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Public hearing on HB146 spotlights split views over standing orders for ivermectin

Health Committee · January 29, 2026
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Summary

A Health Committee public hearing on House Bill 146 drew split testimony: physicians and advocacy groups urged standing orders to expand safe access to ivermectin, while the state medical association and the Board of Medical Examiners urged using existing collaborative-practice frameworks and warned of monitoring, safety and resistance concerns.

Representative Rigsby introduced House Bill 146 and a public hearing drew two supporters and two opponents, the committee chair said. The bill would allow a physician, physician assistant or nurse practitioner to write a standing order authorizing pharmacists to dispense ivermectin to qualifying patients over age 19.

The sponsor told the committee the measure is an access and safety mechanism, not an attempt to make ivermectin over the counter. "This bill is a mechanism bill. It is an access bill," the sponsor said, adding the bill would allow a prescriber to define eligibility, evaluation and dosage in a standing order.

Supporters said expanded standing-order access would keep patients from using veterinary formulations. Dr. Stuart…

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