The bill, H.B. No. 3175, proposes the addition of Section 1001.090 to the Health and Safety Code, which authorizes the commissioner of state health services to issue a statewide order allowing licensed pharmacists to dispense ivermectin without a prescription from a healthcare practitioner. This order must include standardized procedures for pharmacists to follow and require them to provide patients with instructions on the proper use of ivermectin. Additionally, pharmacists acting in good faith while dispensing ivermectin under this order will not face criminal or civil liability, nor professional disciplinary action, except in cases of willful misconduct or gross negligence.

Furthermore, pharmacists are required to submit an annual written report detailing the number of doses of ivermectin dispensed in accordance with the statewide order. The executive commissioner and the Texas State Board of Pharmacy are empowered to adopt necessary rules for the implementation of this section. The bill stipulates that the commissioner must issue the statewide order as soon as practicable after the bill's effective date, which will be immediate if it receives a two-thirds vote from both houses of the legislature; otherwise, it will take effect on September 1, 2025.

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