The civic record
Read. Follow. Verify.Texas bill prohibits pharmacists from substituting personal judgment for prescribing physicians and refusing off-label prescriptions
Last action · March 14, 2025: Referred to Public HealthSponsor: Alan Schoolcraft
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What This Bill Proposed
Pharmacists in Texas are prohibited from substituting their personal judgment for a prescribing physician's medical judgment, and an off-label prescription purpose is barred as a valid basis for refusal to dispense, effective immediately with the required vote or on September 1, 2025.
Changes prescription-dispensing standards by legally barring pharmacists from blocking medications based on personal disagreement with an off-label use or a doctor's medical decision.
Who It Would Have Affected
Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.
Pharmacists
Pharmacists are prohibited from using personal judgment to override a physician's medical decisions or refusing prescriptions based on off-label use.
Physicians
Physicians retain medical judgment authority over prescriptions without pharmacist substitution of personal judgment.
Patients
Patients receive statutory protection ensuring their prescribed medications, including off-label treatments, cannot be refused by pharmacists based on personal judgment.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
Can a pharmacist refuse to fill a prescription because it is for an off-label purpose?
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News Coverage
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Votes, people, money & the original sourceWhere This Stands
This bill did not become law - Died at adjournment · in House committee.
Procedural history
3 actions- Mar 14, 2025HouseCommitteeReferred to Public Health
- Mar 14, 2025HouseIntroducedRead first time
- Jan 8, 2025HouseIntroducedFiled
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Connected Entities
Sources
capitol.texas.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 65)
- Controversy50Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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