An Act To Allow for Timely Access to and Enhanced Administration of All Vaccines
Maine Legislature, Session 125, LD 1715
Committee Amendment CA_A_H815 (House)
Amends: 32 MRSA §13702-A

COMMITTEE AMENDMENT" A" to H.P. 1267, L.D. 1715, Bill, "An Act To 
Allow for Timely Access to and Enhanced Administration of All Vaccines" 
Amend the bill by striking out all of section I and inserting the following: 
'Sec. 1. 32 MRSA §13702-A, sub-§28, as amended by PL 2009, c. 308, § 1, is 
further amended to read: 
28. Practice of pharmacy. "Practice of pharmacy" means the interpretation and 
evaluation of prescription drug orders; the compounding, dispensing, and labeling of 
drugs and devices, except labeling by a manufacturer, packer or distributor of 
nonprescription drugs and commercially packaged legend drugs and devices; the 
participation in drug selection and drug utilization reviews; the proper and safe storage of 
drugs and devices and the maintenance of proper records for these drugs and devices; the 
administration of influenza vaooine, intranasal influenza vaooine, pneumocoooal vaooine, 
shingles or herpes zoster vaoeine, tetanus diphtheria pertussis vaooine and tetanus 
diphtheria vaoeine vaccines licensed by the United States Food and Drug Administration 
that are recommended by the United States Centers for Disease Control and Prevention 
Advisory Committee on Immunization Practices, or successor organization, for 
administration to adults; the responsibility for advising, when necessary or regulated, of 
therapeutic values, content, hazards and use of drugs and devices; and the offering or 
performing of those acts, services, operations or transactions necessary in the conduct, 
operation, management and control of a pharmacy.' 
Amend the bill in section 2 in §13755 in the first line (page 1, line 19 in L.D.) by 
striking out the following: "drug and" 
Amend the bill in section 3 by striking out all of subsection 2 (page 1, lines 23 to 38 
in L.D.) and inserting the following: 
'2. Administration of other vaccines. A pharmacist licensed in this State who 
meets the qualifications and requirements of section 13832 and rules adopted by the 
board, in addition to influenza vaccines under subsection 1, may administer 
pneumoooooal vaooine, shingles or herpes zoster vaooine, tetanus diphtheria pertussis 
COMMITTEE AMENDMENT 
~ 
.. 4ft. 
COMMITTEE AMENDMENT "A" to H.P. 1267, L.D. 1715 
vaccine, tetanus diphtheria vaccine and booster tetanus diphtheria vaccine vaccines 
licensed by the United States Food and Drug Administration that are recommended by 
the United States Centers for Disease Control and Prevention Advisory Committee on 
Immunization Practices, or successor organization, for administration to adults to a 
person 18 years of age or older according to a valid prescription when the person has an 
existing primary care physician or other existing relationship with a nurse practitioner or 
an authorized practitioner in this State. 
When the person does not have an existing 
relationship with a primary care physician, nurse practitioner or other practitioner in this 
State~ the pharmacist may proceed to administer according to a treatment protocol 
established by an authorized practitioner or a written standing order from a practitioner 
authorized under the laws of this State to issue an order, a prescription or a protocol to a 
person 18 years of age or older for pneumococcal vaccine, shingles or herpes zoster 
vaccine, tetalIDs diphtheria pertussis vaccine, tetanus diphtheria vaccine or booster 
tetanus diphtheria vaccine vaccines licensed by the United States Food and Drug 
Administration that are recommended by the United States Centers for Disease Control 
and Prevention Advisory Committee on Immunization Practices, or successor 
organization, for administration to adults.' 
Amend the bill in section 4 in subsection 4 in the 2nd line (page 2, line 3 in L.D.) by 
striking out the following: "drug and" 
Amend the bill in section 8 in subsection 1 in the first line (page 3, line 1 in L.D.) by 
striking out the following: "drug and vaccine" and inserting the following: 'tlrug vaccine' 
Amend the bill in section 8 in subsection 1 in the 4th line (page 3, line 4 in L.D.) by 
striking out the following: "drug and" 
Amend the bill by inserting after section 9 the following: 
'Sec. 10. Appropriations and allocations. The following appropriations and 
allocations are made. 
PROFESSIONAL AND FINANCIAL REGULATION, DEPARTMENT OF 
Administrative Services - Professional and Financial Regulation 0094 
Initiative: Provides a one-time allocation in fiscal year 2012-13 for the licensing system 
modification costs associated with allowing a pharmacist or pharmacy to operate a 
vaccine administration clinic. 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
Licensing and Enforcement 0352 
2011-12 
$0 
$0 
2012-13 
$2,500 
$2,500 
Initiative: Provides a one-time allocation in fiscal year 2012-13 for the rulemaking costs 
associated with allowing a pharmacist or pharmacy to operate a vaccine administration 
clinic. 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "A" to H.P. 1267, L.D. 1715 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOTAL 
PROFESSIONAL AND FINANCIAL 
REGULATION, DEPARTMENT OF 
DEPARTMENT TOTALS 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL - ALL FUNDS 
SUMMARY 
2011-12 
$0 
$0 
2011-12 
$0 
$0 
2012-13 
$2,500 
$2,500 
2012-13 
$5,000 
$5,000 
This amendment narrows the scope of vaccines that a licensed pharmacist may 
administer proposed in the bill from all vaccines licensed by the United States Food and 
Drug Administration to vaccines licensed by the United States Food and Drug 
Administration that are recommended by the United States Centers for Disease Control 
and Prevention Advisory Committee on Immunization Practices for administration to 
adults. It also allows for the administration of a vaccine by a pharmacist according to a 
valid prescription from a nurse practitioner. It also strikes the term "drug" from the 
reference to vaccine clinics to clarify that vaccine clinics are for the administration of 
only vaccines and not other drugs, except those drugs that may be administered in the 
event of an adverse reaction to a vaccine. The amendment also adds an appropriations 
and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03116/12 
.M'czc. 
LD 1715 
LR 2580(02) 
An Act To Allow for Timely Access to and Enhanced Administration of All Vaccines 
Fiscal Note for Bill as Amended by Committee Amendment "R" ( H.; <615) 
Committee: Labor, Commerce~ Research and Economic Development 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2011-12 
FY 2012-13 
Projections 
FY 2013-14 
Projections 
FY 2014-15 
Appropriations/Allocations 
Other Special Revenue Funds 
Fiscal Detail and Notes 
$0 
$5,000 
$0 
$0 
This bill includes one-time Other Special Revenue Funds allocation of $2,500 to both the Office of Professional and 
Occupational Regulation and the Administrative Services Division within the Department of Professional and 
Financial Regulation in fiscal year 2012-13 for the costs associated with rulemaking and licensing system 
modifications necessary for pharmacists or pharmacies to operate a vaccine administration clinic. According to 
officials at the Department of Professional and Financial Regulation, there are sufficient funds within the board's 
existing budget to fund the additional allocations without increasing fees. 
Assumes the additional vaccines to be administered by licensed pharmacists to adults under this bill would not be 
included in the Maine Immunization Registry administered by the Department of Health and Human Servic~s. 
Including these vaccines in the Maine Immunization Registry would result in additional costs to the Department that it 
could not absorb within existing budgeted resources. 
LR2580(02) - Fiscal Note - Page 1 of 1