Monitoring the Session

HB 3219

bill lets pharmacists hand out ivermectin without a prescription

Did not pass

Verdict: No flags

No flagsInitial review
Rep. Joanne ShofnerRHouse 11

Initial review · graded Oct 22, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to a statewide order issued by the commissioner of state health services authorizing a pharmacist to dispense ivermectin.

Caption from analyzed text · version H.

Summary

Pharmacists give instructions, report doses yearly, and get a liability shield.

The bill orders the state health commissioner to issue a statewide order that lets licensed pharmacists dispense ivermectin without a prescription. It touches pharmacists, Texans who want ivermectin, and the commissioner, and it shields pharmacists who act in a reasonably prudent manner, and the commissioner who issues the order, from criminal, civil and disciplinary liability. On the ground, a person can get ivermectin at a pharmacy without a doctor's order, the pharmacist must give use instructions, and the pharmacist must report doses dispensed each year.

Labels

Labels: STALLED AFTER COMMITTEE. Voted out of the House Public Health committee 8-5 on Apr 28, 2025. Placed on the General State Calendar on May 12, 2025. The bill died.

Receipt

The receipt

89R-HB3219 · 2025-02-24

SOLD BY

Rep. Joanne ShofnerRHouse 11 Rep. Cody HarrisRHouse 8 Rep. Cole HefnerRHouse 5

+ 2 more authors, 21 coauthors

ITEM

relating to a statewide order issued by the commissioner of state health services authorizing a pharmacist to dispense ivermectin.

WHAT IT DOES

Pharmacists give instructions, report doses yearly, and get a liability shield.

The bill orders the state health commissioner to issue a statewide order that lets licensed pharmacists dispense ivermectin without a prescription. It touches pharmacists, Texans who want ivermectin, and the commissioner, and it shields pharmacists who act in a reasonably prudent manner, and the commissioner who issues the order, from criminal, civil and disciplinary liability. On the ground, a person can get ivermectin at a pharmacy without a doctor's order, the pharmacist must give use instructions, and the pharmacist must report doses dispensed each year.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version H · source

Sources

Fiscal note · version H · May 1, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Public Health
  4. Scheduled for public hearing on . . .
  5. Considered in public hearing
  6. Committee substitute considered in committee
  7. Testimony taken/registration(s) recorded in committee
  8. Left pending in committee
  9. Considered in public hearing
  10. Committee substitute considered in committee
  11. Reported favorably as substituted
  12. Comte report filed with Committee Coordinator
  13. Committee report distributed
  14. Committee report sent to Calendars
  15. Considered in Calendars
  16. Placed on General State Calendar
FILED UNDER

SPEECH AND LAWFARE

THE TEXT

…“reasonably prudent manner is not criminally or civilly liable or”…

Bill text, House committee report version (H)

The bill gives pharmacists who dispense ivermectin under the order a shield from criminal and civil liability and from professional discipline, as long as they act in a reasonably prudent manner.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Joanne Shofner

Donors

Texans for Lawsuit Reform PAC$20KMontgomery Bennett$15,000Bill Patton$11,000

Not tied to this bill.

Sources

The author's campaign account only. Own money and internal transfers are separate on the member page.

Derived itemized flow · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Texans for Lawsuit Reform PAC$20,000.00

Texans for Lawsuit Reform PAC

$20,000.00

Cash
$20,000.00
Paid by others
$0.00
Total
$20,000.00

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 23, 2025 to Oct 8, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101007132, 101027774, 101071421.

Montgomery Bennett$15,000.00
Bill Patton$11,000.00
Money

Missing data does not establish zero giving. Display amounts are rounded.

×

Texans for Lawsuit Reform PAC

$20,000.00

Cash
$20,000.00
Paid by others
$0.00
Total
$20,000.00

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 23, 2025 to Oct 8, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101007132, 101027774, 101071421.

Votes

No floor vote loaded for this bill.

Witnesses14
For
10
Against
3
On
1
Names

For

  • Make Texans Healthy Again1 registration
  • Self5 registrations
  • Self; Texans for Vaccine Choice1 registration
  • Self; Texas Constitutional Enforcement1 registration
  • Self; Texas Eagle Forum1 registration
  • Texas Pharmacy Association1 registration

Against

  • Self; Texas Medical Association1 registration
  • Self; TX4001 registration
  • Texas Chapter American College of Physicians1 registration

On

  • Department of State Health Services1 registration
Sources

14 parsed registrations across the loaded witness lists.

Derived stock of witness registrations. Repeated appearances count separately. Organizations and self-representation appear as printed.

House witness list. Source snapshot 2026-10-20, Central time.

Fiscal

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version H · source

Sources

Fiscal note · version H · May 1, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

How this was graded

Analysis of text version H by claude-opus-5-5, Oct 22, 2026, against the published rubric.

Sources

Texas House · Filed Feb 24, 2025

05/12/2025 H Placed on General State Calendar

Texas Legislature Online · Introduced · House Committee Report

Data snapshot Oct 26, 2026 at 4:19 AM CDT. Grades, charges, quotes and corrections follow the published record.

Coauthors
Daniel AldersRHouse 6 Benjamin BumgarnerRHouse 63 Briscoe CainRHouse 128 Caroline Harris DavilaRHouse 52 Janis HoltRHouse 18 Andy HopperRHouse 64 Carrie IsaacRHouse 73 Helen KerwinRHouse 58 Terri Leo WilsonRHouse 23 AJ LouderbackRHouse 30 David LoweRHouse 91 Shelley LutherRHouse 62 Don McLaughlinRHouse 80 Will MetcalfRHouse 16 Matt MorganRHouse 26 Mike OlcottRHouse 60 David SpillerRHouse 68 Valoree SwansonRHouse 150 Ellen TroxclairRHouse 19 Cody VasutRHouse 25 Terry M. WilsonRHouse 20

House committee · Public Health · Committee vote 8 aye, 5 nay · Out of committee

Companion

HB 3175 by Virdell (duplicate)

Subjects

Health Care Providers

Health--General

Occupational Regulation--Health Occupations

MEDICINE & PRESCRIPTION DRUGS

PHARMACIES & PHARMACISTS

HEALTH & HUMAN SERVICES COMMISSION

PHARMACY, TEXAS STATE BOARD OF

STATE HEALTH SERVICES, DEPARTMENT OF

Text

The text as introduced · 343 words

89R14414 EAS-D

By: Shofner
H.B. No. 3219

A BILL TO BE ENTITLED

AN ACT

relating to a statewide order issued by the commissioner of state

health services authorizing a pharmacist to dispense ivermectin.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Subchapter D, Chapter 1001, Health and Safety

Code, is amended by adding Section 1001.090 to read as follows:

Sec. 1001.090. STATEWIDE ORDER AUTHORIZING DISPENSING OF

IVERMECTIN. (a) The commissioner shall issue a statewide order

authorizing a licensed pharmacist to dispense ivermectin without a

health care practitioner's prescription order notwithstanding any

other law.

(b) The statewide order must include written, standardized

procedures or protocols for a pharmacist to follow when dispensing

ivermectin and require the pharmacist to provide each patient with

instructions on the proper use of ivermectin.

(c) Notwithstanding any other law, a pharmacist may

dispense ivermectin in accordance with the statewide order.

(d) Except for wilful misconduct or gross negligence and

notwithstanding any other law, a pharmacist acting in good faith is

not criminally or civilly liable or subject to professional

disciplinary action for dispensing ivermectin in accordance with

the statewide order.

(e) A pharmacist dispensing ivermectin in accordance with

the statewide order shall provide an annual written report in the

form and manner the department prescribes on the number of doses of

ivermectin the pharmacist dispensed in accordance with the

statewide order in the preceding calendar year.

(f) The executive commissioner and the Texas State Board of

Pharmacy may adopt the rules necessary to implement this section.

SECTION 2. As soon as practicable after the effective date

of this Act, the commissioner of state health services shall issue a

statewide order in accordance with Section 1001.090, Health and

Safety Code, as added by this Act.

SECTION 3. This Act takes effect immediately if it receives

a vote of two-thirds of all the members elected to each house, as

provided by Section 39, Article III, Texas Constitution. If this

Act does not receive the vote necessary for immediate effect, this

Act takes effect September 1, 2025.