Creating Pharmacist Prescribing Authority Act
SB 526, now law as Chapter 197 of the 2025 Regular Session, grants pharmacists the authority to prescribe certain medications directly to patients. It specifically allows pharmacists to prescribe vaccines, birth control, and smoking cessation treatments without a physician's order. This expands patient access to these common healthcare services by enabling pharmacists to provide prescriptions within defined clinical protocols. The law directly affects patients seeking these specific treatments and pharmacists who can now offer this service under state guidelines.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
Senate Passage
Apr 2025
House of Delegates Passage
Apr 2025
Signed into Law
Aug 2025
Introduced Feb 19, 2025
Signed Aug 8, 2025
Maddy AI version diff · 8 comparisons
What changed between versions
sb526 sfa martin _1 3-25 adopted.htm
→
sb526 sfat rucker _1 3-26 adopted.htm
·
3 edits
MINOR
The bill was amended to change the sponsor from Senator Martin to Senator Rucker, and the amendment text was replaced with a more comprehensive description of the Pharmacist Prescribing Authority Act. The new version clarifies the bill's purpose, including authorizing pharmacists to prescribe low-risk medications, setting a 30-day supply limit within six months, and requiring notification to primary care physicians within 72 hours if more than 10 days are prescribed.
Scope change
The bill's scope was clarified to explicitly include creating a new article in the Code of West Virginia, authorizing pharmacists to prescribe low-risk medications, and exempting the new authority from sunrise review.
REQUIREMENT
Notification requirement to primary care physicians was clarified to occur within 72 hours if more than 10 days are prescribed or dispensed.
Removed specific language requiring pharmacist notification within 10 days if more than 10 days is prescribed, replaced with 72-hour notification requirement.
SCOPE
Added explicit authorization for pharmacists to prescribe low-risk medications and exemption from sunrise review.
Floor votes · Senate Mar 26, 2025 · House of Delegates Apr 11, 2025
How they voted
32–1
Passed
Total votes 33
Mar 26, 2025
D
Democratic2
100% Yea
R
Republican31
96% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
60
Key actions
15
Committee
13
Amendments
1
Apr 24, 2025
Signed into law
Approved by Governor 4/24/2025
upper
Apr 12, 2025
Signed into law
Approved by Governor 4/24/2025 - Senate Journal
upper
Apr 12, 2025
Upper · Passed
Senate concurred in House amendments and passed bill (Roll No. 551)
upper
Apr 11, 2025
Lower · Passed
Title amendment adopted (Voice vote)
lower
Apr 11, 2025
Lower · Passed
Passed House (Roll No. 507)
lower
Apr 11, 2025
Lower · Passed
Amendment adopted (Voice vote)
lower
Apr 11, 2025
Introduced
Amendment reported by the Clerk
lower
Apr 9, 2025
Lower · Passed
With amendment, do pass
lower
Mar 26, 2025
Committee
To House Health and Human Resources
lower
Mar 26, 2025
Committee
To Health and Human Resources
lower
Mar 26, 2025
Introduced
Introduced in House
lower
Mar 26, 2025
Upper · Passed
Title amendment adopted
upper
Mar 26, 2025
Upper · Passed
Passed Senate (Roll No. 182)
upper
Mar 25, 2025
Upper · Passed
Committee amendment as amended adopted (Voice vote)
upper
Mar 25, 2025
Upper · Passed
Amendment to committee amendment adopted (Voice vote)
upper
Mar 25, 2025
Upper · Passed
Committee Amendment Reported
upper
Mar 24, 2025
Upper · Passed
Reported do pass, with amendment
upper
Mar 17, 2025
Committee
Referred to Rules on 3rd reading
upper
Mar 11, 2025
Upper · Passed
Committee substitute reported
upper
Feb 21, 2025
Committee
To Government Organization
upper
Feb 21, 2025
Upper · Passed
Reported do pass, but first to Government Organization
upper
Feb 19, 2025
Committee
To Health and Human Resources
upper
Feb 19, 2025
Introduced
Introduced in Senate
upper
Feb 19, 2025
Committee
To Health and Human Resources then Government Organization
upper
1 primary · 1 co-sponsor
Sponsors
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