85R5708 KKR-F     By: Zaffirini S.B. No. 2042       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;                (4) [(6)]  the pharmacist administers an immunization   or vaccination under a physician's written protocol and meets the   standards established by the board; and                (5) [(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 [within 24   hours] after the pharmacist administers the immunization or   vaccination. The physician shall prescribe the period for providing   notice and the form of the notice in the physician's written   protocol. The period for providing notice may not be later than the   14th day after the date the immunization or vaccination is   administered.          (c-1)  A pharmacist may administer an influenza, Tdap, human   papillomavirus, or meningococcal vaccination to a patient who is at   least [over] seven years of age without an established   physician-patient relationship.          SECTION 4.  This Act takes effect September 1, 2017.