,,ib  ,union ,cal5d> ,no4 #ehb  #aae?   
,,congress  #b;d ,session  ,h4 ,r4 #cebh
  ,report ,no4 #aae-gdh1 ,"p ,i  ,,9 ,,!
 ,,h\se ,,( ,,repres5tatives  ,july #bh1
 #bjag ,ms4 ,cl>k ( ,massa*usetts 7=    
h]self & ,mr4 ,mull97 introduc$ ! foll[+
 bill2 :i* 0 ref]r$ to ! ,committee on  
,en]gy & ,comm]ce1 & 9 addition to !    
,committee on ,ways & ,means1 = a p]iod 
to be subsequ5tly det]m9$ by ! ,speak]1 
9 ea* case = consid]ation ( su*         
provisions z fall )9 ! jurisdiction ( ! 
committee conc]n$  ,june #ab1           
#bjah;,additional sponsors3 ,mr4 ,higg9s
 ( ,new ,york1 ,ms4 ,e/y ( ,connecticut1
 ,mr4 ,himes1 ,mr4 ,k5n$y1 ,mr4 ,kelly (
 ,p5nsylvania1 ,mr4 ,tonko1 ,mr4        
,panetta1 ,mr4 ,donovan1 ,mr4 ,k+ ( ,new
 ,york1 ,mr4 ,budd1 ,mr4 ,katko1 ,mr4   
,long1 ,mr4 ,?ompson ( ,p5nsylvania1    
,ms4 ,/efanik1 ,mr4 ,coll9s ( ,new      
,york1 ,mr4 ,mac,arthur1 ,ms4           
,%ea-,port]1 ,ms4 ,slaught]1 ,mrs4      
,walorski1 ,mr4 ,norcross1 ,mr4 ,m\lton1
 ,mr4 ,j5k9s ( ,we/ ,virg9ia1 ,mr4      

,kri%namoor?i1 ,mr4 ,flores1 ,mr4 ,ryan 
( ,ohio1 ,ms4 ,j5k9s ( ,kansas1 ,mr4    
,payne1 ,ms4 ,hanabusa1 ,mr4 ,knight1   
,mr4 ,s*neid]1 ,mr4 ,s*weik]t1 ,ms4     
,titus1 ,mr4 ,faso1 ,ms4 ,ku/] ( ,new   
,hamp%ire1 ,ms4 ,de,gette1 ,mr4 ,y>mu?1 
,mr4 ,pocan1 ,ms4 ,wass]man ,s*ultz1    
,ms4 ,bonamici1 ,mr4 ,coh51 ,mr4        
,o',hall]an1 ,mr4 ,r5acci1 ,mr4 ,ha/+s1 
,mrs4 ,blackburn1 ,mr4 ,poliqu91 ,mrs4  
,h&el1 ,mr4 ,wald51 ,mr4 ,fitzpatrick1  
,mr4 ,cram]1 & ,mr4 ,brooks ( ,alabama  
,june #ab1 #bjah ,report$ f ! ,committee
 on ,en]gy & ,comm]ce ) an am5dm5t      
,/rike out all aft] ! enact+ clause &   
ins]t ! "p pr9t$ 9 italic  ,june #ab1   
#bjah,! ,committee on ,ways & ,means    
dis*>g$2 committ$ to ! ,committee ( !   
,:ole ,h\se on ! ,/ate ( ! ,union &     
ord]$ to be printed,for text ( introduc$
 bill1 see copy ( bill z introduc$ on   
,july #bh1 #bjag  ,a ,,bill  ,to am5d   
title ,,xviii ( ! ,social ,security ,act
 to require e-prescrib+ = cov]age "u "p 
,d ( ! ,m$ic>e program ( prescription   

drugs t are controll$ sub/ances4  #a4   
,%ort title ,?is ,act may be cit$ z ! ,e
 ,prescription ,convey$ ,securely ,act4 
#b4 ,requir+ e-prescrib+ = cov]age (    
cov]$ "p ,d controll$ sub/ances  7a7 ,9 
g5]al ,section #ahfj;,d-#d7;e7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#ajd7;e77 is am5d$ by add+ at !  
end ! foll[+3  7#g7 ,requirem5t (       
e-prescrib+ = controll$ sub/ances  7,a7 
,9 g5]al ,subject to subp>agraph 7,b71 a
 prescription = a cov]$ "p ,d drug "u a 
prescription drug plan 7or "u an        
,,ma-,,pd plan7 = a s*$ule ,,ii1 ,,iii1 
,,iv1 or ,v controll$ sub/ance %all be  
transmitt$ by a heal? c>e practition]   
electronically 9 accordance ) an        
electronic prescription drug program t  
meets ! requirem5ts ( p>agraph 7#b74    
7,b7 ,exception = c]ta9 circum/ances ,! 
,secret>y %all1 pursuant to rulemak+1   
specify circum/ances ) respect to :i* ! 
,secret>y may waive ! requirem5t "u     
subp>agraph 7,a71 ) respect to a cov]$  
"p ,d drug1 includ+ 9 ! case (--  7i7 a 

prescription issu$ :5 ! practition] &   
disp5s] are ! same entity2  7ii7 a      
prescription issu$ t _c be transmitt$   
electronically "u ! mo/ rec5tly         
implem5t$ v]sion ( ! ,national ,c\ncil =
 ,prescription ,drug ,programs ,,script 
,/&>d2  7iii7 a prescription issu$ by a 
practition] :o has receiv$ a waiv] or a 
r5ewal !re( = a specifi$ p]iod det]m9$  
by ! ,secret>y1 n to exce$ "o ye>1 f !  
requirem5t to use electronic prescrib+1 
pursuant to a process e/abli%$ by       
regulation by ! ,secret>y1 due to       
demon/rat$ economic h>d%ip1 te*nological
 limitations t are n reasonably )9 !    
control ( ! practition]1 or o!r         
exceptional circum/ance demon/rat$ by ! 
practition]2  7iv7 a prescription issu$ 
by a practition] "u circum/ances 9 :i*1 
not)/&+ ! practition]'s ability to      
submit a prescription electronically z  
requir$ by ?is subsection1 su*          
practition] reasonably det]m9es t x w\ld
 be impractical = ! individual involv$  
to obta9 sub/ances prescrib$ by         

electronic prescription 9 a timely      
mann]1 & su* delay w\ld adv]sely impact 
! individual's m$ical condition involv$2
  7v7 a prescription issu$ by a         
practition] all[+ = ! disp5s+ ( a       
non-pati5t specific prescription        
pursuant to a /&+ ord]1 approv$ protocol
 = drug !rapy1 collaborative drug       
managem5t1 or compreh5sive m$ication    
managem5t1 9 response to a public heal? 
em]g5cy1 or o!r circum/ances :]e !      
practition] may issue a non-pati5t      
specific prescription2  7vi7 a          
prescription issu$ by a practition]     
prescrib+ a drug "u a rese>* protocol2  
7vii7 a prescription issu$ by a         
practition] = a drug = :i* ! ,food &    
,drug ,adm9i/ration requires a          
prescription to conta9 elem5ts t are n  
able to be includ$ 9 electronic         
prescrib+1 su* z a drug ) risk          
evaluation & mitigation /rategies t     
include elem5ts to assure safe use2 &   
7viii7 a prescription issu$ by a        
practition] = an individual :o-- 7,i7   

receives hospice c>e "u ?is title2 or   
7,,ii7 is a resid5t ( a skill$ nurs+    
facility 7z def9$ 9 section #ahai7;a771 
or a m$ical in/itution or nurs+ facility
 = :i* paym5t is made = an              
in/itutionaliz$ individual "u section   
#aijb7q77#a77;,b71 = :i* frequ5tly abus$
 drugs are disp5s$ = resid5ts ?r\gh a   
contract ) a s+le ph>macy1 z det]m9$ by 
! ,secret>y 9 accordance ) ?is p>agraph4
  7,c7 ,disp5s+ ,no?+ 9 ?is p>agraph    
%all be con/ru$ z requir+ a sponsor ( a 
prescription drug plan "u ?is "p1 ,,ma  
organization (f]+ an ,,ma-,,pd plan "u  
"p ,c1 or a ph>maci/ to v]ify t a       
practition]1 ) respect to a prescription
 = a cov]$ "p ,d drug1 has a waiv] 7or  
is o!rwise exempt7 "u subp>agraph 7,b7 f
 ! requirem5t "u subp>agraph 7,a74 ,no?+
 9 ?is p>agraph %all be con/ru$ z       
affect+ ! ability ( ! plan to cov] or ! 
ph>maci/s' ability to cont9ue to disp5se
 cov]$ "p ,d drugs f o!rwise valid      
writt51 oral or fax prescriptions t are 
consi/5t ) laws & regulations4 ,no?+ 9  

?is p>agraph %all be con/ru$ z affect+ !
 ability ( ! b5efici>y involv$ to       
designate a p>ticul> ph>macy to disp5se 
a prescrib$ drug to ! ext5t consi/5t ) !
 requirem5ts "u subsection 7b77#a7 & "u 
?is p>agraph4  7,d7 ,en=cem5t ,!        
,secret>y %all1 pursuant to rulemak+1 h 
au?ority to en=ce & specify appropriate 
p5alties = non-compliance ) ! requirem5t
 "u subp>agraph 7,a74  4  7b7 ,effective
 date ,! am5dm5t made by subsection 7a7 
%all apply to cov]age ( drugs prescrib$ 
on or aft] ,janu>y #a1 #bjba4  ,june    
#ab1 #bjah ,report$ f ! ,committee on   
,en]gy & ,comm]ce ) an amendment,june   
#ab1 #bjah,! ,committee on ,ways &      
,means dis*>g$2 committ$ to ! ,committee
 ( ! ,:ole ,h\se on ! ,/ate ( ! ,union &
 ord]$ to be pr9t$