Relating to: pharmacy technicians and pharmacy students administering vaccines.
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AB 4 — Relating to: pharmacy technicians and pharmacy students administering vaccines.
Last action — Published 2-20-2021
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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✓Passed Assembly
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✓Passed Senate
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced January 19, 2021. Enacted.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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7 sponsors
7 primary, 0 co-sponsors signed on.
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Single-party support
Sponsorship is currently within one party (5 R).
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Cleared a recorded vote
Passed 5 recorded votes so far.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Bill Text
What changed in the latest version
131 added · 21 removedPlain-language change summary
In the latest amendment to AB 4, language was added to allow pharmacy technicians to not only administer vaccines but also specific medications like epinephrine and diphenhydramine to individuals experiencing adverse reactions to vaccines. This change enhances the role of pharmacy technicians in emergency situations, enabling them to respond quickly to potential vaccine-related issues. Additionally, it broadens the scope of supervision for pharmacy students who can now be mentored by any healthcare provider, not just pharmacists, as they gain hands-on experience in administering vaccines. This flexibility aims to improve healthcare delivery and efficiency in pharmacies.
- 2022 LEGISLATURE LRBa0043/1LRB-1574/1 KP:amnKP:cjs ASSEMBLY AMENDMENT 1, TO ASSEMBLY BILL 4 January 25,19, 2021 - OfferedIntroduced by RepresentativeURPHY.Representatives SANFELIPPO, CABRAL-G UEVARA, D ITTRICH, DUCHOW , M OSES, MURPHY and R OZAR , cosponsored by Senator K OOYENGA .
AtReferred theto locationsCommittee indicated,on amendHealth. the bill as follows:
A N A CT to renumber and amend 450.035 (2g);
to amend 450.03 (1) (f), 450.03 (1) (g), 450.03 (1) (i), 450.035 (2i) (a), 450.035 (2i) (b), 450.035 (2m), 450.035 (2t) (intro.), 450.035 (2t) (a), 450.035 (3) and 450.035 (4);
and to create 450.035 (2h) of the statutes;
relating to:
pharmacy technicians and pharmacy students administering vaccines.
Analysis by the Legislative Reference Bureau This bill authorizes pharmacy technicians to administer vaccines.
Under current law, a pharmacy technician is a person who provides services as directed, supervised, and inspected by a pharmacist.
To administer vaccines under the bill, a pharmacy technician must complete two hours of training and must be supervised by a pharmacist.
Also, under the bill, any health care provider who is authorized to administer vaccines may supervise pharmacy students who have completed two years of pharmacy school while they administer a vaccine.
Current law requires pharmacy students who have completed two years of pharmacy school to be supervised by a pharmacist while administering a vaccine.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
- 2022 Legislature - 2 - LRB-1574/1 KP:cjs ASSEMBLY BILL 4 SECTION 1 SECTION 1.
450.03 (1) (f) of the statutes is amended to read:
450.03 (1) (f) A person who has successfully completed his or her second year in, and is enrolled at, an accredited school of pharmacy and whose practice of pharmacy is limited to performing duties under the direct supervision of a person licensed as a pharmacist by the board and administering vaccines under the direct supervision of a health care provider authorized to administer vaccines.
SECTION 2.
450.03 (1) (g) of the statutes is amended to read:
450.03 (1) (g) A person who has applied for a license under s.
450.05 whose practice of pharmacy is limited to performing duties under the direct supervision of a person licensed as a pharmacist by the board and administering vaccines under the direct supervision of a health care provider authorized to administer vaccines during the period before which the board takes final action on the person's application.
SECTION 3.
450.03 (1) (i) of the statutes is amended to read:
450.03 (1) (i) Any person who is providing services, including administering vaccines, as directed, supervised, and inspected by a pharmacist who has the power to direct, decide, and oversee the implementation of the services rendered, subject to any rules promulgated by the board and subject to s.
450.035 (2m).
SECTION 4.
450.035 (2g) of the statutes is renumbered 450.035 (2g) (a) and amended to read:
450.035 (2g) (a) A person engaged in the practice of pharmacy under s.
450.03 (1) (f) or (g) may not administer a vaccine unless he or she acts under the direct supervision of a pharmacist health care provider authorized to administer vaccines and he or she and the supervising pharmacist have has successfully completed 12 hours in a course of study and training, approved by the Accreditation Council for Pharmacy Education or the board, in vaccination storage, protocols, administration LRB-1574/1 - 2022 Legislature - 3 - KP:cjs SECTION 4 ASSEMBLY BILL 4 technique, emergency procedures, and record keeping andf the supervising health care provider under this paragraph is a pharmacist, a person engaged in the practice of pharmacy under s.
450.03 (1) (f) or (g) may not administer a vaccine unless the supervising pharmacist has successfully completed a course of study and training specified in sub.
(2) and has satisfied the requirements specified in sub.
(2t).
(b) A person engaged in the practice of pharmacy under s.
450.03 (1) (f) or (g) may not administer a vaccine under this subsection to a person who is under the age of 6.
S ECTION 5.
450.035 (2h) of the statutes is created to read:
450.035 (2h) (a) A person engaged in the practice of pharmacy under s.
450.03 (1) (i) may not administer a vaccine unless all of the following are satisfied:
PageThe 2,person linehas 5:successfully completed at least 2 hours in a course of study and training, approved by the Accreditation Council for Pharmacy Education or the board, in hands-on injection technique and the recognition and treatment of emergency reactions to vaccines.
delete the material beginning with “under" and ending with “vaccine" on line 6 and substitute “or drugs as authorized under s.
450.035”.
Show all 83 changed lines (43 more)
PageThe 2,person lineacts 10:under the direct supervision of a pharmacist and the supervising pharmacist has successfully completed a course of study and training specified in sub.
delete(2) the material beginning with “underding with “vaccines" on line 11 and substitutehas “orsatisfied drugsthe asrequirements authorizedspecified underin s.sub.
450.035”.(2t).
PageThe 2,person lineholds 15:a current certification in basic life support or cardiopulmonary resuscitation.
delete “vaccines," and substitute “vaccines or drugs as authorized under s.
450.035,".
PageThe 4,person lineholds 15:a certified pharmacy technician certification from either the Pharmacy Technician Certification Board, or its successor organization, or the National Healthcareer Association, or its successor organization.
after(b) thatA lineperson insert:engaged in the practice of pharmacy under s.
“SECTION450.03 7m.(1) (i) may not administer a vaccine under this subsection to a person who is under the age of 6.
450.035- (2k)2022 ofLegislature the- statutes4 is- createdLRB-1574/1 toKP:cjs read:ASSEMBLY BILL 4 SECTION 6 SECTION 6.
450.035 (2k)(2i) A(a) personof authorizedthe tostatutes administeris aamended vaccine under this section may administer by injection epinephrine and diphenhydramine to aread: person experiencing an adverse reaction to a vaccine.”.
LRBa0043/1450.035(2i) -(a) 2022Subject Legislatureto -subs. 2 - KP:amn 5.
Page(2) 4,and, line(2g), 17:and (2h), a pharmacist or a person engaged in the practice of pharmacy under s.
delete450.03 “,(1) (f) or, (g), or "(i) may administer without a prescription order any vaccine listed in the current immunization schedules recommended by the federal advisory committee on immunization practices and substitutepublished “,by (2h),the orfederal (2k)".centers for disease control and prevention.
SECTION 7.
450.035 (2i) (b) of the statutes is amended to read:
450.035(2i) (b) Subject to subs.
(2) and), and (2h), a pharmacist or a person engaged in the practice of pharmacy under s.
450.03 (1) (f) or, (g), or (i) may initiate and administer any vaccine not listed in the current immunization schedules recommended by the federal advisory committee on immunization practices and published by the federal centers for disease control and prevention if the vaccine is administered pursuant to a prescription order, vaccination protocol, or standing order.
SECTION 8.
450.035 (2m) of the statutes is amended to read:
450.035 (2m) Except as provided in sub.
(1t) or, (2g), or (2h), a pharmacist may not delegate to any person any administration of a prescribed drug product or device or vaccine under sub.
(1r) or (2).
SECTION 9.
450.035 (2t) (intro.) of the statutes is amended to read:
450.035 (2t) (intro.) A pharmacist may not administer a vaccine under sub.
(2) or supervise a person administering a vaccine under sub.
(2g) orunless the pharmacist satisfies each of the following:
SECTION 10.
450.035 (2t) (a) of the statutes is amended to read:
LRB-1574/1 - 2022 Legislature - 5 - KP:cjs S ECTION 10 ASSEMBLY BILL 4 450.035(2t) (a) The pharmacist has in effect liability insurance that covers the pharmacist and a person who administers a vaccine under sub.
(2g) or (2h)t loss, expense and liability resulting from errors, omissions or neglect in the administration of vaccines in an amount that is not less than $1,000,000 for each occurrence and $2,000,000 for all occurrences in any one policy year.
SECTION 11.
450.035 (3) of the statutes is amended to read:
450.035 (3) A pharmacist or a person engaged in the practice of pharmacy under s.
450.03 (1) (f) or, (g), or (i) who successfully completes a course of study and training specified in sub.
(1r), (1t), (2), or2h), or holds a certification under sub.
(2h), shall maintain proof of completion or holding the certification and, upon request, provide copies of such proof to the department or the board.
SECTION 12.
450.035 (4) of the statutes is amended to read:
450.035 (4) A pharmacist or person engaged in the practice of pharmacy under s.
450.03 (1) (f) or, (g), or (i) who administers a vaccine to a person under this section shall update, or cause a pharmacy to update, the Wisconsin Immunization Registry established by the department of health services within 7 days of administering the vaccine.
Show all 83 changed rows (43 more)
View plain text versions (3)
- Bill Text View text pdf
- Amended Assembly Amendment 1 pdf
- Amended Senate Amendment 1 Current pdf
Action History
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Published 2-20-2021
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Report approved by the Governor on 2-19-2021. 2021 Wisconsin Act 3
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Presented to the Governor on 2-18-2021
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Report correctly enrolled on 2-18-2021
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Action ordered immediately messaged
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Senate Amendment 1 concurred in
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Received from Senate amended and concurred in as amended (Senate amendment 1 adopted)
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Ordered immediately messaged
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Read a third time and concurred in as amended
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Rules suspended
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Ordered to a third reading
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Senate Amendment 1 adopted
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Read a second time
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Placed on calendar 2-16-2021 pursuant to Senate Rule 18(1)
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Available for scheduling
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Report concurrence as amended recommended by Committee on Health, Ayes 5, Noes 0
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Report adoption of Senate Amendment 1 recommended by Committee on Health, Ayes 5, Noes 0
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Executive action taken
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Senate Amendment 1 offered by Senator Kooyenga
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Public hearing held
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Read first time and referred to committee on Health
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Received from Assembly
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Ordered immediately messaged
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Read a third time and passed, Ayes 90, Noes 1
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Rules suspended
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Ordered to a third reading
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Assembly Amendment 1 adopted
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Read a second time
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Made a special order of business at 9:01 AM on 1-28-2021 pursuant to Assembly Resolution 8
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Referred to committee on Rules
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Report passage as amended recommended by Committee on Health, Ayes 13, Noes 1
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Report Assembly Amendment 1 adoption recommended by Committee on Health, Ayes 14, Noes 0
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Assembly Amendment 1 offered by Representative Murphy
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Representative Steffen added as a coauthor
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Public hearing held
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Read first time and referred to Committee on Health
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Introduced by Representatives Sanfelippo, Cabral-Guevara, Dittrich, Duchow, Moses, Murphy and Rozar; cosponsored by Senator Kooyenga
Sponsors
- Rozar · Primary
- David Murphy · Primary
- Clint Moses · Primary
- Cindi Duchow · Primary
- Barbara Dittrich · Primary
- Rachael Cabral-Guevara · Primary
- Sanfelippo · Primary
Sponsorship breakdown
Export CSV (upgrade) →7 sponsors · 0 co-sponsors · 125 not signed on · 1 voted No
Sponsors (7)
- Rozar
- Murphy, David Republican
- Moses, Clint Republican
- Duchow, Cindi Republican
- Dittrich, Barbara Republican
- Cabral-Guevara, Rachael Republican
- Sanfelippo
Co-sponsors (0)
None.
Not signed on (125)
125 members have not signed on to this bill.
Show all 125 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
Roll call published as PDF — view source.
Roll call published as PDF — view source.
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 33 | 1 | 0 | 0 |
| Democrat | 18 | 0 | 0 | 0 |
| Unaffiliated | 39 | 0 | 0 | 0 |
| Total | 90 | 1 | 0 | 0 |
| % of votes cast | 99% | 1% | 0% | 0% |
How each member voted (91)
| Member | Party | Vote |
|---|---|---|
| BALDEH | — | Yea |
| BRANDTJEN | — | Yea |
| BROSTOFF | — | Yea |
| CABRAL-GUEVA | — | Yea |
| CABRERA | — | Yea |
| CONLEY | — | Yea |
| CONSIDINE | — | Yea |
| EDMING | — | Yea |
| GOYKE | — | Yea |
| HEBL | — | Yea |
| HINTZ | — | Yea |
| HORLACHER | — | Yea |
| KATSMA | — | Yea |
| KERKMAN | — | Yea |
| LOUDENBECK | — | Yea |
| MACCO | — | Yea |
| MAGNAFICI | — | Yea |
| MEYERS | — | Yea |
| MILROY | — | Yea |
| MOORE OMOKUN | — | Yea |
| MYERS | — | Yea |
| OHNSTAD | — | Yea |
| OLDENBURG | — | Yea |
| PETRYK | — | Yea |
| PLUMER | — | Yea |
| POPE | — | Yea |
| RAMTHUN | — | Yea |
| RIEMER | — | Yea |
| ROZAR | — | Yea |
| SANFELIPPO | — | Yea |
| SCHRAA | — | Yea |
| SHELTON | — | Yea |
| SKOWRONSKI | — | Yea |
| STEINEKE | — | Yea |
| TAUCHEN | — | Yea |
| THIESFELDT | — | Yea |
| VORPAGEL | — | Yea |
| VRUWINK | — | Yea |
| SPEAKER | — | Yea |
| Anderson, Clinton | Democrat | Yea |
| Andraca, Deb | Democrat | Yea |
| Billings, Jill | Democrat | Yea |
| Doyle, Steve | Democrat | Yea |
| Drake, Dora | Democrat | Yea |
| Emerson, Jodi | Democrat | Yea |
| Haywood, Kalan | Democrat | Yea |
| Hesselbein, Dianne | Democrat | Yea |
| Hong, Francesca | Democrat | Yea |
| McGuire, Tip | Democrat | Yea |
| Neubauer, Greta | Democrat | Yea |
| Ortiz-Velez, Sylvia | Democrat | Yea |
| Sinicki, Christine | Democrat | Yea |
| Snodgrass, Lee | Democrat | Yea |
| Spreitzer, Mark | Democrat | Yea |
| Stubbs, Shelia | Democrat | Yea |
| Subeck, Lisa | Democrat | Yea |
| Vining, Robyn | Democrat | Yea |
| Allen, Scott | Republican | Yea |
| Armstrong, David | Republican | Yea |
| Born, Mark | Republican | Yea |
| Callahan, Calvin | Republican | Yea |
| Dallman, Alex | Republican | Yea |
| Dittrich, Barbara | Republican | Yea |
| Duchow, Cindi | Republican | Yea |
| Gundrum, Rick | Republican | Yea |
| Jagler, John | Republican | Yea |
| James, Jesse | Republican | Yea |
| Kitchens, Joel | Republican | Yea |
| Knodl, Daniel | Republican | Yea |
| Krug, Scott | Republican | Yea |
| Kurtz, Tony | Republican | Yea |
| Moses, Clint | Republican | Yea |
| Murphy, David | Republican | Yea |
| Mursau, Jeffrey | Republican | Yea |
| Neylon, Adam | Republican | Yea |
| Novak, Todd | Republican | Yea |
| Petersen, Kevin | Republican | Yea |
| Pronschinske, Treig | Republican | Yea |
| Rodriguez, Jessie | Republican | Yea |
| Rodriguez, Jessie | Republican | Yea |
| Snyder, Patrick | Republican | Yea |
| Sortwell, Shae | Republican | Yea |
| Spiros, John | Republican | Yea |
| Steffen, David | Republican | Yea |
| Summerfield, Rob | Republican | Yea |
| Swearingen, Rob | Republican | Yea |
| Tittl, Paul | Republican | Yea |
| VanderMeer, Nancy | Republican | Yea |
| Wichgers, Chuck | Republican | Nay |
| Wittke, Robert | Republican | Yea |
| Zimmerman, Shannon | Republican | Yea |
Roll call published as PDF — view source.
Roll call published as PDF — view source.
Subjects
Frequently asked questions
- Who sponsors AB 4?
- AB 4 is sponsored by Rozar, Murphy, David (Republican), Moses, Clint (Republican), Duchow, Cindi (Republican), Dittrich, Barbara (Republican), Cabral-Guevara, Rachael (Republican), and Sanfelippo.
- What is the current status of AB 4?
- This bill has been enacted into law. Introduced January 19, 2021. Enacted.
- Where can I track AB 4?
- Track AB 4 free on One Click Politics — get push/email alerts when it moves.
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