ARIZONA HOUSE OF REPRESENTATIVES Fifty-sixth Legislature Second Regular Session
	House: HHS DP 7-3-0-0 | 3^rd Read 55-4-0-0 Senate: HHS DP 5-0-2-0 | 3^rd Read 30-0-0-0

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HB 2582: pharmacists; collaborative practice agreements

Sponsor: Representative Gillette, LD 30

Transmitted to the Governor

Overview

Includes physician assistants and certified nurse midwifes in the statutory definition of a provider who may enter into a collaborative practice agreement with a pharmacist.

History

A collaborative practice agreement is an agreement between a pharmacist and a provider that outlines the drug therapy and disease management services, including initiating, monitoring and modifying prescription drug and laboratory test orders that are authorized by the provider and delegated to the pharmacist for the purpose of drug therapy management or disease management based on the pharmacist's skills or training. Initiating, monitoring and modifying does not include a pharmacist's selection of drug products that are not prescribed by the provider unless the selection of specific drug products is authorized by the collaborative practice agreement.

These collaborative practice agreements may be between one or more pharmacists and one or more providers. A provider can be a licensed medical doctor, osteopathic physician or registered nurse practitioner.

A collaborative practice agreement must:

1) outline the duties related to drug therapy and disease management that the provider is delegating to the pharmacist to perform;

2) specify, at a minimum, the conditions to be managed by the pharmacist through disease management and drug therapy management, the circumstances for which the pharmacist must notify the provider and any documentation or recordkeeping requirements; and

3) specify that the pharmacist must follow the written drug therapy and disease management guidelines provided by the provider and may provide drug therapy and disease management services only pursuant to those guidelines.

The Arizona State Board of Pharmacy, the Arizona Medical Board, the Arizona Board of Osteopathic Examiners in Medicine and Surgery and the Arizona State Board of Nursing may adopt rules relating to collaborative practice agreements (A.R.S. § 32-1970).

Provisions

1. Adds physician assistants and certified nurse midwives to the list of providers who may enter into a collaborative practice agreement with a pharmacist. (Sec. 1)

2. Makes a technical change. (Sec. 1)

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6.                   HB 2582

7. Initials AG/KT    Page 0 Transmitted

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