| 1 | 1 | | By: RodrÃguez S.B. No. 1813 |
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| 2 | 2 | | |
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| 3 | 3 | | |
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| 4 | 4 | | A BILL TO BE ENTITLED |
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| 5 | 5 | | AN ACT |
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| 6 | 6 | | relating to the administration of a medication, immunization, or |
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| 7 | 7 | | vaccination by a pharmacist. |
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| 8 | 8 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 9 | 9 | | SECTION 1. The heading to Section 554.004, Occupations |
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| 10 | 10 | | Code, is amended to read as follows: |
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| 11 | 11 | | Sec. 554.004. ADMINISTRATION OF MEDICATION, IMMUNIZATION, |
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| 12 | 12 | | OR VACCINATION. |
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| 13 | 13 | | SECTION 2. Section 554.004(a), Occupations Code, is amended |
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| 14 | 14 | | to read as follows: |
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| 15 | 15 | | (a) The board shall specify conditions under which a |
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| 16 | 16 | | pharmacist may administer medication, including an immunization or |
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| 17 | 17 | | [and] vaccination. The conditions for the administration of an |
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| 18 | 18 | | immunization or vaccination must ensure that: |
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| 19 | 19 | | (1) [a licensed health care provider authorized to |
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| 20 | 20 | | administer the medication is not reasonably available to administer |
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| 21 | 21 | | the medication; |
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| 22 | 22 | | [(2) failure to administer the medication, other than an |
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| 23 | 23 | | immunization or vaccination, might result in a significant delay or |
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| 24 | 24 | | interruption of a critical phase of drug therapy; |
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| 25 | 25 | | [(3)] the pharmacist possesses the necessary skill, |
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| 26 | 26 | | education, and certification as specified by the board to |
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| 27 | 27 | | administer the immunization or vaccination [medication]; |
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| 28 | 28 | | (2) [(4)] within a reasonable time after administering |
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| 29 | 29 | | an immunization or vaccination [medication], the pharmacist |
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| 30 | 30 | | notifies the licensed health care provider responsible for the |
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| 31 | 31 | | patient's care that the immunization or vaccination [medication] |
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| 32 | 32 | | was administered; |
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| 33 | 33 | | (3) [(5)] the pharmacist may not administer an immunization |
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| 34 | 34 | | or vaccination [medication] to a patient at the patient's |
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| 35 | 35 | | residence, except at a licensed nursing home or hospital; |
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| 36 | 36 | | (4) [(6)] the pharmacist administers an immunization or |
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| 37 | 37 | | vaccination under a physician's written protocol and meets the |
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| 38 | 38 | | standards established by the board; and |
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| 39 | 39 | | (5) [(7)] the authority of a pharmacist to administer an |
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| 40 | 40 | | immunization or vaccination [medication] may not be delegated. |
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| 41 | 41 | | SECTION 3. Sections 554.052(a) and (c-1), Occupations Code, |
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| 42 | 42 | | are amended to read as follows: |
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| 43 | 43 | | (a) The board by rule shall require a pharmacist to notify a |
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| 44 | 44 | | physician who prescribes an immunization or vaccination [within 24 |
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| 45 | 45 | | hours] after the pharmacist administers the immunization or |
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| 46 | 46 | | vaccination. The physician shall prescribe the period for |
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| 47 | 47 | | providing notice and the form of the notice in the physician's |
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| 48 | 48 | | written protocol. The period for providing notice may not be later |
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| 49 | 49 | | than the 14th day after the date the immunization or vaccination is |
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| 50 | 50 | | administered. |
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| 51 | 51 | | (c-1) A pharmacist may administer [an influenza |
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| 52 | 52 | | vaccination] an immunization or vaccination to a patient who is at |
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| 53 | 53 | | least [over] seven years of age without an established |
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| 54 | 54 | | physician-patient relationship. |
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| 55 | 55 | | SECTION 4. This Act takes effect September 1, 2019. |
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