Rhode Island 2026 Regular Session

Rhode Island House Bill H7921

Introduced
2/27/26  

Caption

Authorizes pharmacists to order, perform and interpret CLIA-waived tests authorized by statewide protocol and prescribe medications, and permits coverage by all health insurance carriers.

Impact

If enacted, this legislation will significantly alter the landscape of healthcare delivery in the state by expanding the role of pharmacists. Beginning January 1, 2027, health insurance carriers will be required to include the services provided by pharmacists in their coverage plans. This change aims to improve healthcare accessibility and reduce the burdens on existing healthcare facilities by potentially lowering unnecessary visits to urgent care or emergency rooms. The bill stipulates that pharmacists may treat conditions such as influenza and COVID-19, further expanding their scope in public health management.

Summary

House Bill H7921, also known as the Pharmacists Test-and-Treat Authority Act, is designed to authorize pharmacists to independently conduct screenings and initiate treatments for a range of certain conditions. The bill highlights the importance of timely access to healthcare, particularly in situations where patients may not have immediate access to a physician or healthcare provider. By allowing pharmacists to order, perform, and interpret CLIA-waived tests, the bill seeks to alleviate pressure on emergency departments while facilitating improved patient care and access to necessary medications.

Contention

Despite its potential benefits, H7921 has raised concerns among some healthcare professionals regarding the adequacy of training pharmacists will receive to undertake such responsibilities. Critics argue that while empowering pharmacists to provide these services may enhance access to care, it might also lead to varying levels of competency among providers unless stringent guidelines and training protocols are in place. The law mandates that the state board of pharmacy, in consultation with the department of health, sets forth these necessary guidelines, yet the effectiveness of this implementation remains a topic of debate.

Companion Bills

No companion bills found.

Previously Filed As

RI S0684

Prohibits a policy of individual health insurance coverage from requiring prior authorization for prescriptions of generic medication.

RI H5627

Requires health insurance providers to provide insurance coverage for pharmacists’ services.

RI S0897

Requires health insurance providers to provide insurance coverage for pharmacists’ services.

RI H5854

Adds new sections that set forth conditions for pharmacists to prescribe tobacco cessation drug therapies, including education approved by state board of pharmacy. The cessation therapies to be covered by all health insurance carriers on or after 1/1/26.

RI S0685

Adds new sections that set forth conditions for pharmacists to prescribe tobacco cessation drug therapies, including education approved by state board of pharmacy. The cessation therapies to be covered by all health insurance carriers on or after 1/1/26.

RI H6254

Authorizes office of health and human services (EOHHS) to establish coverage for obesity treatments, including medication. Office of health and human services would seek a 1115(a) waiver.

RI S0786

Prohibits prior authorization or a step therapy protocol for the prescription of a nonpreferred medication on their drug formulary used to assess or treat an enrollee's bipolar disorder, schizophrenia or schizotypal.

RI H6317

Prohibits an insurer from imposing a requirement of prior authorization for any admission, item, service, treatment, test, exam, study, procedure, or any generic or brand name prescription drug ordered by a primary care provider.

RI S0692

Authorizes a pharmacy technician or pharmacy intern to perform technology-assisted dispensing process validation for medications prepared for distribution by another pharmacy technician or intern within an institutional pharmacy.

RI H5353

Authorizes a pharmacy technician or pharmacy intern to perform technology-assisted dispensing process validation for medications prepared for distribution by another pharmacy technician or intern within an institutional pharmacy.

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.