E-Prescribing Mandate State Laws

Many states have passed or introduced e-Prescribing mandates to help fight the opioid epidemic.

This map gives an overview of all of the current and pending e-Prescribing state regulations.
Hover over each state for information on the law or click on the state for further details.

No Mandate
Current Mandate
Future Mandate
Pending Legislation

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States with Current Mandate Laws

State e-Presribing Mandate Laws Effective Date
Connecticut In 2017, Connecticut passed "An Act Preventing Prescription Opioid Diversion and Abuse" which requires e-Prescribing for all controlled substances. Public Law 17-131 allows for exceptions and waivers and doesn't include any specific penalties for not adhering to the law. For further details see Connecticut E-Prescribing. 01/01/2018
Maine In 2016, Maine passed the "Act To Prevent Opiate Abuse by Strengthening the Controlled Substances Prescription Monitoring Program." It mandates that all controlled substance prescriptions containing opiates be electronically sent. It also outlines specific penalties for prescribers that do not adhere to the law. See Maine E-Prescribing for more information. 07/01/2017
Minnesota Minnesota was the first state to pass a law mandating e-Prescribing. Minnesota Statutes 62J.497 was passed in 2008 and requires that all prescribers maintain an electronic prescription drug program for transmitting ALL prescriptions. However, there are no penalties for non-compliance. See the Minnesota Electronic Prescribing Mandate: Guidance & Compliance Fact Sheet for further details. 01/01/2011
New York New York was the first state to mandate e-Prescribing and put penalties in place for non-compliance. The Internet System for Tracking Over-Prescribing, or I-STOP, mandate was passed in 2012 and requires prescribers to electronically prescribe both non-controlled and controlled substances. See New York E-Prescribing for further details. 03/27/2016

States with Future Laws

State e-Presribing Mandate Laws Effective Date
Arizona Arizona passed the "Arizona Opioid Epidemic Act" in record time in 2018. The law requires Arizona prescribers to e-prescribe schedule II controlled substances. Prescribers in counties with populations more than 150,000 are required to start by January 1, 2019 and prescribers in rural counties with less than 150,000 have until July 1, 2019. There are no penalties outlined in the law. See Arizona E-Prescribing for further details. 01/01/2019 & 07/01/2019
California California Assembly Bill 2789 states that both prescribers and pharmacists must have the ability to e-Prescribe by January 1, 2022. Prescribers are required to e-Prescribe all prescriptions. Exceptions are mentioned in the bill, but not waivers. The bill also mentions not following the law will be grounds for disciplinary action. See California E-Prescribing for further details. 01/01/2022
Massachusetts Massachusetts House Bill 4742 requires e-prescribing for all controlled substances. The bill, an Act for Prevention and Access to Appropriate Care and Treatment of Addiction, includes exceptions and waivers, but does not list any specific penalties. See Massachusetts E-Prescribing for further details. 01/01/2020
New Jersey New Jersey's law which was passed in 2018 is slightly different than the other states. Instead of requiring prescribers to e-Prescribe, SB 3592 requires EHR vendors operating in New Jersey to be able to accept, process, and transmit prescriptions for Schedule II controlled substances. New Jersey also has two pending bills, AB 2087 and SB 1762, which would require e-Prescribing for all medications one year after enactment. 05/01/2019
North Carolina North Carolina passed the Strengthen Opioid Misuse Prevention (STOP) Act in 2017. The act requires targeted Schedule II through V controlled substances to be electronically prescribed. There are no waivers or penalties listed in the act. See our post on North Carolina E-Prescribing for more information. 01/01/2020
Oklahoma Oklahoma passed HB 2931 which mandates electronic prescribing for Schedule II through V controlled substances. The bill allows for waivers and exceptions, but no penalties are listed. 01/01/2020
Pennsylvania Pennsylvania Act 96 mandates e-Prescribing for Schedule II through V controlled substances. The bill lists penalties but also allows for exceptions and exemptions. 10/24/2019
Rhode Island Rhode Island passed SB 546 in 2017 which requires e-Prescribing of all controlled substances. There are no exceptions or waivers in place at this time. 01/01/2020
Virginia Virginia passed HB 2165 in 2017 which requires a prescription for any controlled substance containing an opiate to be issued electronically and prohibits a pharmacist from dispensing a controlled substance that contains an opiate unless it's an electronic prescription. No waivers or exceptions are listed at this time. 07/01/2020

States with Pending Legislation

State e-Presribing Laws Effective Date
Georgia Georgia Senate Bill 471 proposes mandating e-prescribing for controlled substances in schedules II and III. Exceptions, waivers and penalties are included in the bill. 01/01/2020
Illinois Illinois Senate Bill 2058 proposes that all prescription orders for drugs or medical devices must be electronically transmitted. It also requires the Department of Financial and Professional Regulation to adopt rules governing the use of electronically transmitted prescription orders. 01/01/2022
Iowa Iowa has two pending bills currently - SB 2312 and HB 2299. They both propose requiring electronic prescribing for all prescriptions. Exceptions, waivers and penalties are included in the bills. 07/01/2019
Michigan Michigan Senate Bill 802 proposes requiring e-prescribing for opioids and benzodiazepines, both for prescribers and pharmacies. The bill lists waivers and penalties for noncompliance. 01/01/2020
Tennessee Tennessee House Bill 1992/Senate Bill 2038 propose requiring electronic prescribing for schedule II controlled substances. The bills do allow for exceptions and waivers, but do not mention penalties. 07/01/2020