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Advancements in Advanced Practice Pharmacists: California’s SB 493

Learn about California’s SB 493, passed in 2013, allowing Advanced Practice Pharmacists to conduct patient assessments, prescribe medication, and more. Explore the current status of regulations and the barriers faced in implementation.

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Advancements in Advanced Practice Pharmacists: California’s SB 493

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  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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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