1 | 1 | | 2025 - 2026 LEGISLATURE |
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2 | 2 | | LRB-2283/1 |
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3 | 3 | | JPC:cdc |
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4 | 4 | | 2025 ASSEMBLY BILL 127 |
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5 | 5 | | March 11, 2025 - Introduced by Representatives MURPHY, SORTWELL, BEHNKE, |
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6 | 6 | | DITTRICH and KNODL, cosponsored by Senators CABRAL-GUEVARA and NASS. |
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7 | 7 | | Referred to Committee on Health, Aging and Long-Term Care. |
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8 | 8 | | |
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9 | 9 | | ***AUTHORS SUBJECT TO CHANGE*** |
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10 | 10 | | AN ACT to repeal 450.095 (1) (a); to amend 50.36 (6), 450.095 (title), 450.095 |
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11 | 11 | | (2) (intro.), 450.095 (2) (a), 450.095 (2) (b) and 450.095 (2) (c); to create |
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12 | 12 | | 450.095 (1) (am), 450.095 (2) (am), 450.095 (2m) and 632.865 (6m) of the |
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13 | 13 | | statutes; relating to: the duty of a pharmacist to dispense lawfully prescribed |
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14 | 14 | | drugs and devices. |
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15 | 15 | | Analysis by the Legislative Reference Bureau |
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16 | 16 | | Under current law, a pharmacy has a duty to dispense lawfully prescribed |
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17 | 17 | | contraceptive drugs and devices without delay unless certain factors apply, |
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18 | 18 | | including that the prescription contains an obvious or known error or contains |
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19 | 19 | | inadequate instructions, the prescription is contraindicated for the patient, the |
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20 | 20 | | prescription is incompatible with another drug or device prescribed for the patient, |
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21 | 21 | | or the prescription is potentially fraudulent. This bill expands that duty to require |
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22 | 22 | | pharmacies to dispense any lawfully prescribed drug or device without delay. |
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23 | 23 | | However, if any pharmacist at a pharmacy refuses to dispense a drug or device for |
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24 | 24 | | reasons of conscience such that the pharmacy cannot fulfill the prescription order |
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25 | 25 | | without delay, then the bill requires the pharmacy to transfer the prescription order |
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26 | 26 | | to a different pharmacy, at the direction of the patient, that will dispense the |
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27 | 27 | | prescribed drug or device without delay. The bill also specifies that a pharmacy |
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32 | 32 | | 5 2025 - 2026 Legislature |
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33 | 33 | | ASSEMBLY BILL 127 |
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34 | 34 | | - 2 - LRB-2283/1 |
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35 | 35 | | JPC:cdc |
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36 | 36 | | SECTION 1 |
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37 | 37 | | may not dispense a lawfully prescribed drug or device if there is an absolute |
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38 | 38 | | contraindication for the prescribed drug or device, rather than just a |
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39 | 39 | | contraindication. Under the bill, Xabsolute contraindicationY is defined to mean |
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40 | 40 | | any condition present in a patient that makes a particular drug or device |
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41 | 41 | | inadvisable under any circumstances. |
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42 | 42 | | Further, the bill prohibits a pharmacy benefit manager from penalizing in any |
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43 | 43 | | way a pharmacy or pharmacist from dispensing a prescribed drug or device that is |
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44 | 44 | | prescribed for a use other than a use approved by the federal Food and Drug |
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45 | 45 | | Administration if the prescribed drug or device is dispensed pursuant to a valid |
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46 | 46 | | prescription order. |
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47 | 47 | | For further information see the state fiscal estimate, which will be printed as |
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48 | 48 | | an appendix to this bill. |
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49 | 49 | | The people of the state of Wisconsin, represented in senate and assembly, do |
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50 | 50 | | enact as follows: |
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51 | 51 | | SECTION 1. 50.36 (6) of the statutes is amended to read: |
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52 | 52 | | 50.36 (6) If the department receives a credible complaint that a pharmacy |
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53 | 53 | | located in a hospital has violated its duty to dispense contraceptive drugs and |
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54 | 54 | | devices under s. 450.095 (2), the department shall refer the complaint to the |
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55 | 55 | | department of safety and professional services. |
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56 | 56 | | SECTION 2. 450.095 (title) of the statutes is amended to read: |
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57 | 57 | | 450.095 (title) Duty to dispense contraceptives. |
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58 | 58 | | SECTION 3. 450.095 (1) (a) of the statutes is repealed. |
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59 | 59 | | SECTION 4. 450.095 (1) (am) of the statutes is created to read: |
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60 | 60 | | 450.095 (1) (am) XAbsolute contraindicationY means any condition present in |
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61 | 61 | | a patient that renders a particular drug or device not safe to be used as prescribed |
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62 | 62 | | under any circumstance because of the severe or potentially life-threatening risks |
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63 | 63 | | involved. |
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64 | 64 | | SECTION 5. 450.095 (2) (intro.) of the statutes is amended to read: |
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65 | 65 | | 450.095 (2) (intro.) Unless one or more any of the following applies, except as |
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80 | 80 | | 15 2025 - 2026 Legislature |
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81 | 81 | | ASSEMBLY BILL 127 |
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82 | 82 | | - 3 - LRB-2283/1 |
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83 | 83 | | JPC:cdc |
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84 | 84 | | SECTION 5 |
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85 | 85 | | provided in sub. (2m), a pharmacy shall dispense any lawfully prescribed |
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86 | 86 | | contraceptive drugs and devices drug or device and shall deliver contraceptive |
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87 | 87 | | drugs and devices restricted to distribution by a pharmacy the drug or device to a |
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88 | 88 | | the patient without delay: |
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89 | 89 | | SECTION 6. 450.095 (2) (a) of the statutes is amended to read: |
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90 | 90 | | 450.095 (2) (a) The prescription or prescription order contains an obvious or |
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91 | 91 | | known error or contains inadequate instructions. |
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92 | 92 | | SECTION 7. 450.095 (2) (am) of the statutes is created to read: |
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93 | 93 | | 450.095 (2) (am) A pharmacist determines after reviewing the prescription |
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94 | 94 | | order and the patient[s medical records that there is an absolute contraindication |
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95 | 95 | | for the prescribed drug or device. |
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96 | 96 | | SECTION 8. 450.095 (2) (b) of the statutes is amended to read: |
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97 | 97 | | 450.095 (2) (b) The prescription is contraindicated for the patient, prescribed |
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98 | 98 | | drug or device is incompatible with another drug or device prescribed for the |
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99 | 99 | | patient, or is prohibited by state or federal law. |
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100 | 100 | | SECTION 9. 450.095 (2) (c) of the statutes is amended to read: |
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101 | 101 | | 450.095 (2) (c) The prescription or prescription order is potentially |
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102 | 102 | | fraudulent. |
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103 | 103 | | SECTION 10. 450.095 (2m) of the statutes is created to read: |
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104 | 104 | | 450.095 (2m) If any pharmacist at a pharmacy refuses to dispense a lawfully |
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105 | 105 | | prescribed drug or device for reasons of conscience such that the pharmacy cannot |
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106 | 106 | | fulfill a prescription or prescription order without delay, then the pharmacy shall |
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107 | 107 | | transfer the prescription or prescription order to a different pharmacy, at the |
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130 | 130 | | 23 2025 - 2026 Legislature |
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131 | 131 | | ASSEMBLY BILL 127 |
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132 | 132 | | - 4 - LRB-2283/1 |
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133 | 133 | | JPC:cdc |
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134 | 134 | | SECTION 10 |
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135 | 135 | | direction of the patient, that will dispense the prescribed drug or device without |
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136 | 136 | | delay. |
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137 | 137 | | SECTION 11. 632.865 (6m) of the statutes is created to read: |
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138 | 138 | | 632.865 (6m) OFF-LABEL THERAPIES. No pharmacy benefit manager may in |
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139 | 139 | | any way penalize a pharmacy or pharmacist for dispensing a prescribed drug or |
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140 | 140 | | device that is prescribed for a use other than a use approved by the federal food and |
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141 | 141 | | drug administration if the prescribed drug or device is dispensed pursuant to a |
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142 | 142 | | valid prescription order, as defined in s. 450.01 (21). |
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143 | 143 | | (END) |
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