Pharmacists prescribing contraceptives.

20LSO-0256
2020
STATE OF WYOMING
20LSO-0256
Numbered
2.0

HOUSE BILL NO. HB0123

Pharmacists prescribing contraceptives.

Sponsored by: Representative(s) Yin, Dayton and Sweeney and Senator(s) Anselmi-Dalton and Schuler

A BILL

for

AN ACT relating to professions and occupations; providing for prescription and administration of contraceptives by pharmacists; defining terms; providing for rulemaking; and providing for effective dates.

Be It Enacted by the Legislature of the State of Wyoming:

Section 1.

W.S. 33
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24
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159 is created to read:

33
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24
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159.

Prescription of contraceptives by pharmacist; administration of contraceptives by pharmacist.

(a)

A pharmacist licensed under this act may prescribe and dispense self
‑
administered hormonal contraceptives and may prescribe and administer injectable hormonal contraceptives to a person who is:

(i)

At least eighteen (18) years of age; or

(ii)

Under eighteen (18) years of age, if the person has evidence of a previous prescription from a licensed health care provider for a self
‑
administered hormonal contraceptive or an injectable hormonal contraceptive.

(b)

When promulgating rules for this section, the Wyoming state board of pharmacy shall establish, in consultation with the Wyoming board of medicine and with consideration of guidelines established by the American college of obstetricians and gynecologists, standard procedures for prescribing and dispensing self
‑
administered hormonal contraceptives and for prescribing and administering injectable hormonal contraceptives by pharmacists. The rules adopted under this subsection shall:

(i)

Require a pharmacist to complete a training program approved by the state board of pharmacy on prescribing, dispensing and administering the contraceptives;

(ii)

Require a pharmacist to provide a self
‑
screening risk assessment tool that the patient must use before the pharmacist issues the prescription;

(iii)

Require a pharmacist to use a private space for the screening required under paragraph (ii) of this subsection and for administering injectable hormonal contraceptives to ensure patient safety and confidentiality;

(iv)

Require a pharmacist to refer the patient to consult with a licensed health care provider upon prescribing, dispensing or administering the contraceptives;

(v)

Require a pharmacist to provide the patient with a written record of the prescribed and dispensed or administered contraceptive;

(vi)

Require a pharmacist to dispense the self
‑
administered hormonal contraceptive or administer the injectable hormonal contraceptive to the patient as soon as practicable after the pharmacist issues the prescription;

(vii)

Prohibit a pharmacist from requiring a patient to schedule an appointment with the pharmacist for prescribing, dispensing or

administering the contraceptive;

(viii)

Prohibit a pharmacist from issuing a subsequent prescription and dispensation or administration of a contraceptive to a patient who does not furnish evidence of a clinical visit with a licensed health care provider regarding reproductive health within the three (3) years immediately following the initial prescription and dispensation or administration the contraceptive.

(c)

All state and federal laws governing insurance coverage of contraceptive drugs, devices, products and services shall apply to self
‑
administered hormonal contraceptives and injectable hormonal contraceptives prescribed by a pharmacist under this section.

Section 2.

W.S. 33
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24
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101(b) by creating new paragraphs (v) through (viii) is amended to read:

33
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24
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101.

Short title; definitions.

(b)

As used in this act:

(v)

"Hormonal contraceptive patch" means a transdermal patch applied to the skin of a patient, by the patient or by a practitioner, that releases a drug composed of a hormone or a combination of hormones that is approved by the United States food and drug administration to prevent pregnancy;

(vi)

"Hormonal contraceptive pill" means a drug composed of a hormone or a combination of hormones that is
approved by the United States food and drug administration to prevent pregnancy and that the patient to whom the drug is prescribed may take orally;

(vii)

"Injectable hormonal contraceptive" means a drug composed of a hormone or a combination of hormones that is approved by the United States food and drug administration to prevent pregnancy and that a health care practitioner administers to the patient by injection;

(viii)

"Self
‑
administered hormonal contraceptive" means a drug composed of a hormone or a combination of hormones that is approved by the United States food and drug administration to prevent pregnancy and that the patient to whom the drug is prescribed may administer to the patient's self. "Self
‑
administered hormonal contraceptive" includes hormonal contraceptive patches and hormonal contraceptive pills.

Section 3.

On or before October 1, 2020, the Wyoming state board of pharmacy shall promulgate rules and
prescribe forms necessary to implement W.S.

33
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24
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159 as created by section 1 of this act.

Section 4
.

(a) Except as provided in subsection (b) of this section, this act is effective immediately upon completion of all acts necessary for a bill to become law as provided by Article 4, Section 8 of the Wyoming Constitution.

(b) Sections 1 and 2 of this act are effective October 1, 2020
.

(END)

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HB0123