103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3304 Introduced 2/7/2024, by Sen. Suzy Glowiak Hilton SYNOPSIS AS INTRODUCED: 720 ILCS 570/311.6 Amends the Illinois Controlled Substances Act. Provides that a pharmacist may not refuse to fill a valid prescription solely because it is not prescribed electronically. Provides that a compliance action with respect to this provision initiated by the Department of Financial and Professional Regulation prior to December 31, 2030 is limited to a non-disciplinary warning letter or citation, unless the prescriber fails to abide by the initial non-disciplinary warning letter or citation, has acted in bad faith, or a pattern of practice in violation of this Section occurs. Effective immediately. LRB103 37507 RLC 69488 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3304 Introduced 2/7/2024, by Sen. Suzy Glowiak Hilton SYNOPSIS AS INTRODUCED: 720 ILCS 570/311.6 720 ILCS 570/311.6 Amends the Illinois Controlled Substances Act. Provides that a pharmacist may not refuse to fill a valid prescription solely because it is not prescribed electronically. Provides that a compliance action with respect to this provision initiated by the Department of Financial and Professional Regulation prior to December 31, 2030 is limited to a non-disciplinary warning letter or citation, unless the prescriber fails to abide by the initial non-disciplinary warning letter or citation, has acted in bad faith, or a pattern of practice in violation of this Section occurs. Effective immediately. LRB103 37507 RLC 69488 b LRB103 37507 RLC 69488 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3304 Introduced 2/7/2024, by Sen. Suzy Glowiak Hilton SYNOPSIS AS INTRODUCED: 720 ILCS 570/311.6 720 ILCS 570/311.6 720 ILCS 570/311.6 Amends the Illinois Controlled Substances Act. Provides that a pharmacist may not refuse to fill a valid prescription solely because it is not prescribed electronically. Provides that a compliance action with respect to this provision initiated by the Department of Financial and Professional Regulation prior to December 31, 2030 is limited to a non-disciplinary warning letter or citation, unless the prescriber fails to abide by the initial non-disciplinary warning letter or citation, has acted in bad faith, or a pattern of practice in violation of this Section occurs. Effective immediately. LRB103 37507 RLC 69488 b LRB103 37507 RLC 69488 b LRB103 37507 RLC 69488 b A BILL FOR SB3304LRB103 37507 RLC 69488 b SB3304 LRB103 37507 RLC 69488 b SB3304 LRB103 37507 RLC 69488 b 1 AN ACT concerning criminal law. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Illinois Controlled Substances Act is 5 amended by changing Section 311.6 as follows: 6 (720 ILCS 570/311.6) 7 Sec. 311.6. Opioid prescriptions. 8 (a) Notwithstanding any other provision of law, a 9 prescription for a substance classified in Schedule II, III, 10 IV, or V must be sent electronically, in accordance with 11 Section 316. Prescriptions sent in accordance with this 12 subsection (a) must be accepted by the dispenser in electronic 13 format. 14 (b) Beginning on the effective date of this amendatory Act 15 of the 103rd General Assembly until December 31, 2028, 16 notwithstanding any other provision of this Section or any 17 other provision of law, a prescriber shall not be required to 18 issue prescriptions electronically if he or she certifies to 19 the Department of Financial and Professional Regulation that 20 he or she will not issue more than 150 prescriptions during a 21 12-month period. Prescriptions in both oral and written form 22 for controlled substances shall be included in determining 23 whether the prescriber will reach the limit of 150 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3304 Introduced 2/7/2024, by Sen. Suzy Glowiak Hilton SYNOPSIS AS INTRODUCED: 720 ILCS 570/311.6 720 ILCS 570/311.6 720 ILCS 570/311.6 Amends the Illinois Controlled Substances Act. Provides that a pharmacist may not refuse to fill a valid prescription solely because it is not prescribed electronically. Provides that a compliance action with respect to this provision initiated by the Department of Financial and Professional Regulation prior to December 31, 2030 is limited to a non-disciplinary warning letter or citation, unless the prescriber fails to abide by the initial non-disciplinary warning letter or citation, has acted in bad faith, or a pattern of practice in violation of this Section occurs. Effective immediately. LRB103 37507 RLC 69488 b LRB103 37507 RLC 69488 b LRB103 37507 RLC 69488 b A BILL FOR 720 ILCS 570/311.6 LRB103 37507 RLC 69488 b SB3304 LRB103 37507 RLC 69488 b SB3304- 2 -LRB103 37507 RLC 69488 b SB3304 - 2 - LRB103 37507 RLC 69488 b SB3304 - 2 - LRB103 37507 RLC 69488 b 1 prescriptions. Beginning January 1, 2029, notwithstanding any 2 other provision of this Section or any other provision of law, 3 a prescriber shall not be required to issue prescriptions 4 electronically if he or she certifies to the Department of 5 Financial and Professional Regulation that he or she will not 6 issue more than 50 prescriptions during a 12-month period. 7 Prescriptions in both oral and written form for controlled 8 substances shall be included in determining whether the 9 prescriber will reach the limit of 50 prescriptions. 10 (b-5) Notwithstanding any other provision of this Section 11 or any other provision of law, a prescriber shall not be 12 required to issue prescriptions electronically under the 13 following circumstances: 14 (1) prior to January 1, 2026, the prescriber 15 demonstrates financial difficulties in buying or managing 16 an electronic prescription option, whether it is an 17 electronic health record or some other electronic 18 prescribing product; 19 (2) on and after January 1, 2026, the prescriber 20 provides proof of a waiver from the Centers for Medicare 21 and Medicaid Services for the Electronic Prescribing for 22 Controlled Substances Program due to demonstrated economic 23 hardship for the previous compliance year; 24 (3) there is a temporary technological or electrical 25 failure that prevents an electronic prescription from 26 being issued; SB3304 - 2 - LRB103 37507 RLC 69488 b SB3304- 3 -LRB103 37507 RLC 69488 b SB3304 - 3 - LRB103 37507 RLC 69488 b SB3304 - 3 - LRB103 37507 RLC 69488 b 1 (4) the prescription is for a drug that the 2 practitioner reasonably determines would be impractical 3 for the patient to obtain in a timely manner if prescribed 4 by an electronic data transmission prescription and the 5 delay would adversely impact the patient's medical 6 condition; 7 (5) the prescription is for an individual who: 8 (A) resides in a nursing or assisted living 9 facility; 10 (B) is receiving hospice or palliative care; 11 (C) is receiving care at an outpatient renal 12 dialysis facility and the prescription is related to 13 the care provided; 14 (D) is receiving care through the United States 15 Department of Veterans Affairs; or 16 (E) is incarcerated in a state, detained, or 17 confined in a correctional facility; 18 (6) the prescription prescribes a drug under a 19 research protocol; 20 (7) the prescription is a non-patient specific 21 prescription dispensed under a standing order, approved 22 protocol for drug therapy, collaborative drug management, 23 or comprehensive medication management, or in response to 24 a public health emergency or other circumstance in which 25 the practitioner may issue a non-patient specific 26 prescription; SB3304 - 3 - LRB103 37507 RLC 69488 b SB3304- 4 -LRB103 37507 RLC 69488 b SB3304 - 4 - LRB103 37507 RLC 69488 b SB3304 - 4 - LRB103 37507 RLC 69488 b 1 (8) the prescription is issued when the prescriber and 2 dispenser are the same entity; 3 (9) the prescription is issued for a compound 4 prescription containing 2 or more compounds; or 5 (10) the prescription is issued by a licensed 6 veterinarian within 2 years after the effective date of 7 this amendatory Act of the 103rd General Assembly. 8 (c) The Department of Financial and Professional 9 Regulation may adopt rules for the administration of this 10 Section to the requirements under this Section that the 11 Department of Financial and Professional Regulation may deem 12 appropriate. 13 (d) Any prescriber who makes a good faith effort to 14 prescribe electronically, but for reasons not within the 15 prescriber's control is unable to prescribe electronically, 16 may be exempt from any disciplinary action. 17 (e) Any pharmacist who dispenses in good faith based upon 18 a valid prescription that is not prescribed electronically may 19 be exempt from any disciplinary action. A pharmacist is not 20 required to ensure or responsible for ensuring the 21 prescriber's compliance under subsection (b), nor may any 22 other entity or organization require a pharmacist to ensure 23 the prescriber's compliance with that subsection. A pharmacist 24 may not refuse to fill a valid prescription solely because it 25 is not prescribed electronically. 26 (f) It shall be a violation of this Section for any SB3304 - 4 - LRB103 37507 RLC 69488 b SB3304- 5 -LRB103 37507 RLC 69488 b SB3304 - 5 - LRB103 37507 RLC 69488 b SB3304 - 5 - LRB103 37507 RLC 69488 b 1 prescriber or dispenser to adopt a policy contrary to this 2 Section. 3 (g) A compliance action with respect to this Section 4 initiated by the Department of Financial and Professional 5 Regulation prior to December 31, 2030 is limited to a 6 non-disciplinary warning letter or citation, unless the 7 prescriber fails to abide by the initial non-disciplinary 8 warning letter or citation, has acted in bad faith, or a 9 pattern of practice in violation of this Section occurs. 10 (Source: P.A. 102-490, eff. 1-1-24 (See Section 55 of P.A. 11 102-1109 for effective date of P.A. 102-490); 103-425, eff. 12 1-1-24; 103-563, eff. 11-17-23.) SB3304 - 5 - LRB103 37507 RLC 69488 b