,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #hihh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #bf1        
#bjbb,mr4 ,o',hall]an introduc$ ! foll[+
 bill2 :i* 0 ref]r$ to ! ,committee on  
,en]gy & ,comm]ce1 & 9 addition to !    
,committees on ,education & ,labor1 &   
,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$  ,a ,,bill  ,to am5d ! ,public  
,heal? ,s]vice ,act1 ! ,employee        
,retirem5t ,income ,security ,act (     
#aigd1 & ! ,int]nal ,rev5ue ,code (     
#aihf to provide = requirem5ts =        
electronic-prescrib+ = controll$        
sub/ances "u gr\p heal? plans & gr\p &  
individual heal? insurance cov]age4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,electronic ,prescrib+ = ,controll$     
,sub/ances ,act or ! ,,epcs #b4j ,act4  
#b4 ,requirem5ts = electronic-prescrib+ 
= controll$ sub/ances "u gr\p heal?     
plans & gr\p & individual heal?         

insurance cov]age  7a7 ,public ,heal?   
,s]vice ,act am5dm5t ,section           
#bgii;,a-#g ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #cjj;gg-#aag7 is    
am5d$ by add+ at ! end ! foll[+ new     
subsection3  7d7 ,requirem5ts =         
electronic-,prescrib+ = controll$       
sub/ances  7#a7 ,9 g5]al ,except z      
provid$ pursuant to p>agraph 7#b71 =    
plan ye>s beg9n+ on or aft] ,janu>y #a1 
#bjbd1 a gr\p heal? plan & a heal?      
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age %all1 ) respect 
to heal? c>e practition]s t h a         
contractual relation%ip ) su* plan or   
issu] = furni%+ items or s]vices to     
p>ticipants & b5efici>ies "u su* plan or
 cov]age1 h 9 place policies1 subject to
 p>agraph 7#d71 t require any           
prescription = a s*$ule ,,ii1 ,,iii1    
,,iv1 or ,v controll$ sub/ance 7z def9$ 
by section #bjb ( ! ,controll$          
,sub/ances ,act7 cov]$ "u ! plan or     
cov]age t is transmitt$ by su* a heal?  
c>e practition] = su* a p>ticipant or   

b5efici>y be electronically transmitt$ 9
 accordance ) su* /&>ds1 consi/5t )     
/&>ds e/abli%$ "u p>agraph 7#c7 (       
section #ahfj;,d-#d7;e7 ( ! ,social     
,security ,act1 "u an electronic        
prescription drug program t meets       
requirem5ts t are sub/antially simil> 7z
 jo9tly det]m9$ by ! ,secret>y1         
,secret>y ( ! ,treasury1 & ,secret>y (  
,labor7 to ! requirem5ts ( p>agraph 7#b7
 ( su* section #ahfj;,d-#d7;e74  7#b7   
,exception = c]ta9 circum/ances ,!      
,secret>y1 ,secret>y ( ! ,treasury1 &   
,secret>y ( ,labor %all jo9tly1 ?r\gh   
rulemak+1 specify circum/ances &        
processes by :i* ! requirem5t "u        
p>agraph 7#a7 may be waiv$1 ) respect to
 a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v      
controll$ sub/ance t is a prescription  
drug cov]$ by a gr\p heal? or gr\p or   
individual heal? insurance cov]age (f]$ 
by a heal? insurance issu]1 includ+ 9 ! 
case (-- 7,a7 a prescription describ$ 9 
any ( clauses 7i7 ?r\gh 7vi7 ( section  
#ahfj;,d-#d7;e77#g77;,b7 ( ! ,social    

,security ,act2  7,b7 a prescription    
issu$ "u circum/ances 9 :i* electronic  
prescrib+ is n available due to tempor>y
 te*nological or electrical failure1 z  
specifi$ jo9tly by ! ,secret>y1         
,secret>y ( ! ,treasury1 & ,secret>y (  
,labor ?r\gh rulemak+2 &  7,c7 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$ication managem5t1 9     
response to a public heal? em]g5cy or   
o!r circum/ances "u :i* ! practition]   
may issue a non-pati5t specific         
prescription4  7#c7 ,rules (            
,con/ruction  7,a7 ,v]ification ,no?+ 9 
?is subsection %all be con/ru$ z requir+
 a disp5s] to v]ify t a heal? c>e       
practition]1 ) respect to a prescription
 = a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v    
controll$ sub/ance t is a prescription  
drug cov]$ "u a gr\p heal? plan or gr\p 
or individual heal? insurance cov]age   

(f]$ by a heal? insurance issu]1 has a  
waiv] 7or is o!rwise exempt7 "u p>agraph
 7#b7 f ! requirem5t "u p>agraph 7#a74  
7,b7 ,au?ority to disp5se ,no?+ 9 ?is   
subsection %all be con/ru$ z affect+ !  
ability ( a gr\p heal? plan or gr\p or  
individual heal? insurance cov]age (f]$ 
by a heal? insurance issu] to cov]1 or !
 ability ( a ph>maci/ to cont9ue to     
disp5se1 a prescription drug if !       
prescription = su* drug is an o!rwise   
valid writt51 oral1 or fax prescription 
t is consi/5ce ) applicable laws &      
regulations4  7,c7 ,pati5t *oice ,no?+ 9
 ?is subsection %all be con/ru$ z       
affect+ ! ability ( an individual :o is 
a p>ticipant or b5efici>y ( a gr\p heal?
 plan or gr\p or individual heal?       
insurance cov]age (f]$ by a heal?       
insurance issu] & :o is be+ prescrib$ a 
s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v         
controll$ sub/ance t is a prescription  
drug cov]$ "u ! plan or cov]age to      
designate a p>ticul> ph>macy to disp5se 
su* controll$ sub/ance to ! ext5t       

consi/5t ) ! requirem5ts "u ?is         
subsection4  7#d7 ,prohibitions ,!      
policies e/abli%$ pursuant to p>agraph  
7#a7 by a gr\p heal? plan or heal?      
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age may n-- 7,a7    
require disp5s]s ( a s*$ule ,,ii1 ,,iii1
 ,,iv1 or ,v controll$ sub/ance to      
confirm t ! prescription = ! controll$  
sub/ance 0 electronically issu$ by a    
heal? c>e practition] 9 accordance ) su*
 policies1 z describ$ 9 p>agraph 7#a72  
7,b7 require disp5s]s ( su* controll$   
sub/ances to submit in=mation or data   
beyond :at is o!rwise requir$ to process
 a prescription drug claim 9 ord] to    
confirm a practition]'s compliance ) su*
 policies2 or  7,c7 reject1 d5y1 or     
rec\p reimbursem5t = a prescription drug
 claim bas$ on ! =mat 9 :i* !           
prescription 0 issu$4  7#e7             
,consultation requirem5t = rulemak+ ,9  
promulgat+ regulations to c>ry out ?is  
subsection1 ! ,secret>y1 ,secret>y ( !  
,treasury1 & ,secret>y ( ,labor %all    

jo9tly consult ) disp5s]s ( controll$   
sub/ances1 ,/ate insurance regulators1 &
 heal? c>e practition]s4  4  7b7        
,employee ,retirem5t ,income ,security  
,act ( #aigd am5dm5t ,section #gbb ( !  
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #aahek7 is  
am5d$ by add+ at ! end ! foll[+ new     
subsection3  7d7 ,requirem5ts =         
electronic-,prescrib+ = controll$       
sub/ances  7#a7 ,9 g5]al ,except z      
provid$ pursuant to p>agraph 7#b71 =    
plan ye>s beg9n+ on or aft] ,janu>y #a1 
#bjbd1 a gr\p heal? plan & a heal?      
insurance issu] (f]+ gr\p heal?         
insurance cov]age %all1 ) respect to    
heal? c>e practition]s t h a contractual
 relation%ip ) su* plan or issu] =      
furni%+ items or s]vices to p>ticipants 
& b5efici>ies "u su* plan or cov]age1 h 
9 place policies1 subject to p>agraph   
7#d71 t require any prescription = a    
s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v         
controll$ sub/ance 7z def9$ by section  
#bjb ( ! ,controll$ ,sub/ances ,act7    

cov]$ "u ! plan or cov]age t is         
transmitt$ by su* a heal? c>e           
practition] = su* a p>ticipant or       
b5efici>y be electronically transmitt$ 9
 accordance ) su* /&>ds1 consi/5t )     
/&>ds e/abli%$ "u p>agraph 7#c7 (       
section #ahfj;,d-#d7;e7 ( ! ,social     
,security ,act1 "u an electronic        
prescription drug program t meets       
requirem5ts t are sub/antially simil> 7z
 jo9tly det]m9$ by ! ,secret>y1         
,secret>y ( ! ,treasury1 & ,secret>y (  
,labor7 to ! requirem5ts ( p>agraph 7#b7
 ( su* section #ahfj;,d-#d7;e74  7#b7   
,exception = c]ta9 circum/ances ,!      
,secret>y1 ,secret>y ( ! ,treasury1 &   
,secret>y ( ,labor %all jo9tly1 ?r\gh   
rulemak+1 specify circum/ances &        
processes by :i* ! requirem5t "u        
p>agraph 7#a7 may be waiv$1 ) respect to
 a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v      
controll$ sub/ance t is a prescription  
drug cov]$ by a gr\p heal? or gr\p heal?
 insurance cov]age (f]$ by a heal?      
insurance issu]1 includ+ 9 ! case (--   

7,a7 a prescription describ$ 9 any (    
clauses 7i7 ?r\gh 7vi7 ( section        
#ahfj;,d-#d7;e77#g77;,b7 ( ! ,social    
,security ,act2  7,b7 a prescription    
issu$ "u circum/ances 9 :i* electronic  
prescrib+ is n available due to tempor>y
 te*nological or electrical failure1 z  
specifi$ jo9tly by ! ,secret>y1         
,secret>y ( ! ,treasury1 & ,secret>y (  
,labor ?r\gh rulemak+2 &  7,c7 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$ication managem5t1 9     
response to a public heal? em]g5cy or   
o!r circum/ances "u :i* ! practition]   
may issue a non-pati5t specific         
prescription4  7#c7 ,rules (            
,con/ruction  7,a7 ,v]ification ,no?+ 9 
?is subsection %all be con/ru$ z requir+
 a disp5s] to v]ify t a heal? c>e       
practition]1 ) respect to a prescription
 = a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v    

controll$ sub/ance t is a prescription  
drug cov]$ "u a gr\p heal? plan or gr\p 
or individual heal? insurance cov]age   
(f]$ by a heal? insurance issu]1 has a  
waiv] 7or is o!rwise exempt7 "u p>agraph
 7#b7 f ! requirem5t "u p>agraph 7#a74  
7,b7 ,au?ority to disp5se ,no?+ 9 ?is   
subsection %all be con/ru$ z affect+ !  
ability ( a gr\p heal? plan or gr\p     
heal? insurance cov]age (f]$ by a heal? 
insurance issu] to cov]1 or ! ability ( 
a ph>maci/ to cont9ue to disp5se1 a     
prescription drug if ! prescription =   
su* drug is an o!rwise valid writt51    
oral1 or fax prescription t is consi/5ce
 ) applicable laws & regulations4  7,c7 
,pati5t *oice ,no?+ 9 ?is subsection    
%all be con/ru$ z affect+ ! ability ( an
 individual :o is a p>ticipant or       
b5efici>y ( a gr\p heal? plan or gr\p or
 individual heal? insurance cov]age (f]$
 by a heal? insurance issu] & :o is be+ 
prescrib$ a s*$ule ,,ii1 ,,iii1 ,,iv1 or
 ,v controll$ sub/ance t is a           
prescription drug cov]$ "u ! plan or    

cov]age to designate a p>ticul> ph>macy 
to disp5se su* controll$ sub/ance to !  
ext5t consi/5t ) ! requirem5ts "u ?is   
subsection4  7#d7 ,prohibitions ,!      
policies e/abli%$ pursuant to p>agraph  
7#a7 by a gr\p heal? plan or heal?      
insurance issu] (f]+ gr\p heal?         
insurance cov]age may n-- 7,a7 require  
disp5s]s ( a s*$ule ,,ii1 ,,iii1 ,,iv1  
or ,v controll$ sub/ance to confirm t ! 
prescription = ! controll$ sub/ance 0   
electronically issu$ by a heal? c>e     
practition] 9 accordance ) su* policies1
 z describ$ 9 p>agraph 7#a72  7,b7      
require disp5s]s ( su* controll$        
sub/ances to submit in=mation or data   
beyond :at is o!rwise requir$ to process
 a prescription drug claim 9 ord] to    
confirm a practition]'s compliance ) su*
 policies2 or  7,c7 reject1 d5y1 or     
rec\p reimbursem5t = a prescription drug
 claim bas$ on ! =mat 9 :i* !           
prescription 0 issu$4  7#e7             
,consultation requirem5t = rulemak+ ,9  
promulgat+ regulations to c>ry out ?is  

subsection1 ! ,secret>y1 ,secret>y ( !  
,treasury1 & ,secret>y ( ,labor %all    
jo9tly consult ) disp5s]s ( controll$   
sub/ances1 ,/ate insurance regulators1 &
 heal? c>e practition]s4  4  7c7        
,int]nal ,rev5ue ,code ( #aihf am5dm5t  
,section #ihbb ( ! ,int]nal ,rev5ue     
,code ( #aihf is am5d$ by add+ at ! end 
! foll[+ new subsection3  7d7           
,requirem5ts = electronic-,prescrib+ =  
controll$ sub/ances  7#a7 ,9 g5]al      
,except z provid$ pursuant to p>agraph  
7#b71 = plan ye>s beg9n+ on or aft]     
,janu>y #a1 #bjbd1 a gr\p heal? plan    
%all1 ) respect to heal? c>e            
practition]s t h a contractual          
relation%ip ) su* plan = furni%+ items  
or s]vices to p>ticipants & b5efici>ies 
"u su* plan1 h 9 place policies1 subject
 to p>agraph 7#d71 t require any        
prescription = a s*$ule ,,ii1 ,,iii1    
,,iv1 or ,v controll$ sub/ance 7z def9$ 
by section #bjb ( ! ,controll$          
,sub/ances ,act7 cov]$ "u ! plan t is   
transmitt$ by su* a heal? c>e           

practition] = su* a p>ticipant or       
b5efici>y be electronically transmitt$ 9
 accordance ) su* /&>ds1 consi/5t )     
/&>ds e/abli%$ "u p>agraph 7#c7 (       
section #ahfj;,d-#d7;e7 ( ! ,social     
,security ,act1 "u an electronic        
prescription drug program t meets       
requirem5ts t are sub/antially simil> 7z
 jo9tly det]m9$ by ! ,secret>y1         
,secret>y ( ! ,treasury1 & ,secret>y (  
,labor7 to ! requirem5ts ( p>agraph 7#b7
 ( su* section #ahfj;,d-#d7;e74  7#b7   
,exception = c]ta9 circum/ances ,!      
,secret>y1 ,secret>y ( ! ,treasury1 &   
,secret>y ( ,labor %all jo9tly1 ?r\gh   
rulemak+1 specify circum/ances &        
processes by :i* ! requirem5t "u        
p>agraph 7#a7 may be waiv$1 ) respect to
 a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v      
controll$ sub/ance t is a prescription  
drug cov]$ by a gr\p heal?1 includ+ 9 ! 
case (-- 7,a7 a prescription describ$ 9 
any ( clauses 7i7 ?r\gh 7vi7 ( section  
#ahfj;,d-#d7;e77#g77;,b7 ( ! ,social    
,security ,act2  7,b7 a prescription    

issu$ "u circum/ances 9 :i* electronic  
prescrib+ is n available due to tempor>y
 te*nological or electrical failure1 z  
specifi$ jo9tly by ! ,secret>y1         
,secret>y ( ! ,treasury1 & ,secret>y (  
,labor ?r\gh rulemak+2 &  7,c7 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$ication managem5t1 9     
response to a public heal? em]g5cy or   
o!r circum/ances "u :i* ! practition]   
may issue a non-pati5t specific         
prescription4  7#c7 ,rules (            
,con/ruction  7,a7 ,v]ification ,no?+ 9 
?is subsection %all be con/ru$ z requir+
 a disp5s] to v]ify t a heal? c>e       
practition]1 ) respect to a prescription
 = a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v    
controll$ sub/ance t is a prescription  
drug cov]$ "u a gr\p heal? plan1 has a  
waiv] 7or is o!rwise exempt7 "u p>agraph
 7#b7 f ! requirem5t "u p>agraph 7#a74  

7,b7 ,au?ority to disp5se ,no?+ 9 ?is   
subsection %all be con/ru$ z affect+ !  
ability ( a gr\p heal? plan to cov]1 or 
! ability ( a ph>maci/ to cont9ue to    
disp5se1 a prescription drug if !       
prescription = su* drug is an o!rwise   
valid writt51 oral1 or fax prescription 
t is consi/5ce ) applicable laws &      
regulations4  7,c7 ,pati5t *oice ,no?+ 9
 ?is subsection %all be con/ru$ z       
affect+ ! ability ( an individual :o is 
a p>ticipant or b5efici>y ( a gr\p heal?
 plan & :o is be+ prescrib$ a s*$ule    
,,ii1 ,,iii1 ,,iv1 or ,v controll$      
sub/ance t is a prescription drug cov]$ 
"u ! plan to designate a p>ticul>       
ph>macy to disp5se su* controll$        
sub/ance to ! ext5t consi/5t ) !        
requirem5ts "u ?is subsection4  7#d7    
,prohibitions ,! policies e/abli%$      
pursuant to p>agraph 7#a7 by a gr\p     
heal? plan may n-- 7,a7 require disp5s]s
 ( a s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v    
controll$ sub/ance to confirm t !       
prescription = ! controll$ sub/ance 0   

electronically issu$ by a heal? c>e     
practition] 9 accordance ) su* policies1
 z describ$ 9 p>agraph 7#a72  7,b7      
require disp5s]s ( su* controll$        
sub/ances to submit in=mation or data   
beyond :at is o!rwise requir$ to process
 a prescription drug claim 9 ord] to    
confirm a practition]'s compliance ) su*
 policies2 or  7,c7 reject1 d5y1 or     
rec\p reimbursem5t = a prescription drug
 claim bas$ on ! =mat 9 :i* !           
prescription 0 issu$4  7#e7             
,consultation requirem5t = rulemak+ ,9  
promulgat+ regulations to c>ry out ?is  
subsection1 ! ,secret>y1 ,secret>y ( !  
,treasury1 & ,secret>y ( ,labor %all    
jo9tly consult ) disp5s]s ( controll$   
sub/ances1 ,/ate insurance regulators1 &
 heal? c>e practition]s4  4