,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bfff  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #bg1 #bjbc,ms4   
,hassan 7= h]self & ,mr4 ,mull97        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,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 
#bjbe1 a gr\p heal? plan & a heal?      
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age1 ) respect to a 
p>ticipat+ provid]1 z def9$ 9 section   
#bgii-a7;a77#c71 %all 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>ticipant1 b5efici>y1 or enrollee 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? plan 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$ = an individual :o   
receives hospice c>e or = a resid5t ( a 
nurs+ facility 7z def9$ 9 section       
#aiai7;a7 ( ! ,social ,security ,act72  
7,c7 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,d7 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+ !  
au?ority ( a gr\p heal? plan or gr\p or 
individual heal? insurance cov]age (f]$ 
by a heal? insurance issu] to cov]1 or !
 au?ority ( a disp5s] to cont9ue to     
disp5se1 a prescription drug if !       
prescription = su* drug is an o!rwise   
valid writt51 oral1 or fax prescription 
t is consi/5t ) applicable law4  7,c7   
,pati5t *oice ,no?+ 9 ?is subsection    
%all be con/ru$ z affect+ ! ability ( an
 individual :o is a p>ticipant1         
b5efici>y1 or enrollee ( a gr\p heal?   
plan or gr\p or individual heal?        
insurance cov]age (f]$ by a heal?       
insurance issu] & :o is 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 
a prescrib$ 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 
#bjbe1 a gr\p heal? plan & a heal?      
insurance issu] (f]+ gr\p heal?         
insurance cov]age1 ) respect to a       
p>ticipat+ provid]1 z def9$ 9 section   
#gaf7;a77#c71 %all 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 ( ,heal? & ,human ,s]vices    
%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? plan 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$ = an individual :o receives       
hospice c>e or = a resid5t ( a nurs+    
facility 7z def9$ 9 section #aiai7;a7 ( 
! ,social ,security ,act72  7,c7 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 ( ,heal? & ,human ,s]vices    
?r\gh rulemak+2 &  7,d7 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+ !  
au?ority ( a gr\p heal? plan or gr\p    
heal? insurance cov]age (f]$ by a heal? 
insurance issu] to cov]1 or ! au?ority (
 a disp5s] to cont9ue to disp5se1 a     
prescription drug if ! prescription =   
su* drug is an o!rwise valid writt51    
oral1 or fax prescription t is consi/5t 
) applicable law4  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 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 
a prescrib$ 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 ( ,heal? & ,human
 ,s]vices %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 #bjbe1 a gr\p heal? plan1 ) 
respect to a p>ticipat+ provid]1 z def9$
 9 section #ihaf7;a77#c71 %all 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 ( ,heal? & ,human  
,s]vices1 & ,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$ = an individual :o receives       
hospice c>e or = a resid5t ( a nurs+    

facility 7z def9$ 9 section #aiai7;a7 ( 
! ,social ,security ,act72  7,c7 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 ( ,heal? & ,human  
,s]vices1 & ,secret>y ( ,labor ?r\gh    
rulemak+2 &  7,d7 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 disp5s] 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 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 a prescrib$ 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$4  7#e7             
,consultation requirem5t = rulemak+ ,9  
promulgat+ regulations to c>ry out ?is  
subsection1 ! ,secret>y1 ,secret>y (    
,heal? & ,human ,s]vices1 & ,secret>y ( 
,labor %all jo9tly consult ) disp5s]s ( 
controll$ sub/ances1 ,/ate insurance    
regulators1 & heal? c>e practition]s4  4