Texas 2025 - 89th 1st C.S.

Texas Senate Bill SB69

Voted on by Senate
 
Out of House Committee
 
Voted on by House
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to a statewide order issued by the commissioner of state health services authorizing a pharmacist to dispense ivermectin.

Summary

SB 69 would require the Texas commissioner of state health services to issue a statewide order allowing licensed pharmacists to dispense ivermectin without a prescription from a health care practitioner. The bill directs the order to include standardized written procedures or protocols for pharmacists and to require patient instructions on proper use of the drug. It also authorizes pharmacists to dispense ivermectin under the order notwithstanding other law, and it requires annual reporting of the number of doses dispensed under the statewide order. The bill further provides liability and disciplinary protections for pharmacists who act in a reasonably prudent manner while dispensing ivermectin under the order, and it shields the commissioner from criminal, civil, or licensing-disciplinary consequences for issuing the order. The Texas State Board of Pharmacy and the executive commissioner may adopt rules to implement the measure, and the commissioner must issue the order as soon as practicable after the act takes effect.

Impact

SB 69 would amend Chapter 1001 of the Texas Health and Safety Code by adding a new section that creates a statewide mechanism for nonprescription dispensing of ivermectin by pharmacists. It would override conflicting state-law requirements that otherwise limit dispensing to prescription orders, while also establishing reporting, protocol, and rulemaking requirements for the Department of State Health Services and the Texas State Board of Pharmacy. The bill affects pharmacists, patients seeking ivermectin, and state health regulators, and it creates explicit immunity protections tied to compliance with the statewide order.

Sentiment

Based on the bill text and the absence of committee transcripts or recorded votes, the available context suggests the measure was introduced as a policy proposal rather than one with documented public debate in the provided materials. The bill’s structure indicates support for expanding access to ivermectin through pharmacists, while also attempting to address safety and liability concerns through standardized procedures and reporting. No formal sentiment from committee discussion or voting history is available in the record provided.

Contention

The main point of contention is likely the bill’s authorization of ivermectin dispensing without a prescription, which may raise concerns about medical oversight, appropriate use, and public health policy. Supporters would likely emphasize expanded access and pharmacist discretion, while opponents may object to bypassing a health care practitioner’s prescription order and to the broader implications of state endorsement of ivermectin use. The bill also anticipates concern over legal exposure by granting immunity to pharmacists and the commissioner, suggesting liability and professional accountability are central issues.

Companion Bills

TX HB84

Identical Relating to a statewide order issued by the commissioner of state health services authorizing a pharmacist to dispense ivermectin.

Previously Filed As

TX HB3219

Relating to a statewide order issued by the commissioner of state health services authorizing a pharmacist to dispense ivermectin.

TX HB3175

Relating to a statewide order issued by the commissioner of state health services authorizing a pharmacist to dispense ivermectin.

TX HB2182

Relating to a statewide order issued by the commissioner of state health services authorizing a pharmacist to dispense an emergency contraceptive.

TX HB3317

Relating to the relationship between pharmacists or pharmacies and health benefit plan issuers or pharmacy benefit managers.

TX SB1236

Relating to the relationship between pharmacists or pharmacies and health benefit plan issuers or pharmacy benefit managers.

TX SB1354

Relating to the minimum reimbursement amount for prescription drugs and devices to health benefit plan network pharmacists and pharmacies.

TX HB2978

Relating to the minimum reimbursement amount for prescription drugs and devices to health benefit plan network pharmacists and pharmacies.

TX HB4051

Relating to the authority of certain healthcare providers to order and provide or dispense limited prescription drugs.

TX SB1985

Relating to a pharmacist's authority to refuse to dispense a drug.

TX HB3540

Relating to the regulation of pharmacists and the practice of pharmacy, including the administration of a medication and the ordering and administration of an immunization or vaccination by a pharmacist.

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