What the Pharmacist Collaborative Practice Law Means for Team-Based Care

  NCMS Members,

House Bill 67 was passed by the NC House on June 24th and signed into law by Governor Josh Stein on July 1st. The bill combined health-care provisions from about 10 different bills. In addition to the team-based care update we emailed you recently, HB 67 includes a Pharmacist Collaborative Practice law that reforms the regulatory requirements for Clinical Pharmacist Practitioners (CPPs) practicing under a collaborative practice agreement with physicians and gives supervising physicians more flexibility in how they choose to collaborate with the CPPs.

Here’s what this law means for our members and patients:

NCMS was supportive of these changes as they better enable CPPs to be included in healthcare teams outside of a hospital setting and strengthen value-based care. NCMS worked with Senator Sawrey, the primary sponsor of this proposal, and the Pharmacy Association to refine the proposal’s language and deepen our shared understanding of CPPs’ role in team-based care.

  • Streamlined Collaborative Practice. CPPs no longer need patient-specific agreements. They can now manage multiple patients with the same condition—such as diabetes or hypertension—under a single collaborative agreement with a physician.
  • Increased Practice Flexibility. CPPs can work across multiple locations, as long as each site has a designated supervising physician and the protocols are clearly documented in the agreement.
  • Expanded Insurance Coverage. Health insurance plans are now required to cover pharmacist-provided services that fall within their licensed scope—if those same services would have been covered when delivered by another healthcare provider.

As always, your Medical Society will continue to work on the development and implementation of this law.