North Carolina 2025-2026 Regular Session

North Carolina Senate Bill S335

Introduced
3/19/25  
Refer
3/20/25  
Refer
3/20/25  
Report Pass
4/2/25  
Refer
4/2/25  
Refer
4/2/25  
Report Pass
4/8/25  
Refer
4/8/25  
Report Pass
4/9/25  
Engrossed
4/10/25  

Caption

Pharmacists/Test and Treat/Influenza & Strep

Impact

The impact of S335 on state laws is significant, as it alters the scope of practice for pharmacists in North Carolina. By allowing pharmacists to test for and treat specific conditions, the bill aims to alleviate the burden on primary care providers and improve patient access to timely treatment. Additionally, it requires health benefit plans to provide fair reimbursement for services rendered by pharmacists, aligning these services with those performed by other healthcare providers. This shift could potentially lead to a more collaborative healthcare environment, where pharmacists serve as critical components of patient care.

Summary

Senate Bill 335, also known as the Pharmacists/Test and Treat/Influenza & Strep Act, aims to expand the role of pharmacists in the healthcare system by allowing them to conduct tests and initiate treatment for influenza and streptococcus infections. The bill stipulates that pharmacists will be empowered to perform CLIA-waived tests and provide treatment in accordance with guidelines established by the North Carolina Board of Pharmacy. Effective October 1, 2025, this legislation would enable pharmacists to play a crucial role in managing these common illnesses, thereby enhancing healthcare access and convenience for patients.

Sentiment

The sentiment around SB 335 is largely positive, particularly among pharmacists and proponents of expanded healthcare access. Supporters argue that this bill will enhance patient care by leveraging the expertise of pharmacists, who are often more accessible than traditional healthcare providers. However, there may be some concerns regarding the appropriateness of pharmacists in clinical roles, as well as the potential implications for patient safety if proper protocols are not followed. The balance between expanding pharmacist responsibilities and maintaining high standards of care is a key consideration in the ongoing discussions around this legislation.

Contention

Notable points of contention include discussions about the adequacy of training for pharmacists to manage testing and treatment roles. Some stakeholders express caution over the extent of responsibility placed on pharmacists, fearing that it may lead to an overload of duties without the necessary support systems in place. The bill also raises questions about the coordination between pharmacists, primary care providers, and public health strategies to ensure a cohesive approach to managing healthcare needs in the community.

Companion Bills

No companion bills found.

Previously Filed As

NC S414

Pharmacists/Test and Treat

NC H736

Pharmacists/Test and Treat

NC S357

Pharmacists/Collaborative Practice

NC SB1214

Pharmacists; independent testing; treatment

NC HB2444

Pharmacists; independent testing; treatment

NC SB1713

Independent testing; treatment; pharmacists

NC S0378

Pharmacists

NC SB506

Health Occupations - Pharmacists - Minor Conditions and HIV Prevention and Treatment

NC HB1150

Health Occupations - Pharmacists - Minor Conditions and HIV Prevention and Treatment (Rapid Testing and Preventive Care Act)

NC SB230

Authorize pharmacists to test, treat certain health conditions

Similar Bills

NJ A3359

Regulates provision of pharmaceutical services in nursing homes.

NJ S2990

Regulates provision of pharmaceutical services in long-term care facilities.

CA AB1366

Reimbursement for pharmacist services.

CA AB2571

Reimbursement for pharmacist services.

HI SB1245

Relating To Pharmacists.

MD SB562

State Board of Pharmacy - Prescriber-Pharmacist Agreements - Treatment of Opioid Use Disorders

MD HB838

State Board of Pharmacy - Prescriber-Pharmacist Agreements

TX HB3540

Relating to the regulation of pharmacists and the practice of pharmacy, including the administration of a medication and the ordering and administration of an immunization or vaccination by a pharmacist.