1. California’s SB 493 Joanne Spetz, PhD Healthforce Center
School of Nursing
Philip R. Lee Institute for Health Policy Studies
University of California, San Francisco

2. California passed SB 493 in 2013
Advanced Practice Pharmacists
Only bill of 3 introduced that year (NPs, optometrists)
Regulatory process in California Board of Pharmacy
North Carolina
New Mexico
Oregon
Washington
Minnesota

3. What can APPs do? Conduct patient assessments
Order and interpret drug therapy-related tests
Refer patients to other providers
Medication prescribing
Hormonal contraceptives
Nicotine replacement
Travel medicines
Immunizations under statewide protocol

4. Requirements APP certification
Education requirements have been established
Final certification regulation is still pending
Notify primary care providers about any medications prescribed or immunizations administered

5. Progress to date Regulations in place for: Hormonal contraceptives
Nicotine replacement
Immunizations under statewide protocol
Education requirements
Regulations pending for:
Final certification process
Travel medications

6. The big barriers Communication between primary care and pharmacy
Systems push to pharmacies
How to push information back?
Billing