Bill
Bill > AB43
WI AB43
Permitting pharmacists to prescribe certain contraceptives, extending the time limit for emergency rule procedures, providing an exemption from emergency rule procedures, granting rule-making authority, and providing a penalty. (FE)
summary
Introduced
02/17/2025
02/17/2025
In Committee
05/14/2025
05/14/2025
Crossed Over
05/13/2025
05/13/2025
Passed
Dead
Introduced Session
2025-2026 Regular Session
Bill Summary
This bill permits a pharmacist to prescribe and dispense hormonal contraceptive patches and self-administered oral hormonal contraceptives, subject to limitations described as follows. The bill requires the Pharmacy Examining Board, after consultation with the Medical Examining Board, the Board of Nursing, and the Department of Health Services, to promulgate rules to establish standard procedures for the prescribing of contraceptives by pharmacists under the bill. The rules must require that pharmacists use a self-assessment questionnaire, developed in consideration of guidelines established by the American Congress of Obstetricians and Gynecologists, when prescribing a contraceptive. questionnaire must state and the patient must acknowledge on the self-assessment questionnaire that a hormonal contraceptive patch or a self-administered oral hormonal contraceptive is not protection against sexually transmitted diseases, and that it is strongly recommended that the patient annually meet with a physician or other medical professional to discuss the patient[s prescribed hormonal contraceptive treatment and other routine preventive care. Under the bill, the rules promulgated by the Pharmacy Examining Board establishing standard procedures for the prescribing of contraceptives by pharmacists must include certain requirements for pharmacists such as requiring that the pharmacist report to the patient[s primary health care practitioner following a prescription and requiring that the contraceptive be dispensed as soon as practicable after the pharmacist issues the prescription order. Further, the rules must prohibit a pharmacist from prescribing or dispensing a contraceptive to a patient unless the patient has responded to the self-assessment questionnaire and undergone a blood pressure screening and unless the use of the contraceptive is not contraindicated based upon the results of the questionnaire and screening. A pharmacist who prescribes contraceptives as permitted under the bill must comply with those rules, as well as any other rules promulgated by the Pharmacy Examining Board. A pharmacist may only prescribe a contraceptive to a person who is at least 18 years of age. The bill requires any pharmacist who prescribes hormonal contraceptives as provided in the bill to have in effect malpractice liability insurance coverage in the amounts specified for other health care providers under current law. Finally, the bill requires that DHS ensure any contraceptives or contraceptive services that are covered under the Medical Assistance program are covered and reimbursed when prescribed, if a prescription is required under federal law, or provided by a pharmacist acting within the scope of his or her practice. The Medical Assistance program is a joint federal and state program that provides health services to individuals who have limited financial resources. The bill also requires DHS to certify pharmacists as providers of Medical Assistance services for the purposes of covering and reimbursing prescribed hormonal contraceptive patches and self-administered oral hormonal contraceptives. For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
AI Summary
This bill permits pharmacists to prescribe and dispense hormonal contraceptive patches and self-administered oral hormonal contraceptives to patients aged 18 and older, subject to specific regulatory requirements. The Pharmacy Examining Board must develop rules in consultation with other medical boards, including creating a self-assessment questionnaire based on guidelines from the American Congress of Obstetricians and Gynecologists. Pharmacists will be required to have patients complete this questionnaire, which emphasizes that contraceptives do not protect against sexually transmitted diseases and recommends annual medical consultations. The bill mandates that pharmacists report to the patient's primary care provider, provide a written record of the prescription, and conduct a blood pressure screening to ensure the contraceptive is safe for the patient. Pharmacists must also carry malpractice liability insurance and can only prescribe contraceptives if the patient's questionnaire and screening results do not indicate any contraindications. The bill further requires the Department of Health Services to ensure these contraceptives are covered under the Medical Assistance program and to certify pharmacists as providers. Violations of the bill's provisions can result in forfeitures between $250 and $2,500, and the act will take effect on January 1, 2026, with some provisions taking effect immediately.
Committee Categories
Health and Social Services
Sponsors (29)
Tyler August (R)*,
Mike Bare (D)*,
Barbara Dittrich (R)*,
Cindi Duchow (R)*,
Benjamin Franklin (R)*,
Francesca Hong (D)*,
Andrew Hysell (D)*,
Jenna Jacobson (D)*,
Karen Kirsch (D)*,
Joel Kitchens (R)*,
Scott Krug (R)*,
Vincent Miresse (D)*,
Jeff Mursau (R)*,
Amanda Nedweski (R)*,
Greta Neubauer (D)*,
Todd Novak (R)*,
Christian Phelps (D)*,
Jim Piwowarczyk (R)*,
Jessie Rodriguez (R)*,
Joe Sheehan (D)*,
Christine Sinicki (D)*,
Pat Snyder (R)*,
John Spiros (R)*,
Angela Stroud (D)*,
Lisa Subeck (D)*,
Shannon Zimmerman (R)*,
Rachael Cabral-Guevara (R),
Jesse James (R),
Howard Marklein (R),
Last Action
Available for scheduling (on 05/14/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
---|---|
State Bill Page | https://docs.legis.wisconsin.gov/2025/proposals/reg/asm/bill/ab43 |
AB43 ROCP for Committee on Health, Aging and Long-Term Care | https://docs.legis.wisconsin.gov/2025/related/records/assembly/health_aging_and_long_term_care/1917334.pdf |
Fiscal Note - AB43: Fiscal Estimate From DSPS | https://docs.legis.wisconsin.gov/2025/related/fe/ab43/ab43_dsps.pdf |
Fiscal Note - AB43: Fiscal Estimate From DHS | https://docs.legis.wisconsin.gov/2025/related/fe/ab43/ab43_dhs.pdf |
BillText | https://docs.legis.wisconsin.gov/document/proposaltext/2025/REG/AB43.pdf |
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