HCS HB 545 & 590 -- PRACTICE OF PHARMACY (Tilley)

COMMITTEE OF ORIGIN:  Special Committee on General Laws

This substitute revises the definition of "practice of pharmacy"
to include the implementation of medical prescription orders and
authorizes the design and implementation of a medication
therapeutic plan defined by a specific prescription order or
administration of influenza vaccines by written protocol
authorized by a physician.  Physician protocols referring to the
patient are required and will not come from a nurse under a
collaborative agreement with a physician.

Health carriers are prohibited from requiring any physician with
whom they contract to enter into a written protocol with a
pharmacist for medication therapeutic services.  The State Board
of Registration for the Healing Arts and the State Board of
Pharmacy are authorized to promulgate rules regulating
prescription orders for medication therapy services.

The substitute prohibits any person other than the patient or the
patient's authorized representative from accepting a dispensed
prescription order unless that person is on the premises of a
pharmacy.

The State Board of Pharmacy may establish the Well-being
Committee to aid pharmacists who suffer from illness, substance
abuse, mental illness, or physical impairments.  The board will
enter into contractual agreements with nonprofit corporations for
the purpose of creating, supporting, and maintaining the
committee.  All communications involving the licensee and the
committee are confidential and not considered public records.

The committee may disclose information about an impaired licensee
when it is necessary to further the intervention, treatment, or
rehabilitation of the licensee; the release is authorized by the
licensee; the committee must make a report to the board; or the
information is subject to a court order.

FISCAL NOTE:  No impact on General Revenue Fund in FY 2008,
FY 2009, and FY 2010.  Estimated Effect on Other State Funds of a
cost of $19,899 in FY 2008, an income of $4,837 in FY 2009, and a
cost of $1,273 in FY 2010.

Missouri House of Representatives
94th General Assembly, 1st Regular Session
Last Updated July 25, 2007 at 11:19 am