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Illinois General Assembly· SB 2469Governor Approved

OPIOIDS-VETERINARIAN PRESCRIPT, the official text

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SB2469 Enrolled                     LRB104 08825 RLC 18880 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. Prescriptions for substance classified in

8 Schedule II, III, IV, or V sent electronically; exceptions

9 Opioid prescriptions.

10  (a) Notwithstanding any other provision of law, a

11 prescription for a substance classified in Schedule II, III,

12 IV, or V must be sent electronically, in accordance with

13 Section 316. Prescriptions sent in accordance with this

14 subsection (a) must be accepted by the dispenser in electronic

15 format.

16  (b) Beginning on January 1, 2024 (the effective date of

17 Public Act 103-425) this amendatory Act of the 103rd General

18 Assembly until December 31, 2028, notwithstanding any other

19 provision of this Section or any other provision of law, a

20 prescriber shall not be required to issue prescriptions

21 electronically if he or she certifies to the Department of

22 Financial and Professional Regulation that he or she will not

23 issue more than 150 prescriptions during a 12-month period.
    SB2469 Enrolled          -2-   LRB104 08825 RLC 18880 b

1 Prescriptions in both oral and written form for controlled

2 substances shall be included in determining whether the

3 prescriber will reach the limit of 150 prescriptions.

4 Beginning January 1, 2029, notwithstanding any other provision

5 of this Section or any other provision of law, a prescriber

6 shall not be required to issue prescriptions electronically if

7 he or she certifies to the Department of Financial and

8 Professional Regulation that he or she will not issue more

9 than 50 prescriptions during a 12-month period. Prescriptions

10 in both oral and written form for controlled substances shall

11 be included in determining whether the prescriber will reach

12 the limit of 50 prescriptions.

13  (b-5) Notwithstanding any other provision of this Section

14 or any other provision of law, a prescriber shall not be

15 required to issue prescriptions electronically under the

16 following circumstances:

17  (1) prior to January 1, 2026, the prescriber

18  demonstrates financial difficulties in buying or managing

19  an electronic prescription option, whether it is an

20  electronic health record or some other electronic

21  prescribing product;

22  (2) on and after January 1, 2026, the prescriber

23  provides proof of a waiver from the Centers for Medicare

24  and Medicaid Services for the Electronic Prescribing for

25  Controlled Substances Program due to demonstrated economic

26  hardship for the previous compliance year;
    SB2469 Enrolled     -3-  LRB104 08825 RLC 18880 b

1   (3) there is a temporary technological or electrical

2   failure that prevents an electronic prescription from

3   being issued;

4   (4) the prescription is for a drug that the

5   practitioner reasonably determines would be impractical

6   for the patient to obtain in a timely manner if prescribed

7   by an electronic data transmission prescription and the

8   delay would adversely impact the patient's medical

9   condition;

10  (5) the prescription is for an individual who:

11  (A) resides in a nursing or assisted living

12  facility;

13  (B) is receiving hospice or palliative care;

14  (C) is receiving care at an outpatient renal

15  dialysis facility and the prescription is related to

16  the care provided;

17  (D) is receiving care through the United States

18  Department of Veterans Affairs; or

19  (E) is incarcerated in a state, detained, or

20  confined in a correctional facility;

21  (6) the prescription prescribes a drug under a

22  research protocol;

23  (7) the prescription is a non-patient specific

24  prescription dispensed under a standing order, approved

25  protocol for drug therapy, collaborative drug management,

26  or comprehensive medication management, or in response to
    SB2469 Enrolled  -4-                LRB104 08825 RLC 18880 b

1   a public health emergency or other circumstance in which

2   the practitioner may issue a non-patient specific

3   prescription;

4   (8) the prescription is issued when the prescriber and

5   dispenser are the same entity;

6   (9) the prescription is issued for a compound

7   prescription containing 2 or more compounds; or

8   (10) the prescription is issued by a licensed

9   veterinarian within 7 2 years after November 17, 2023 (

10  the effective date of Public Act 103-563) this amendatory

11  Act of the 103rd General Assembly.

12  (c) The Department of Financial and Professional

13 Regulation may adopt rules for the administration of this

14 Section to the requirements under this Section that the

15 Department of Financial and Professional Regulation may deem

16 appropriate.

17  (d) Any prescriber who makes a good faith effort to

18 prescribe electronically, but for reasons not within the

19 prescriber's control is unable to prescribe electronically,

20 may be exempt from any disciplinary action.

21  (e) Any pharmacist who dispenses in good faith based upon

22 a valid prescription that is not prescribed electronically may

23 be exempt from any disciplinary action. A pharmacist is not

24 required to ensure or responsible for ensuring the

25 prescriber's compliance under subsection (b), nor may any

26 other entity or organization require a pharmacist to ensure
    SB2469 Enrolled  -5-             LRB104 08825 RLC 18880 b

1 the prescriber's compliance with that subsection. A pharmacist

2 may not refuse to fill a valid prescription solely because it

3 is not prescribed electronically.

4   (f) It shall be a violation of this Section for any

5 prescriber or dispenser to adopt a policy contrary to this

6 Section.

7   (g) A compliance action with respect to this Section

8 initiated by the Department of Financial and Professional

9 Regulation prior to December 31, 2030 is limited to a

10 non-disciplinary warning letter or citation, unless the

11 prescriber or dispenser fails to abide by the initial

12 non-disciplinary warning letter or citation, has acted in bad

13 faith, or a pattern of practice in violation of this Section

14 occurs.

15 (Source: P.A. 102-490, eff. 1-1-24 (See Section 55 of P.A.

16 102-1109 for effective date of P.A. 102-490); 103-425, eff.

17 1-1-24; 103-563, eff. 11-17-23; 103-732, eff. 8-2-24.)

18  Section 99. Effective date. This Act takes effect upon

19 becoming law.
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