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               A BILL TO BE ENTITLED
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               AN ACT
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            relating to the delegation to a pharmacy technician of a  | 
         
         
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            pharmacist's authority to administer an immunization or vaccine. | 
         
         
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                   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
         
         
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                   SECTION 1.  Section 554.004(a), Occupations Code, is amended  | 
         
         
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            to read as follows: | 
         
         
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                   (a)  The board shall specify conditions under which a  | 
         
         
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            pharmacist may administer medication, including an immunization  | 
         
         
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            and vaccination.  The conditions must ensure that: | 
         
         
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                         (1)  a licensed health care provider authorized to  | 
         
         
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            administer the medication is not reasonably available to administer  | 
         
         
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            the medication; | 
         
         
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                         (2)  failure to administer the medication, other than  | 
         
         
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            an immunization or vaccination, might result in a significant delay  | 
         
         
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            or interruption of a critical phase of drug therapy; | 
         
         
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                         (3)  the pharmacist possesses the necessary skill,  | 
         
         
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            education, and certification as specified by the board to  | 
         
         
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            administer the medication; | 
         
         
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                         (4)  within a reasonable time after administering  | 
         
         
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            medication, the pharmacist notifies the licensed health care  | 
         
         
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            provider responsible for the patient's care that the medication was  | 
         
         
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            administered; | 
         
         
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                         (5)  the pharmacist may not administer medication to a  | 
         
         
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            patient at the patient's residence, except at a licensed nursing  | 
         
         
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            home or hospital; | 
         
         
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                         (6)  the pharmacist administers an immunization or  | 
         
         
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            vaccination under a physician's written protocol and meets the  | 
         
         
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            standards established by the board; and | 
         
         
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                         (7)  the authority of a pharmacist to administer an  | 
         
         
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            immunization or vaccination [medication] may [not] be delegated to  | 
         
         
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            a registered pharmacy technician. | 
         
         
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                   SECTION 2.  As soon as practicable after the effective date  | 
         
         
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            of this Act, the Texas State Board of Pharmacy shall adopt rules  | 
         
         
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            necessary to implement Section 554.004(a), Occupations Code, as  | 
         
         
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            amended by this Act. | 
         
         
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                   SECTION 3.  This Act takes effect immediately if it receives  | 
         
         
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            a vote of two-thirds of all the members elected to each house, as  | 
         
         
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            provided by Section 39, Article III, Texas Constitution.  If this  | 
         
         
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            Act does not receive the vote necessary for immediate effect, this  | 
         
         
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            Act takes effect September 1, 2025. |