Transcript California`s SB 493 - Texas Medical Center

California’s SB 493
Joanne Spetz, PhD
Healthforce Center
School of Nursing
Philip R. Lee Institute for Health Policy Studies
University of California, San Francisco
California passed SB 493 in 2013
 Advanced Practice Pharmacists
 Only bill of 3 introduced that year (NPs, optometrists)
 Regulatory process in California Board of Pharmacy
 North Carolina
 New Mexico
 Oregon
 Washington
 Minnesota
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What can APPs do?
 Conduct patient assessments
 Order and interpret drug therapy-related tests
 Refer patients to other providers
 Medication prescribing
• Hormonal contraceptives
• Nicotine replacement
• Travel medicines
 Immunizations under statewide protocol
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Requirements
 APP certification
• Education requirements have been established
• Final certification regulation is still pending
 Notify primary care providers about any medications prescribed or
immunizations administered
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Progress to date
 Regulations in place for:
• Hormonal contraceptives
• Nicotine replacement
• Immunizations under statewide protocol
• Education requirements
 Regulations pending for:
• Final certification process
• Travel medications
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The big barriers
 Communication between primary care and pharmacy
• Systems push to pharmacies
• How to push information back?
 Billing
 Billing
 Billing
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