H.F. 549 Section 1. NEW SECTION . 155A.44 Vaccine and immunization 1 administration. 2 1. In accordance with rules adopted by the board, a licensed 3 pharmacist may administer vaccines and immunizations pursuant 4 to this section. 5 2. The board shall adopt rules requiring pharmacists to 6 complete training pursuant to continuing education requirements 7 and establish protocols for the review of prescriptions and 8 administration of vaccines and immunizations. The rules shall 9 allow a licensed pharmacist who has completed the required 10 training to administer vaccines and immunizations in accordance 11 with the rules of the board and shall include the United States 12 centers for disease control and prevention’s protocol for the 13 administration of the vaccinations and immunizations. 14 3. Prior to the administration of a vaccination or 15 immunization authorized by subsection 4, paragraph “b” , 16 subparagraphs (2) through (4), pursuant to the required 17 protocols, a licensed pharmacist shall consult and review the 18 statewide immunization registry or health information network. 19 The board shall adopt rules requiring the reporting of the 20 administration of vaccines and immunizations authorized by 21 subsection 4, paragraph “b” , subparagraphs (2) through (4), to 22 a patient’s primary health care provider, primary physician, 23 and a statewide immunization registry or health information 24 network. 25 4. A licensed pharmacist shall only administer the 26 following vaccines and immunizations to the designated age 27 categories: 28 a. Vaccination and immunization of patients ages six 29 years through seventeen years shall be limited to vaccines or 30 immunizations for influenza and other emergency immunizations 31 or vaccines in response to a public health emergency. 32 b. Patients ages eighteen years and older may receive 33 a vaccination or immunization administered by a licensed 34 pharmacist for any of the following: 35 -1- LSB 1918HV (2) 85 ad/nh 1/ 3

H.F. 549 (1) An immunization or vaccination described in paragraph 1 “a” , including all forms of the influenza vaccine. 2 (2) An immunization or vaccination recommended by the 3 United States centers for disease control and prevention 4 advisory committee on immunization practices in its approved 5 vaccination schedule for adults. 6 (3) An immunization or vaccine recommended by the United 7 States centers for disease control and prevention for 8 international travel. 9 (4) A Tdap (tetanus, diptheria, acellular pertussis) 10 vaccination in a booster application. 11 EXPLANATION 12 This bill allows licensed pharmacists to administer vaccines 13 and immunizations. The bill provides that the board of 14 pharmacy must adopt rules requiring pharmacists to complete 15 training pursuant to continuing education requirements and 16 establish protocols for the review of prescriptions and 17 administration of vaccines and immunizations. The rules 18 shall allow a licensed pharmacist who has completed required 19 training to administer vaccines and immunizations as provided 20 by rule and the United States centers for disease control and 21 prevention’s (CDC) protocol. 22 A licensed pharmacist allowed to administer vaccines 23 and immunizations under the bill is limited to specific 24 vaccines and immunizations for certain age groups. A licensed 25 pharmacist may administer vaccines or immunizations for 26 influenza and emergency immunizations or vaccines in response 27 to a public health emergency for patients aged 6 years through 28 17 years. 29 A patient aged 18 years or older may receive an immunization 30 or vaccine from a licensed pharmacist for influenza or Tdap, 31 a vaccine or immunization in response to a public health 32 emergency, an immunization or vaccine recommended by the CDC 33 advisory committee on immunization practices in its approved 34 vaccination schedule for adults, or vaccines and immunizations 35 -2- LSB 1918HV (2) 85 ad/nh 2/ 3

H.F. 549 recommended by the CDC for international travel. The bill 1 requires a pharmacist administering an immunization or 2 vaccination recommended by the CDC advisory committee in its 3 approved vaccination schedule for adults, an immunization or 4 vaccination recommended by the CDC for international travel, 5 or a Tdap vaccination to an adult pursuant to the bill to 6 consult and review the statewide immunization registry or 7 health information network prior to administering the vaccine 8 or immunization. The bill also requires the board to adopt 9 rules requiring a pharmacist administering an immunization or 10 vaccination recommended by the CDC advisory committee in its 11 approved vaccination schedule for adults, an immunization or 12 vaccination recommended by the CDC for international travel, 13 or a Tdap vaccination to an adult pursuant to the bill to 14 report to the patient’s primary health care provider, primary 15 physician, and a statewide immunization registry or health 16 information network. 17 -3- LSB 1918HV (2) 85 ad/nh 3/ 3