1 | 1 | | |
---|
2 | 2 | | |
---|
3 | 3 | | |
---|
4 | 4 | | |
---|
5 | 5 | | 2023 -- S 0292 |
---|
6 | 6 | | ======== |
---|
7 | 7 | | LC001383 |
---|
8 | 8 | | ======== |
---|
9 | 9 | | S TATE OF RHODE IS LAND |
---|
10 | 10 | | IN GENERAL ASSEMBLY |
---|
11 | 11 | | JANUARY SESSION, A.D. 2023 |
---|
12 | 12 | | ____________ |
---|
13 | 13 | | |
---|
14 | 14 | | A N A C T |
---|
15 | 15 | | RELATING TO BUSINESSES AND PROFESSIONS -- PHARMACIES |
---|
16 | 16 | | Introduced By: Senators Valverde, Sosnowski, Lawson, Murray, Lauria, DiMario, |
---|
17 | 17 | | Miller, and Mack |
---|
18 | 18 | | Date Introduced: February 16, 2023 |
---|
19 | 19 | | Referred To: Senate Health & Human Services |
---|
20 | 20 | | |
---|
21 | 21 | | |
---|
22 | 22 | | It is enacted by the General Assembly as follows: |
---|
23 | 23 | | SECTION 1. Chapter 5-19.1 of the General Laws entitled "Pharmacies" is hereby amended 1 |
---|
24 | 24 | | by adding thereto the following section: 2 |
---|
25 | 25 | | 5-19.1-36. Tobacco cessation therapy prescriptive authority. 3 |
---|
26 | 26 | | (a) A pharmacist who is licensed pursuant to this chapter and who meets the requirements 4 |
---|
27 | 27 | | of this section may prescribe and dispense FDA-approved tobacco cessation drug therapies to a 5 |
---|
28 | 28 | | qualified patient pursuant to rules and regulations adopted by the board of pharmacy, subject to the 6 |
---|
29 | 29 | | approval of the director of health in consultation with the director of behavioral healthcare, 7 |
---|
30 | 30 | | developmental disabilities and hospitals. 8 |
---|
31 | 31 | | (b) For the purposes of this section, "qualified patient" means a patient who: 9 |
---|
32 | 32 | | (1) Is at least eighteen (18) years of age; or of minimum age based on the most recent 10 |
---|
33 | 33 | | guidance provided by the FDA; 11 |
---|
34 | 34 | | (2) Is willing to participate in a structured tobacco cessation program consisting of an initial 12 |
---|
35 | 35 | | evaluation and appropriate follow-up visits with the pharmacist prescribing tobacco cessation 13 |
---|
36 | 36 | | products; and 14 |
---|
37 | 37 | | (3) Has been educated on symptoms of nicotine toxicity, common and/or severe adverse 15 |
---|
38 | 38 | | effects of prescribed medication(s), and when to seek medical treatment. 16 |
---|
39 | 39 | | (c) Prior to prescribing tobacco cessation products, the pharmacist shall successfully 17 |
---|
40 | 40 | | complete education on tobacco cessation therapy taught by a provider accredited by the 18 |
---|
41 | 41 | | Accreditation Council for Pharmacy Education or by a comparable provider recognized by the 19 |
---|
42 | 42 | | |
---|
43 | 43 | | |
---|
44 | 44 | | LC001383 - Page 2 of 3 |
---|
45 | 45 | | Board of Pharmacy. 1 |
---|
46 | 46 | | (d) The pharmacist shall refer or consult prior to prescribing regarding high-risk patients 2 |
---|
47 | 47 | | or patients with an identified contraindication to FDA-approved tobacco cessation drug therapies 3 |
---|
48 | 48 | | to the patient's primary care provider, as applicable, or to another provider, as appropriate. 4 |
---|
49 | 49 | | (e) All pharmacists participating in prescribing therapy for tobacco cessation shall follow 5 |
---|
50 | 50 | | the most updated guidelines and standards of care as approved by the board of pharmacy, subject 6 |
---|
51 | 51 | | to the approval subject to the approval of the director of health in consultation with the director of 7 |
---|
52 | 52 | | behavioral healthcare, developmental disabilities and hospitals. 8 |
---|
53 | 53 | | (1) Pharmacists will implement the most updated clinical practice guidelines to help 9 |
---|
54 | 54 | | patients quit using all forms of tobacco. 10 |
---|
55 | 55 | | (2) Pharmacists' services will include an educational component to include counseling on 11 |
---|
56 | 56 | | medication therapies and cessation strategies as well as referral to sources provided by the Rhode 12 |
---|
57 | 57 | | Island department of health. 13 |
---|
58 | 58 | | (f) Notification of the patient screening, the prescription record and the follow-up care plan 14 |
---|
59 | 59 | | shall be provided to the patient's primary care provider, as applicable, within five (5) business days 15 |
---|
60 | 60 | | following the prescribing of a tobacco cessation product. 16 |
---|
61 | 61 | | (g) The definition of a qualified patient is subject to adaptation pursuant to rules and 17 |
---|
62 | 62 | | regulations adopted by the board of pharmacy, subject to the approval of the director of health in 18 |
---|
63 | 63 | | consultation with the director of behavioral healthcare, developmental disabilities and hospitals. 19 |
---|
64 | 64 | | SECTION 2. This act shall take effect upon passage. 20 |
---|
65 | 65 | | ======== |
---|
66 | 66 | | LC001383 |
---|
67 | 67 | | ======== |
---|
68 | 68 | | |
---|
69 | 69 | | |
---|
70 | 70 | | LC001383 - Page 3 of 3 |
---|
71 | 71 | | EXPLANATION |
---|
72 | 72 | | BY THE LEGISLATIVE COUNCIL |
---|
73 | 73 | | OF |
---|
74 | 74 | | A N A C T |
---|
75 | 75 | | RELATING TO BUSINESSES AND PROFESSIONS -- PHARMACIES |
---|
76 | 76 | | *** |
---|
77 | 77 | | This act would add a new section which sets forth conditions for pharmacists to prescribe 1 |
---|
78 | 78 | | tobacco cessation drug therapies. 2 |
---|
79 | 79 | | This act would take effect upon passage. 3 |
---|
80 | 80 | | ======== |
---|
81 | 81 | | LC001383 |
---|
82 | 82 | | ======== |
---|
83 | 83 | | |
---|