Senate Study Bill 3164 - Introduced SENATE FILE _____ BY (PROPOSED COMMITTEE ON HUMAN RESOURCES BILL BY CHAIRPERSON SWEENEY) A BILL FOR An Act relating to the practice of pharmacy, including the 1 prescription and administration of vaccines. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 5452SC (1) 88 ss/rh

S.F. _____ Section 1. Section 155A.46, Code 2020, is amended to read 1 as follows: 2 155A.46 Statewide Administration of drugs —— statewide 3 protocols. 4 1. a. A pharmacist may, pursuant to statewide protocols 5 developed by the board in consultation with the department of 6 public health and consistent with subsection 2 3 , order and 7 administer the following to patients ages eighteen years and 8 older: 9 (1) a. Naloxone. 10 (2) b. Nicotine replacement tobacco Tobacco cessation 11 products. 12 c. Point-of-care testing and treatment for influenza 13 and streptococcus A at the point of interaction between a 14 pharmacist and a patient. 15 2. a. A pharmacist may prescribe and administer the 16 following to patients ages six years and older: 17 (3) (1) An immunization or vaccination recommended by 18 the United States centers for disease control and prevention 19 advisory committee on immunization practices in its approved 20 vaccination schedule for adults . 21 (4) (2) An immunization or vaccination recommended by the 22 United States centers for disease control and prevention for 23 international travel. 24 (5) A Tdap (tetanus, diphtheria, acellular pertussis) 25 vaccination in a booster application. 26 (3) Vaccines currently licensed for use in the United 27 States on the list issued by the United States food and drug 28 administration. 29 (6) (4) Other emergency immunizations or vaccinations in 30 response to a public health emergency. 31 b. A pharmacist may , pursuant to statewide protocols 32 developed by the board in consultation with the department of 33 public health and consistent with subsection 2 , order prescribe 34 and administer the following to patients ages six months and 35 -1- LSB 5452SC (1) 88 ss/rh 1/ 4

S.F. _____ older: 1 (1) A vaccine or An immunization or vaccination for 2 influenza. 3 (2) Other emergency immunizations or vaccines vaccinations 4 in response to a public health emergency. 5 c. A pharmacist may, pursuant to statewide protocols 6 developed by the board in consultation with the department 7 of public health and consistent with subsection 2 , order and 8 administer the final two doses in a course of vaccinations for 9 HPV to patients ages eleven years and older. 10 d. c. Prior to the ordering prescribing and administration 11 of a vaccination or an immunization or vaccination authorized 12 by this subsection , pursuant to statewide protocols, a licensed 13 pharmacist shall consult and review the statewide immunization 14 registry or health information network. The board shall 15 adopt rules requiring the reporting of the administration of 16 vaccines and immunizations and vaccinations authorized by this 17 subsection to a patient’s primary health care provider, primary 18 physician, and a statewide immunization registry or health 19 information network. 20 2. 3. A pharmacist prescribing, ordering , or administering 21 a prescription drug, product, test, or treatment pursuant to 22 subsection 1 or 2 shall do all of the following: 23 a. Maintain a record of all prescription drugs, products, 24 tests, and treatments administered pursuant to this section . 25 b. Notify the patient’s primary health care provider 26 of any prescription drugs, products, tests, or treatments 27 administered to the patient, or enter such information in a 28 patient record system also used by the primary health care 29 provider, as permitted by the primary health care provider. If 30 the patient does not have a primary health care provider, the 31 pharmacist shall provide the patient with a written record of 32 the prescription drugs, products, tests, or treatment provided 33 to the patient and shall advise the patient to consult a 34 physician. 35 -2- LSB 5452SC (1) 88 ss/rh 2/ 4

S.F. _____ c. Complete continuing pharmacy education related to 1 statewide protocols and immunizations and vaccinations 2 recognized and approved by the board. 3 EXPLANATION 4 The inclusion of this explanation does not constitute agreement with 5 the explanation’s substance by the members of the general assembly. 6 This bill relates to the ordering, prescribing, and 7 administration of certain drugs to patients by pharmacists. 8 With respect to patients 18 years and older, and pursuant 9 to statewide protocols, the bill removes the authority of 10 pharmacists to order and administer nicotine replacement 11 products and Tdap (tetanus, diphtheria, acellular pertussis) 12 vaccinations in a booster application and allows pharmacists to 13 order and administer testing and treatment for influenza and 14 streptococcus A at the point-of-care between a pharmacist and a 15 patient. The bill also removes the authority of pharmacists 16 to order and administer the final two doses in a course of 17 vaccinations for HPV (human papilloma virus) to patients 11 18 years of age and older. 19 The bill allows a pharmacist to prescribe and administer 20 to patients six years of age and older all of the following: 21 1) an immunization or vaccination recommended by the United 22 States centers for disease control and prevention advisory 23 committee on immunization practices in its approved vaccination 24 schedule, 2) an immunization or vaccination recommended by the 25 United States centers for disease control and prevention for 26 international travel, 3) vaccines currently licensed for use in 27 the United States on the list issued by the United States food 28 and drug administration, and 4) other emergency immunizations 29 or vaccinations in response to a public health emergency. 30 Current law permits pharmacists to order and administer such 31 immunizations and vaccinations to patients age 18 years and 32 older pursuant to statewide protocols. 33 The bill allows a pharmacist to prescribe and administer 34 a vaccine or immunization for influenza and other emergency 35 -3- LSB 5452SC (1) 88 ss/rh 3/ 4

S.F. _____ immunizations or vaccines in response to a public health 1 emergency to patients ages six months and older. 2 -4- LSB 5452SC (1) 88 ss/rh 4/ 4