House File 794 - Introduced HOUSE FILE 794 BY COMMITTEE ON HUMAN RESOURCES (SUCCESSOR TO HSB 91) A BILL FOR An Act relating to the practice of pharmacy, including 1 the prescription and administration of vaccines and 2 collaborative pharmacy practice. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 2138HV (2) 89 ss/rh

H.F. 794 Section 1. Section 155A.46, subsection 1, paragraph a, Code 1 2021, is amended by adding the following new subparagraph: 2 NEW SUBPARAGRAPH . (7) An immunization or vaccination for 3 C0VID-19 as defined in section 686D.2. 4 Sec. 2. Section 155A.46, subsection 1, Code 2021, is amended 5 by adding the following new paragraph: 6 NEW PARAGRAPH . e. A pharmacist may, pursuant to statewide 7 protocols developed by the board in consultation with the 8 department of public health and consistent with subsection 2, 9 order and administer the following to patients ages six years 10 and older: 11 (1) Point-of-care testing and treatment for influenza, 12 streptococcus A, and COVID-19 as defined in section 686D.2 at 13 the point of interaction between a pharmacist and a patient. 14 (2) Point-of-care testing at the point of interaction 15 between a pharmacist and a patient in response to a public 16 health emergency. 17 Sec. 3. NEW SECTION . 155A.47 Collaborative pharmacy 18 practice —— agreements —— payment. 19 1. For the purposes of this section: 20 a. “Collaborative pharmacy practice” means a practice of 21 pharmacy whereby a pharmacist provides patient care and drug 22 therapy management services not otherwise permitted to be 23 performed by a pharmacist to patients under a collaborative 24 pharmacy practice agreement with another pharmacist or 25 practitioner which defines the nature, scope, conditions, and 26 limitations of the patient care and drug therapy management 27 services to be provided by a pharmacist in order to ensure that 28 a patient achieves the desired outcomes. 29 b. “Health benefit plan” means the same as defined in 30 section 514J.102. 31 c. “Health carrier” means the same as defined in section 32 514J.102. 33 2. Notwithstanding any provision of law to the contrary, a 34 pharmacist may engage in a collaborative pharmacy practice, in 35 -1- LSB 2138HV (2) 89 ss/rh 1/ 3

H.F. 794 accordance with rules adopted by the board pursuant to chapter 1 17A and under a collaborative pharmacy practice agreement, to 2 provide patient care and drug therapy management services to 3 a patient. 4 3. Notwithstanding any provision of a health benefit plan 5 to the contrary, whenever a health benefit plan provides for 6 payment or reimbursement for a service that is within the 7 lawful scope of practice of a practitioner or pharmacist 8 and the service is provided by a pharmacist pursuant to a 9 collaborative pharmacy practice agreement under this section, 10 the health carrier may provide payment or reimbursement for the 11 service. 12 EXPLANATION 13 The inclusion of this explanation does not constitute agreement with 14 the explanation’s substance by the members of the general assembly. 15 This bill relates to the practice of pharmacy including the 16 prescription and administration of vaccines and collaborative 17 pharmacy practice. 18 The bill adds immunizations and vaccinations for COVID-19 19 to the treatments that may be ordered and administered by a 20 pharmacist to patients ages 18 years and older pursuant to 21 statewide protocols developed by the board of pharmacy in 22 consultation with the department of public health. 23 The bill allows a pharmacist to order and administer 24 point-of-care testing and treatment for influenza, 25 streptococcus A, and COVID-19 at the point of interaction 26 between a pharmacist and a patient to patients ages six years 27 and older. The bill also allows a pharmacist to order and 28 administer point-of-care testing at the point of interaction 29 between a pharmacist and a patient in response to a public 30 health emergency to patients ages six years and older. 31 The bill allows a pharmacist to engage in a collaborative 32 pharmacy practice under a collaborative pharmacy practice 33 agreement to provide patient care and drug therapy management 34 services to a patient. 35 -2- LSB 2138HV (2) 89 ss/rh 2/ 3

H.F. 794 The bill allows a health carrier to pay for a service 1 provided by a pharmacist under a collaborative pharmacy 2 practice agreement if the health benefit plan provides for 3 payment or reimbursement for a service when the service is 4 within the lawful scope of practice of a practitioner or 5 pharmacist. 6 -3- LSB 2138HV (2) 89 ss/rh 3/ 3