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  81R6587 YDB-F
 
  By: Hopson H.B. No. 1409
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the minimum patient age for administration of an
  immunization or vaccination by a pharmacist.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Sections 554.052(c) and (d), Occupations Code,
  are amended to read as follows:
         (c)  Supervision by a physician is adequate if the delegating
  physician:
               (1)  is responsible for formulating or approving an
  order or protocol, including the physician's order, standing
  medical order, or standing delegation order, and periodically
  reviews the order or protocol and the services provided to a patient
  under the order or protocol;
               (2)  has established a physician-patient relationship
  with each patient under seven [14] years of age and referred the
  patient to the pharmacist;
               (3)  is geographically located to be easily accessible
  to the pharmacy where an immunization or vaccination is
  administered;
               (4)  receives, as appropriate, a periodic status report
  on the patient, including any problem or complication encountered;
  and
               (5)  is available through direct telecommunication for
  consultation, assistance, and direction.
         (d)  The Texas [State Board of] Medical Board [Examiners] by
  rule shall establish the minimum content of a written order or
  protocol. The order or protocol may not permit delegation of
  medical diagnosis.
         SECTION 2.  This Act takes effect September 1, 2009.