Relating to the administration of a medication and the ordering and administration of an immunization or vaccination by a pharmacist.

SB 254 allows Texas pharmacists to order and administer vaccinations to patients aged three and older without a physician's protocol, and to younger patients with a physician's written referral. Pharmacists must complete specific training (including CDC guidelines and life support), notify the prescribing physician within 14 days of administration, and cannot delegate this task to pharmacy technicians. The bill also requires pharmacists to meet qualifications ensuring patient safety, such as proper certification and coordination with a patient's primary care provider. This change directly affects pharmacists' scope of practice and increases patient access to vaccinations at pharmacies.