Maryland 2022 Regular Session

Maryland House Bill HB1462 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2
3	3	EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
4	4	[Brackets] indicate matter deleted from existing law.
5	5	hb1462
6	6
7	7	HOUSE BILL 1462
8	8	J1 2lr3166
9	9
10	10	By: Delegate Cox
11	11	Introduced and read first time: February 25, 2022
12	12	Assigned to: Rules and Executive Nominations
13	13
14	14	A BILL ENTITLED
15	15
16	16	AN ACT concerning 1
17	17
18	18	Health – Ivermectin – Standing Order 2
19	19	(Protocol Drug Act) 3
20	20
21	21	FOR the purpose of authorizing licensed physicians and advanced practice registered 4
22	22	nurses to prescribe ivermectin by issuing a standing order; establishing procedures 5
23	23	for pharmacists to follow when issuing ivermectin under a standing order; and 6
24	24	generally relating to a standing order for ivermectin. 7
25	25
26	26	BY adding to 8
27	27	Article – Health – General 9
28	28	Section 20–2201 and 20–2202 to be under the new subtitle “Subtitle 22. Ivermectin 10
29	29	Standing Order” 11
30	30	Annotated Code of Maryland 12
31	31	(2019 Replacement Volume and 2021 Supplement) 13
32	32
33	33	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 14
34	34	That the Laws of Maryland read as follows: 15
35	35
36	36	Article – Health – General 16
37	37
38	38	SUBTITLE 22. IVERMECTIN STANDING ORDER. 17
39	39
40	40	20–2201. 18
41	41
42	42	IN THIS SUBTITLE, “STANDING ORDER ” MEANS A WRITTEN AND SIGNED 19
43	43	PROTOCOL AUTHORED BY ONE OR MORE PHYSICIA NS OR ADVANCED PRACTICE 20
44	44	REGISTERED NURSES LI CENSED UNDER THE HEALTH OCCUPATIONS ARTICLE. 21
45	45
46	46	20–2202. 22
47	47	2 HOUSE BILL 1462
48	48
49	49
50	50	(A) A LICENSED PHYSICIAN O R AN ADVANCED PRACTI CE REGISTERED 1
51	51	NURSE WITH PRESCRIBI NG AUTHORITY MAY PRE SCRIBE IVERMECTIN BY ISSUING A 2
52	52	STANDING ORDER . 3
53	53
54	54	(B) A STANDING ORDER ISSUE D UNDER SUBSECTION (A) OF THIS SECTION 4
55	55	SHALL: 5
56	56
57	57	(1) SPECIFY A PROTOCOL TH AT ALLOWS PHARMACISTS LICENSED 6
58	58	UNDER THE HEALTH OCCUPATIONS ARTICLE TO DISPENSE IVERMECTIN; 7
59	59
60	60	(2) SPECIFY A MECHANISM T O DOCUMENT SCREENING PERFORMED 8
61	61	OF THE PATIENT AND THE PRESCRIPTION IN THE PATIENT’S MEDICAL RECORD ; AND 9
62	62
63	63	(3) INCLUDE A PLAN FOR EV ALUATING AND TREATIN G ADVERSE 10
64	64	EVENTS. 11
65	65
66	66	(C) A PRESCRIPTION S WRITTEN UNDER THIS SECTION S HALL BE REGARDED 12
67	67	AS BEING WRITTEN FOR A LEGITIMATE MED ICAL PURPOSE IN THE USUAL COURSE 13
68	68	OF PROFESSIONAL PRAC TICE. 14
69	69
70	70	(D) A PHARMACIST LICENSED UNDER THE HEALTH OCCUPATIONS ARTICLE 15
71	71	FOLLOWING A STANDING ORDER ISS UED UNDER THIS SECTI ON MAY DISPENSE 16
72	72	IVERMECTIN TO INDIVI DUALS IN THE STATE WITHOUT A PRIOR PRESCRIPTION . 17
73	73
74	74	(E) A PHARMACIST , A PHARMACY, A PHYSICIAN, OR AN ADVANCED 18
75	75	PRACTICE REGISTERED NURSE ISSUING OR FOL LOWING A STANDING OR DER ISSUED 19
76	76	UNDER THIS SECTION M AY NOT SEEK A RELATED PERSONAL FINANCIAL B ENEFIT BY: 20
77	77
78	78	(1) PARTICIPATING IN ANY INCENTIVE–BASED PROGRAM ; OR 21
79	79
80	80	(2) ACCEPTING A NY INDUCEMENT THAT I NFLUENCES OR 22
81	81	ENCOURAGES THERAPEUT IC OR PRODUCT CHANGES O R THE ORDERING OF TE STS 23
82	82	OR SERVICES. 24
83	83
84	84	(F) (1) A PHARMACIST SHALL PRO VIDE EACH INDIVIDUAL WHO IS 25
85	85	DISPENSED IVERMECTIN UNDER THI S SECTION WITH A STA NDARDIZED 26
86	86	INFORMATION SHEET WR ITTEN IN PLAIN LANGUAGE. 27
87	87
88	88	(2) THE STANDARDIZED INFO RMATION SHEET SHALL INCLUDE THE 28
89	89	IMPORTANCE OF FOLLOW –UP CARE AND HEALTH C ARE REFERRAL INFORMA TION. 29
90	90
91	91	(3) THE INFORMATION SHEET MAY NOT DISCOURAGE THE RECIP IENT 30
92	92	FROM USING IVERMECTI N FOR THE TREATMENT OF COVID–19. 31 HOUSE BILL 1462 3
93	93
94	94
95	95
96	96	(G) (1) THE STATE BOARD OF PHYSICIANS MAY NOT DE NY, REVOKE, OR 1
97	97	SUSPEND THE LICENSE OF OR OTHERWISE TAKE DI SCIPLINARY ACTION AG AINST A 2
98	98	PHYSICIAN BASED ON A PHARMACIST ’S FAILURE TO FOLLOW A STANDING ORDER 3
99	99	ISSUED UNDER THIS SE CTION IF THE REQUIREMENTS OF THIS SECTION ARE 4
100	100	SATISFIED BY THE PHY SICIAN. 5
101	101
102	102	(2) THE STATE BOARD OF NURSING MAY NOT DENY , REVOKE, OR 6
103	103	SUSPEND THE LICENSE OF OR OTHERWISE TAKE DI SCIPLINARY ACTION AG AINST AN 7
104	104	ADVANCED PRACTICE REGIS TERED NURSE BASED ON A PHARMACIST ’S FAILURE TO 8
105	105	FOLLOW A STANDING OR DER ISSUED UNDER THI S SECTION IF THE REQUIREMENTS 9
106	106	OF THIS SECTION ARE SATISFIED BY THE ADVANCED PRACTICE RE GISTERED NURSE . 10
107	107
108	108	(3) THE STATE BOARD OF PHARMACY MAY NOT DEN Y, REVOKE, OR 11
109	109	SUSPEND THE LICENSE OF OR OTHERWISE TAKE DI SCIPLINARY AGAINST A 12
110	110	PHARMACIST WHO FOLLO WS A STANDING ORDER ISSUED UNDER THIS SE CTION 13
111	111	BASED ON A DEFECT IN THE STANDING ORDER I F THE REQUIREMENTS OF THIS 14
112	112	SECTION ARE OTHERWISE SATISF IED BY THE PHARMACIS T. 15
113	113
114	114	(H) THE DEPARTMENT MAY ADOPT REGULATIONS TO CARRY OUT THIS 16
115	115	SECTION. 17
116	116
117	117	SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 18
118	118	October 1, 2022. 19