Relating to the authority of a pharmacist to determine whether to administer a vaccine, including a COVID-19 vaccine.

SB 623 gives pharmacists exclusive authority to decide whether to administer any vaccine (including COVID-19 vaccines) or dispense medications, without needing approval from a physician or other healthcare provider. This directly affects pharmacists, who gain sole decision-making power over vaccine administration, and patients seeking vaccines, who may be denied care based on a pharmacist's judgment. The bill amends Texas Occupations Code to explicitly state that pharmacists’ decisions on vaccine administration cannot be overridden by other laws. It does not change vaccine safety standards or requirements but shifts administrative control to pharmacists. The bill is pending in committee and would take effect September 1, 2025, if not approved for immediate enactment.