AlaskaProposed rules would change pharmacist care and overdose-drug offers
If enacted, the measure would set rules for pharmacist care and require certain prescribers to offer overdose-drug prescriptions beginning January 1, 2027.
What it does
Departments and boards would not be able to charge fees for or approve pharmacist collaborative practice agreements, or set the services covered by them. The rule would apply starting January 1, 2027, if enacted.
Prescribers would have to offer an opioid overdose-drug prescription when an opioid prescription meets any of four risk conditions, including a longer supply or higher dose. This would begin January 1, 2027, if enacted.
Pharmacists could independently provide wellness, prevention, and certain minor-condition services without a collaborative agreement. Limits would exclude several high-risk or specially restricted drugs, and pharmacists would need to refer patients when appropriate.
Pharmacists seeking an Alaska license through reciprocity would also need to meet the state's pain-management and opioid-education requirement and pay required fees. The provision would begin January 1, 2027, if enacted.
Argument forPatients receiving higher-risk opioid prescriptions could be more likely to learn about overdose-reversal medication and receive an offer for a prescription.
Argument againstLimiting board review and allowing more independent pharmacist services could make oversight less direct when pharmacists provide care without a collaborative agreement.
More detail
The department and professional boards would be barred from charging fees for, approving, defining, or otherwise regulating collaborative practice agreements. The rule would apply to collaborative practice agreements between pharmacists and nonpharmacist practitioners for patient care services. The agreement must use a written protocol approved by a practitioner who is not a pharmacist. The agreement may define the patient care services the pharmacist provides. These provisions would take effect January 1, 2027, if enacted.
Certain licensed prescribers would have to offer an opioid overdose-drug prescription when they prescribe an opioid meeting any listed risk condition. The provisions cover physicians, advanced practice registered nurses, and optometrists who issue opioid prescriptions. An offer would be required for a supply longer than three days, a daily dose of at least 50 morphine milligram equivalents, concurrent benzodiazepine use, or a history of overdose or substance use disorder. The text requires an offer of a prescription, not that the patient accept or receive the drug. These provisions would take effect January 1, 2027, if enacted.
Pharmacists would be allowed to independently provide certain patient care services without a collaborative practice agreement. The services would cover general wellness, disease prevention, and certain minor, self-limiting conditions or services under a statewide standing order. A condition generally could not require a new diagnosis, unless a waived test guides the pharmacist's diagnosis or clinical decision-making. Excluded drugs include many controlled substances, drugs requiring special certified education, and drugs available only through specially authorized pharmacies, with an exception for opioid-use-disorder treatment in a clinic. Pharmacists would have to recognize the limits of their training and refer patients to other practitioners when appropriate. These provisions would take effect January 1, 2027, if enacted.
The pharmacy board would require pharmacist license-transfer applicants to meet the state's pain-management and opioid-education requirement and pay required fees. The rule would apply to pharmacists licensed in another jurisdiction who seek an Alaska license through reciprocity. The other jurisdiction must offer similar licensing for Alaska pharmacists. Applicants would still need to apply, be at least 18, meet Alaska qualifications, have practiced for at least one year, hold an unrestricted license, and pass an Alaska law examination. This provision would take effect January 1, 2027, if enacted.
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Sep 30(H) FN2: (CED)Latest
- Sep 30(H) FN(S) ATTACHED TO APPROP. BILL HB 263
- Sep 30(H) LEG FINANCE APPROPRIATION MESSAGE 9/8/26
- Sep 30(S) LEG FINANCE APPROPRIATION MESSAGE 9/8/26
- Aug 18(H) EFFECTIVE DATE(S) OF LAW SEE CHAPTERMajor
- Aug 18(H) ASSIGNED CHAPTER 24 SLA 26
- Jun 20(H) VETOED BY Governor Mike Dunleavy 6/18/26Major
- Jun 19(S) JOINT SESSION at 01:00 PM HOUSE CHAMBER
- Vote recorded (H) GOVERNOR VETO OVERRIDDEN Y43 N17 #3106. Result: pass.Lower
- Jun 19(H) TO LEGAL SERVICES
- Jun 19(H) GOVERNOR VETO OVERRIDDEN Y43 N17
- Jun 4(H) MANIFEST ERROR(S)
- Jun 4(H) 10:44 A.M. 6/1/26 Transmitted to GovernorTo Governor
- May 20(S) VERSION: CSHB 195(FIN)
- Vote recorded (S) PASSED Y15 N5 #2876. Result: pass.Upper
- Vote recorded (S) ADVANCED TO THIRD READING SAME DAY Y16 N4 #2875. Result: pass.Upper
- May 20(S) RETURN TO (H), TRANSMIT TO GOVERNOR NEXT
- May 20(S) EFFECTIVE DATE(S) SAME AS PASSAGE
- May 20(S) PASSED Y15 N5Major
- May 20(S) READ THE THIRD TIME CSHB 195(FIN)Minor
- May 20(S) ADVANCED TO THIRD READING SAME DAY Y16 N4Minor
- May 20(S) MOVED TO BOTTOM OF CALENDAR
- May 20(S) READ THE SECOND TIMEMinor
- May 20(S) RULES TO CALENDAR 5/20/2026
- May 20(S) FN2: (CED)
- May 20(S) NR: STEDMAN, KAUFMAN, CRONK, MERRICK
- May 20(S) DP: OLSON, HOFFMAN, KIEHL
- May 20(S) FIN RPT 3DP 4NR
- May 19(S) Moved CSHB 195(FIN) Out of Committee
- May 19(S) FINANCE at 01:30 PM SENATE FINANCE 532
- May 19(S) Heard & Held
- May 19(S) FINANCE at 09:00 AM SENATE FINANCE 532
- May 18(S) -- MEETING CANCELED --
- May 18(S) FINANCE at 01:30 PM SENATE FINANCE 532
- May 17(S) FIN
- May 17(S) READ THE FIRST TIME - REFERRALSMinor
- May 16(H) VERSION: CSHB 195(FIN)
- May 16(H) TRANSMITTED TO (S)Passed Senate
- May 16(H) RECONSIDERATION NOT TAKEN UP
- May 15(H) G.NELSON NOTICE OF RECONSIDERATION
- Vote recorded (H) PASSED Y32 N8 #2615. Result: pass.Lower
- Vote recorded (H) AM NO 1 TABLED Y23 N17 # 2614. Result: pass.Lower
- May 15(H) EFFECTIVE DATE(S) SAME AS PASSAGE
- May 15(H) PASSED Y32 N8Passed House
- May 15(H) READ THE THIRD TIME CSHB 195(FIN)Minor
- May 15(H) ADVANCED TO THIRD READING UCMinor
- May 15(H) AM NO 1 TABLED Y23 N17
- May 15(H) FIN CS ADOPTED UC
- May 15(H) READ THE SECOND TIMEMinor
- May 15(H) RULES TO CALENDAR 5/15/2026
- May 15(H) FN2: (CED)
- May 15(H) AM: TOMASZEWSKI, ALLARD, STAPP
- May 15(H) NR: MOORE, JOSEPHSON
- May 15(H) DP: JIMMIE, GALVIN, HANNAN, BYNUM, SCHRAGE, FOSTER
- May 15(H) FIN RPT CS(FIN) NEW TITLE 6DP 2NR 3AM
- May 14(H) Moved CSHB 195(FIN) Out of Committee -- Please Note Time Change --
- May 14(H) FINANCE at 09:00 AM ADAMS 519
- May 11(H) Heard & Held -- Please Note Time Change --
- May 11(H) FINANCE at 09:00 AM ADAMS 519
- May 6(H) Scheduled but Not Heard
- May 6(H) FINANCE at 01:30 PM ADAMS 519
- Apr 23(H) Heard & Held
- Apr 23(H) FINANCE at 01:30 PM ADAMS 519
- Apr 20(H) Minutes (HFIN)
- Apr 20(H) Heard & Held -- Delayed to 2:00 pm--
- Apr 20(H) FINANCE at 01:30 PM ADAMS 519
- Apr 13(H) -- Public Testimony -- -- MEETING CANCELED --
- Apr 13(H) FINANCE at 01:30 PM ADAMS 519
- Apr 7(H) Minutes (HFIN)
- Apr 7(H) Heard & Held
- Apr 7(H) FINANCE at 01:30 PM ADAMS 519
- Feb 18(H) COSPONSOR(S): EISCHEID
- Feb 18(H) FN2: (CED)
- Feb 18(H) AM: COULOMBE, D.NELSON
- Feb 18(H) NR: FIELDS
- Feb 18(H) DP: CARRICK, SADDLER, HALL
- Feb 18(H) L&C RPT CS(L&C) NEW TITLE 3DP 1NR 2AM
- Feb 16(H) Minutes (HL&C)
- Feb 16(H) Moved CSHB 195(L&C) Out of Committee
- Feb 16(H) LABOR & COMMERCE at 03:15 PM BARNES 124
- Feb 11(H) Minutes (HL&C)
- Feb 11(H) Heard & Held -- Delayed to 15 minutes Following Session --
- Feb 11(H) LABOR & COMMERCE at 03:15 PM BARNES 124
- Feb 6(H) COSPONSOR(S): STORY
- 2025
- May 16(H) Minutes (HL&C)
- May 16(H) <Bill Hearing Canceled> -- Delayed to 4:30 pm --
- May 16(H) LABOR & COMMERCE at 03:15 PM BARNES 124
- May 16(H) COSPONSOR(S): PRAX
- May 15(H) Minutes (HL&C)
- May 15(H) Heard & Held
- May 15(H) LABOR & COMMERCE at 09:00 AM BARNES 124
- May 14(H) Minutes (HL&C)
- May 14(H) <Bill Hearing Canceled> -- Delayed to 15 min Following Session --
- May 14(H) LABOR & COMMERCE at 03:15 PM BARNES 124
- May 2(H) COSPONSOR(S): GRAY
- May 2(H) L&C REFERRAL ADDED AFTER HSS
- May 2(H) FN1: (CED)
- May 2(H) NR: FIELDS
- May 2(H) DP: PRAX, GRAY, SCHWANKE, RUFFRIDGE, MEARS, MINA
- May 2(H) HSS RPT 6DP 1NR
- May 1(H) Minutes (HHSS)
- May 1(H) Moved HB 195 Out of Committee
- May 1(H) HEALTH & SOCIAL SERVICES at 03:15 PM DAVIS 106
- Apr 29(H) Minutes (HHSS)
- Apr 29(H) Heard & Held
- Apr 29(H) HEALTH & SOCIAL SERVICES at 03:15 PM DAVIS 106
- Apr 15(H) HSS, FIN
- Apr 15(H) READ THE FIRST TIME - REFERRALSIntroduced
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