Senate Bill sb2022c1

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    Florida Senate - 2007                           CS for SB 2022

    By the Committee on Health Regulation; and Senators Bennett
    and Rich




    588-2154-07

  1                      A bill to be entitled

  2         An act relating to immunization services;

  3         amending s. 465.003, F.S.; redefining the term

  4         "practice of the profession of pharmacy" to

  5         include the administration of influenza

  6         vaccines to adults by a pharmacist; creating s.

  7         465.189, F.S.; authorizing pharmacists to

  8         administer influenza vaccines within an

  9         established protocol and under a supervisory

10         practitioner who is a licensed physician or by

11         written agreement with a county health

12         department; providing requirements for the

13         protocol; requiring training and certification

14         in the administration of influenza vaccination

15         and employer approval before entering into a

16         protocol; requiring a pharmacist to maintain

17         and make available patient records for a

18         certain time period; providing requirements for

19         the certification program; providing an

20         effective date.

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22  Be It Enacted by the Legislature of the State of Florida:

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24         Section 1.  Subsection (13) of section 465.003, Florida

25  Statutes, is amended to read:

26         465.003  Definitions.--As used in this chapter, the

27  term:

28         (13)  "Practice of the profession of pharmacy" includes

29  compounding, dispensing, and consulting concerning contents,

30  therapeutic values, and uses of any medicinal drug; consulting

31  concerning therapeutic values and interactions of patent or

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    Florida Senate - 2007                           CS for SB 2022
    588-2154-07




 1  proprietary preparations, whether pursuant to prescriptions or

 2  in the absence and entirely independent of such prescriptions

 3  or orders; and other pharmaceutical services. For purposes of

 4  this subsection, "other pharmaceutical services" means the

 5  monitoring of the patient's drug therapy and assisting the

 6  patient in the management of his or her drug therapy, and

 7  includes review of the patient's drug therapy and

 8  communication with the patient's prescribing health care

 9  provider as licensed under chapter 458, chapter 459, chapter

10  461, or chapter 466, or similar statutory provision in another

11  jurisdiction, or such provider's agent or such other persons

12  as specifically authorized by the patient, regarding the drug

13  therapy. However, nothing in this subsection may be

14  interpreted to permit an alteration of a prescriber's

15  directions, the diagnosis or treatment of any disease, the

16  initiation of any drug therapy, the practice of medicine, or

17  the practice of osteopathic medicine, unless otherwise

18  permitted by law. "Practice of the profession of pharmacy"

19  also includes any other act, service, operation, research, or

20  transaction incidental to, or forming a part of, any of the

21  foregoing acts, requiring, involving, or employing the science

22  or art of any branch of the pharmaceutical profession, study,

23  or training, and shall expressly permit a pharmacist to

24  transmit information from persons authorized to prescribe

25  medicinal drugs to their patients. "Practice of the profession

26  of pharmacy" also includes the administration to adults of

27  influenza vaccines under s. 465.189.

28         Section 2.  Section 465.189, Florida Statutes, is

29  created to read:

30         465.189  Administration of influenza vaccines.--

31  

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    Florida Senate - 2007                           CS for SB 2022
    588-2154-07




 1         (1)  Pharmacists may administer influenza vaccines to

 2  adults within the framework of an established protocol under a

 3  supervisory practitioner who is a physician licensed under

 4  chapter 458 or chapter 459 or by written agreement with a

 5  county health department. Each protocol shall contain specific

 6  procedures for addressing any unforeseen allergic reaction to

 7  an influenza vaccine.

 8         (2)  A pharmacist may not enter into a protocol until

 9  the pharmacist has completed training in the administration of

10  influenza vaccines as provided in this section.

11         (3)  A pharmacist administering an influenza vaccine

12  shall maintain and make available patient records using the

13  same standards for confidentiality and maintenance of such

14  records as those that are imposed on health care practitioners

15  under s. 456.057. These records shall be maintained for a

16  minimum of 5 years.

17         (4)  The decision by a supervisory practitioner to

18  enter into a protocol under this section is a professional

19  decision of the practitioner, and a person may not interfere

20  with a supervisory practitioner's decision as to whether to

21  enter into such a protocol. A pharmacist may not enter into a

22  protocol that is to be performed while acting as an employee

23  without the written approval of the owner of the pharmacy.

24         (5)  Any pharmacist seeking to vaccinate patients under

25  this section must be certified to administer influenza

26  vaccines pursuant to a certification program approved by the

27  Board of Pharmacy. The certification program shall, at a

28  minimum, require that a pharmacist attend at least 20 hours of

29  continuing education classes approved by the board. The

30  program must have a curriculum of instruction concerning the

31  safe and effective administration of influenza vaccines,

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    Florida Senate - 2007                           CS for SB 2022
    588-2154-07




 1  including, but not limited to, potential allergic reactions to

 2  influenza vaccines.

 3         (6)  The pharmacist must submit to the Board of

 4  Pharmacy a copy of the protocol or written agreement to

 5  administer an influenza vaccine.

 6         Section 3.  This act shall take effect July 1, 2007.

 7  

 8          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
 9                         Senate Bill 2022

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11  The committee substitute limits the vaccinations that
    pharmacists may administer to influenza vaccines.
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