The Committee on Medical Affairs proposed the following amendment (628R002.SP.DBV):

Amend the bill, as and if amended, on page 3, by striking lines 18 through 27 and inserting:

/ Section 40-43-230.(A) A person licensed under the South Carolina Pharmacy Practice Act who is acting in good faith and exercising reasonable care as a pharmacist may dispense a self-administered hormonal contraceptive or administer an injectable hormonal contraceptive pursuant to a standing prescription drug order by a prescriber to a patient who is:

(1) eighteen years of age or older; or

(2) under eighteen years of age if the person has evidence of a previous prescription from a practitioner for a self-administered hormonal contraceptive or an injectable hormonal contraceptive.

(B) The provisions of this section do not require a pharmacist to dispense or administer a contraceptive pursuant to a standing prescription drug order. Additionally, nothing in this chapter shall be construed to amend a pharmacist's duties to dispense or otherwise provide contraception prescribed by another provider. /

Amend the bill further, as and if amended, on page 4, by striking lines 26 through 27 and inserting:

/ (3) dispense, if clinically appropriate, a self-administered hormonal contraceptive or administer an injectable hormonal contraceptive, or /

Amend the bill further, as and if amended, on page 4, by striking line 43 and inserting:

/have completed continuing education, as /

Amend the bill further, as and if amended, on page 6, by striking lines 19 through 21.

Amend the bill further, as and if amended, on page 6, by striking lines 26 through 40 and inserting:

/ "Section 44-6-115.(A) Pharmacy services are a benefit under South Carolina Medicaid, subject to approval by the federal Centers for Medicare and Medicaid Services. The department shall establish a fee schedule for the list of pharmacy services.

(B)(1) The following services are covered pharmacy services that may be provided to a Medicaid beneficiary:

(a) dispensing self-administered hormonal contraceptives, as outlined and authorized in Section 40-43-230; and

(b) administering injectable hormonal contraceptives, as outlined and authorized in Section 40-43-230.

(2) Covered pharmacy services shall be subject to department protocols and utilization controls. /

Amend the bill further, as and if amended, on page 7, by striking line 16 and inserting:

/ SECTION5. This act takes effect upon the issuance of a written joint protocol pursuant to SECTION 4 of this act. /