86R19764 JCG-F
By: Raney H.B. No. 4297
Substitute the following for H.B. No. 4297:
By: Guerra C.S.H.B. No. 4297
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(b-1), Occupations Code, is
amended to read as follows:
(b-1) A delegation under Subsection (b) may include:
(1) the implementation or modification of a patient's
drug therapy under a protocol if:
(A) the delegation follows a diagnosis, initial
patient assessment, and drug therapy order by the physician; and
(B) the pharmacist maintains a copy of the
protocol for inspection until at least the seventh anniversary of
the expiration date of the protocol; or
(2) [, including] the authority to sign a prescription
drug order for dangerous drugs for a patient[,] if:
(A) [(1)] the delegation follows a diagnosis,
initial patient assessment, and drug therapy order by the
physician;
(B) [(2)] the pharmacist practices in a hospital,
hospital-based clinic, or an academic health care institution;
(C) [(3)] the hospital, hospital-based clinic,
or academic health care institution in which the pharmacist
practices has bylaws and a medical staff policy that permit a
physician to delegate to a pharmacist the management of a patient's
drug therapy;
(D) [(4)] 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
(E) [(5)] the pharmacist provides a copy of the
protocol to the Texas State Board of Pharmacy.
SECTION 2. Not later than December 1, 2019, the Texas State
Board of Pharmacy shall adopt rules necessary to implement Section
554.057, Occupations Code.
SECTION 3. This Act takes effect September 1, 2019.