,,ii  #aae? ,,congress  #b;d ,session   
,s4 #bdfj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #bg1 #bjah,mr4
 ,b5net 7= himself1 ,mr4 ,hell]1 ,ms4   
,w>r51 & ,mr4 ,toomey7 introduc$ !      
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,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 ! prescrib] &     
disp5s] are ! same entity2  7ii7 a      
prescription issu$ t _c be transmitt$   
electronically due to ! con/ra9ts ( !   
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 make 
an electronic prescription 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 !          
prescription to conta9 c]ta9 elem5ts t  
are n able to be accompli%$ ) electronic
 prescrib+ su* z1 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 long-t]m c>e    
facility1 ( a facility describ$ 9       
section #aije7;d71 or ( ano!r facility =
 :i* frequ5tly abus$ drugs are disp5s$ =
 resid5ts ?r\gh a contract ) a s+le     
ph>macy4  7,c7 ,disp5s+  7i7 ,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  7ii7 ,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  7iii7 ,no?+ 9 ?is      
p>agraph %all be con/ru$ z affect+ !    
ability ( an individual :o is be+       
prescrib$ a cov]$ "p ,d drug to         
designate a p>ticul> ph>macy to disp5se 
! cov]$ "p ,d 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 = noncompliance ) ! 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 #bjbj4