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On Stay Safe Rx you will find current events and resources advocating for safe prescription labeling practices. When patients struggle to see, read or understand their prescription labels they are more likely to take the wrong medication, take it improperly, or not take it at all. Pharmacies can make prescription labels more accessible by incorporating dual-language, audible, large print, Braille, plain language, and user-friendly designs. Check out the resources in the side bar to assist your own advocacy efforts or browse through posts to see what others are working on or have achieved.

Sample Legislation and List of Bills and Laws

Model Bill:

(1) A pharmacy shall notify each person to whom a prescription drug is dispensed that an accessible/translated prescription label is available to the person upon request at no additional cost.

(2) If a person informs the pharmacy that the person identifies as a person who is blind, low vision, otherwise print disabled, or limited English proficient the pharmacy shall provide to the person an accessible prescription label affixed to the bottle that is:

(a) Available to the person in a timely manner comparable to other patient wait time and lasting for at least the duration of the prescription; and

(b) Appropriate to the disability, preference and language of the person making the request through use of audible, large print, Braille or translated labels; and

(c) Conforms to the format specific best practices established by the United States Access Board and National CLAS Standards; and

(d) Contains all the label information required by state statute and federal law including cautions, warnings and any information available to sighted, English proficient individuals reading the printed label.

(3) A pharmacy shall ensure that the prescription label is compatible with the prescription reader if a reader is provided.

(4) The requirements of this section do not apply to prescription drugs both dispensed and administered by an institutional pharmacy or correctional institution.

(5) The board of pharmacy shall promulgate regulations necessary to implement this section.

(6) “Prescription reader” means a device that is designed to audibly convey the information contained on the label of a prescription drug.

(7) An "Institutional pharmacy" means a pharmacy that is part of or is operated in conjunction with any of the following health care facilities: hospital, ambulatory surgical facility, nursing home, residential care facility, freestanding rehabilitation facility, hospice care program, home and community-based services provider, residential facility for individuals with mental illness or developmental disabilities, or any similar health care facility.


Laws/Regulations Passed (alphabetical order):


Accessible Prescription Labeling Bill HB24-1115 (2024) https://leg.colorado.gov/bills/hb24-1115


Board of Pharmacy Regulations  64B16—28.108  (2023) http://www.flrules.org/gateway/ruleno.asp?id=64B16-28.108&Section=0


Accessible Prescription Labeling Law  HB218 (2023) https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=218&year=2023   SB608 (2023) https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=608&year=2023


Translation and Interpretation in Hospitals Education Campaign (including pharmacy)  LD430 (2023)  https://legislature.maine.gov/legis/bills/display_ps.asp?LD=430&snum=131


Accessible Prescription Labeling Law  HB456 (2023) https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/HB0456?ys=2023RS    SB 0940 (2023) https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/SB0940?ys=2023RS


Accessible Prescription Labeling included in Omnibus SB4699/HF4571  See line 1144.31 of  https://www.revisor.mn.gov/bills/text.php?number=HF5247&type=bill&version=4&session=ls93&session_year=2024&session_number=0


Audible Labeling Law: SB131 (2017) https://www.leg.state.nv.us/Session/79th2017/Reports/history.cfm?ID=358

Dual Language Labeling Law: AB177 (2021) https://www.leg.state.nv.us/Session/81st2021/Bills/AB/AB177_EN.pdf


Board of Pharmacy rules requires a directory of accessibility services. 4729:5-2-05 (2023) Pharmacies shall report the type of language translation services, including translated prescription labels, for patients who are of limited English proficiency; The type of services available for patients who are hard of hearing; and the type of services available for patients with low vision.


Audible Labeling Law: HB2935 (2019) https://olis.oregonlegislature.gov/liz/2019R1/Downloads/MeasureDocument/HB2935/Enrolled

Dual Language Labeling Law: SB698 (2019) https://olis.oregonlegislature.gov/liz/2019R1/Downloads/MeasureDocument/SB698/Enrolled

Puerto Rico

Audible Labeling Law (2023): https://sutra.oslpr.org/osl/esutra/MedidaReg.aspx?rid=138318


Accessible Prescription Labeling Law:  SB 1859 (2022) https://www.capitol.tn.gov/Bills/112/Bill/SB1859.pdf   HB 1999 (2022) https://www.capitol.tn.gov/Bills/112/Bill/HB1999.pdf   Amended (2022) https://www.capitol.tn.gov/Bills/112/Amend/SA0750.pdf


Dual Language Bills are Sine Die but the Board of Pharmacy, seeing the need, initiated Rulemaking without a law directing them to.   HB 1852 (2022) https://lawfilesext.leg.wa.gov/biennium/2021-22/Pdf/Bills/House%20Bills/1852.pdf?q=20220107105517/   SB 5840 (2022) https://lawfilesext.leg.wa.gov/biennium/2021-22/Pdf/Bills/Senate%20Bills/5840.pdf?q=20220111165813


Translated Prescription Label Instructions Study Group. HB2147 (2023) Directs the Board of Pharmacy to convene a work group to evaluate the provision of translation of directions for use of prescriptions. https://lis.virginia.gov/cgi-bin/legp604.exe?231+sum+HB2147

Accessible Prescription Labeling Bill HB516 (2024) https://lis.virginia.gov/cgi-bin/legp604.exe?241+sum+HB516


Other Bills Introduced (alphabetical order, red indicates active legislation process): 


Accessible Prescription Labeling Bill HB20-1090 (2020) https://leg.colorado.gov/sites/default/files/documents/2020A/bills/2020a_1090_01.pdf (see also above 2024 bill which passed)


Accessible Prescription Labeling Bill -AB1902 (2024)  https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB1902


Accessible Prescription Labeling Bill HB5055 (2024) https://www.ilga.gov/legislation/BillStatus.asp?DocNum=5505&GAID=17&DocTypeID=HB&SessionID=112&GA=103


Accessible Prescription Labeling Bill SF2022 (2024) https://www.legis.iowa.gov/legislation/BillBook?ga=90&ba=SF2022


Audible Labeling Bill: S658 (2021) https://legiscan.com/MA/text/S658/id/2371251/Massachusetts-2021-S658-Introduced.pdf 

Audible Labeling Bill: S1420 (2021) https://malegislature.gov/Bills/192/S1420

Audible Labeling Bill: S1252 (2019) https://legiscan.com/MA/text/S1252/id/2365578


Accessible Prescription Labeling SF 2266 (2023) https://www.revisor.mn.gov/bills/text.php?number=SF2266&version=latest&session=ls93&session_year=2023&session_number=0

Accessible Prescription Labeling HF 2430 (2023) https://www.revisor.mn.gov/bills/bill.php?b=House&f=HF2430&ssn=0&y=2023

Accessible Prescription Labeling SF 4038 (2021) https://www.revisor.mn.gov/bills/bill.php?b=Senate&f=SF4038&ssn=0&y=2021

Accessible Prescription Labeling HF 4481 (2021) https://www.revisor.mn.gov/bills/bill.php?f=HF4481&y=2022&ssn=0&b=house


Accessible Prescription Labeling HB2750 (2024) https://documents.house.mo.gov/billtracking/bills241/hlrbillspdf/4401H.01I.pdf

 Accessible Prescription Labeling HB 80 (2023) https://www.house.mo.gov/Bill.aspx?bill=HB80&year=2023&code=R

Accessible Prescription Labeling HB 685 (2023) https://www.house.mo.gov/Bill.aspx?bill=HB685&year=2023&code=R 

Accessible Prescription Labeling HB 812 (2023) https://www.house.mo.gov/Bill.aspx?bill=HB812&year=2023&code=R 

Accessible Prescription Labeling HB 2783 (2022) https://www.house.mo.gov/Bill.aspx?bill=HB2783&year=2022&code=R

Accessible Prescription Labeling HB 2834 (2022) https://www.house.mo.gov/Bill.aspx?bill=HB2834&year=2022&code=R


Amendments to Dual Language Law AB251 (2023) https://www.leg.state.nv.us/App/NELIS/REL/82nd2023/Bill/10012/Overview


Audible Labeling and Insurance Coverage Bill: HB 448 (2021)  https://search-prod.lis.state.oh.us/solarapi/v1/general_assembly_134/bills/hb448/IN/00/hb448_00_IN?format=pdf 

Audible Labeling and Insurance Coverage Bill: HB 214 (2019) https://www.legislature.ohio.gov/legislation/133/hb214/documents

Insurance Coverage of Prescription Readers Bill: HB 382 (2024) https://search-prod.lis.state.oh.us/solarapi/v1/general_assembly_135/bills/hb382/IN/00/hb382_00_IN?format=pdf


Dual Language Bill  HB2419 (2023) http://www.oklegislature.gov/BillInfo.aspx?Bill=hb2419&Session=2300


Accessible Labeling Bill (2021) https://www.legis.state.pa.us/cfdocs/billInfo/billInfo.cfm?sYear=2021&sInd=0&body=H&type=B&bn=0089

Puerto Rico

Insurance dispensation fee reimbursement PS1190 (2024) -  https://sutra.oslpr.org/osl/esutra/medidareg.aspx?rid=143982


Dual Language Bill HB2147 (2023) https://lis.virginia.gov/cgi-bin/legp604.exe?231+sum+HB2147