Iowa 2023-2024 Regular Session Status: Enacted

HF 555 — A bill for an act relating to the practice of pharmacy, and providing for administrative penalties.

Last action — Signed by Governor.

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced March 02, 2023. Enacted.

Signed by Governor Kim Reynolds (Republican) on April 19, 2024.

Prognosis

Advancing 50% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

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

408 added · 436 removed

408 line(s) added, 436 removed.

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KMRENODS O FICEOF THE GOVERNOR ADAMGEGG GVEROR TGVENOR Arl1,024 TeHnoaleaulae Sceayofaeofowa Saeaitl DsMons,owa019 Darr.Sceay, Ieebyrni:
House File 555 - Enrolled House File 555 AN ACT RELATING TO THE PRACTICE OF PHARMACY, AND PROVIDING FOR ADMINISTRATIVE PENALTIES.
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"1 I I1I House File 555 AN ACT RELATING TO THE PRACTICE OF PHARMACY, AND PROVIDING FOR ADMINISTRATIVE PENALTIES.
Section 1 .
Section 1.
155A-2B Practice of pharmacy general principles.
155A.2B Practice of pharmacy —— general principles.
3.
4.
-Practitioner - means a physician, dentist, podiatric physician, prescribing psychologist, veterinarian, optometrist, pharmacist, physician assistant, advanced registered nurse House File 555, p.
“Practitioner” means a physician, dentist, podiatric physician, prescribing psychologist, veterinarian, optometrist, pharmacist, physician assistant, advanced registered nurse House File 555, p.
NEW SUBSECTION.
NEW SUBSECTION .
-Therapeutic substitution" means the replacement of a prescribed drug, biological product, or device with an alternative molecule or device with assumed equivalent therapeutic effect.
“Therapeutic substitution” means the replacement of a prescribed drug, biological product, or device with an alternative molecule or device with assumed equivalent therapeutic effect.
The board shall not adopt rules pertaining to pharmacy support person registration which include any determination of the competency of the registered person and, notwithstanding section 272C.2, subsection 1 , shall not require continuing education for renewal.
The board shall not adopt rules pertaining to pharmacy support person registration which include any determination of the competency of the registered person and, notwithstanding section 272C.2, subsection 1, shall not require continuing education for renewal.
The board may deny, suspend, or revoke a pharmacist-intern registration for failure to meet the standards prescribed by the board pursuant to subsection 3 .
The board may deny, suspend, or revoke a pharmacist-intern registration for failure to meet the standards prescribed by the board pursuant to subsection 3.
Responsibility for the actions of a pharmacist-intern, pharmacy technician, or pharmacy support person working under a licensed pharmacist's delegated functions and reasonable professional oversight shall remain with the licensed pharmacist.
Responsibility for the actions of a pharmacist-intern, pharmacy technician, or pharmacy support person working under a licensed pharmacist’s delegated functions and reasonable professional oversight shall remain with the licensed pharmacist.
155A.ß Requirements Eer pharmaeist Pharmacist license.
155A.8 Requirements for pharmacist Pharmacist license.
A pharmacist may dispense, administer, monitor, and issue prescription drugs, biological products, and medication orders commensurate with the pharmacist's training and education and in accordance with the appropriate standard of care.
A pharmacist may dispense, administer, monitor, and issue prescription drugs, biological products, and medication orders commensurate with the pharmacist’s training and education and in accordance with the appropriate standard of care.
To qualify for a pharmacist license, an applicant shall House File 555, P.
To qualify for a pharmacist license, an applicant shall House File 555, p.
1.
2.
An applicant who is a graduate of a school or college of pharmacy located outside the United States but who is otherwise qualified to apply for a pharmacist license in this state may be deemed to have satisfied the requirements of ocction 155A.8, oubncction 1 section 155A.8, subsection 3 , paragraph -a-, by verification to the board of the applicant's academic record and graduation and by meeting other requirements established by rule of the board.
An applicant who is a graduate of a school or college of pharmacy located outside the United States but who is otherwise qualified to apply for a pharmacist license in this state may be deemed to have satisfied the requirements of section 155A.8, subsection 1 section 155A.8, subsection 3, paragraph “a”, by verification to the board of the applicant’s academic record and graduation and by meeting other requirements established by rule of the board.
The board may require the applicant to pass an examination or examinations given or approved by the board to establish proficiency in English and equivalency of education as a prerequisite for taking the licensure examination required in section 155A.8, subsection 3 .
The board may require the applicant to pass an examination or examinations given or approved by the board to establish proficiency in English and equivalency of education as a prerequisite for taking the licensure examination required in section 155A.8, subsection 3.
NEW SUBSECTION.
NEW SUBSECTION .
NEW SUBSECTION.
NEW SUBSECTION .
Section 155A.13, subsection 3 , paragraph b, Code 2024, is amended by striking the paragraph and inserting in lieu thereof the following:
Section 155A.13, subsection 3, paragraph b, Code 2024, is amended by striking the paragraph and inserting in lieu thereof the following:
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Section 155A.13, subsection 3 , paragraphs c, d, and e, Code 2024, are amended by striking the paragraphs.
Section 155A.13, subsection 3, paragraphs c, d, and e, Code 2024, are amended by striking the paragraphs.
Section 155A.13, subsection 8 , Code 2024, is amended by striking the subsection.
Section 155A.13, subsection 8, Code 2024, is amended by striking the subsection.
NEW SUBSECTION.
NEW SUBSECTION .
Paragraph -B- does not apply to a licensed pharmacy, licensed wholesaler, physician, veterinarian, dentist, podiatric physician, optometrist, advanced registered nurse House File 555, p .
Paragraph “a” does not apply to a licensed pharmacy, licensed wholesaler, physician, veterinarian, dentist, podiatric physician, optometrist, advanced registered nurse House File 555, p.
6 practitioner, physician assistant, pharmacist, a nurse acting under the direction of a physician, staff acting under the direction of a person licensed to prescribe, or the board of pharmacy, its officers, agents, inspectors, and representatives, or to a common carrier, manufacturer's representative, or messenger when transporting the drug or device in the same unbroken package in which the drug or device was delivered to that person for transportation.
6 practitioner, physician assistant, pharmacist, a nurse acting under the direction of a physician, staff acting under the direction of a person licensed to prescribe, or the board of pharmacy, its officers, agents, inspectors, and representatives, or to a common carrier, manufacturer’s representative, or messenger when transporting the drug or device in the same unbroken package in which the drug or device was delivered to that person for transportation.
Section 155A.26, unnumbered paragraph 1 , Code 2024, is amended to read as follows:
Section 155A.26, unnumbered paragraph 1, Code 2024, is amended to read as follows:
The board, its officers, agents, in3pectors compliance officers, and representatives, and all peace officers within the state, and all county attorneys shall enforce all provisions of this chapter, except those specifically delegated, and shall cooperate with all agencies charged with the enforcement of the laws of the United States, of this state, and of all other states relating to prescription drugs.
The board, its officers, agents, inspectors compliance officers, and representatives, and all peace officers within the state, and all county attorneys shall enforce all provisions of this chapter, except those specifically delegated, and shall cooperate with all agencies charged with the enforcement of the laws of the United States, of this state, and of all other states relating to prescription drugs.
Conduct routine and unannounced inspections of pharmacic3, drug wholc3alcr3, and the officcs or businc33 location3 of all individuals and institutions authorizcd to have e-9$ss -- of a_;:g3 including any entity licensed by the board or location authorized to possess controlled substances or prescription devices, regardless of the location of the office or business.
Conduct routine and unannounced inspections of pharmacies, drug wholesalers, and the offices or business locations of all individuals and institutions authorized to have possession of prescription drugs including any entity licensed by the board or location authorized to possess controlled substances or prescription devices, regardless of the location of the office or business.
Section 155A.27, subsection 2 , paragraph a, Code 2024, is amended to read as follows:
Section 155A.27, subsection 2, paragraph a, Code 2024, is amended to read as follows:
Bcginning January 1 , 2020, cvcry Every prescription issued for a prescription drug shall be transmitted electronically as an electronic prescription to a pharmacy by a prescriber or the prescriber's authorized agent unless exempt under paragraph -b-.
Beginning January 1, 2020, every Every prescription issued for a prescription drug shall be transmitted electronically as an electronic prescription to a pharmacy by a prescriber or the prescriber’s authorized agent unless exempt under paragraph “b”.
For prescription3 i33ucd prior to January 1 , 2020, or €es prescriptions exempt from the electronic prescription requirement in subsection 2 , paragraph b -, a prescriber or the prescriber's authorized agent may transmit a prescription for a prescription drug to a pharmacy by any of the following means:
For prescriptions issued prior to January 1, 2020, or for prescriptions exempt from the electronic prescription requirement in subsection 2, paragraph “b”, a prescriber or the prescriber’s authorized agent may transmit a prescription for a prescription drug to a pharmacy by any of the following means:
NEW SUBSECTION.
NEW SUBSECTION .
Except as specified in subsection 9 , a prescription for any prescription drug or device which is not a controlled substance shall not be filled or refilled more than eighteen months after the date on which the prescription was issued and a prescription which is authorized to be refilled shall not be refilled more than twelve times.
Except as specified in subsection 9, a prescription for any prescription drug or device which is not a controlled substance shall not be filled or refilled more than eighteen months after the date on which the prescription was issued and a prescription which is authorized to be refilled shall not be refilled more than twelve times.
NEW SUBSECTION.
NEW SUBSECTION .
NEW SUBSECTION.
NEW SUBSECTION .
An authorization to refill a prescription drug order shall be transmitted to a pharmacy by a prescriber or the prescriber's authorized agent pursuant to this section, except that prescription drug orders for controlled substances shall be transmitted pursuant to section 124.308, and, if not transmitted directly by the practitioner, shall also include the name and title of the practitioner's agent completing the transmission.
An authorization to refill a prescription drug order shall be transmitted to a pharmacy by a prescriber or the prescriber’s authorized agent pursuant to this section, except that prescription drug orders for controlled substances shall be transmitted pursuant to section 124.308, and, if not transmitted directly by the practitioner, shall also include the name and title of the practitioner’s agent completing the transmission.
155A.32 Drug product selection — restrictions.
155A.32 Drug product selection —— restrictions.
The pharmacist shall not provide a therapeutic substitution if "dispense as written" is indicated on the prescription.
The pharmacist shall not provide a therapeutic substitution if “dispense as written” is indicated on the prescription.
Section 155A.39, subsection 6 , Code 2024, is amended to read as follows:
Section 155A.39, subsection 6, Code 2024, is amended to read as follows:
Funds and surcharges collected under this section shall be deposited in an account and may be used by the board to administer a program authorized by this section, but shall not be u3cd for CO3t3 incurrcd for a participant'3 initial evaluation, rcfcrral 3crvicc3, trcatmcnt, or rehabilitation 3ub3cqucnt to intervention and to assist licensees and registrants with costs incurred for participation in the program.
Funds and surcharges collected under this section shall be deposited in an account and may be used by the board to administer a program authorized by this section, but shall not be used for costs incurred for a participant’s initial evaluation, referral services, treatment, or rehabilitation subsequent to intervention and to assist licensees and registrants with costs incurred for participation in the program.
The board may request and obtain, notwithstanding section 692.2, subsection 5 , criminal history data for any applicant for an initial or renewal license or registration issued pursuant to this chapter or chapter 147, any applicant for reinstatement of a license or registration issued pursuant to this chapter or chapter 147, or any licensee or registrant who is being monitored as a result of a board order or agreement resolving an administrative disciplinary action, for the purpose of evaluating the applicant's, licensee's, or registrant's eligibility for licensure, registration, or suitability for continued practice of the profession.
The board may request and obtain, notwithstanding section 692.2, subsection 5, criminal history data for any applicant for an initial or renewal license or registration issued pursuant to this chapter or chapter 147, any applicant for reinstatement of a license or registration issued pursuant to this chapter or chapter 147, or any licensee or registrant who is being monitored as a result of a board order or agreement resolving an administrative disciplinary action, for the purpose of evaluating the applicant’s, licensee’s, or registrant’s eligibility for licensure, registration, or suitability for continued practice of the profession.
NEW SUBSECTION.
NEW SUBSECTION .
The board shall not develop or approve a statewide protocol permitting a pharmacist to order and administer any drug intended to induce an abortion as defined in section 146.1.
The board shall not develop or approve a statewide protocol permitting a pharmacist to order and administer any drug intended to induce an abortion as defined in section 146.l.
Section 155A.46, subsection 1, Code 2024, i s amended to read as follows:
Section 155A.46, subsection 1, Code 2024, is amended to read as follows:
A pharmacist may, pursuant to statewide protocols develeped by the beard in eensultatien with the depaFtment health and human scrvicc3 and consistent with 3ubacction 2 , order and administer the following to patients ages eighteen years and older:
A pharmacist may, pursuant to statewide protocols developed by the board in consultation with the department of health and human services and consistent with subsection 2, order and administer the following to patients ages eighteen years and older:
(1) Opioid antagonists for ovcrdo3c rcvcr3al3.
(1) Opioid antagonists for overdose reversals.
+3+ (1) An immunization or vaccination recommended by the United States centers for disease control and prevention advisory committee on immunization practices in its approved vaccination schedule for adults.
(3) (1) An immunization or vaccination recommended by the United States centers for disease control and prevention advisory committee on immunization practices in its approved vaccination schedule for adults.
+4+ (2) An immunization or vaccination recommended by the United States centers for disease control and prevention for international travel.
(4) (2) An immunization or vaccination recommended by the United States centers for disease control and prevention for international travel.
+5+ (3) A Tdap (tetanus, diphtheria, acellular pertussis) vaccination in a booster application.
(5) (3) A Tdap (tetanus, diphtheria, acellular pertussis) vaccination in a booster application.
f6} (4) Other emergency immunizations or vaccinations in response to a public health emergency.
(6) (4) Other emergency immunizations or vaccinations in response to a public health emergency.
+4+ ( 5) An immunization or vaccination for COVID-19 as House File 555, p.
(7) (5) An immunization or vaccination for COVID-19 as House File 555, p.
A pharmacist may, pursuant to statewide protocols developed by the board in con3ultation with the department of health -and`-ia..
A pharmacist may, pursuant to statewide protocols developed by the board in consultation with the department of health and human services and consistent with subsection 2, order and administer the following to patients ages six months and older:
spa₹ees-and eensistent- with subs-eetied, order and administer the following to patients ages six months and older:
(1) A vaccine An immunization or immunization vaccination for influenza.
(1) A vaccine An immunization or vaccination for influenza.
C.
c.
Prior to the ordering and administration of a vaccinate an immunization or immunisation vaccination authorized by this subsection, pursuant to statewide protocols, a licensed pharmacist shall consult and review the statewide immunization registry or health information network.
Prior to the ordering and administration of a vaccination an immunization or immunization vaccination authorized by this subsection, pursuant to statewide protocols, a licensed pharmacist shall consult and review the statewide immunization registry or health information network.
The board shall adopt rules requiring the reporting of the administration of vaccinc3 and immunizations and vaccinations authorized by this subsection to a patient's primary health care provider, primary physician, and a statewide immunization registry or health information network.
The board shall adopt rules requiring the reporting of the administration of vaccines and immunizations and vaccinations authorized by this subsection to a patient’s primary health care provider, primary physician, and a statewide immunization registry or health information network.
A pharmacist may, pursuant to 3tatcwidc protocols develeped by the beard in consultation with the department of order and administer the following to patients ages six years and older:
A pharmacist may, pursuant to statewide protocols developed by the board in consultation with the department of health and human services and consistent with subsection 2, order and administer the following to patients ages six years and older:
1) Pe of caretesting--and-treatfaent fer influenza, 3trcptocoecu3 A, and COVID 19 a3 defined in section 686D.2 at () Point ef -eare testing at:
(1) Point-of-care testing and treatment for influenza, streptococcus A, and COVID-19 as defined in section 686D.2 at the point of interaction between a pharmacist and a patient.
c point of interaction hcQlth emergency.
(2) Point-of-care testing at the point of interaction between a pharmacist and a patient in response to a public health emergency.
Section 155A.46, subsection 2 , Code 2024, is amended by striking the subsection and inserting in lieu thereof the following:
Section 155A.46, subsection 2, Code 2024, is amended by striking the subsection and inserting in lieu thereof the following:
Section 155A.47, subsection 1 , Code 2024, is amended to read as follows:
Section 155A.47, subsection 1, Code 2024, is amended to read as follows:
Notwithstanding any provision of section 147.107, subsection 2, or ocction 155A.33 this chapter to the contrary, the board may approve a pilot or demonstration research project of innovative applications in the practice of pharmacy to provide enhanced patient care.
Notwithstanding any provision of section 147.107, subsection 2, or section 155A.33 this chapter to the contrary, the board may approve a pilot or demonstration research project of innovative applications in the practice of pharmacy to provide enhanced patient care.
Section 514F.7, subsection 4 , paragraph a, Code 2024, is amended to read as follows:
Section 514F.7, subsection 4, paragraph a, Code 2024, is amended to read as follows:
PAT GRASSLE Y Speaker of t e House President of the Senate I hereby certify that this bill originated in the House and is known as House File 555, Ninetieth General Assembly.
______________________________ ______________________________ PAT GRASSLEY AMY SINCLAIR Speaker of the House President of the Senate I hereby certify that this bill originated in the House and is known as House File 555, Ninetieth General Assembly.
ME rAN NELSON Cu of lerk - the Houe Approved KIM Governor
______________________________ MEGHAN NELSON Chief Clerk of the House Approved _______________, 2024 ______________________________ KIM REYNOLDS Governor
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Amendments

4 amendments

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Action History

  1. Signed by Governor.

  2. Reported correctly enrolled, signed by Speaker and President, and sent to Governor.

  3. Message from House.

  4. Explanation of vote.

  5. Immediate message.

  6. Passed House, yeas 87, nays 9.

  7. House concurred in Senate amendment H-8060.

  8. Amendment H-8202 to Senate amendment H-8060 withdrawn.

  9. Placed on calendar under unfinished business.

  10. Amendment H-8202 filed.

  11. Senate amendment H-8060 filed.

  12. Message from Senate.

  13. Immediate message.

  14. Passed Senate, yeas 46, nays 0.

  15. Amendment S-3112 adopted, as amended.

  16. Amendment S-5002 adopted.

  17. Amendment S-5002 to S-3112 filed.

  18. Placed on calendar under unfinished business.

  19. Amendment S-3112 filed.

  20. Committee report, recommending amendment and passage.

  21. Subcommittee recommends passage. [].

  22. Subcommittee Meeting: 03/23/2023 1:00PM Room 217 Conference Room.

  23. Subcommittee: Edler, Costello, and Trone Garriott.

  24. Read first time, referred to Health and Human Services.

  25. Message from House.

  26. Immediate message.

  27. Passed House, yeas 86, nays 10.

  28. Introduced, placed on calendar.

Sponsors

  • COMMITTEE ON HEALTH AND HUMAN SERVICES · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 149 not signed on

Sponsors (1)

  • COMMITTEE ON HEALTH AND HUMAN SERVICES

Co-sponsors (0)

None.

Not signed on (149)

149 members have not signed on to this bill.

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"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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors HF 555?
HF 555 is sponsored by COMMITTEE ON HEALTH AND HUMAN SERVICES.
What is the current status of HF 555?
This bill has been enacted into law. Introduced March 02, 2023. Enacted.
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