Click here for PDF version of this analysis

hio Legislative Service Commission
123rd Senate Bill Analysis
Sub. S.B. 248
123rd General Assembly
(As Reported by H. Health, Retirement & Aging)


Permits a pharmacist to administer specified adult immunizations by injection, if the pharmacist completes training requirements and acts under a protocol established by a physician.

Administration of adult immunizations by pharmacists

(secs. 4729.01(B)(8) and 4729.41)

The bill authorizes a pharmacist to administer by injection adult immunizations for influenza, pneumonia, tetanus, hepatitis A, and hepatitis B. To have the authority to administer these injections, a pharmacist must do all of the following:

(1) Successfully complete a course in the administration of adult immunizations that has been approved by the State Board of Pharmacy as meeting the standards established for such courses by the federal Centers for Disease Control and Prevention;

(2) Receive and maintain certification to perform basic life-support procedures by successfully completing a basic life-support training course certified by the American Red Cross or American Heart Association;

(3) Practice in accordance with a definitive set of treatment guidelines specified in a protocol established by a physician and approved by the Board. The protocol must include provisions requiring that the pharmacist do both of the following:

(a) Observe an individual who has been immunized by the pharmacist to determine whether the individual has an adverse reaction to the immunization. The length of time and location of the observation is to be specified in rules adopted by the Board.

(b) Not later than 30 days after administering an adult immunization to an individual, notify the individual's family physician or, if the individual has no family physician, the board of health of the health district in which the individual resides.

The bill prohibits a pharmacist from administering adult immunizations by injection unless the bill's training and protocol requirements have been met. It also prohibits a pharmacist from delegating to another person the pharmacist's authority to administer adult immunizations.

The bill requires the Board to adopt rules as necessary, including rules for approving courses and protocols. The rules must be adopted in accordance with the Administrative Procedure Act (Revised Code Chapter 119.).


The bill does not specify penalties for violations of the prohibitions it establishes. However, the Board has authority to take disciplinary action against a pharmacist who violates any provision of the law governing the practice of pharmacy (R.C. section 4729.16). This authority allows the Board to take action against a pharmacist who violates the bill's prohibitions.

Introduced01-26-00p. 1357
Reported, S. Health, Human Services and Aging05-23-00p. 1775
Passed Senate (33-0)05-25-00p. 1863
Reported, H. Health,
Retirement & Aging
09-20-00p. 2280

See Final Analysis

Top of Page

[View Bill]

LSC - 123rd Legislative Analyses