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
Pending Legislation
Future Mandate
Current Mandate


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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. House Bill 2075 extended the original deadline of January 1, 2019 until January 1, 2020. There are no penalties outlined in the law. See Arizona E-Prescribing for further details. 01/01/2020
Arkansas Arkansas Senate Bill 174 became Act 447 on March 13th, 2019. This law requires that all prescriptions for controlled substances Schedule II-VI be electronically prescribed. The law details a penalty for noncompliance. 01/01/2021
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
Colorado Colorado Senate Bill 79 proposes that all controlled substances Schedule II-IV be electronically prescribed. The effective date is July 1st, 2021 for podiatrists, physicians, physician assistants, advanced practice nurses, and optometrists. The effective date is July 1st, 2023 for dentists and practitioners serving rural communities or in solo practice. 07/01/2021 or 07/01/2023
Delaware Delaware House Bill 115 mandates that all prescriptions be electronically prescribed. The bill details a waiver system that prescribers can apply for. 01/01/2021
Florida Florida House Bill 831 mandates that all prescriptions be electronically prescribed. This bill also presents many other healthcare regulation changes for the state of Florida including detailing penalties for prescribers. The proposed effective dates are upon renewal of the providers license or July 1st, 2021, whichever comes first. 07/01/2021 or upon license renewal
Indiana Indiana Senate Bill 176 mandates that all controlled substance prescriptions be electronically prescribed. This Act also presents several other healthcare regulation changes for the state of Indiana. 01/01/2021
Iowa Iowa House File 2377 requires electronic prescribing for all prescriptions - both non-controlled and controlled substances. Exceptions, waivers and penalties are included in the Act. 01/01/2020
Kansas Kansas House Bill 2119 requires that all prescriptions for controlled substances that contain an opioid be electronically prescribed. The Act details some exceptions and reaffirms penalties for not following State laws 07/01/2021
Kentucky Kentucky House Bill 342 requires that all prescriptions for controlled substances be electronically prescribed. The Act details exceptions that can be made that will be determined at a later date. 01/01/2021
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
Missouri Missouri Senate Bill 275 mandates that all controlled-substance prescriptions be prescribed electronically. The bill outlines penalties for not complying. 01/01/2021
Nevada Nevada Assembly Bill 310 mandates that all controlled-substance prescriptions be electronically prescribed. The bill outlines additional regulations for controlled substance prescriptions including penalties for prescribers. 01/01/2021
North Carolina North Carolina passed the Strengthen Opioid Misuse Prevention (STOP) Act in 2017. The Act requires targeted Schedule II and Schedule III 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 Act 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 Act 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
South Carolina South Carolina House Bill 3728 requires that all controlled substance prescriptions be prescribed electronically. This Act does not detail waivers or specific penalties for non-compliance. 01/01/2021
Tennessee Tennessee HB1993 was passed in 2018 and required electronic prescribing for schedule II controlled substances. SB0810 was passed in 2019 and amended the previous Act to include a mandate for all controlled substances to be electronically prescribed. The Act allows for exceptions and waivers, as well as has potential for specific penalties for noncompliance with the law. 01/01/2021
Texas Texas House Bill 2174 mandates that all controlled substance prescriptions be prescribed electronically. The bill goes into detail about what must be included in the prescription upon being sent to the pharmacy and requires prescribers to complete additional continuing education. 01/01/2021
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
Washington Washington Senate Bill 5380 mandates that all controlled substance prescriptions be prescribed electronically. The Act details a waiver system and requires that practices of greater than 10 prescribers have an EHR that integrates with the state PMP. 01/01/2021
Wyoming Wyoming’s Enrolled Act No 66/SF0047 passed in 2019 and will require all controlled substances be sent via electronic prescribing. The Act also requires that the state PMP be utilized for every controlled substance prescribed but does not outline penalties. Some exemptions and extensions will be possible pending state board review. 01/01/2021


States with Pending Legislation

State e-Presribing Laws Effective Date
Michigan Michigan Senate Bill 248 proposes requiring e-prescribing for all prescriptions. The bill includes exceptions, waivers, and lists specific penalties for non-compliance. 01/01/2020