,,ib ,union ,calendar ,no4 #ehb #aaeth ,,congress #b;d ,session ,h4 ,r4 #cebh ,report ,no4 #aae-gdh1 ,part ,i ,,in ,,the ,,house ,,of ,,representatives ,july #bh1 #bjag ,ms4 ,clark of ,massachusetts 7for herself and ,mr4 ,mullin7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,ways and ,means1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,june #ab1 #bjah;,additional sponsors3 ,mr4 ,higgins of ,new ,york1 ,ms4 ,esty of ,connecticut1 ,mr4 ,himes1 ,mr4 ,kennedy1 ,mr4 ,kelly of ,pennsylvania1 ,mr4 ,tonko1 ,mr4 ,panetta1 ,mr4 ,donovan1 ,mr4 ,king of ,new ,york1 ,mr4 ,budd1 ,mr4 ,katko1 ,mr4 ,long1 ,mr4 ,thompson of ,pennsylvania1 ,ms4 ,stefanik1 ,mr4 ,collins of ,new ,york1 ,mr4 ,mac,arthur1 ,ms4 ,shea-,porter1 ,ms4 ,slaughter1 ,mrs4 ,walorski1 ,mr4 ,norcross1 ,mr4 ,moulton1 ,mr4 ,jenkins of ,west ,virginia1 ,mr4 ,krishnamoorthi1 ,mr4 ,flores1 ,mr4 ,ryan of ,ohio1 ,ms4 ,jenkins of ,kansas1 ,mr4 ,payne1 ,ms4 ,hanabusa1 ,mr4 ,knight1 ,mr4 ,schneider1 ,mr4 ,schweikert1 ,ms4 ,titus1 ,mr4 ,faso1 ,ms4 ,kuster of ,new ,hampshire1 ,ms4 ,de,gette1 ,mr4 ,yarmuth1 ,mr4 ,pocan1 ,ms4 ,wasserman ,schultz1 ,ms4 ,bonamici1 ,mr4 ,cohen1 ,mr4 ,o',halleran1 ,mr4 ,renacci1 ,mr4 ,hastings1 ,mrs4 ,blackburn1 ,mr4 ,poliquin1 ,mrs4 ,handel1 ,mr4 ,walden1 ,mr4 ,fitzpatrick1 ,mr4 ,cramer1 and ,mr4 ,brooks of ,alabama ,june #ab1 #bjah ,reported from the ,committee on ,energy and ,commerce with an amendment ,strike out all after the enacting clause and insert the part printed in italic ,june #ab1 #bjah,the ,committee on ,ways and ,means discharged2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed,for text of introduced bill1 see copy of bill as introduced on ,july #bh1 #bjag ,a ,,bill ,to amend title ,,xviii of the ,social ,security ,act to require e-prescribing for coverage under part ,d of the ,medicare program of prescription drugs that are controlled substances4 #a4 ,short title ,this ,act may be cited as the ,every ,prescription ,conveyed ,securely ,act4 #b4 ,requiring e-prescribing for coverage of covered part ,d controlled substances 7a7 ,in general ,section #ahfj;,d-#d7;e7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;e77 is amended by adding at the end the following3 7#g7 ,requirement of e-prescribing for controlled substances 7,a7 ,in general ,subject to subparagraph 7,b71 a prescription for a covered part ,d drug under a prescription drug plan 7or under an ,,ma-,,pd plan7 for a schedule ,,ii1 ,,iii1 ,,iv1 or ,v controlled substance shall be transmitted by a health care practitioner electronically in accordance with an electronic prescription drug program that meets the requirements of paragraph 7#b74 7,b7 ,exception for certain circumstances ,the ,secretary shall1 pursuant to rulemaking1 specify circumstances with respect to which the ,secretary may waive the requirement under subparagraph 7,a71 with respect to a covered part ,d drug1 including in the case of-- 7i7 a prescription issued when the practitioner and dispenser are the same entity2 7ii7 a prescription issued that cannot be transmitted electronically under the most recently implemented version of the ,national ,council for ,prescription ,drug ,programs ,,script ,standard2 7iii7 a prescription issued by a practitioner who has received a waiver or a renewal thereof for a specified period determined by the ,secretary1 not to exceed one year1 from the requirement to use electronic prescribing1 pursuant to a process established by regulation by the ,secretary1 due to demonstrated economic hardship1 technological limitations that are not reasonably within the control of the practitioner1 or other exceptional circumstance demonstrated by the practitioner2 7iv7 a prescription issued by a practitioner under circumstances in which1 notwithstanding the practitioner's ability to submit a prescription electronically as required by this subsection1 such practitioner reasonably determines that it would be impractical for the individual involved to obtain substances prescribed by electronic prescription in a timely manner1 and such delay would adversely impact the individual's medical condition involved2 7v7 a prescription issued by a practitioner allowing for the dispensing of a non-patient specific prescription pursuant to a standing order1 approved protocol for drug therapy1 collaborative drug management1 or comprehensive medication management1 in response to a public health emergency1 or other circumstances where the practitioner may issue a non-patient specific prescription2 7vi7 a prescription issued by a practitioner prescribing a drug under a research protocol2 7vii7 a prescription issued by a practitioner for a drug for which the ,food and ,drug ,administration requires a prescription to contain elements that are not able to be included in electronic prescribing1 such as a drug with risk evaluation and mitigation strategies that include elements to assure safe use2 and 7viii7 a prescription issued by a practitioner for an individual who-- 7,i7 receives hospice care under this title2 or 7,,ii7 is a resident of a skilled nursing facility 7as defined in section #ahai7;a771 or a medical institution or nursing facility for which payment is made for an institutionalized individual under section #aijb7q77#a77;,b71 for which frequently abused drugs are dispensed for residents through a contract with a single pharmacy1 as determined by the ,secretary in accordance with this paragraph4 7,c7 ,dispensing ,nothing in this paragraph shall be construed as requiring a sponsor of a prescription drug plan under this part1 ,,ma organization offering an ,,ma-,,pd plan under part ,c1 or a pharmacist to verify that a practitioner1 with respect to a prescription for a covered part ,d drug1 has a waiver 7or is otherwise exempt7 under subparagraph 7,b7 from the requirement under subparagraph 7,a74 ,nothing in this paragraph shall be construed as affecting the ability of the plan to cover or the pharmacists' ability to continue to dispense covered part ,d drugs from otherwise valid written1 oral or fax prescriptions that are consistent with laws and regulations4 ,nothing in this paragraph shall be construed as affecting the ability of the beneficiary involved to designate a particular pharmacy to dispense a prescribed drug to the extent consistent with the requirements under subsection 7b77#a7 and under this paragraph4 7,d7 ,enforcement ,the ,secretary shall1 pursuant to rulemaking1 have authority to enforce and specify appropriate penalties for non-compliance with the requirement under subparagraph 7,a74 4 7b7 ,effective date ,the amendment made by subsection 7a7 shall apply to coverage of drugs prescribed on or after ,january #a1 #bjba4 ,june #ab1 #bjah ,reported from the ,committee on ,energy and ,commerce with an amendment,june #ab1 #bjah,the ,committee on ,ways and ,means discharged2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed