Bill S4881A-2013

Authorizes a licensed pharmacist and certified nurse practitioner to administer meningococcal disease immunizing agents

Authorizes a licensed pharmacist and certified nurse practitioner to administer meningococcal disease immunizing agents.

Details

Actions

  • Jul 31, 2013: SIGNED CHAP.274
  • Jul 19, 2013: DELIVERED TO GOVERNOR
  • Jun 20, 2013: returned to senate
  • Jun 20, 2013: passed assembly
  • Jun 20, 2013: ordered to third reading rules cal.259
  • Jun 20, 2013: substituted for a7324a
  • Jun 20, 2013: referred to higher education
  • Jun 20, 2013: DELIVERED TO ASSEMBLY
  • Jun 20, 2013: PASSED SENATE
  • Jun 20, 2013: ORDERED TO THIRD READING CAL.1490
  • Jun 20, 2013: COMMITTEE DISCHARGED AND COMMITTED TO RULES
  • May 13, 2013: PRINT NUMBER 4881A
  • May 13, 2013: AMEND AND RECOMMIT TO HIGHER EDUCATION
  • Apr 29, 2013: REFERRED TO HIGHER EDUCATION

Votes

Memo

BILL NUMBER:S4881A

TITLE OF BILL: An act to amend the education law, in relation to authorizing a licensed pharmacist and certified nurse practitioner to administer meningococcal disease immunizing agents

SUMMARY OF PROVISIONS:

Section One amends Subdivision 7 of section 6527 of the education law by adding a new paragraph c to state that a licensed pharmacist, pursuant to regulations promulgated by the commissioner, and consistent with the public health law, may administer immunizations to prevent meningococcal disease.

Section Two amends Subdivision 7 of section 6909 to add a new paragraph C to state that a certified nurse practitioner may prescribe an order and order a non-patient specific regimen to a licensed pharmacist, pursuant to regulations promulgated by the commissioner, and consistent with public health law, for administering immunizations to prevent meningococcal disease.

Section Three of the bill amends Subdivision 22 of section 6802 of the education law, as amended by chapter 116 of the laws of 2012 to add meningococcal disease or a patient specific order or non-patient specific regimen prescribed or ordered by a physician or certified nurse practitioner for immunization to prevent meningococcal disease.

EXISTING LAW: New law.

JUSTIFICATION: This legislation would amend the Education Law to allow licensed pharmacists, who have received additional certification, to administer meningococcal vaccinations to adults 18 years of age and older.

Providing this additional access point for this vaccine is particularly important since the New York City Department of Health and Mental Hygiene (DOHMH) has documented an alarming outbreak of a unique strain of invasive meningococcal disease, also known as meningitis, among men who have sex with men (MSM) A March 22, 2013 New York Times article, "City Health Officials Warn Some Men on Lethal Strain of Meningitis," noted that this strain "is so insidious that it could suddenly mushroom into a major outbreak, claiming many lives before anything can be done to stop it."

Meningitis bacteria are spread through the exchange of respiratory and throat secretions. Fortunately, standard meningococcal vaccines are effective against this new strain; New York City Health Commissioner Dr. Thomas Farley has said, "Vaccination is the best defense." On March 6, 2013, the New York City Department of Health and Mental Hygiene (DOHMH) issued a recommendation advising all HIV+ MSM and MSM regardless of HIV status who connect online or meet at a bar or party in New York City to receive a meningococcal vaccination. On March 25, the New York State Department of Health expanded an earlier recommendation regarding meningococcal vaccination to include certain MSM statewide.

It is critically important to make meningococcal vaccine as accessible as possible. Vaccination is currently available at many health clinics, hospitals and private doctors' offices, but there have been numerous anecdotal reports of at-risk men encountering obstacles getting vaccinated through those traditional venues.

Since 2008, New York State has allowed licensed and certified pharmacists to administer adult influenza and pneumonia vaccines. In light of the potential public health crisis, New York State should allow licensed and certified pharmacists to administer adult meningococcal vaccinations as well. Even if only those pharmacists in communities at the epicenter of the current outbreak were to become certified and advertise the availability of the vaccine, it would have a significant impact on containing the spread of this deadly disease.

LEGISLATIVE HISTORY: New bill

FISCAL IMPLICATIONS: Minimal

EFFECTIVE DATE: This act shall take effect on the ninetieth day after it shall become law.


Text

STATE OF NEW YORK ________________________________________________________________________ 4881--A 2013-2014 Regular Sessions IN SENATE April 29, 2013 ___________
Introduced by Sen. HOYLMAN -- read twice and ordered printed, and when printed to be committed to the Committee on Higher Education -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the education law, in relation to authorizing a licensed pharmacist and certified nurse practitioner to administer meningococ- cal disease immunizing agents THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivision 7 of section 6527 of the education law is amended by adding a new paragraph (c) to read as follows: (C) A LICENSED PHYSICIAN MAY PRESCRIBE AND ORDER A NON-PATIENT SPECIF- IC REGIMEN TO A LICENSED PHARMACIST, PURSUANT TO REGULATIONS PROMULGATED BY THE COMMISSIONER, AND CONSISTENT WITH THE PUBLIC HEALTH LAW, FOR ADMINISTERING IMMUNIZATIONS TO PREVENT MENINGOCOCCAL DISEASE. S 2. Subdivision 7 of section 6909 of the education law is amended by adding a new paragraph (c) to read as follows: (C) A CERTIFIED NURSE PRACTITIONER MAY PRESCRIBE AND ORDER A NON-PA- TIENT SPECIFIC REGIMEN TO A LICENSED PHARMACIST, PURSUANT TO REGULATIONS PROMULGATED BY THE COMMISSIONER, AND CONSISTENT WITH THE PUBLIC HEALTH LAW, FOR ADMINISTERING IMMUNIZATIONS TO PREVENT MENINGOCOCCAL DISEASE. S 3. Subdivision 22 of section 6802 of the education law, as amended by chapter 116 of the laws of 2012, is amended to read as follows: 22. "Administer", for the purpose of section sixty-eight hundred one of this article, means the direct application of an immunizing agent to adults, whether by injection, ingestion or any other means, pursuant to a. a patient specific order or non-patient specific regimen prescribed or ordered by a physician or certified nurse practitioner, who has a practice site in the county in which the immunization is administered, for immunizations to prevent influenza or pneumococcal disease and medi- cations required for emergency treatment of anaphylaxis or b. a patient
specific order prescribed or ordered by a physician or certified nurse practitioner for immunizations to prevent acute herpes zoster OR MENIN- GOCOCCAL DISEASE OR C. A PATIENT SPECIFIC ORDER OR NON-PATIENT SPECIFIC REGIMEN PRESCRIBED OR ORDERED BY A PHYSICIAN OR CERTIFIED NURSE PRACTI- TIONER FOR IMMUNIZATIONS TO PREVENT MENINGOCOCCAL DISEASE. If the coun- ty where the immunization is to be administered has a population of seventy-five thousand or less, then the licensed physician or certified nurse practitioner may be in an adjoining county. Such administration shall be limited to immunizing agents to prevent influenza or pneumococ- cal disease and medications required for emergency treatment of anaphy- laxis. S 4. This act shall take effect on the ninetieth day after it shall have become a law; provided, that: (a) the amendments to subdivision 7 of section 6527 of the education law, made by section one of this act shall not affect the expiration and reversion of such subdivision, as provided in section 6 of chapter 116 of the laws of 2012, and shall be deemed to expire therewith; and (b) the amendments to subdivision 7 of section 6909 of the education law, made by section two of this act shall not affect the expiration and reversion of such subdivision, as provided in section 6 of chapter 116 of the laws of 2012, and shall be deemed to be expire therewith; and (c) the amendments to subdivision 22 of section 6802 of the education law made by section three of this act shall not affect the expiration of such subdivision and shall be deemed to expire therewith.

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