HF 2402

as introduced - 88th Legislature (2013 - 2014) Posted on 02/27/2014 03:23pm

A bill for an act
relating to health; specifying the protocol for pharmacist administration of
vaccines; amending Minnesota Statutes 2012, section 151.01, subdivision 27.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2012, section 151.01, subdivision 27, is amended to read:

Subd. 27.

Practice of pharmacy.

"Practice of pharmacy" means:

(1) interpretation and evaluation of prescription drug orders;

(2) compounding, labeling, and dispensing drugs and devices (except labeling by
a manufacturer or packager of nonprescription drugs or commercially packaged legend
drugs and devices);

(3) participation in clinical interpretations and monitoring of drug therapy for
assurance of safe and effective use of drugs;

(4) participation in drug and therapeutic device selection; drug administration for first
dosage and medical emergencies; drug regimen reviews; and drug or drug-related research;

(5) participation in administration of influenza vaccines to all eligible individuals ten
years of age and older and all other vaccines to patients 18 years of age and older deleted text begin under
standing orders from a physician licensed under chapter 147 or deleted text end by written protocol with a
physician new text begin licensed under chapter 147, a physician assistant authorized to prescribe drugs
under chapter 147A, or an advanced practice nurse authorized to prescribe drugs under
section 148.235, new text end provided that:

(i) new text begin the protocol includes, at a minimum:
new text end

new text begin (A) the name, dose, and route of each vaccine that may be given;
new text end

new text begin (B) the patient population for whom the vaccine may be given;
new text end

new text begin (C) contraindications and precautions to the vaccine;
new text end

new text begin (D) the procedure for handling an adverse reaction;
new text end

new text begin (E) the name, signature, and address of the physician, physician assistant, or
advanced practice nurse;
new text end

new text begin (F) a telephone number at which the physician, physician assistant, or advanced
practice nurse can be contacted; and
new text end

new text begin (G) the date and time period for which the protocol is valid;
new text end

new text begin (ii) new text end the pharmacist deleted text begin is trained in deleted text end new text begin has successfully completed new text end a program approved
by the deleted text begin American deleted text end new text begin Accreditation new text end Council deleted text begin of Pharmaceutical deleted text end new text begin for Pharmacy new text end Education new text begin ,
specifically new text end for the administration of immunizations new text begin , new text end or deleted text begin graduated from a college of
pharmacy in 2001 or thereafter deleted text end new text begin a program approved by the board new text end ; deleted text begin and
deleted text end

deleted text begin (ii) deleted text end new text begin (iii) new text end the pharmacist reports the administration of the immunization to the patient's
primary physician or clinic new text begin , or to the Minnesota Immunization Information Connection new text end ; new text begin and
new text end

new text begin (iv) the pharmacist complies with guidelines for vaccines and immunizations
established by the federal Advisory Committee on Immunization Practices (ACIP), except
that a pharmacist does not need to comply with those portions of the guidelines that establish
immunization schedules when administering a vaccine pursuant to a valid prescription
order issued by a physician licensed under chapter 147, a physician assistant authorized to
prescribe drugs under chapter 147A, or an advanced practice nurse authorized to prescribe
drugs under section 148.235, provided that the prescription drug order is consistent with
United States Food and Drug Administration-approved labeling of the vaccine;
new text end

(6) participation in the practice of managing drug therapy and modifying drug
therapy, according to section 151.21, subdivision 1, according to a written protocol
between the specific pharmacist and the individual dentist, optometrist, physician,
podiatrist, or veterinarian who is responsible for the patient's care and authorized to
independently prescribe drugs. Any significant changes in drug therapy must be reported
by the pharmacist to the patient's medical record;

(7) participation in the storage of drugs and the maintenance of records;

(8) responsibility for participation in patient counseling on therapeutic values,
content, hazards, and uses of drugs and devices; and

(9) offering or performing those acts, services, operations, or transactions necessary
in the conduct, operation, management, and control of a pharmacy.