California’s SB 493 Joanne Spetz, PhD Healthforce Center

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Presentation transcript:

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

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

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

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

The big barriers Communication between primary care and pharmacy Systems push to pharmacies How to push information back? Billing

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