81R2062 BEF-D
By: Hopson H.B. No. 427
A BILL TO BE ENTITLED
AN ACT
relating to the authority of physicians to delegate to certain
pharmacists the implementation and modification of a patient's drug
therapy.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 157.101, Occupations Code, is amended by
adding Subsection (b-1) to read as follows:
(b-1) A delegation under Subsection (b) may include the
implementation or modification of a patient's drug therapy under a
protocol, including the authority to sign a prescription drug order
for dangerous drugs, if:
(1) the delegation follows a diagnosis, initial
patient assessment, and drug therapy order by the physician;
(2) the pharmacist practices in a hospital,
hospital-based clinic, or an academic health care institution;
(3) the pharmacist provides the name, address, and
telephone number of the pharmacist and of the delegating physician
on each prescription signed by the pharmacist; and
(4) the pharmacist provides a copy of the protocol to
the Texas State Board of Pharmacy.
SECTION 2. Subchapter A, Chapter 554, Occupations Code, is
amended by adding Section 554.017 to read as follows:
Sec. 554.017. LIST OF PHARMACISTS AUTHORIZED TO SIGN
PRESCRIPTION DRUG ORDERS. The board shall provide on its Internet
website a list of pharmacists who are authorized to sign a
prescription drug order under Section 157.101(b-1), including the
name of the pharmacist's delegating physician under the protocol
required under that subsection.
SECTION 3. Subchapter B, Chapter 554, Occupations Code, is
amended by adding Section 554.057 to read as follows:
Sec. 554.057. RULEMAKING; IMPLEMENTATION OF DRUG THERAPY
UNDER PROTOCOL. The board, with the advice of the Texas Medical
Board, shall adopt rules that allow a pharmacist to implement or
modify a patient's drug therapy pursuant to a physician's
delegation under Section 157.101(b-1).
SECTION 4. Not later than December 1, 2009, the Texas State
Board of Pharmacy shall adopt rules under Section 554.057,
Occupations Code, as added by this Act.
SECTION 5. This Act takes effect September 1, 2009.