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
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
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
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
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 bill. 01/01/2020
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 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 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
Tennessee Tennessee House Bill 1993 requires electronic prescribing for schedule II controlled substances. The bill allows for exceptions and waivers, as well as has potential for specific penalties for noncompliance with the law. 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
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
Colorado Colorado Senate Bill 79 proposes that all controlled substances Schedule II-IV be electronically prescribed. There is a proposed effective date of July 1st, 2021 for podiatrists, physicians, physician assistants, advanced practice nurses, and optometrists. There is a proposed effective date of July 1st, 2023 for dentists and practitioners serving rural communities or in solo practice. 07/01/2021 or 07/01/2023
Florida Florida Senate Bill 1192 proposes that all prescriptions be electronically prescribed. This bill also presents many other healthcare regulation changes for the state of Florida. The proposed effective dates are upon renewal of the providers license or July 1st, 2021, whichever comes first. 07/01/2021
Kansas Kansas House Bill 2389 proposes that all prescriptions for controlled substances be electronically prescribed. The bill details some exceptions. 01/01/2020
Kentucky Kentucky House Bill 342 proposes that all prescriptions for controlled substances be electronically prescribed. The bill details exceptions that can be made. 01/01/2021
Michigan Michigan House Bill 4217 requires e-prescribing for all prescriptions. The bill includes exceptions, waivers, and lists specific penalties for non-compliance. 01/01/2020
Missouri Missouri Senate Bill 262 proposes mandating that all prescriptions be prescribed electronically. The bill outlines penalties for not complying. 01/01/2021
Montana Montana House Bill 86 proposes mandating that all controlled substance prescriptions be prescribed electronically. The bill discusses many healthcare issues for the state of Montana, including mandatory usage of the state PMP. 01/01/2021
South Carolina South Carolina Senate Bill 136 proposes mandating that all controlled substance prescriptions be prescribed electronically. The current proposed effective date is upon approval by the Governor of the state of South Carolina. Pending
Texas Texas House Bill 2766 proposes mandating 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. 09/01/2021
Washington Washington Senate Bill 5446 proposes mandating that all prescriptions be prescribed electronically. The bill details penalties for noncompliance. 01/01/2020
West Virginia West Virginia Senate Bill 620 and House Bill 3042 both propose mandating that all prescriptions be prescribed electronically. Provisions are proposed for exceptions within the bill. 07/01/2019