S T A T E O F N E W Y O R K
________________________________________________________________________
9060--B
2025-2026 Regular Sessions
I N A S S E M B L Y
September 5, 2025
___________
Introduced by M. of A. PAULIN, McDONALD, SHRESTHA, STECK, SHIMSKY,
ROSENTHAL -- read once and referred to the Committee on Higher Educa-
tion -- committee discharged, bill amended, ordered reprinted as
amended and recommitted to said committee -- recommitted to the
Committee on Higher Education in accordance with Assembly Rule 3, sec.
2 -- committee discharged, bill amended, ordered reprinted as amended
and recommitted to said committee
AN ACT to amend the education law and the insurance law, in relation to
the establishment of immunization administration regulations based on
the recommendations of certain entities
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Subdivision 7 of section 6527 of the education law, as
amended by chapter 555 of the laws of 2021, is amended to read as
follows:
7. A licensed physician may prescribe and order a patient specific
order or non-patient specific regimen to a licensed pharmacist, pursuant
to regulations promulgated by the commissioner, and consistent with the
public health law, for: (a) administering immunizations to prevent
influenza to patients two years of age or older; and (b) administering
immunizations to prevent pneumococcal, acute herpes zoster, hepatitis A,
hepatitis B, human papillomavirus, measles, mumps, rubella, varicella,
COVID-19, meningococcal, tetanus, diphtheria or pertussis disease and
medications required for emergency treatment of anaphylaxis to patients
eighteen years of age or older; and (c) administering other immuniza-
tions [recommended by the advisory committee on immunization practices
of the centers for disease control and prevention] IN ACCORDANCE WITH
REGULATIONS ISSUED BY THE COMMISSIONER OF HEALTH, UTILIZING GENERALLY
ACCEPTED MEDICAL STANDARDS AND BASED ON RECOMMENDATIONS OF THE AMERICAN
ACADEMY OF PEDIATRICS, THE AMERICAN ACADEMY OF FAMILY PHYSICIANS, THE
AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS, THE AMERICAN
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD13697-06-6
A. 9060--B 2
COLLEGE OF PHYSICIANS, THE ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES,
OR ANY INTERSTATE BODY ESTABLISHED FOR PURPOSES OF REVIEWING AND MAKING
RECOMMENDATIONS REGARDING IMMUNIZATION COVERAGE AND ACCESS, for patients
eighteen years of age or older if the commissioner of health in consul-
tation with the commissioner determines that an immunization: (i) (A)
may be safely administered by a licensed pharmacist within their lawful
scope of practice; and (B) is needed to prevent the transmission of a
reportable communicable disease that is prevalent in New York state; or
(ii) is a recommended immunization for such patients who: (A) meet age
requirements, (B) lack documentation of such immunization, (C) lack
evidence of past infection, or (D) have an additional risk factor or
another indication [as recommended by the advisory committee on immuni-
zation practices of the centers for disease control and prevention] IN
ACCORDANCE WITH REGULATIONS ISSUED BY THE COMMISSIONER OF HEALTH,
UTILIZING GENERALLY ACCEPTED MEDICAL STANDARDS AND BASED ON RECOMMENDA-
TIONS OF THE AMERICAN ACADEMY OF PEDIATRICS, THE AMERICAN ACADEMY OF
FAMILY PHYSICIANS, THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLO-
GISTS, THE AMERICAN COLLEGE OF PHYSICIANS, THE ADVISORY COMMITTEE ON
IMMUNIZATION PRACTICES, OR ANY INTERSTATE BODY ESTABLISHED FOR PURPOSES
OF REVIEWING AND MAKING RECOMMENDATIONS REGARDING IMMUNIZATION COVERAGE
AND ACCESS. Nothing in this subdivision shall authorize unlicensed
persons to administer immunizations, vaccines or other drugs.
§ 2. Paragraph (e) of subdivision 2 of section 6801 of the education
law, as amended by section 1 of part DD of chapter 57 of the laws of
2018, is amended to read as follows:
(e) administer the immunization or immunizations [according to the
most current recommendations by the advisory committee for immunization
practices (ACIP),] IN ACCORDANCE WITH REGULATIONS ISSUED BY THE COMMIS-
SIONER OF HEALTH, UTILIZING GENERALLY ACCEPTED MEDICAL STANDARDS AND
BASED ON RECOMMENDATIONS OF THE AMERICAN ACADEMY OF PEDIATRICS, THE
AMERICAN ACADEMY OF FAMILY PHYSICIANS, THE AMERICAN COLLEGE OF OBSTETRI-
CIANS AND GYNECOLOGISTS, THE AMERICAN COLLEGE OF PHYSICIANS, THE ADVI-
SORY COMMITTEE ON IMMUNIZATION PRACTICES, OR ANY INTERSTATE BODY ESTAB-
LISHED FOR PURPOSES OF REVIEWING AND MAKING RECOMMENDATIONS REGARDING
IMMUNIZATION COVERAGE AND ACCESS, provided however, that a pharmacist
may administer any immunization authorized under this section when spec-
ified by a patient specific order.
§ 3. Paragraph (a) of subdivision 4 of section 6801 of the education
law, as amended by section 1 of part DD of chapter 57 of the laws of
2018, is amended to read as follows:
a. a clearly visible posting of the most current "Recommended Adult
Immunization Schedule" [published by the advisory committee for immuni-
zation practices (ACIP)] IN ACCORDANCE WITH REGULATIONS ISSUED BY THE
COMMISSIONER OF HEALTH, UTILIZING GENERALLY ACCEPTED MEDICAL STANDARDS
AND BASED ON RECOMMENDATIONS OF THE AMERICAN ACADEMY OF PEDIATRICS, THE
AMERICAN ACADEMY OF FAMILY PHYSICIANS, THE AMERICAN COLLEGE OF OBSTETRI-
CIANS AND GYNECOLOGISTS, THE AMERICAN COLLEGE OF PHYSICIANS, THE ADVI-
SORY COMMITTEE ON IMMUNIZATION PRACTICES, OR ANY INTERSTATE BODY ESTAB-
LISHED FOR PURPOSES OF REVIEWING AND MAKING RECOMMENDATIONS REGARDING
IMMUNIZATION COVERAGE AND ACCESS; and
§ 4. Subparagraph 1 of paragraph a of subdivision 22 of section 6802
of the education law, as amended by chapter 802 of the laws of 2022, is
amended to read as follows:
(1) the direct application of an immunizing agent to adults, whether
by injection, ingestion, inhalation or any other means, pursuant to a
patient specific order or non-patient specific regimen prescribed or
A. 9060--B 3
ordered by a physician or certified nurse practitioner, for: immuniza-
tions to prevent influenza, pneumococcal, acute herpes zoster, hepatitis
A, hepatitis B, human papillomavirus, measles, mumps, rubella, varicel-
la, COVID-19, meningococcal, tetanus, diphtheria or pertussis disease
and medications required for emergency treatment of anaphylaxis; and
other immunizations [recommended by the advisory committee on immuniza-
tion practices of the centers for disease control and prevention] IN
ACCORDANCE WITH REGULATIONS ISSUED BY THE COMMISSIONER OF HEALTH,
UTILIZING GENERALLY ACCEPTED MEDICAL STANDARDS AND BASED ON RECOMMENDA-
TIONS OF THE AMERICAN ACADEMY OF PEDIATRICS, THE AMERICAN ACADEMY OF
FAMILY PHYSICIANS, THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLO-
GISTS, THE AMERICAN COLLEGE OF PHYSICIANS, THE ADVISORY COMMITTEE ON
IMMUNIZATION PRACTICES, OR ANY INTERSTATE BODY ESTABLISHED FOR PURPOSES
OF REVIEWING AND MAKING RECOMMENDATIONS REGARDING IMMUNIZATION COVERAGE
AND ACCESS for patients eighteen years of age or older if the commis-
sioner of health in consultation with the commissioner determines that
an immunization: (i)(A) may be safely administered by a licensed pharma-
cist within their lawful scope of practice; and (B) is needed to prevent
the transmission of a reportable communicable disease that is prevalent
in New York state; or (ii) is a recommended immunization for such
patients who: (A) meet age requirements, (B) lack documentation of such
immunization, (C) lack evidence of past infection, or (D) have an addi-
tional risk factor or another indication [as recommended by the advisory
committee on immunization practices of the centers for disease control
and prevention] IN ACCORDANCE WITH REGULATIONS ISSUED BY THE COMMISSION-
ER OF HEALTH, UTILIZING GENERALLY ACCEPTED MEDICAL STANDARDS AND BASED
ON RECOMMENDATIONS OF THE AMERICAN ACADEMY OF PEDIATRICS, THE AMERICAN
ACADEMY OF FAMILY PHYSICIANS, THE AMERICAN COLLEGE OF OBSTETRICIANS AND
GYNECOLOGISTS, THE AMERICAN COLLEGE OF PHYSICIANS, THE ADVISORY COMMIT-
TEE ON IMMUNIZATION PRACTICES, OR ANY INTERSTATE BODY ESTABLISHED FOR
PURPOSES OF REVIEWING AND MAKING RECOMMENDATIONS REGARDING IMMUNIZATION
COVERAGE AND ACCESS. If the commissioner of health determines that
there is an outbreak of disease, or that there is the imminent threat of
an outbreak of disease, then the commissioner of health may issue a
non-patient specific regimen applicable statewide.
§ 5. Subdivision 7 of section 6909 of the education law, as amended by
chapter 555 of the laws of 2021, is amended to read as follows:
7. A certified nurse practitioner may prescribe and order a patient
specific order or non-patient specific regimen to a licensed pharmacist,
pursuant to regulations promulgated by the commissioner, and consistent
with the public health law, for: (a) administering immunizations to
prevent influenza to patients two years of age or older; and (b) admin-
istering immunizations to prevent pneumococcal, acute herpes zoster,
hepatitis A, hepatitis B, human papillomavirus, measles, mumps, rubella,
varicella, COVID-19, meningococcal, tetanus, diphtheria or pertussis
disease and medications required for emergency treatment of anaphylaxis
to patients eighteen years of age or older; and (c) administering other
immunizations [recommended by the advisory committee on immunization
practices of the centers for disease control and prevention] IN ACCORD-
ANCE WITH REGULATIONS ISSUED BY THE COMMISSIONER OF HEALTH, UTILIZING
GENERALLY ACCEPTED MEDICAL STANDARDS AND BASED ON RECOMMENDATIONS OF THE
AMERICAN ACADEMY OF PEDIATRICS, THE AMERICAN ACADEMY OF FAMILY PHYSI-
CIANS, THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS, THE
AMERICAN COLLEGE OF PHYSICIANS, THE ADVISORY COMMITTEE ON IMMUNIZATION
PRACTICES, OR ANY INTERSTATE BODY ESTABLISHED FOR PURPOSES OF REVIEWING
AND MAKING RECOMMENDATIONS REGARDING IMMUNIZATION COVERAGE AND ACCESS
A. 9060--B 4
for patients eighteen years of age or older if the commissioner of
health in consultation with the commissioner determines that an immuni-
zation: (i) (A) may be safely administered by a licensed pharmacist
within their lawful scope of practice; and (B) is needed to prevent the
transmission of a reportable communicable disease that is prevalent in
New York state; or (ii) is a recommended immunization for such patients
who: (A) meet age requirements, (B) lack documentation of such immuniza-
tion, (C) lack evidence of past infection, or (D) have an additional
risk factor or another indication [as recommended by the advisory
committee on immunization practices of the centers for disease control
and prevention] IN ACCORDANCE WITH REGULATIONS ISSUED BY THE COMMISSION-
ER OF HEALTH, UTILIZING GENERALLY ACCEPTED MEDICAL STANDARDS AND BASED
ON RECOMMENDATIONS OF THE AMERICAN ACADEMY OF PEDIATRICS, THE AMERICAN
ACADEMY OF FAMILY PHYSICIANS, THE AMERICAN COLLEGE OF OBSTETRICIANS AND
GYNECOLOGISTS, THE AMERICAN COLLEGE OF PHYSICIANS, THE ADVISORY COMMIT-
TEE ON IMMUNIZATION PRACTICES, OR ANY INTERSTATE BODY ESTABLISHED FOR
PURPOSES OF REVIEWING AND MAKING RECOMMENDATIONS REGARDING IMMUNIZATION
COVERAGE AND ACCESS. Nothing in this subdivision shall authorize unli-
censed persons to administer immunizations, vaccines or other drugs.
§ 6. Item (ii) of subparagraph (E) of paragraph 17 of subsection (i)
of section 3216 of the insurance law, as amended by chapter 219 of the
laws of 2011, is amended to read as follows:
(ii) immunizations [that have in effect a recommendation from the
advisory committee on immunization practices of the centers for disease
control and prevention] IN ACCORDANCE WITH REGULATIONS ISSUED BY THE
COMMISSIONER OF HEALTH, UTILIZING GENERALLY ACCEPTED MEDICAL STANDARDS
AND BASED ON RECOMMENDATIONS OF THE AMERICAN ACADEMY OF PEDIATRICS, THE
AMERICAN ACADEMY OF FAMILY PHYSICIANS, THE AMERICAN COLLEGE OF OBSTETRI-
CIANS AND GYNECOLOGISTS, THE AMERICAN COLLEGE OF PHYSICIANS, THE ADVI-
SORY COMMITTEE ON IMMUNIZATION PRACTICES, OR ANY INTERSTATE BODY ESTAB-
LISHED FOR PURPOSES OF REVIEWING AND MAKING RECOMMENDATIONS REGARDING
IMMUNIZATION COVERAGE AND ACCESS, with respect to the individual
involved;
§ 7. Item (ii) of subparagraph (E) of paragraph 8 of subsection (l) of
section 3221 of the insurance law, as amended by chapter 219 of the laws
of 2011, is amended to read as follows:
(ii) immunizations [that have in effect a recommendation from the
advisory committee on immunization practices of the centers for disease
control and prevention] IN ACCORDANCE WITH REGULATIONS ISSUED BY THE
COMMISSIONER OF HEALTH, UTILIZING GENERALLY ACCEPTED MEDICAL STANDARDS
AND BASED ON RECOMMENDATIONS OF THE AMERICAN ACADEMY OF PEDIATRICS, THE
AMERICAN ACADEMY OF FAMILY PHYSICIANS, THE AMERICAN COLLEGE OF OBSTETRI-
CIANS AND GYNECOLOGISTS, THE AMERICAN COLLEGE OF PHYSICIANS, THE ADVI-
SORY COMMITTEE ON IMMUNIZATION PRACTICES, OR ANY INTERSTATE BODY ESTAB-
LISHED FOR PURPOSES OF REVIEWING AND MAKING RECOMMENDATIONS REGARDING
IMMUNIZATION COVERAGE AND ACCESS, with respect to the individual
involved;
§ 8. Subparagraph (B) of paragraph 3 of subsection (j) of section 4303
of the insurance law, as added by chapter 219 of the laws of 2011, is
amended to read as follows:
(B) immunizations [that have in effect a recommendation from the advi-
sory committee on immunization practices of the centers for disease
control and prevention] IN ACCORDANCE WITH REGULATIONS ISSUED BY THE
COMMISSIONER OF HEALTH, UTILIZING GENERALLY ACCEPTED MEDICAL STANDARDS
AND BASED ON RECOMMENDATIONS OF THE AMERICAN ACADEMY OF PEDIATRICS, THE
AMERICAN ACADEMY OF FAMILY PHYSICIANS, THE AMERICAN COLLEGE OF OBSTETRI-
A. 9060--B 5
CIANS AND GYNECOLOGISTS, THE AMERICAN COLLEGE OF PHYSICIANS, THE ADVI-
SORY COMMITTEE ON IMMUNIZATION PRACTICES, OR ANY INTERSTATE BODY ESTAB-
LISHED FOR PURPOSES OF REVIEWING AND MAKING RECOMMENDATIONS REGARDING
IMMUNIZATION COVERAGE AND ACCESS, with respect to the individual
involved;
§ 9. Item (ii) of subparagraph (F) of paragraph 4 of subsection (b) of
section 4322 of the insurance law, as added by chapter 219 of the laws
of 2011, is amended to read as follows:
(ii) immunizations [that have in effect a recommendation from the
advisory committee on immunization practices of the centers for disease
control and prevention] IN ACCORDANCE WITH REGULATIONS ISSUED BY THE
COMMISSIONER OF HEALTH, UTILIZING GENERALLY ACCEPTED MEDICAL STANDARDS
AND BASED ON RECOMMENDATIONS OF THE AMERICAN ACADEMY OF PEDIATRICS, THE
AMERICAN ACADEMY OF FAMILY PHYSICIANS, THE AMERICAN COLLEGE OF OBSTETRI-
CIANS AND GYNECOLOGISTS, THE AMERICAN COLLEGE OF PHYSICIANS, THE ADVI-
SORY COMMITTEE ON IMMUNIZATION PRACTICES, OR ANY INTERSTATE BODY ESTAB-
LISHED FOR PURPOSES OF REVIEWING AND MAKING RECOMMENDATIONS REGARDING
IMMUNIZATION COVERAGE AND ACCESS, with respect to the individual
involved;
§ 10. This act shall take effect immediately.