84R1436 NC-F
By: Perry S.B. No. 480
A BILL TO BE ENTITLED
AN ACT
relating to the administration of a medication, immunization, or
vaccination by a pharmacist.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. The heading to Section 554.004, Occupations
Code, is amended to read as follows:
Sec. 554.004. ADMINISTRATION OF MEDICATION, IMMUNIZATION,
OR VACCINATION.
SECTION 2. Section 554.004(a), Occupations Code, is amended
to read as follows:
(a) The board shall specify conditions under which a
pharmacist may administer medication, including an immunization or
[and] vaccination. The conditions for the administration of an
immunization or vaccination must ensure that:
(1) [a licensed health care provider authorized to
administer the medication is not reasonably available to administer
the medication;
[(2) failure to administer the medication, other than
an immunization or vaccination, might result in a significant delay
or interruption of a critical phase of drug therapy;
[(3)] the pharmacist possesses the necessary skill,
education, and certification as specified by the board to
administer the immunization or vaccination [medication];
(2) [(4)] within a reasonable time after
administering an immunization or vaccination [medication], the
pharmacist notifies the licensed health care provider responsible
for the patient's care that the immunization or vaccination
[medication] was administered;
(3) [(5)] the pharmacist may not administer an
immunization or vaccination [medication] to a patient at the
patient's residence, except at a licensed nursing home or hospital;
(4) [(6)] the pharmacist administers an immunization
or vaccination under a physician's written protocol and meets the
standards established by the board; and
(5) [(7)] the authority of a pharmacist to administer
an immunization or vaccination [medication] may not be delegated.
SECTION 3. Sections 554.052(a) and (c), Occupations Code,
are amended to read as follows:
(a) The board by rule shall require a pharmacist to notify a
physician who prescribes an immunization or vaccination [within 24
hours] after the pharmacist administers the immunization or
vaccination. The physician shall prescribe the period for providing
notice and the form of the notice in the physician's written
protocol. The period for providing notice may not be later than the
14th day after the date the immunization or vaccination is
administered.
(c) Supervision by a physician is adequate if the delegating
physician:
(1) is responsible for formulating or approving an
order or protocol, including the physician's order, standing
medical order, or standing delegation order, and periodically
reviews the order or protocol and the services provided to a patient
under the order or protocol;
(2) [except as provided by Subsection (c-1),] has
established a physician-patient relationship with each patient
under seven [14] years of age and referred the patient to the
pharmacist;
(3) is geographically located to be easily accessible
to the pharmacy where an immunization or vaccination is
administered;
(4) receives, as appropriate, a periodic status report
on the patient, including any problem or complication encountered;
and
(5) is available through direct telecommunication for
consultation, assistance, and direction.
SECTION 4. Section 554.052(c-1), Occupations Code, is
repealed.
SECTION 5. This Act takes effect September 1, 2015.