An Act To Increase Access to Vaccinations
Maine Legislature, Session 128, LD 0456
Committee Amendment CA_A_H208 (House)
Amends: 32 MRSA §13831

COMMITTEE AMENDMENT "}4" to H.P. 323, L.D. 456, Bill, "An Act To 
Increase Access to Vaccinations" 
Amend the bill by striking out everything after the enacting clause and before the 
summary and inserting the following: 
'Sec. 1. 32 MRSA §13831, sub-§2, as amended by PL 2013, c. 6, § 1, is repealed 
and the following enacted in its place: 
2. 
Administration of other vaccines. 
In addition to administering influenza 
vaccines under subsection 1, a pharmacist licensed in this State who meets the 
qualifications and requirements of section 13832 and rules adopted by the board may 
administer vaccines in accordance with this subsection. 
A. A pharmacist may administer a booster vaccine that has United States Food and 
Drug Administration approval or is licensed by the United States Food and Drug 
Administration and that is listed on the recommended immunization schedule of the 
United States Centers for Disease Control and Prevention Advisory Committee on 
Immunization Practices, or successor organization, to a person 11 years of age or 
older and under 18 years of age according to a valid prescription from the person's 
primary care physician or a nurse practitioner with whom the person has an existing 
relationship. A pharmacist who administers a vaccine under this paragraph shall 
notify the practitioner who issued the prescription of the administration within 3 
business days as required by section 13833, subsection 3. 
B. A pharmacist may administer a vaccine that has United States Food and Drug 
Administration approval or is licensed by the United States Food and Drug 
Administration and that is listed on the recommended immunization schedule of the 
United States Centers for Disease Control and Prevention Advis01y Committee on 
Immunization Practices, or successor organization, to a person 18 years of age or 
older according to a valid prescription from the person's primaty care physician or a 
nurse practitioner with whom the person has an existing relationship or according to a 
treatment protocol or a written standing order from a practitioner authorized under 
the laws of this State to issue a protocol or order. A pharmacist who administers a 
COMMITTEE AMENDMENT 
tf( 
COMMITTEE AMENDMENT" A" to H.P. 323, L.D. 456 
vaccine under this paragraph shall notify the practitioner who issued the prescription, 
protocol or standing order of the administration within 3 business days as required by 
section 13 83 3, subsection 3. 
C. A pharmacist may administer a vaccine licensed by the United States Food and 
Drug Administration that is outside the guidelines recommended on the 
recommended immunization schedule of the United States Centers for Disease 
Control and Prevention Advisory Committee on Immunization Practices, or successor 
organization, to a person 18 years of age or older according to a valid prescription 
from the person's primary care physician or a nurse practitioner with whom the 
person has an existing relationship or from an authorized practitioner in this State if 
the prescription specifically states that the vaccine is medically necessary. 
A 
pharmacist who administers a vaccine under this paragraph shall notify the 
practitioner who issued the prescription of the administration within 3 business days 
as required by section 13833, subsection 3.' 
SUMMARY 
This amendment, which is the minority report of the committee, replaces the bill and 
reorganizes the law that allows pharmacists to administer vaccines other than the 
influenza vaccine. Under the amendment, pharmacists may administer booster vaccines 
listed on the United States Centers for Disease Control and Prevention's recommended 
immunization schedule to a person 11 years of age or older and under 18 years of age 
according to a valid prescription from the person's primary care physician or nurse 
practitioner as long as the phannacist notifies the prescriber of the administration within 3 
business days. 
This amendment also authorizes pharmacists to administer vaccines on the 
recommended immunization schedule to adults according to a valid prescription, 
treatment protocol or written standing order from an authorized practitioner in this State. 
This amendment retains the requirement in current law that a pharmacist may not 
administer a vaccine that is not on the recommended immunization schedule unless the 
adult seeking the vaccine has a valid prescription stating that the vaccine is medically 
necessary. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/11/17 .wac:.. 
LD456 
LR 1734(02) 
An Act To Increase Access to Vaccinations 
Fiscal Note for Bill as Amended by Committee Amendment ,A ( Jf- l C 8') 
Committee: Labor, Commerce, Research and Economic Development 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - Other Special Revenue Funds 
Fiscal Detail and Notes 
Additional costs to the Department of Professional and Financial Regulation, Maine Board of Pharmacy, to implement 
the requirements of this legislation can be absorbed within the board's existing budgeted resources. 
LRl 734(02) - Fiscal Note - Page 1 of 1