By Hilbert                                            H.B. No. 2650
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to the regulation of the practice of pharmacy.
    1-3        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-4        SECTION 1.  Subsection (a), Section 17, Texas Pharmacy Act
    1-5  (Article 4542a-1, Vernon's Texas Civil Statutes) is amended as
    1-6  follows:
    1-7        (a)  The board is responsible for the regulation of the
    1-8  practice of pharmacy in this state, including the following:
    1-9              (1)  the licensing by examination or by reciprocity of
   1-10  applicants who are qualified to engage in the practice of pharmacy
   1-11  and the licensing of pharmacies under this Act;
   1-12              (2)  the renewal of licenses to engage in the practice
   1-13  of pharmacy and licenses to operate pharmacies;
   1-14              (3)  the determination and issuance of standards for
   1-15  recognition and approval of degree requirements of colleges of
   1-16  pharmacy whose graduates shall be eligible for licensing in this
   1-17  state and the specification and enforcement of requirements for
   1-18  practical training, including internship;
   1-19              (4)  the enforcement of those provisions of this Act
   1-20  relating to the conduct or competence of pharmacists practicing in
   1-21  this state and the conduct of pharmacies operating in this state
   1-22  and the suspension, revocation, fining, reprimanding, cancellation,
   1-23  or restriction of licenses to engage in the practice of pharmacy or
    2-1  to operate a pharmacy;
    2-2              (5)  the specifications of conditions under which a
    2-3  pharmacist may administer medications which at a minimum shall
    2-4  include the following:
    2-5                    (A)  a licensed health care provider authorized
    2-6  to administer the medication is not reasonably available to
    2-7  administer the medication;
    2-8                    (B)  failure to administer the medication might
    2-9  result in a significant delay or interruption of a critical phase
   2-10  of drug therapy;
   2-11                    (C)  the pharmacist possesses the necessary skill
   2-12  and education to administer the medication;
   2-13                    (D)  the pharmacist notifies the appropriate
   2-14  licensed health care provider responsible for the patient's care
   2-15  within a reasonable time that the medication was administered;
   2-16                    (E)  <a pharmacist may not administer medications
   2-17  to a patient where the patient resides, except in a licensed
   2-18  nursing home or hospital;>
   2-19                    <(F)>  the authority of the pharmacist to
   2-20  administer medications may not be delegated;
   2-21                    (F) <(G)>  nothing in this subdivision shall be
   2-22  construed to prohibit a pharmacist from preparing or manipulating
   2-23  biotechnological agents or devices; and
   2-24                    (G) <(H)>  nothing in this subdivision shall be
   2-25  construed as prohibiting a pharmacist from performing an act
    3-1  delegated by a physician in accordance with the provisions of
    3-2  Subsection (d), Section 3.06, Medical Practice Act (Article 4495b,
    3-3  Vernon's Texas Civil Statutes), and the pharmacist performing such
    3-4  a delegated medical act shall be considered to be performing a
    3-5  medical act and not as engaged in the practice of pharmacy;
    3-6              (6)  the regulation of the training, qualifications,
    3-7  and employment of pharmacist-interns; and
    3-8              (7)  the enforcement of this Act and any rules adopted
    3-9  under this Act.
   3-10        SECTION 3.  This Act takes effect September 1, 1995.
   3-11        SECTION 4.  The importance of this legislation and the
   3-12  crowded conditions of the calendars in both houses create an
   3-13  emergency and an imperative public necessity that the
   3-14  constitutional rule requiring bills to be read on three several
   3-15  days in each house be suspended, and this rule is hereby suspended.