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A BILL TO BE ENTITLED
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AN ACT
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relating to the authority of physicians to delegate to certain |
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pharmacists the implementation and modification of a patient's drug |
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therapy. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Sections 157.101(b) and (b-1), Occupations Code, |
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are amended to read as follows: |
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(b) A physician may delegate to a properly qualified and |
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trained pharmacist acting under adequate physician supervision the |
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performance of specific acts of drug therapy management authorized |
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by the physician through the physician's order, standing medical |
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order, standing delegation order, or other order or protocol as |
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defined by board rule, including the implementation or modification |
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of a patient's drug therapy. |
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(b-1) A delegation under Subsection (b) may include the |
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implementation or modification of a patient's drug therapy under a |
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protocol that calls for dangerous drugs, which delegation |
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includes[, including] the authority to sign a prescription drug |
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order [for dangerous drugs], only if: |
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(1) the delegation follows a diagnosis, initial |
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patient assessment, and drug therapy order by the physician; |
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(2) the pharmacist practices in a hospital, |
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hospital-based clinic, or an academic health care institution; |
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(3) the hospital, hospital-based clinic, or academic |
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health care institution in which the pharmacist practices has |
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bylaws and a medical staff policy that permit a physician to |
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delegate to a pharmacist the management of a patient's drug |
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therapy; |
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(4) the pharmacist provides the name, address, and |
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telephone number of the pharmacist and of the delegating physician |
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on each prescription signed by the pharmacist; and |
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(5) the pharmacist provides a copy of the protocol to |
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the Texas State Board of Pharmacy. |
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SECTION 2. Section 554.057, Occupations Code, is amended to |
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read as follows: |
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Sec. 554.057. RULEMAKING; IMPLEMENTATION OF DRUG THERAPY |
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UNDER PROTOCOL. The board, with the advice of the Texas Medical |
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Board, shall adopt rules that allow a pharmacist to implement or |
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modify a patient's drug therapy pursuant to a physician's |
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delegation under Section 157.101(b) or (b-1) [157.101(b-1)]. |
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SECTION 3. Not later than January 1, 2020, the Texas State |
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Board of Pharmacy shall adopt rules under Section 554.057, |
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Occupations Code, as amended by this Act. |
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SECTION 4. This Act takes effect September 1, 2019. |