of immunizations and vaccines other than influenza 4 immunizations 5 A pharmacist may administer to an individual age seventeen or older an 6 immunization or a vaccine without a patient-specific prescription or medical order 7 if the immunization or the vaccine is administered in conformance with the most 8 current immunization administration protocol as set forth by the United States 9 Centers for Disease Control and Prevention Advisory Committee on Immunization 10 Practice or consistent with United States Food and Drug Administration 11 approved labeling. At the time that a pharmacist administers an immunization or 12 vaccine under the provisions of this Section, the pharmacist shall also inform the 13 individual that the administration of an immunization or vaccine under this Section 14 is not to be construed as being in lieu of an annual checkup with the individual's 15 primary care or family physician. 16 (1) The pharmacist shall report each immunization to the Louisiana 17 Department of Health, office of public health's Louisiana Immunization Network for 18 Kids Statewide at the time of the immunization or as soon as reasonably practicable 19 thereafter, as this is the official state vaccination record. 20 (2) The pharmacist shall report all adverse events he observes or which are 21 reported to him to the Vaccine Adverse Events Reporting System, the cooperative 22 program of the United States Centers for Disease Control and Prevention and the 23 United States Food and Drug Administration for vaccine safety, or its successor 24 program; and further, the pharmacist shall refer the patient with an adverse event to 25 an immunization for appropriate medical care. 26 (3) The pharmacist shall maintain for at least two years a record of each 27 immunization administered. 28 (4) The pharmacist shall obtain complete the appropriate credentials training 29 to administer immunizations from the board, as administratively defined by the Page 2 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 296 SLS 20RS-525 ORIGINAL 1 board, prior to administering any such immunization. Documentation verifying 2 completion of the administratively required training shall be made available to 3 the board upon request. 4 (5) The pharmacist shall request the name of a patient's primary care provider 5 prior to the administering of any immunization. If the patient identifies such primary 6 care provider to the pharmacist, the pharmacist shall notify the primary care 7 provider, by written or electronic communication, as soon as reasonably possible 8 thereafter that the immunization was administered. 9 * * * The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Christine Arbo Peck. DIGEST SB 296 Original 2020 Regular Session Barrow Present law authorizes a pharmacist to administer an influenza immunization to any person seven years of age or older without a prescription or medical order. Proposed law removes the age restriction in present law. Present law requires a pharmacist to obtain appropriate credentialing from the Louisiana State Board of Pharmacy to administer influenza immunizations. Proposed law requires a pharmacist to complete training to administer influenza immunizations, as administratively defined by the board, prior to administering any such immunization. Proposed law requires a pharmacist to submit documentation verifying completion of the administratively required training upon request of the board. Present law provides that a pharmacist shall administer the immunization in conformance with the most current protocol as set forth by the CDC. Proposed law retains present law and adds that the protocol may also be consistent with FDA approved labeling. Proposed law repeals the requirement that a pharmacist inform the individual that the administration of an immunization or vaccine by the pharmacist is not to be construed as being in lieu of an annual checkup with the individual's primary care or family physician. Effective August 1, 2020. (Amends R.S. 37:1218(intro para), R.S. 37:1218(5), and 1218.1(A)) Page 3 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.