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California SB 493
The California legislature passed Senate bill 493 and the bill was signed into law by Governor Jerry Brown in September 2013. Among other things, the new law authorizes the California State Board of Pharmacy to create a license category for an Advanced Practice Pharmacist (APP). A pharmacist recognized by the Board as an APP may do all of the following: perform patient assessments; order and interpret drug therapy related tests; refer patients to other health care providers; participate in evaluation and management of diseases and health conditions in collaboration with other health care providers; and initiate, adjust, or discontinue drug therapy.
To be eligible to qualify as an APP, the legislation specifies that a pharmacist must meet at least two of three listed requirements. One of these requirements relates to certification. "A person who seeks recognition as an advanced practice pharmacist shall ... earn certification in a relevant area of pharmacy practice including, but not limited to, ambulatory care, critical care, geriatric pharmacy, nuclear pharmacy, nutrition support pharmacy, oncology pharmacy, pediatric pharmacy, pharmacotherapy, pharmacotherapy, or psychiatric pharmacy..."
The legislation does not specifically mention the Commission for Certification in Geriatric Pharmacy or the Board of Pharmacy Specialties, although the nine areas of certification mentioned do happen to be the nine areas of certification offered by the two organizations at the time the law was passed.
The Callifornia State Board of Pharmacy is now responsible to draft regulations to implement the legislation. The Board has appointed a Committee with four Board members to oversee implementation. The Implementation Committee held a public meeting on June 4, 2014 in the Los Angeles area to solicit input on issues related to the legislation. The agenda for this meeting and the meeting materials are publicly available.
The Executive Director of CCGP, Thomas Clark, was invited to give a slide presentation to the California State Board of Pharmacy at the June 4 meeting about the Certified Geriatric Pharmacist credential.
Periodic updates on progress towards implementation of SB493 will be posted on this page.
On November 9, 2015, the California Board of Pharmacy issued draft regulatory language related to the Advanced Practice Pharmacist recognition. CCGP is evaluating this language.
As of the time of the West Coast Pharmacy Exchange, finalizing of the regulations was getting closer. Once the Board is finished, the regulations still must pass administrative review. They may be ready for public release by late Summer or early Fall 2016.
The Commission for Certification in Geriatric Pharmacy and the Board of Pharmacy Specialties, along with a number of other national pharmacy organizations with interests in credentialing, have formed a coalition called the Council on Credentialing in Pharmacy. The website of the coalition has a variety of white papers and other resources related to certification and credentialing of pharmacists and pharmacy technicians.
The Institute for Credentialing Excellence is the national organization that represents certification bodies. CCGP is a member of the Institute for Credentialing Excellence. ICE offers accreditation of certification bodies through the National Commission for Certifying Agencies (NCCA). CCGP is accredited by NCCA.