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Mandatory Electronic Prescribing for Controlled Substances in Health Plans by 2025

This Act mandates that starting January 1, 2025, group and individual health plans must require participating providers to electronically transmit prescriptions for Schedule II-V controlled substances. The goal is to enhance safety and reduce fraud related to these medications. Crucially, the law includes exceptions for technological failures, hospice care, and public health emergencies, ensuring that valid non-electronic prescriptions are still covered and dispensed by pharmacies.
Key points
Health plans must enforce electronic prescribing for controlled substances (Schedules II-V) by participating doctors starting January 1, 2025.
Exceptions apply for patients in hospice care, nursing facilities, or during temporary technical outages, allowing non-electronic prescriptions in these cases.
Insurers cannot deny coverage or reimbursement for a valid prescription solely because it was issued in a non-electronic format under an allowed exception.
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Additional Information
Print number: 118_S_2666
Sponsor: Sen. Hassan, Margaret Wood [D-NH]
Process start date: 2023-07-27