1.1 	A bill for an act
1.2 	relating to health; specifying the protocol for pharmacist administration of 
1.3 	vaccines;amending Minnesota Statutes 2012, section 151.01, subdivision 27.
1.4 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.5 	Section 1. Minnesota Statutes 2012, section 151.01, subdivision 27, is amended to read:
1.6 		Subd. 27.Practice of pharmacy. "Practice of pharmacy" means:
1.7 	(1) interpretation and evaluation of prescription drug orders;
1.8 	(2) compounding, labeling, and dispensing drugs and devices (except labeling by 
1.9 	a manufacturer or packager of nonprescription drugs or commercially packaged legend 
1.10 	drugs and devices);
1.11 	(3) participation in clinical interpretations and monitoring of drug therapy for 
1.12 	assurance of safe and effective use of drugs;
1.13 	(4) participation in drug and therapeutic device selection; drug administration for first 
1.14 	dosage and medical emergencies; drug regimen reviews; and drug or drug-related research;
1.15 	(5) participation in administration of influenza vaccines to all eligible individuals ten 
1.16 	years of age and older and all other vaccines to patients 18 years of age and older under 
1.17 	standing orders from a physician licensed under chapter 147 or by written protocol with a 
1.18 	physician licensed under chapter 147, a physician assistant authorized to prescribe drugs 
1.19 	under chapter 147A, or an advanced practice nurse authorized to prescribe drugs under 
1.20 	section 148.235, provided that:
1.21 	(i) the protocol includes, at a minimum:
1.22 	(A) the name, dose, and route of each vaccine that may be given;
1.23 	(B) the patient population for whom the vaccine may be given;
1.24 	(C) contraindications and precautions to the vaccine;
2.1 	(D) the procedure for handling an adverse reaction;
2.2 	(E) the name, signature, and address of the physician, physician assistant, or 
2.3 	advanced practice nurse;
2.4 	(F) a telephone number at which the physician, physician assistant, or advanced 
2.5 	practice nurse can be contacted; and
2.6 	(G) the date and time period for which the protocol is valid;
2.7 	(ii) the pharmacist is trained in has successfully completed a program approved 
2.8 	by the American Accreditation Council of Pharmaceutical for Pharmacy Education, 
2.9 	specifically for the administration of immunizations, or graduated from a college of 
2.10 	pharmacy in 2001 or thereafter a program approved by the board; and
2.11 	(ii) (iii) the pharmacist reports the administration of the immunization to the patient's 
2.12 	primary physician or clinic, or to the Minnesota Immunization Information Connection; and
2.13 	(iv) the pharmacist complies with guidelines for vaccines and immunizations 
2.14 	established by the federal Advisory Committee on Immunization Practices (ACIP), except 
2.15 	that a pharmacist does not need to comply with those portions of the guidelines that establish 
2.16 	immunization schedules when administering a vaccine pursuant to a valid prescription 
2.17 	order issued by a physician licensed under chapter 147, a physician assistant authorized to 
2.18 	prescribe drugs under chapter 147A, or an advanced practice nurse authorized to prescribe 
2.19 	drugs under section 148.235, provided that the prescription drug order is consistent with 
2.20 	United States Food and Drug Administration-approved labeling of the vaccine; 
2.21 	(6) participation in the practice of managing drug therapy and modifying drug 
2.22 	therapy, according to section 151.21, subdivision 1, according to a written protocol 
2.23 	between the specific pharmacist and the individual dentist, optometrist, physician, 
2.24 	podiatrist, or veterinarian who is responsible for the patient's care and authorized to 
2.25 	independently prescribe drugs. Any significant changes in drug therapy must be reported 
2.26 	by the pharmacist to the patient's medical record;
2.27 	(7) participation in the storage of drugs and the maintenance of records;
2.28 	(8) responsibility for participation in patient counseling on therapeutic values, 
2.29 	content, hazards, and uses of drugs and devices; and
2.30 	(9) offering or performing those acts, services, operations, or transactions necessary 
2.31 	in the conduct, operation, management, and control of a pharmacy.