The latest info as of July 2023.
Arkansas
Passed HB 1007 which expands RPh’s authority to prescribe HIV PrEP/PEP via a statewide protocol.
Colorado
SB 162 makes numerous changes, including expanding pharmacy tech’s scope of practice to perform point-of-care tests (POCT) under the supervision of a RPh and expanding reimbursement options for pharmacists for the administration of vaccinations to patients under the age of 19 years by the state Medicaid program.
Connecticut
New law Public Act 23-52 aims to improve access to birth control by allowing RPhs to prescribe certain forms without requiring a doc visit. The law permits RPhs to prescribe hormonal contraceptives after completing an accredited educational training program related to prescribing of these contraceptives.
Also, SB 1102 expands RPhs’ authority to administer vaccinations and codifies pharmacy tech’s authority to admin vaccinations under the supervision of a RPh. Additionally, the bill expands RPh’s authority to administer point-of-care tests and prescribe and dispense HIV PrEP and PEP.
Georgia
HB 440 was signed into law and expands RPhs’ scope of practice to allow RPh to dispense glucagon (given to prevent blood sugar from going too low) pursuant to a prescriber protocol.
HB 416 was adopted and codifies pharmacy tech’s authority to admin vaccinations under the supervision of a pharmacist.
Illinois
HB 559 authorizes RPhs to test and treat for COVID-19, test for influenza, COVID-19, and other emerging and existing public health threats, and provides coverage for these services by health plans in the state. Additionally, the bill expands RPhs’ authority to admin COVID-19 and flu vaccinations to patients 7 years and older.
Indiana
HB 1568 will allow RPhs to prescribe and dispense hormonal contraceptives under a standing order and provides coverage for these services by public and private health plans in the state.
Maine
SP 158 will allow RPhs to prescribe and dispense hormonal contraceptives to patients who previously have been issued a prescription for hormonal contraceptives.
LD 1151/SP 478 expands RPhs’ authority to admin vaccinations to patients ages 3 and up. In addition, LD 1728/ SP 692 updates state law to allow pharmacists to provide increased access to opioid antagonists other than naloxone.
Maryland
HB HB 693/SB 647 was signed into law and expands pharmacy tech’s authority to admin certain vaccinations under the supervision of an RPh.
HB 1151/SB 678 was signed into law (goes into effect Oct, 2023) and allows for the reimbursement of services provided by RPhs practicing within their scope of practice by private and public health plans in the state (including the counseling and screening involved in nicotine replacement therapy),
Montana
HB 710 was adopted and codifies pharmacy techs’ authority to admin vaccinations under the supervision of an RPh. SB 112 was also signed recently into law and authorizes RPhs to prescribe medications for conditions that do not require a new diagnosis, are minor and generally self-limiting, and can be diagnosed with a CLIA-waived test or are patient emergencies.
Nebraska
LB 227 was adopted and codifies pharmacy techs’ authority to admin vaccinations under the supervision of an RPh.
New Jersey
SB 275 has been signed by the Gov. to authorize RPhs to prescribe self-administered hormonal contraception pursuant to a standing order in accordance with protocols established by the NJ Board of Pharmacy and the State Board of Medical Examiners. This adds New Jersey to the list of over 20 states that have either passed similar legislation or are in the process of implementing these services.
New Hampshire
SB 35Â will expand the vaccinations RPhs are able to administer to include immunizations for respiratory syncytial virus (RSV).
New Mexico
SB 92Â was signed into law and authorizes RPhs to test and treat for flu, Group A Strep, COVID-19, UTI, and other emerging public health treats via a statewide protocol. Additionally, pharmacists are authorized to prescribe HIV PrEP/PEP via a statewide protocol.
New York
A1060Â will allow pharmacists to dispense hormonal contraceptives under a non patient-specific order written by a physician or a certified nurse practitioner.
North Carolina
CMS recently approved North Carolina Medicaid’s request to add pharmacists’ services related to prescribing COVID-19 therapeutics, including Paxlovid (Pfizer) prescribing. These services are covered beginning Feb 1, 2023, through at least 12 months after the end of the PHE (which ended 5/11/23)
Nevada
AB 156 expands pharmacists’ scope of practice to access, prescribe, and dispense drugs for medication assisted treatment.
SB 161 expands coverage by health plans of pharmacist-prescribed hormonal contraceptives.
North Dakota
HB 1095 was enacted and allows for the reimbursement of comprehensive medication management provided by RPhs by health plans in the state.
Vermont
H 305Â was passed by the Vermont House and Senate. The bill made updates to specify RPhs’ authority to test and treat for acute ailments and pharmacy techs’ authority to admin vaccination under the supervision of a pharmacist. The Gov vetoed the bill on 6/1/23, and the veto was overridden 6/20/23.
Vermont’s S 37 will allow pharmacists to prescribe emergency contraceptives pursuant to a state protocol.
Virginia
SB1538 was adopted and recognizes pharmacists as providers within the state Medicaid program and requires Medicaid to cover RPhs’ patient care services.
SB948/HB2274 was signed into law and authorizes pharmacists to test and treat for group A Strep, flu, COVID-19, and UTI via statewide protocol.
Wyoming
SF 9Â was signed into law and recognizes pharmacists as health care providers within the state’s Medicaid program. The new law also establishes a pathway for pharmacists to be reimbursed for their patient care services by the state’s Medicaid program.