November 8, 2023 - Introduced by Representatives Murphy, Sortwell, Armstrong, Behnke, Bodden, Brandtjen, Edming, Goeben, Magnafici, Michalski, Mursau, O’Connor, Rettinger and Tusler, cosponsored by Senators Cabral-Guevara and Nass. Referred to Committee on Health, Aging and Long-Term Care.
AB626,,22An Act to repeal 450.095 (1) (a); to amend 50.36 (6), 450.095 (title), 450.095 (2) (intro.), 450.095 (2) (a), 450.095 (2) (b) and 450.095 (2) (c); and to create 450.095 (1) (am), 450.095 (2) (am), 450.095 (2m) and 632.865 (6m) of the statutes; relating to: the duty of a pharmacist to dispense lawfully prescribed drugs and devices. AB626,,33Analysis by the Legislative Reference Bureau Under current law, a pharmacy has a duty to dispense lawfully prescribed contraceptive drugs and devices without delay unless certain factors apply, including that the prescription contains an obvious or known error or contains inadequate instructions, the prescription is contraindicated for the patient, the prescription is incompatible with another drug or device prescribed for the patient, or the prescription is potentially fraudulent. This bill expands that duty to require pharmacies to dispense any lawfully prescribed drug or device without delay. However, if any pharmacist at a pharmacy refuses to dispense a drug or device for reasons of conscience such that the pharmacy cannot fulfill the prescription order without delay, then the bill requires the pharmacy to transfer the prescription order to a different pharmacy, at the direction of the patient, that will dispense the prescribed drug or device without delay. The bill also specifies that a pharmacy may not dispense a lawfully prescribed drug or device if there is an absolute contraindication for the prescribed drug or device, rather than just a contraindication. Under the bill, “absolute contraindication” is defined to mean any condition present in a patient that makes a particular drug or device inadvisable under any circumstances.
Further, the bill prohibits a pharmacy benefit manager from penalizing in any way a pharmacy or pharmacist from dispensing a prescribed drug or device that is prescribed for a use other than a use approved by the federal Food and Drug Administration if the prescribed drug or device is dispensed pursuant to a valid prescription order.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
AB626,,44The people of the state of Wisconsin, represented in senate and assembly, do enact as follows: AB626,15Section 1. 50.36 (6) of the statutes is amended to read: AB626,,6650.36 (6) If the department receives a credible complaint that a pharmacy located in a hospital has violated its duty to dispense contraceptive drugs and devices under s. 450.095 (2), the department shall refer the complaint to the department of safety and professional services. AB626,27Section 2. 450.095 (title) of the statutes is amended to read: AB626,,88450.095 (title) Duty to dispense contraceptives. AB626,39Section 3. 450.095 (1) (a) of the statutes is repealed. AB626,410Section 4. 450.095 (1) (am) of the statutes is created to read: AB626,,1111450.095 (1) (am) “Absolute contraindication” means any condition present in a patient that renders a particular drug or device not safe to be used as prescribed under any circumstance because of the severe or potentially life-threatening risks involved. AB626,512Section 5. 450.095 (2) (intro.) of the statutes is amended to read: AB626,,1313450.095 (2) (intro.) Unless one or more any of the following applies, except as provided in sub. (2m), a pharmacy shall dispense any lawfully prescribed contraceptive drugs and devices drug or device and shall deliver contraceptive drugs and devices restricted to distribution by a pharmacy the drug or device to a the patient without delay: AB626,614Section 6. 450.095 (2) (a) of the statutes is amended to read: AB626,,1515450.095 (2) (a) The prescription or prescription order contains an obvious or known error or contains inadequate instructions. AB626,716Section 7. 450.095 (2) (am) of the statutes is created to read: AB626,,1717450.095 (2) (am) A pharmacist determines after reviewing the prescription order and the patient’s medical records that there is an absolute contraindication for the prescribed drug or device. AB626,818Section 8. 450.095 (2) (b) of the statutes is amended to read: AB626,,1919450.095 (2) (b) The prescription is contraindicated for the patient, prescribed drug or device is incompatible with another drug or device prescribed for the patient, or is prohibited by state or federal law. AB626,920Section 9. 450.095 (2) (c) of the statutes is amended to read: AB626,,2121450.095 (2) (c) The prescription or prescription order is potentially fraudulent. AB626,1022Section 10. 450.095 (2m) of the statutes is created to read: AB626,,2323450.095 (2m) If any pharmacist at a pharmacy refuses to dispense a lawfully prescribed drug or device for reasons of conscience such that the pharmacy cannot fulfill a prescription or prescription order without delay, then the pharmacy shall transfer the prescription or prescription order to a different pharmacy, at the direction of the patient, that will dispense the prescribed drug or device without delay. AB626,1124Section 11. 632.865 (6m) of the statutes is created to read: AB626,,2525632.865 (6m) Off-label therapies. No pharmacy benefit manager may in any way penalize a pharmacy or pharmacist for dispensing a prescribed drug or device that is prescribed for a use other than a use approved by the federal food and drug administration if the prescribed drug or device is dispensed pursuant to a valid prescription order, as defined in s. 450.01 (21).
