87R2620 KKR-F
By: Blanco S.B. No. 2136
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;
[(6) the pharmacist administers an immunization or
vaccination under a physician's written protocol and meets the
standards established by the board;] and
(4) [(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-1), 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 not later
than the 14th day [within 24 hours] after the date the pharmacist
administers the immunization or vaccination.
(c-1) A pharmacist may administer an immunization or
[influenza] vaccination to a patient who is at least three [over
seven] years of age without an established physician-patient
relationship if the immunization or vaccination is:
(1) authorized or approved by the United States Food
and Drug Administration or listed in the routine immunization
schedule recommended by the federal Advisory Committee on
Immunization Practices published by the federal Centers for Disease
Control and Prevention; and
(2) administered in accordance with the federal
Advisory Committee on Immunization Practices vaccine-specific
recommendations.
SECTION 4. This Act takes effect September 1, 2021.