Legislature(2021 - 2022)

2022-04-14 House Journal

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2022-04-14                     House Journal                      Page 2529
HB 145                                                                                                                        
The following was read the second time:                                                                                         
                                                                                                                                
    HOUSE BILL NO. 145                                                                                                          
    "An Act relating to the Board of Pharmacy; relating to health care                                                          
    services provided by pharmacists and pharmacy technicians; and                                                              
    relating to the practice of pharmacy."                                                                                      
                                                                                                                                
with the:                                                   Journal Page                                                        
                                                                                                                                
 L&C RPT 6DP 1NR 646                                                                                                            
 FN1: (CED) 646                                                                                                                 
 HSS RPT CS(HSS) 5DP 1NR 717                                                                                                    
 FN1: (CED) 717                                                                                                                 

2022-04-14                     House Journal                      Page 2530
The Rules Committee submitted the following fiscal note:                                                                        
                                                                                                                                
2.  Fiscal, Dept. of Commerce, Community, & Economic                                                                            
 Development                                                                                                                    
                                                                                                                                
Representative Tuck moved and asked unanimous consent that the                                                                  
following committee substitute be adopted in lieu of the original bill:                                                         
                                                                                                                                
    CS FOR HOUSE BILL NO. 145(HSS)                                                                                              
    (same title)                                                                                                                
                                                                                                                                
Representative Tilton objected and withdrew the objection. There                                                                
being no further objection, CSHB 145(HSS) was adopted.                                                                          
                                                                                                                                
Amendment No. 1 was offered  by Representative Eastman:                                                                          
                                                                                                                                
Page 1, line 2, following "technicians;" (title amendment):                                                                   
    Insert "relating to the prescription and dispensation of                                                                  
ivermectin;"                                                                                                                  
                                                                                                                                
Page 1, following line 3:                                                                                                       
    Insert new bill sections to read:                                                                                           
"* Section 1. AS 08.64.367(d) is amended by adding a new                                                                      
paragraph to read:                                                                                                              
             (3)  "chief medical officer" means the chief medical                                                               
    officer of the Department of Health.                                                                                        
   * Sec. 2. AS 08.64.367 is amended by adding new subsections to                                                             
read:                                                                                                                           
         (e)  A physician or the chief medical officer may prescribe                                                            
    ivermectin by standing order. A standing order issued under this                                                            
    subsection must                                                                                                             
             (1)  be written and signed by a physician licensed under                                                           
    this chapter or by the chief medical officer, as applicable;                                                                
             (2)  specify a protocol allowing a pharmacist licensed                                                             
    under AS 08.80 to dispense ivermectin under the delegated                                                                   
    prescriptive authority of the physician or the chief medical officer;                                                       
    and                                                                                                                         
             (3)  include a plan for evaluating and treating any adverse                                                        
    events.                                                                                                                     
         (f)  An action may not be brought against a physician or the                                                           
    chief medical officer for damages resulting from the good faith                                                             

2022-04-14                     House Journal                      Page 2531
    standing order prescription of ivermectin under this (e) of this                                                            
    section."                                                                                                                   
                                                                                                                                
Renumber the following bill sections accordingly.                                                                               
                                                                                                                                
Page 3, line 29:                                                                                                                
    Delete "a new section"                                                                                                      
    Insert "new sections"                                                                                                       
                                                                                                                                
Page 4, following line 17:                                                                                                      
    Insert a new section to read:                                                                                               
         "Sec. 08.80.339. Standing order for ivermectin. (a) A                                                                
    pharmacist following a standing order issued under                                                                          
    AS 08.64.367(e) may dispense ivermectin to a person in this state                                                           
    without a prior prescription.                                                                                               
         (b)  A pharmacist following a standing order under this                                                                
    section may not                                                                                                             
             (1)  seek personal financial benefit by participating in an                                                        
    incentive-based program; or                                                                                                 
             (2)  accept an inducement that influences or encourages                                                            
    therapeutic or product changes or the ordering of tests or services.                                                        
         (c)  A pharmacist shall provide each recipient of ivermectin                                                           
    under this section with a standardized information sheet written in                                                         
    plain language that includes information on the importance of                                                               
    follow-up care and health care referral information.                                                                        
         (d)  An action may not be brought against a pharmacist for                                                             
    damages resulting from the good faith dispensation of ivermectin                                                            
    under this section."                                                                                                        
                                                                                                                                
Representative Eastman moved and asked unanimous consent that                                                                   
Amendment No. 1 be adopted.                                                                                                     
                                                                                                                                
There was objection.                                                                                                            
                                                                                                                                
The question being:  "Shall Amendment No. 1 be adopted?"  The roll                                                              
was taken with the following result:                                                                                            
                                                                                                                                
CSHB 145(HSS)                                                                                                                   
Second Reading                                                                                                                  
Amendment No. 1                                                                                                                 
                                                                                                                                
YEAS:  13   NAYS:  18   EXCUSED:  8   ABSENT:  1                                                                              
                                                                                                                                

2022-04-14                     House Journal                      Page 2532
Yeas:  Carpenter, Eastman, Gillham, Johnson, Kaufman, Kurka,                                                                    
LeBon, McCarty, Nelson, Prax, Tilton, Tuck, Vance                                                                               
                                                                                                                                
Nays:  Claman, Drummond, Edgmon, Fields, Foster, Hannan,                                                                        
Hopkins, Josephson, Merrick, Ortiz, Schrage, Snyder, Spohnholz,                                                                 
Story, Stutes, Tarr, Wool, Zulkosky                                                                                             
                                                                                                                                
Excused:  Cronk, McCabe, McKay, Patkotak, Rasmussen, Rauscher,                                                                  
Shaw, Thompson                                                                                                                  
                                                                                                                                
Absent:  Kreiss-Tomkins                                                                                                         
                                                                                                                                
And so, Amendment No. 1 was not adopted.                                                                                        
                                                                                                                                
Representative Tuck moved and asked unanimous consent that                                                                      
CSHB 145(HSS) be considered engrossed, advanced to third reading,                                                               
and placed on final passage.                                                                                                    
                                                                                                                                
There was objection.                                                                                                            
                                                                                                                                
CSHB 145(HSS) will advance to third reading on tomorrow's                                                                       
calendar.