S 28 — An act relating to access to certain legally protected health care services

(3) “Emergency contraception” means any drug approved by the U.S.

Food and Drug Administration as a contraceptive method for use after sexual intercourse, whether provided over the counter or by prescription.

(4) “Health information” means any oral or written information in any form or medium that relates to health insurance or the past, present, or future physical or mental health or condition of a client.

(5) “Limited-services pregnancy center” means a pregnancy services center that does not directly provide, or provide referrals to clients for, abortions or emergency contraception.

(6) “Pregnancy services center” means a facility, including a mobile facility, where the primary purpose is to provide services to individuals who are or may be pregnant and that either offers obstetric ultrasounds, obstetric sonograms, or prenatal care to pregnant individuals or has the appearance of a medical facility.

A pregnancy services center has the appearance of a medical facility if two or more of the following factors are present:

BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 6 of 34 (A) The center offers pregnancy testing or pregnancy diagnosis, or both.

(B) The center has staff or volunteers who wear medical attire or uniforms.

(C) The center contains one or more examination tables.

(D) The center contains a private or semiprivate room or area containing medical supplies or medical instruments.

(E) The center has staff or volunteers who collect health information from clients.

(F) The center is located on the same premises as a State-licensed medical facility or provider or shares facility space with a State-licensed medical provider.

(7) “Premises” means land and improvements or appurtenances or any part thereof.

“health care services” means services for the diagnosis, prevention, treatment, cure, or relief of a physical, dental, behavioral, or mental health condition or substance use disorder, including counseling, procedures, products, devices, and medications.

§ 2493.

UNFAIR AND DECEPTIVE ACT (a) It is an unfair and deceptive act and practice in commerce and a violation of section 2453 of this title for any limited-services pregnancy center BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 7 of 34 person to disseminate or cause to be disseminated to the public any advertising about the health care services or proposed services performed at that center in this State that is untrue or clearly designed to mislead the public about the nature of the services provided.

Advertising includes representations made directly to consumers;

marketing practices;

communication in any print medium, such as newspapers, magazines, mailers, or handouts;

and any broadcast medium, such as television or radio, telephone marketing, or advertising over the Internet internet such as through websites and, web ads advertisements, and social media.

For purposes of this chapter, advertising or the provision of services by a limited-services pregnancy center about health care services is an act in commerce.

(b) Health care providers certified, registered, or licensed under Title 26 of the Vermont Statutes Annotated who are employed by, contracted to provide services for or on behalf of, or volunteer to provide services at a limited- services pregnancy center shall be responsible for conducting and providing health care services, information, and counseling at the center.

The failure of a health care professional certified, registered, or licensed under Title 26 of the Vermont Statutes Annotated to conduct or to ensure that health care services, information, and counseling at the limited-services pregnancy services center are conducted in accordance with State law and professional standards of BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 8 of 34 practice may constitute unprofessional conduct under 3 V.S.A.

§ 129a and 26 V.S.A.

§ 1354.

[Repealed.] (c) The Attorney General has the same authority to make rules, conduct civil investigations, and bring civil actions with respect to violations of subsection (a) of this section as provided under subchapter 1 of this chapter.

Sec.

2.

18 V.S.A.

§ 5222 is amended to read:

§ 5222.

REPORTS (a)(1) The following fetal deaths shall be reported by the hospital, physician, or funeral director directly to the Commissioner within seven days after delivery on forms prescribed by the Department:

(1)(A) All fetal deaths of 20 or more weeks of gestation or, if gestational age is unknown, of 400 or more grams, 15 or more ounces, fetal weight shall be reported.

(2)(B) All therapeutic or induced abortions, as legally authorized to be performed, of any length gestation or weight shall be reported.

(3)(2) Spontaneous abortions and ectopic pregnancies of less than 20 weeks gestation are not required to be reported.

(b) The physician who treats a woman as a result of a miscarriage or abortion shall report the fetal death if it is not known to be previously reported under subsection (a) of this section.

If there is evidence of violence or other unusual or suspicious circumstances, the medical examiner shall be BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 9 of 34 immediately notified, and he or she the medical examiner shall complete at least the medical items on the report.

If a funeral director is to be involved, the physician may delegate to the funeral director the responsibility for completing items other than those of a medical nature.

Similarly, the physician may delegate the responsibility for completion of nonmedical items to appropriate personnel having access to records containing the information.

(c) If a fetal death occurs on a moving conveyance, the place of occurrence shall be given as the town or city where removal from the vehicle took place.

(d) Fetal death reports made pursuant to subsection (a) of this section are for statistical purposes only and are not public records.

They shall be kept confidential and shall be destroyed after five years.

Sec.

3.

26 V.S.A.

§ 1354 is amended to read:

§ 1354.

UNPROFESSIONAL CONDUCT (a) Prohibited conduct.

The Board shall find that any one of the following, or any combination of the following, whether the conduct at issue was committed within or outside the State, constitutes unprofessional conduct:

* * * (2) all advertising of health care services or a medical business that is intended or has a tendency to confuse, mislead, or deceive the public or impose upon credulous or ignorant persons and so be harmful or injurious to public morals or safety;

BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 10 of 34 * * * (21)(A) permitting one’s name or license to be used by a person, group, or corporation when not actually in charge of or responsible for the treatment given or other health care services provided;

(B) failing to provide active oversight over treatment or other health care services that are provided using or relying upon the licensee’s name or license;

(C) failing to actively monitor the education, training, and experience of individuals providing treatment or other health care services that are provided using or relying upon the licensee’s name or license;

or (D) failing to review and approve information about treatment or health care services that are provided using or relying upon the licensee’s name or license prior to communication of the information to users or potential users of the treatment or services;

* * * (29) delegation of professional responsibilities, including delivery of any health care services, to a person whom the licensed professional knows, or has reason to know, is not qualified by training, experience, education, or licensing credentials to perform them;

* * * BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 11 of 34 (33)(A) providing, prescribing, dispensing, or furnishing medical services or prescription medication or prescription-only devices to a person in response to any communication transmitted or received by computer or other electronic means, when the licensee fails to take the following actions to establish and maintain a proper physician-patient relationship:

(i) a reasonable effort to verify that the person requesting medication is in fact the patient, and is in fact who the person claims to be;

(ii) establishment of documented diagnosis through the use of accepted medical practices;

and (iii) maintenance of a current medical record;

(B) for the purposes of this subdivision (33), an electronic, on-line online, or telephonic evaluation by questionnaire is inadequate for the initial evaluation of the patient, except as otherwise provided in subdivision (C)(iv) of this subdivision (33);

(C) the following would not be in violation of this subdivision (33) if transmitted or received by computer or other electronic means:

(i) initial admission orders for newly hospitalized patients;

(ii) prescribing for a patient of another physician for whom the prescriber has taken the call;

BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 12 of 34 (iii) prescribing for a patient examined by a licensed advanced practice registered nurse, physician assistant, or other advanced practitioner authorized by law and supported by the physician;

(iv) in furtherance of 18 V.S.A.

chapter 223, prescribing medication for an individual to terminate the individual’s pregnancy based on an adaptive questionnaire that allows the licensee to obtain additional medical history and ask follow-up questions as needed;

(v) continuing medication on a short-term basis for a new patient, prior to the patient’s first appointment;

or (v)(vi) emergency situations where life or health of the patient is in imminent danger;

* * * (b) Failure to practice competently.

The Board may also find that failure to practice competently by reason of any cause on a single occasion or on multiple occasions constitutes unprofessional conduct.

Failure to practice competently includes, as determined by the Board:

(1) performance of unsafe or unacceptable patient care;

or (2) failure to conform to the essential standards of acceptable and prevailing practice.

BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 13 of 34 (c) Burden of proof.

The burden of proof in a disciplinary action shall be on the State to show by a preponderance of the evidence that the person has engaged in unprofessional conduct.

(d)(1) Health care providers.

Notwithstanding any other law to the contrary, no health care provider who is certified, registered, or licensed in Vermont shall be subject to professional disciplinary action by the Board, nor shall the Board take adverse action on an application for certification, registration, or licensure of a qualified health care provider, based solely on:

(A)(1) the health care provider providing or assisting in the provision of legally protected health care activity;

or (B)(2) a criminal, civil, or disciplinary action in another state against the health care provider that is based solely on the provider providing or assisting in the provision of legally protected health care activity.

(2)(e) Definitions.

As used in this subsection section:

(A)(1) “Health care provider” means a person who provides professional health care services to an individual during that individual’s medical care, treatment, or confinement.

(B)(2) “Health care services” means services for the diagnosis, prevention, treatment, cure, or relief of a physical or mental health condition, including counseling, procedures, products, devices, and medications.

BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 14 of 34 (C)(3) “Legally protected health care activity” has the same meaning as in 1 V.S.A.

§ 150.

Sec.

4.

26 V.S.A.

§ 1582 is amended to read:

§ 1582.

REGULATORY AUTHORITY;

UNPROFESSIONAL CONDUCT (a) The Board may deny an application for licensure, renewal, or reinstatement;

revoke or suspend any license to practice issued by it;

or discipline or in other ways condition the practice of an applicant or licensee upon due notice and opportunity for hearing if the person engages in the following conduct or the conduct set forth in 3 V.S.A.

§ 129a:

* * * (3) engaging in conduct of a character likely to confuse, mislead, deceive, defraud, or harm the public;

* * * (9)(A) permitting one’s name or license to be used by a person, group, or corporation when not actually in charge of or responsible for the treatment given or other health care services provided;

(B) failing to provide active oversight over treatment or other health care services that are provided using or relying upon the licensee’s name or license;

BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 15 of 34 (C) failing to actively monitor the education, training, and experience of individuals providing treatment or other health care services that are provided using or relying upon the licensee’s name or license;

or (D) failing to review and approve information about treatment or health care services that are provided using or relying upon the licensee’s name or license prior to communication of the information to users or potential users of the treatment or services;

* * * (c) As used in this section, “health services” means services for the diagnosis, prevention, treatment, cure, or relief of a physical or mental health condition, including counseling, procedures, products, devices, and medications.

* * * Sec.

5.

26 V.S.A.

§ 1615 is amended to read:

§ 1615.

ADVANCED PRACTICE REGISTERED NURSES;

REGULATORY AUTHORITY;

UNPROFESSIONAL CONDUCT (a) In addition to the provisions of 3 V.S.A.

§ 129a and section 1582 of this chapter, the Board may deny an application for licensure, renewal, or reinstatement or may revoke, suspend, or otherwise discipline an advanced practice registered nurse upon due notice and opportunity for hearing if the person engages in the following conduct:

BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 16 of 34 * * * (6) Providing Except as otherwise provided in subsection (b) of this section, providing, prescribing, dispensing, or furnishing medical services or prescription medication or prescription-only devices to a person in response to any communication transmitted or received by computer or other electronic means when the licensee fails to take the following actions to establish and maintain a proper provider-patient relationship:

(A) a reasonable effort to verify that the person requesting medication is in fact the patient and is in fact who the person claims to be;

(B) establishment of documented diagnosis through the use of accepted medical practices;

and (C) maintenance of a current medical record.

* * * (13)(A) Permitting one’s name or license to be used by a person, group, or corporation when not actually in charge of or responsible for the treatment given or other health care services provided;

(B) failing to provide active oversight over treatment or other health care services that are provided using or relying upon the APRN’s name or license;

BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 17 of 34 (C) failing to actively monitor the education, training, and experience of individuals providing treatment or other health care services that are provided using or relying upon the APRN’s name or license;

or (D) failing to review and approve information about treatment or health care services that are provided using or relying upon the APRN’s name or license prior to communication of the information to users or potential users of the treatment or services.

(b)(1) For the purposes of subdivision (a)(6) of this section, an electronic, online, or telephonic evaluation by questionnaire is inadequate for the initial evaluation of the patient, except as otherwise provided in subdivision (2)(D) of this subsection.

(2) The following would not be in violation of subdivision (a)(6) of this section:

(A) initial admission orders for newly hospitalized patients;

(B) prescribing for a patient of another provider for whom the prescriber has taken call;

(C) prescribing for a patient examined by a licensed APRN, physician assistant, or other practitioner authorized by law and supported by the APRN;

(D) in furtherance of 18 V.S.A.

chapter 223, prescribing medication for an individual to terminate the individual’s pregnancy based on an adaptive BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 18 of 34 questionnaire that allows the licensee to obtain additional medical history and ask follow-up questions as needed;

(E) continuing medication on a short-term basis for a new patient prior to the patient’s first appointment;

or (E)(F) emergency situations where the life or health of the patient is in imminent danger.

(c) As used in this section, “health services” means services for the diagnosis, prevention, treatment, cure, or relief of a physical or mental health condition, including counseling, procedures, products, devices, and medications.

Sec.

6.

26 V.S.A.

§ 1736 is amended to read:

§ 1736.

UNPROFESSIONAL CONDUCT (a) The following conduct and the conduct described in section 1354 of this title by a licensed physician assistant shall constitute unprofessional conduct;

when that conduct is by an applicant or person who later becomes an applicant, it may constitute grounds for denial of licensure:

* * * (2) occupational advertising or advertising about health care services that is intended or has a tendency to confuse, mislead, or deceive the public;

(3) exercising undue influence on or taking improper advantage of a person using the individual’s services, or promoting the sale of professional BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 19 of 34 goods or services in a manner that exploits a person for the financial gain of the practitioner or of a third party;

(4) failing to comply with provisions of federal or state statutes or rules governing the profession;

(5) conviction of a crime related to the profession;

and (6) conduct that evidences unfitness to practice in the profession.

* * * (d) As used in this section, “health services” means services for the diagnosis, prevention, treatment, cure, or relief of a physical or mental health condition, including counseling, procedures, products, devices, and medications.

Sec.

7.

26 V.S.A.

§ 1842 is amended to read:

§ 1842.

UNPROFESSIONAL CONDUCT (a) A person licensed as an osteopathic physician under this chapter shall not engage in unprofessional conduct.

If such conduct is committed by an applicant, it shall be grounds for denial of a license.

(b) Unprofessional conduct means the following conduct and conduct set forth in 3 V.S.A.

§ 129a:

* * * BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 20 of 34 (9) Delegating professional responsibilities, including the delivery of health care services, to a person who whom the licensee knows or has reason to know is not qualified by training, experience, or licensure to perform them.

* * * (14)(A) Permitting one’s name or license to be used by a person, group, or corporation when not actually in charge of or responsible for the treatment or other health care services provided;

(B) failing to provide active oversight over treatment or other health care services that are provided using or relying upon the licensee’s name or license;

(C) failing to actively monitor the education, training, and experience of individuals providing treatment or other health care services that are provided using or relying upon the licensee’s name or license;

or (D) failing to review and approve information about treatment or health care services that are provided using or relying upon the licensee’s name or license prior to communication of the information to users or potential users of the treatment or services.

(c) As used in this section, “health services” means services for the diagnosis, prevention, treatment, cure, or relief of a physical or mental health condition, including counseling, procedures, products, devices, and medications.

BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 21 of 34 Sec.

8.

26 V.S.A.

§ 2024 is added to read:

§ 2024.

CONFIDENTIALITY OF PRESCRIBER INFORMATION ON MEDICATIONS FOR LEGALLY PROTECTED HEALTH CARE ACTIVITY (a) As used in this section, “gender-affirming health care services” and “reproductive health care services” have the same meanings as in 1 V.S.A.

§ 150.

(b) Upon the request of a prescribing practitioner and to the extent not expressly prohibited under federal law, a pharmacist shall not list the practitioner’s name on a fulfilled prescription for medication for gender- affirming health care services or reproductive health care services but shall instead list the name of the facility at which the practitioner is employed or is a contract employee.

(c) Nothing in this chapter or the rules governing the pharmacy profession shall be construed to require a pharmacist to list the prescribing practitioner’s name on a fulfilled prescription for medication for gender-affirming health care services or reproductive health care services.

Sec.

9.

26 V.S.A.

§ 4132 is amended to read:

§ 4132.

UNPROFESSIONAL CONDUCT BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 22 of 34 (a) The following conduct and conduct set forth in 3 V.S.A.

§ 129a by a person licensed as a naturopathic physician under this chapter or an applicant for licensure constitutes unprofessional conduct:

* * * (12) Delegating professional responsibilities, including the delivery of health care services, to a person whom the licensee knows or has reason to know is not qualified by training, experience, or licensure to perform them.

(13)(A) Permitting one’s name or license to be used by a person, group, or corporation when not actually in charge of or responsible for the treatment or other health care services provided;

(B) failing to provide active oversight over treatment or other health care services that are provided using or relying upon the licensee’s name or license;

(C) failing to actively monitor the education, training, and experience of individuals providing treatment or other health care services that are provided using or relying upon the licensee’s name or license;

or (D) failing to review and approve information about treatment or health care services that are provided using or relying upon the licensee’s name or license prior to communication of the information to users or potential users of the treatment or services.

* * * BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 23 of 34 (e) As used in this section, “health services” means services for the diagnosis, prevention, treatment, cure, or relief of a physical or mental health condition, including counseling, procedures, products, devices, and medications.

Sec.

10.

EFFECTIVE DATE This act shall take effect on passage.

Sec.

1.

§§ 317(c) 317(c) is amended to read:

§§ 129a 129a is amended to read:

When that conduct is by an applicant or person who later becomes an applicant, it may constitute grounds VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 2 of 20 for denial of a license or other disciplinary action.

* * * BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 24 of 34 (6) Delegating professional responsibilities, including the delivery of health care services, to a person whom the licensed professional knows, or has reason to know, is not qualified by any combination of training, experience, education, or licensing credentials to perform them, or knowingly providing professional supervision or serving as a preceptor to a person who has not been licensed or registered as required by the laws of that person’s profession.

Notwithstanding subsection (e) of this section or any other law to the contrary, no health care provider who is certified, registered, or licensed in Vermont shall be subject to professional disciplinary VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 3 of 20 action by a board or the Director, nor shall a board or the Director take adverse action on an application for certification, registration, or licensure of a qualified health care provider, based solely on:

This includes individuals being informed of whether they are receiving services VTfrom LEGa #381696licensed v.1and ASqualified PASSEDhealth BYcare SENATEprovider S.28at Pagea 4BILL ofAS 20INTRODUCED fromAND aPASSED licensedBY andSENATE qualifiedS.28 healthPage care25 providerof at34 a limited-services pregnancy center, as this allows individuals to determine if they need to seek medical care elsewhere in order to continue or terminate a pregnancy.

VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 5 of 20 (4) Telling the truth is how trained health care providers demonstrate respect for patients, foster trust, promote self-determination, and cultivate an environment where best practices in shared decision-making can flourish.

VTBILL LEGAS #381696INTRODUCED v.1AND AS PASSED BY SENATE S.28 Page 626 of 2034 (2) The General Assembly respects the right of limited-services pregnancy centers to counsel individuals against abortion, and nothing in this subchapter should be construed to regulate, limit, or curtail such advocacy.

(6) “Pregnancy services center” means a facility, including a mobile facility, where the primary purpose is to provide services to individuals who VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 7 of 20 are or may be pregnant and that either offers obstetric ultrasounds, obstetric sonograms, or prenatal care to pregnant individuals or has the appearance of a medical facility.

BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 27 of 34 (F) The center is located on the same premises as a State-licensed medical facility or provider or shares facility space with a State-licensed medical provider.

VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 8 of 20 § 2493.

The failure of a health care professional certified, registered, or licensed under Title 26 of the Vermont Statutes Annotated to conduct or to ensure that health care services, VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 9 of 20 information, and counseling at the limited-services pregnancy services center are conducted in accordance with State law and professional standards of practice may constitute unprofessional conduct under 3 V.S.A.

§§ 4999 4999 is amended to read:

BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 28 of 34 * * * (2) “Licensed health care professional,” as used in 18 V.S.A.

§§ 5200 5200 is amended to read:

* * * VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 10 of 20 (4) “Licensed health care professional” means a physician, a physician assistant, a naturopathic physician, or an advanced practice registered nurse.

(5) “Natural organic reduction” has the same meaning as in section 5302 of this title.

§§ 5222 5222 is amended to read:

If there is evidence of violence or other unusual or suspicious circumstances, the medical VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 11 of 20 examiner shall be immediately notified, and he or she the medical examiner shall complete at least the medical items on the report.

Similarly, the physician licensed health care professional BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 29 of 34 may delegate the responsibility for completion of nonmedical items to appropriate personnel having access to records containing the information.

§§ 1354 1354 is amended to read:

* * * (2) all advertising of about health care services or a medical business that is intended or has a tendency to mislead or deceive the public or impose VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 12 of 20 upon credulous or ignorant persons and so be harmful or injurious to public morals or safety;

BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 30 of 34 (ii) establishment of documented diagnosis through the use of accepted medical practices;

and VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 13 of 20 (iii) maintenance of a current medical record;

VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 14 of 20 * * * (b) Failure to practice competently.

Notwithstanding any other law to the contrary, no health care provider who is certified, registered, or licensed in BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 31 of 34 Vermont shall be subject to professional disciplinary action by the Board, nor shall the Board take adverse action on an application for certification, registration, or licensure of a qualified health care provider, based solely on:

VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 15 of 20 (2)(e) Definitions.

§§ 1615 1615 is amended to read:

* * * (6) Providing Except as otherwise provided in subsection (b) of this section, providing, prescribing, dispensing, or furnishing medical services or prescription medication or prescription-only devices to a person in response to VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 16 of 20 any communication transmitted or received by computer or other electronic means when the licensee fails to take the following actions to establish and maintain a proper provider-patient relationship:

and BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 32 of 34 (C) maintenance of a current medical record.

VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 17 of 20 (D) in furtherance of 18 V.S.A.

§§ 1658 1658 is amended to read:

VTBILL LEGAS #381696INTRODUCED v.1AND AS PASSED BY SENATE S.28 Page 1833 of 2034 * * * Sec.

§§ 1736 1736 is amended to read:

* * * (d) As used in this section, “health care services” means services for the diagnosis, prevention, treatment, cure, or relief of a physical or mental health VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 19 of 20 condition, including counseling, procedures, products, devices, and medications.

§§ 2024 2024 is added to read:

§§ 2024. 2024.

§§ 150. 150.

BILL AS INTRODUCED AND PASSED BY SENATE S.28 Page 34 of 34 (c) Nothing in this chapter or the rules governing the pharmacy profession shall be construed to require a pharmacist to list the prescribing practitioner’s name on a fulfilled prescription for medication for gender-affirming health care services or reproductive health care services.

VT LEG #381696 v.1 AS PASSED BY SENATE S.28 Page 20 of 20 Sec.

§§ 2858 2858 is amended to read:

VT LEG #381696 v.1