Texas 2015 - 84th Regular

Texas Senate Bill SB480 Compare Versions

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

Old	New	Differences
1	1	84R1436 NC-F
2	2	By: Perry S.B. No. 480
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to the administration of a medication, immunization, or
8	8	vaccination by a pharmacist.
9	9	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	10	SECTION 1. The heading to Section 554.004, Occupations
11	11	Code, is amended to read as follows:
12	12	Sec. 554.004. ADMINISTRATION OF MEDICATION, IMMUNIZATION,
13	13	OR VACCINATION.
14	14	SECTION 2. Section 554.004(a), Occupations Code, is amended
15	15	to read as follows:
16	16	(a) The board shall specify conditions under which a
17	17	pharmacist may administer medication, including an immunization or
18	18	[and] vaccination. The conditions for the administration of an
19	19	immunization or vaccination must ensure that:
20	20	(1) [a licensed health care provider authorized to
21	21	administer the medication is not reasonably available to administer
22	22	the medication;
23	23	[(2) failure to administer the medication, other than
24	24	an immunization or vaccination, might result in a significant delay
25	25	or interruption of a critical phase of drug therapy;
26	26	[(3)] the pharmacist possesses the necessary skill,
27	27	education, and certification as specified by the board to
28	28	administer the immunization or vaccination [medication];
29	29	(2) [(4)] within a reasonable time after
30	30	administering an immunization or vaccination [medication], the
31	31	pharmacist notifies the licensed health care provider responsible
32	32	for the patient's care that the immunization or vaccination
33	33	[medication] was administered;
34	34	(3) [(5)] the pharmacist may not administer an
35	35	immunization or vaccination [medication] to a patient at the
36	36	patient's residence, except at a licensed nursing home or hospital;
37	37	(4) [(6)] the pharmacist administers an immunization
38	38	or vaccination under a physician's written protocol and meets the
39	39	standards established by the board; and
40	40	(5) [(7)] the authority of a pharmacist to administer
41	41	an immunization or vaccination [medication] may not be delegated.
42	42	SECTION 3. Sections 554.052(a) and (c), Occupations Code,
43	43	are amended to read as follows:
44	44	(a) The board by rule shall require a pharmacist to notify a
45	45	physician who prescribes an immunization or vaccination [within 24
46	46	hours] after the pharmacist administers the immunization or
47	47	vaccination. The physician shall prescribe the period for providing
48	48	notice and the form of the notice in the physician's written
49	49	protocol. The period for providing notice may not be later than the
50	50	14th day after the date the immunization or vaccination is
51	51	administered.
52	52	(c) Supervision by a physician is adequate if the delegating
53	53	physician:
54	54	(1) is responsible for formulating or approving an
55	55	order or protocol, including the physician's order, standing
56	56	medical order, or standing delegation order, and periodically
57	57	reviews the order or protocol and the services provided to a patient
58	58	under the order or protocol;
59	59	(2) [except as provided by Subsection (c-1),] has
60	60	established a physician-patient relationship with each patient
61	61	under seven [14] years of age and referred the patient to the
62	62	pharmacist;
63	63	(3) is geographically located to be easily accessible
64	64	to the pharmacy where an immunization or vaccination is
65	65	administered;
66	66	(4) receives, as appropriate, a periodic status report
67	67	on the patient, including any problem or complication encountered;
68	68	and
69	69	(5) is available through direct telecommunication for
70	70	consultation, assistance, and direction.
71	71	SECTION 4. Section 554.052(c-1), Occupations Code, is
72	72	repealed.
73	73	SECTION 5. This Act takes effect September 1, 2015.