HLS 22RS-807 ENGROSSED
2022 Regular Session
HOUSE BILL NO. 424
BY REPRESENTATIVE TURNER
VACCINES/VACCINATION: Provides relative to administration of immunizations and
vaccines by pharmacists and other licensees of the La. Board of Pharmacy
1 AN ACT
2To amend and reenact R.S. 37:1218 and 1218.1(A), relative to administration of
3 immunizations and vaccines by pharmacists and other licensees of the Louisiana
4 Board of Pharmacy; to decrease the minimum age at which a person may receive an
5 immunization or vaccine from certain licensees of the Louisiana Board of Pharmacy;
6 to establish requirements and standards for certain licensees of the Louisiana Board
7 of Pharmacy relative to administration of immunizations and vaccines; to make
8 technical changes and corrections; and to provide for related matters.
9Be it enacted by the Legislature of Louisiana:
10 Section 1. R.S. 37:1218 and 1218.1(A) are hereby amended and reenacted to read
11as follows:
12 §1218. Administration of influenza immunization
13 A pharmacist, a pharmacy intern supervised by a pharmacist, or a certified
14 pharmacy technician supervised by a pharmacist may administer an influenza
15 immunization to any person seven years of age or older without a prescription or
16 medical order contingent upon all of the following provisions:
17 (1) The pharmacist, pharmacy intern, or certified pharmacy technician shall
18 administer influenza immunizations in conformance with the most current annual
19 influenza vaccination administration protocol as set forth by the United States
Page 1 of 5
CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 22RS-807 ENGROSSED
HB NO. 424
1 Centers for Disease Control and Prevention (CDC) Advisory Committee on
2 Immunization Practice (ACIP).
3 (2) The pharmacist or his agent shall report each influenza immunization to
4 the Louisiana Office of Public Health Immunization Registry Louisiana
5 Immunization Network for Kids Statewide system of the Louisiana Department of
6 Health, office of public health at the time of the immunization or as soon as
7 reasonably practicable thereafter.
8 (3) The pharmacist or his agent shall report all adverse events he observes
9 or which are reported to him to the Vaccine Adverse Events Event Reporting System
10 (VAERS), the cooperative program of the CDC United States Centers for Disease
11 Control and Prevention and the United States Food and Drug Administration for
12 vaccine safety, or its successor program; and, further, the pharmacist shall refer the
13 patient with an adverse event to the influenza immunization for appropriate medical
14 care.
15 (4) The pharmacist or his agent shall maintain for at least two years a record
16 of each influenza immunization administered.
17 (5) The pharmacist, pharmacy intern, or certified pharmacy technician shall
18 obtain the appropriate credential to administer influenza immunizations from the
19 board education and training, as administratively defined, prior to administering any
20 such immunization; and, further, shall retain evidence of his continuing competency
21 for administering such immunizations as administratively defined and required by
22 the board.
23 §1218.1. Administration of immunizations and vaccines other than influenza
24 immunizations
25 A.(1) A pharmacist, a pharmacy intern supervised by a pharmacist, or a
26 certified pharmacy technician supervised by a pharmacist may administer to an
27 individual age seventeen seven or older an immunization or a vaccine without a
28 patient-specific prescription or medical order if the immunization or the vaccine is
29 administered in conformance with the most current immunization administration
Page 2 of 5
CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 22RS-807 ENGROSSED
HB NO. 424
1 protocol as set forth by the United States Centers for Disease Control and Prevention
2 Advisory Committee on Immunization Practice. At the time that a pharmacist,
3 pharmacy intern, or certified pharmacy technician administers an immunization or
4 vaccine to an individual under the provisions of this Section, the pharmacist he shall
5 also inform the individual that the administration of an immunization or vaccine
6 under this Section is not to be construed as being in lieu of an annual checkup with
7 the individual's primary care or family physician. Pharmacies shall display signage
8 in the immunization areas that inform parents and guardians of the importance of
9 annual pediatric well-child visits.
10 (1) (2) The pharmacist or his agent shall report each immunization to the
11 Louisiana Department of Health, office of public health's Louisiana Immunization
12 Network for Kids Statewide at the time of the immunization or as soon as reasonably
13 practicable thereafter, as this is the official state vaccination record.
14 (2) (3) The pharmacist or his agent shall report all adverse events he
15 observes or which are reported to him to the Vaccine Adverse Events Reporting
16 System, the cooperative program of the United States Centers for Disease Control
17 and Prevention and the United States Food and Drug Administration for vaccine
18 safety, or its successor program; and, further, the pharmacist shall refer the patient
19 with an adverse event to an immunization for appropriate medical care.
20 (3) (4) The pharmacist or his agent shall maintain for at least two years a
21 record of each immunization administered.
22 (4) The (5) Any pharmacist, pharmacy intern, or certified pharmacy
23 technician who administers immunizations as authorized in this Section shall obtain
24 the appropriate credentials to administer immunizations from the board education
25 and training, as administratively defined, prior to administering any such
26 immunization; and, further, shall retain evidence of his continuing competency for
27 administering such immunizations as administratively defined and required by the
28 board.
Page 3 of 5
CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 22RS-807 ENGROSSED
HB NO. 424
1 (5) (6) The pharmacist or his agent shall request the name of a patient's
2 primary care provider prior to the administering of any immunization. If the patient
3 identifies such primary care provider to the pharmacist or his agent, the pharmacist
4 or his agent shall notify the primary care provider, by written or electronic
5 communication, as soon as reasonably possible thereafter that the immunization was
6 administered.
7 * * *
DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part
of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute
part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
HB 424 Engrossed 2022 Regular Session Turner
Abstract: Authorizes pharmacy interns supervised by pharmacists and certified pharmacy
technicians supervised by pharmacists to administer certain immunizations and
vaccines; decreases the age threshold above which a person may receive an
immunization or vaccine, other than one for influenza, from a licensee of the La.
Board of Pharmacy.
Present law authorizes any pharmacist to administer an influenza immunization to any
person seven years of age or older without a prescription or medical order if certain
enumerated conditions and requirements set forth in present law are met.
Proposed law revises present law to extend to the following persons the conditional
authorization to administer influenza immunizations provided in present law:
(1)Any pharmacy intern supervised by a pharmacist.
(2)Any certified pharmacy technician supervised by a pharmacist.
Proposed law retains present law providing enumerated conditions and requirements relative
to administration of influenza immunizations by licensees of the La. Board of Pharmacy.
Adds thereto a requirement that pharmacists, pharmacy interns, and certified pharmacy
technicians who administer influenza immunizations retain evidence of their continuing
competency for administering such immunizations as administratively defined and required
by the La. Board of Pharmacy.
Present law authorizes any pharmacist to administer to an individual age seventeen or older
an immunization or a vaccine other than one for influenza without a patient-specific
prescription or medical order if certain conditions and requirements set forth in present law
are met.
Proposed law revises present law in the following ways:
(1)Extends to the following persons the conditional authorization to administer
immunizations and vaccines other than those for influenza:
(a)Any pharmacy intern supervised by a pharmacist.
Page 4 of 5
CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 22RS-807 ENGROSSED
HB NO. 424
(b)Any certified pharmacy technician supervised by a pharmacist.
(2)Decreases from seventeen years of age to seven years of age the age threshold at
which a person may receive immunizations and vaccines other than those for
influenza from a licensee of the La. Board of Pharmacy (per proposed law, a
pharmacist, pharmacy intern supervised by a pharmacist, and a certified pharmacy
technician supervised by a pharmacist).
Proposed law retains present law providing enumerated conditions and requirements relative
to administration of immunizations or vaccines other than those for influenza by licensees
of the La. Board of Pharmacy. Adds thereto a requirement that pharmacists, pharmacy
interns, and certified pharmacy technicians who administer immunizations and vaccines
other than those for influenza retain evidence of their continuing competency for
administering such immunizations and vaccines as administratively defined and required by
the La. Board of Pharmacy.
Proposed law requires pharmacies to display signage in immunization areas that inform
parents and guardians of the importance of annual pediatric well-child visits.
(Amends R.S. 37:1218 and 1218.1(A))
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Health and Welfare to
the original bill:
1. Increases the age threshold provided in proposed law above which a person may
receive an influenza immunization from a licensee of the La. Board of Pharmacy
from age three to age seven, thereby reverting to the age threshold provided in
present law.
2. Increases the age threshold provided in proposed law above which a person may
receive an immunization or vaccine, other than one for influenza, from a licensee
of the La. Board of Pharmacy from age three to age seven.
3. Require pharmacies to display signage in immunization areas that inform parents
and guardians of the importance of annual pediatric well-child visits.
Page 5 of 5
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.