76th House District Committees ∙Southeastern Geauga County∙ ∙Western Geauga County∙ ∙Northern Portage County∙ ∙Agriculture and Rural Development∙ ∙Health and Aging∙ ∙Insurance∙ ∙State Government∙ Sarah LaTourette State Representative Sponsor Testimony: House Bill 421 House Health and Aging Committee January 27, 2016 Chairwoman Gonzales, Vice-chair Huffman and Ranking Member Antonio, thank you for allowing me the opportunity to testify on House Bill 421 which, when enacted, will grant appropriately trained pharmacists the ability to administer certain injectable prescribed drugs. This authorization is limited to three of the most important and pressing health issues in Ohio: severe mental illness, substance abuse, and infant mortality. This bill does not give prescriptive authority to pharmacists or change the manner in which these drugs are prescribed. This bill is narrowly tailored to address specific injectable medications, including certain opioid antagonists, antipsychotics, and designated prenatal treatments for pregnant women at high risk of complications. Additionally, this legislation allows the pharmacist to administer epinephrine or diphenhydramine in the event that the patient has an adverse reaction to the drugs that the pharmacist has administered. An Ohioan’s ability to access these often life-saving treatments frequently depends on their geographic location and mobility, making the expanded administration authorization offered by this legislation vital to the health and well-being of many across our state. Far too many patients have to travel long distances to see psychiatrists and substance abuse treatment providers currently authorized to administer these treatments, whereas most people in the state of Ohio live within five miles of a pharmacy. Therefore, allowing appropriately trained pharmacists to administer these prescribed injectable medications will go a long way towards eliminating barriers to care and ensuring equal access to quality healthcare for Ohioans. 77 South High Street, Columbus, Ohio 43215-6111 Phone: (614)644-5088 Email: Rep76@ohiohouse.gov Presently, twenty-three other states permit pharmacists to administer properly prescribed injectable drugs to patients. Again, this bill does not expand prescriptive authority nor authorize pharmacists to prescribe these particular medications. This legislation requires authorized pharmacists to successfully complete a certification course in the administration of these drugs approved by the State Board of Pharmacy. Additionally, they must maintain a certificate for the performance of basic life-support training by the American Red Cross or the American Heart Association. The approved pharmacists will also be required to report to the health professional that prescribed the drug, so that the prescriber is aware of the patient following through with necessary treatment. I am confident that this legislation will fill an unmet need by increasing the number of injection treatment site options for patients being treated in these areas, and therefore will increase the likelihood of successful treatment for these three targeted healthcare crises in our state. Successful treatment in the areas of mental health, addiction, and infant mortality will only have a positive impact on Ohio families and contribute to the reduction of potential societal and financial costs of inadequate care for these important health crises. Again, thank you to the committee for the opportunity to offer sponsor testimony on House Bill 421. I welcome any questions that the committee may have at this time.