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| Helping pharmacy & health communities improve access to Emergency Contraception (EC) |
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EC PHARMACY UPDATEAlthough there is currently no known activity promoting direct pharmacy access to EC, the University of Michigan College of Pharmacy and the Michigan Pharmacists Association have plans to discuss this issue. HB 4794 the “Emergency Contraception Education Act,” was introduced in June 2003. Planned Parenthood Advocates of Michigan assigned priority to this bill. Although there is currently no known activity promoting direct pharmacy access to EC, the University of Michigan College of Pharmacy and the Michigan Pharmacists Association have plans to discuss this issue. HB 5311 was introduced in Oct 2005 to propose that EC be dispensed only as a prescription drug. In 2002, Planned Parenthood Advocates of Michigan surveyed (PDF-196K) pharmacists to determine whether they stocked EC. One of the key findings (PDF-756K) was that pharmacies were not seeing any demand for EC and, as a result, medications were expiring. Pharmacists who did not carry EC were provided with EC educational materials and Planned Parenthood identified increasing EC awareness in the community as a priority. Planned Parenthood affiliates are currently conducting EC outreach campaigns in communities and on college campuses like the University of Michigan where students are advocating on behalf of EC. Please Note: This state has an optimal environment for EC protocols between pharmacists and physicians. To learn more click here.
CONTACTSDianne Miller Larry Wagenknecht, R.Ph. Leslie Shimp Joy Brychta RNC, MSN Sarah Scranton
USEFUL LINKSMichigan Pharmacists Association Michigan Legislature NARAL Pro-Choice Michigan Planned Parenthood of Michigan Michigan NOW Planned Parenthood of East Central Michigan Planned Parenthood of South Central Michigan Planned Parenthood of Southeast Michigan
PROTOCOL ENVIRONMENTOptimal Environment: No Revision to Authority Necessary Existing statutes and regulations would accommodate pharmacists’ initiation of emergency contraception, generally under a collaborative practice agreement (protocol) with a prescriber. Statutory/regulatory authorization for a collaborative practice agreement does not require Board review/approval for new activity, but confirmation and/or approval from the Board of Pharmacy is recommended. Pharmacist initiation of EC requires would require development of a protocol and securing prescriber authorization.
PHARMACY PRACTICE ACTPharmacy Practice Act Regulatory and Statutory Authority Note: The text presented below has been prepared by the American Pharmacists Association for the Pharmacy Access Partnership and reflects legislation or regulation promulgated as of June 15, 2003. MICHIGAN Pharmacists practicing in any setting may implement collaborative practice under a generalized delegated authority from a prescribing physician. This general authority derives from two provisions:
These agreements are under the authority and approval of the physician and don’t require Board filing or approval. Statutory authority: Mich Comp. Laws §§14.9 (9204),14.15(16105), (17707), (17708) Regulatory authority: Mich. Admin Code r. 338.486
MICHIGAN STATUTE CHAPTER 333. HEALTH - PUBLIC HEALTH CODE ARTICLE 15. OCCUPATIONS PART 161 – GENERAL PROVISIONS 333.16105. Definitions Sec. 16105. (1) “Health occupation” means a health related vocation, calling, occupation, or employment performed by an individual whether or not the individual is licensed or registered under this article. 333.16215. Delegation of acts, tasks or functions to licensed or unlicensed individual; supervision; rules; immunity. Sec. 16215. (1) Subject to subsections (2) to (5), a licensee who holds a license other than a health profession subfield license may delegate to a licensed or unlicensed individual who is otherwise qualified by education, training, or experience the performance of selected acts, tasks, or functions where the acts, tasks, or functions fall within the scope of practice of the licensee's profession and will be performed under the licensee's supervision. A licensee shall not delegate an act, task, or function under this section if the act, task, or function, under standards of acceptable and prevailing practice, requires the level of education, skill, and judgment required of the licensee under this article. (2) Subject to subsection (1) and except as otherwise provided in this subsection and subsection (3), a licensee who is an allopathic physician or osteopathic physician and surgeon shall delegate an act, task, or function that involves the performance of a procedure that requires the use of surgical instrumentation only to an individual who is licensed under this article. A licensee who is an allopathic physician or osteopathic physician and surgeon may delegate an act, task, or function described in this subsection to an individual who is not licensed under this article if the unlicensed individual is 1 or more of the following and if the procedure is directly supervised by a licensed allopathic physician or osteopathic physician and surgeon who is physically present during the performance of the procedure:
(3) Subject to subsection (1), a licensee who is an allopathic physician or osteopathic physician and surgeon may delegate an act, task, or function described in subsection (2) to an individual who is not licensed under this article and who is 1 of the following:
(4) A board may promulgate rules to further prohibit or otherwise restrict delegation of specific acts, tasks, or functions to a licensed or unlicensed individual if the board determines that the delegation constitutes or may constitute a danger to the health, safety, or welfare of the patient or public. History: 1978, Act 368, Eff. Sept. 30, 1978 ;--Am. 1990, Act 279, Eff. Mar. 28, 1991 ;--Am. 1999, Act 60, Eff. Sept. 1, 1999 . MICHIGAN PHARMACY PRACTICE ACT Article 15. Occupations Part 177. Pharmacy Practice and Drug Control 333.17707 Definitions; P. [M.S.A. 14.15(17707) ] (5) “Practice of pharmacy” means a health service, the clinical application of which includes the encouragement of safety and efficacy in the prescribing, dispensing, administering, and use of drugs and related articles for the prevention of illness, and the maintenance and management of health. Professional functions associated with the practice of pharmacy include:
History: 1978, Act 368, Eff. Sept. 30, 1978 ;--Am. 1990, Act 333, Eff. Mar. 28, 1991 333.17708 Definitions; P. . . . (2) “Prescriber” means a licensed dentist, a licensed doctor of medicine, a licensed doctor of osteopathic medicine and surgery, a licensed doctor of podiatric medicine and surgery, a licensed optometrist certified under part 174 to administer and prescribe therapeutic pharmaceutical agents, a licensed veterinarian, or another licensed health professional acting under the delegation and using, recording, or otherwise indicating the name of the delegating licensed doctor of medicine or licensed doctor of osteopathic medicine and surgery. History: 1978, Act 368, Eff. Sept. 30, 1978 ;--Am. 1994, Act 384, Eff. Mar 30, 1995 ;--Am. 1997, Act 153, Eff. Mar. 31, 1998 .
MICHIGAN REGULATIONS R 338.486 “Medical institution” and “pharmacy services” defined; pharmacy services in medical institutions. Rule 16. (b) “Pharmacy services” means the direct and indirect patient care services associated with the practice of pharmacy.
History: 1954 ACS 37, Eff. Feb. 14, 1964; 1954 ACS 39, Eff. Aug. 14, 1964; 1954 ACS 86, Eff. Jan. 7, 1976; 1979 AC; 1979 ACS 4, Eff. Nov. 18, 1980; 1998 MR 4, Eff. Apr. 22, 1998.
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