THE BILL ITSELF
CS/CS/HB 1021
Administration of Medications by Pharmacists
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A bill to be entitled
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An act relating to the administration of medications
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by pharmacists; creating s. 465.1894, F.S.;
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authorizing pharmacists, at the direction of certain
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licensed physicians, to administer medications under
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certain circumstances; providing recordkeeping
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requirements; requiring the Board of Pharmacy to adopt
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rules; amending s. 395.0197, F.S.; requiring
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facilities to maintain documentation relating to
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pharmacist qualifications; providing an effective
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date.
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Be It Enacted by the Legislature of the State of Florida: Section 1. Section 465.1894, Florida Statutes, is created
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to read:
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465.1894 Administration of medications.—
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(1) A pharmacist, at the direction of a physician licensed
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under chapter 458 or chapter 459, who meets the following
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qualifications may administer medications to a patient during a
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life-threatening emergency event at a Level I, Level II, or
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pediatric trauma center when delegated to perform such task:
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(a) The pharmacist has completed an accredited
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postgraduate residency training program; or
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(b) The pharmacist has completed at least 3 years of
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direct patient care in a hospital setting.
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A trauma center that permits a physician to delegate the
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administration of medication to a pharmacist must maintain
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records pursuant to s. 395.0197(5) including, but not limited
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to, documentation that the administering pharmacist meets the
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requirements of this section.
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(2) The board shall adopt rules to administer this
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section.
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Section 2. Paragraph (b) of subsection (1) of section
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395.0197, Florida Statutes, is amended to read:
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395.0197 Internal risk management program.—
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(1) Every licensed facility shall, as a part of its
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administrative functions, establish an internal risk management
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program that includes all of the following components:
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(b) The development of appropriate measures to minimize
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the risk of adverse incidents to patients, including, but not
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limited to:
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1. Risk management and risk prevention education and
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training of all nonphysician personnel as follows:
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a. Such education and training of all nonphysician
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personnel as part of their initial orientation; and
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b. At least 1 hour of such education and training annually
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for all personnel of the licensed facility working in clinical
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areas and providing patient care, except those persons licensed
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as health care practitioners who are required to complete
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continuing education coursework pursuant to chapter 456 or the
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respective practice act.
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2. A prohibition, except when emergency circumstances
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require otherwise, against a staff member of the licensed
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facility attending a patient in the recovery room, unless the
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staff member is authorized to attend the patient in the recovery
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room and is in the company of at least one other person.
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However, a licensed facility is exempt from the two-person
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requirement if it has:
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a. Live visual observation;
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b. Electronic observation; or
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c. Any other reasonable measure taken to ensure patient
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protection and privacy.
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3. A prohibition against an unlicensed person from
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assisting or participating in any surgical procedure unless the
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facility has authorized the person to do so following a
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competency assessment, and such assistance or participation is
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done under the direct and immediate supervision of a licensed
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physician and is not otherwise an activity that may only be
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performed by a licensed health care practitioner.
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4. Development, implementation, and ongoing evaluation of
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procedures, protocols, and systems to accurately identify
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patients, planned procedures, and the correct site of the
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planned procedure so as to minimize the performance of a
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surgical procedure on the wrong patient, a wrong surgical
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procedure, a wrong-site surgical procedure, or a surgical
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procedure otherwise unrelated to the patient's diagnosis or
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medical condition.
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5. For a Level I, Level II, or pediatric trauma center,
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development, implementation, and ongoing evaluation of
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procedures, protocols, and systems to permit and comply with
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pharmacist administration of medications to a patient during a
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life-threatening emergency event, if the facility permits the
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delegation of such task pursuant to s. 465.1894.
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Section 3. This act shall take effect July 1, 2026.