87R2620 KKR-F     By: Blanco S.B. No. 2136       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;                [(6)  the pharmacist administers an immunization or   vaccination under a physician's written protocol and meets the   standards established by the board;] and                (4) [(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.