87R2619 KKR-F
 
  By: Cortez H.B. No. 677
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the administration of a medication, immunization, or
  vaccination by a pharmacist.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  The heading to Section 554.004, Occupations
  Code, is amended to read as follows:
         Sec. 554.004.  ADMINISTRATION OF MEDICATION, IMMUNIZATION,
  OR VACCINATION.
         SECTION 2.  Section 554.004(a), Occupations Code, is amended
  to read as follows:
         (a)  The board shall specify conditions under which a
  pharmacist may administer medication, including an immunization or
  [and] vaccination. The conditions for the administration of an
  immunization or vaccination must ensure that:
               (1)  [a licensed health care provider authorized to
  administer the medication is not reasonably available to administer
  the medication;
               [(2)  failure to administer the medication, other than
  an immunization or vaccination, might result in a significant delay
  or interruption of a critical phase of drug therapy;
               [(3)]  the pharmacist possesses the necessary skill,
  education, and certification as specified by the board to
  administer the immunization or vaccination [medication];
               (2) [(4)]  within a reasonable time after
  administering an immunization or vaccination [medication], the
  pharmacist notifies the licensed health care provider responsible
  for the patient's care that the immunization or vaccination
  [medication] was administered;
               (3) [(5)]  the pharmacist may not administer an
  immunization or vaccination [medication] to a patient at the
  patient's residence, except at a licensed nursing home or hospital;
               (4) [(6)]  the pharmacist administers an immunization
  or vaccination under a physician's written protocol and meets the
  standards established by the board; and
               (5) [(7)]  the authority of a pharmacist to administer
  an immunization or vaccination [medication] may not be delegated.
         SECTION 3.  Sections 554.052(a) and (c-1), Occupations Code,
  are amended to read as follows:
         (a)  The board by rule shall require a pharmacist to notify a
  physician who prescribes an immunization or vaccination not later
  than the 14th day [within 24 hours] after the date the pharmacist
  administers the immunization or vaccination.
         (c-1)  A pharmacist may administer an immunization or
  [influenza] vaccination to a patient who is at least three [over
  seven] years of age without an established physician-patient
  relationship if the immunization or vaccination is:
               (1)  authorized or approved by the United States Food
  and Drug Administration or listed in the routine immunization
  schedule recommended by the federal Advisory Committee on
  Immunization Practices published by the federal Centers for Disease
  Control and Prevention; and
               (2)  administered in accordance with the federal
  Advisory Committee on Immunization Practices vaccine-specific
  recommendations.
         SECTION 4.  This Act takes effect September 1, 2021.