Introduced Version
SENATE BILL No. 367
_____
DIGEST OF INTRODUCED BILL
Citations Affected:
IC 25-26-16.
Synopsis: Drug regimens. Defines "written authorization". Adds the
ordering of tests as a modification by a pharmacist of a drug regimen.
Allows a physician to delegate authority to a pharmacist to modify a
patient's drug regimen under the physician's supervision. Requires a
written authorization by a physician to include the following: (1) The
physician who is delegating the authority to modify the drug regimen.
(2) The patient's name. (3) The name of any pharmacist that is
authorized to modify the patient's drug regimen. (4) The physician's
diagnosis of the patient's condition or disease. (5) The method of
documentation for any modification made of a patient's regimen by a
pharmacist. (6) The frequency and type of communication necessary
for each modification of a patient's drug regimen. Establishes certain
conditions that must be met in order for a physician's written
authorization to be valid when modifying a patient's drug regimen.
Effective: January 1, 2002.
January 18, 2001, read first time and referred to Committee on Health and Provider
Services.
Introduced
First Regular Session 112th General Assembly (2001)
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
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SENATE BILL No. 367
A BILL FOR AN ACT to amend the Indiana Code concerning
health.
Be it enacted by the General Assembly of the State of Indiana:
SECTION 1.
IC 25-26-16-1.5
IS ADDED TO THE INDIANA
CODE AS A NEW SECTION TO READ AS FOLLOWS
[EFFECTIVE JANUARY 1, 2002]: Sec. 1.5. (a) As used in this
chapter, "written authorization" means the authority given by a
physician to a pharmacist licensed under IC 25-26 by entering into
a written agreement authorizing the delegation of the adjustment
of a patient's drug regimen by a pharmacist.
(b) The term does not include authorization to a pharmacist
employed solely by a mail order only pharmacy.
SECTION 2.
IC 25-26-16-2
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JANUARY 1, 2002]: Sec. 2. For purposes
of this chapter, a pharmacist adjusts a drug regimen if the pharmacist:
(1) changes the duration of treatment for a current drug therapy;
(2) adjusts a drug's strength, dosage form, frequency of
administration, or route of administration;
(3) discontinues the use of a drug; or
(4) adds a drug to the treatment regimen; or
(5) orders tests.
SECTION 3.
IC 25-26-16-7.5
IS ADDED TO THE INDIANA
CODE AS A
NEW SECTION TO READ AS FOLLOWS
[EFFECTIVE JANUARY 1, 2002]:
Sec. 7.5. (a) A physician may
delegate to a pharmacist the authority to modify a drug therapy
regimen as part of drug therapy management. The physician
making the delegation shall adequately supervise the pharmacist
that modifies the drug regimen.
(b) A physician may delegate authority under this section under
the physician's diagnosis and written authorization.
(c) The written authorization must state the following:
(1) The physician who is delegating the authority to modify
the drug regimen.
(2) The patient's name.
(3) The name of any pharmacist who is authorized to modify
the patient's drug regimen.
(4) The physician's diagnosis of the patient's condition or
disease.
(5) The method of documentation for any modification made
of a patient's regimen by a pharmacist.
(6) The frequency and type of communication necessary for
each modification of a patient's drug regimen.
(d) In order for a physician's written authorization for
modification of a patient's drug regimen to be valid:
(1) the physician must authorize the use of the drug; and
(2) the changes in a drug regimen made by the pharmacist
must relate to the physician's diagnosis of the patient's
condition or disease.
SECTION 4.
IC 25-26-16-8
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JANUARY 1, 2002]: Sec. 8.
(a) In a
hospital, documentation of protocols must be maintained in a current,
consistent, and readily retrievable manner.
(b) A pharmacist
who adjusts a drug regimen is required to
document decisions made under this chapter in a manner that shows
adequate, consistent, and regular communication with an authorizing
practitioner. After making an adjustment or a change to the drug
regimen of a patient, the pharmacist shall immediately enter the change
in the patient's medical record
or notify the prescribing physician in
a manner authorized by the physician under section 7.5(c)(6) of
this chapter.