January 28, 2021 - Introduced by Senators Felzkowski, Bernier, Carpenter,
Darling, Feyen and Marklein, cosponsored by Representatives Kitchens,
Magnafici, Tusler, Armstrong, August, Born, Dittrich, Duchow, James,
Kerkman, Knodl, Krug, Kuglitsch, Kurtz, Loudenbeck, Moses, Mursau,
Neylon, Novak, Plumer, Skowronski, Snyder, Spiros, Steffen, Steineke,
Summerfield, Swearingen, Tauchen, Tranel, Vorpagel, Vos and Wittke.
Referred to Committee on Health.

SB30,1,6 1An Act to amend 450.095 (title) and 450.095 (3); and to create 49.46 (2) (bg),
2450.01 (16) (L), 450.095 (1) (ag) and (ar) and 450.095 (2m) of the statutes;
3relating to: permitting pharmacists to prescribe certain contraceptives,
4extending the time limit for emergency rule procedures, providing an
5exemption from emergency rule procedures, granting rule-making authority,
6and providing a penalty.

This bill permits a pharmacist to prescribe and dispense hormonal
contraceptive patches and self-administered oral hormonal contraceptives, subject
to limitations described as follows.

The bill requires the Pharmacy Examining Board, after consultation with the
Medical Examining Board, the Board of Nursing, and the Department of Health
Services, to promulgate rules to establish standard procedures for the prescribing of
contraceptives by pharmacists under the bill. The rules must include a
self-assessment questionnaire, developed in consideration of guidelines established
by the American Congress of Obstetricians and Gynecologists, that must be used by
a pharmacist when prescribing a contraceptive. The rules must include certain
requirements for pharmacists prescribing contraceptives, such as 1) requiring a
report to the patient's primary health care practitioner following a prescription; and
2) requiring the contraceptive to be dispensed as soon as practicable after the

pharmacist issues the prescription order. In addition, the rules must prohibit a
pharmacist from prescribing or dispensing a contraceptive to a patient unless 1) the
patient has responded to the self-assessment questionnaire and undergone a blood
pressure screening; and 2) the use of the contraceptive is not contraindicated based
upon the results of the questionnaire and screening. A pharmacist who prescribes
contraceptives as permitted under the bill must comply with those rules, as well as
any other rules promulgated by the Pharmacy Examining Board. Finally, under the
bill, a pharmacist may prescribe a contraceptive only to a person who is at least 18
years of age.

The bill further requires that DHS must ensure any contraceptives or
contraceptive services covered under the Medical Assistance program are covered
and reimbursed when prescribed, if a prescription is required under federal law, or
provided by a pharmacist acting under the scope of his or her practice. The Medical
Assistance program is a joint federal and state program that provides health services
to individuals who have limited financial resources. The bill also requires DHS to
certify pharmacists as providers of Medical Assistance services for the purposes of
covering and reimbursing prescribed hormonal contraceptive patches and
self-administered oral hormonal contraceptives.