BILL ANALYSIS �
AB 2348
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CONCURRENCE IN SENATE AMENDMENTS
AB 2348 (Mitchell)
As Amended August 20, 2012
Majority vote
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|ASSEMBLY: |44-28|(May 31, 2012) |SENATE: |23-15|(August 22, |
| | | | | |2012) |
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Original Committee Reference: B.,P. & C.P.
SUMMARY : Allows registered nurses (RNs) to dispense and
administer hormonal contraceptives under a standardized
procedure, as specified, and allows RNs to dispense drugs and
devices upon an order by a certified nurse-midwife (CNM), a
nurse practitioner (NP), or a physician assistant (PA) while
functioning within specified clinic settings.
The Senate amendments :
1)Expand the types of clinics in which an RN may dispense drugs
or devices upon an order by a physician and surgeon, a CNM, an
NP, or a PA to include intermittent clinics and student health
centers operated by public higher education institutions.
2)Delete language limiting the settings in which RNs may
dispense hormonal contraceptives, thereby allowing RNs to
dispense hormonal contraceptives in any setting.
3)Expand the components that must be included in the
standardized procedure under which RNs may dispense hormonal
contraceptives to include:
a) Successful completion of training and competency
assessment, on which the selection of RNs who may dispense
or administer hormonal contraceptives will be based;
b) Minimum training requirements regarding educating
patients on medical standards for ongoing women's
preventive health, contraception options education and
counseling, properly eliciting, documenting, and assessing
patient and family health history, and utilization of the
United States Medical Eligibility Criteria for
Contraceptive Use (USMEC);
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c) Demonstration of competency in providing the appropriate
prior examination comprised of checking blood pressure,
weight, and patient and family health history, including
medications taken by the patient;
d) Criteria and procedure for identification,
documentation, and referral of patients with
contraindications for hormonal contraceptives and patients
in need of a follow-up visit to a physician and surgeon,
NP, CNM, or PA;
e) Adherence to current law, which makes it unprofessional
conduct to prescribe, dispense or furnish dangerous drugs
without an appropriate examination and a medical
indication, in a manner developed through collaboration
with health care providers, including physicians and
surgeons, CNMs, NPs, PAs, and RNs. The appropriate prior
examination shall be consistent with the evidence-based
practice guidelines adopted by the federal Centers for
Disease Control and Prevention in conjunction with the
USMEC; and,
f) If a patient has been seen exclusively by an RN for
three consecutive years, the patient shall be evaluated by
a physician and surgeon, NP, CNM, or PA prior to continuing
the dispensation or administration of hormonal
contraceptives.
4)State that nothing in this bill shall be construed to affect
the sites or types of health care facilities at which drugs or
devices are authorized to be dispensed pursuant to California
Pharmacy Law.
AS PASSED BY THE ASSEMBLY , this bill allowed RNs to dispense
drugs and devices upon an order by a CNM, an NP, or a PA while
functioning within specified clinic settings, and allowed RNs to
dispense and administer hormonal contraceptives under a
standardized procedure while functioning within specified clinic
settings.
FISCAL EFFECT : Unknown. This bill is keyed non-fiscal by the
Legislative Counsel.
COMMENTS : This bill was amended in the Senate, and is
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consistent with Assembly Actions.
Analysis Prepared by : Angela Mapp / B.,P. & C.P. / (916)
319-3301
FN:
0005325