National News

Obamacare Sign-Ups Steady As Debate Persists Over Its Future
More than 8 million people have signed up for coverage next year under former President Barack Obama's health care law, the government said Friday, a sign of continued demand for the program amid persistent uncertainty over its future. Preliminary numbers from the Centers for Medicare and Medicaid Services showed that 8.3 million people enrolled from Nov. 1-Dec. 17, about 2 percent fewer than last year. The final number will be higher after states that run their own sign-up drives report their results. National totals are usually released in March.
By Alonso-Zaldivar, Published in The Associated Press
Congress Showers Health Care Industry With Multibillion-Dollar Victory After Wagging Finger At It For Much Of 2019
Vilified by lawmakers from both parties for months, the health-care industry this year appeared to face an existential threat to its business model. But this week, pharmaceutical companies, hospitals, insurance companies and medical device manufacturers practically ran the table in Congress, winning hundreds of billions of dollars in tax breaks and other gifts through old-fashioned lobbying, re-exerting their political prowess. "It's the 'no special interest left behind bill' of 2019. That's what it feels like this is," said Andy Slavitt, a former health administrator who served in the Obama administration. "There's no other explanation." By Stein and Abutaleb, Published in The Washington Post
Cigna's Express Scripts Partners With Prime Therapeutics
Cigna Corp.'s Express Scripts and Prime Therapeutics solidified the terms of a three-year collaboration as the pharmacy benefit managers look to leverage the scale of the more than 100 million individuals that their clients cover. Express Scripts, the nation's largest PBM that merged with Cigna last year, said Thursday that it will offer retail pharmacy and drug manufacturer contract services to Prime, which is owned by 18 Blue Cross and Blue Shield plans that stand to benefit from Express Scripts' purchasing power. Prime said it will continue to supply full-service pharmacy benefit management offerings for its clients.
By Kacik, Published in Modern Healthcare
House Passes North American Trade Pact With Bipartisan Support
The House of Representatives approved President Trump's amended North American trade pact on Thursday in an overwhelmingly bipartisan fashion, a rare instance of legislative cooperation in an era of intense political divisions. The House approved legislation to implement the U.S. Mexico Canada Agreement, or USMCA, by a 385 to 41 vote, with 193 Democrats and 192 Republicans backing the pact. The Senate is expected to pass the legislation early next year, after which the president would sign it into law. By Mauldin and Andrews, Published in The Wall Street Journal.
State News

E-Prescribing Mandate Laws

Connecticut - 1/1/2018
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.
Maine - 7/1/2017
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.
Minnesota - 1/1/2011
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.
New York
New York was the first state to mandate 3/27/16 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.
States with Future Laws

Arizona - 1/1/20
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.
Arkansas - 1/1/21
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
California - 01/01/2022
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.
Colorado 7/1/21 or 7/1/23
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.
Delaware - 1/1/2021
Delaware House Bill 115 mandates that all prescriptions be electronically prescribed. The bill details a waiver system that prescribers can apply for.
Florida - 7/1/2021
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. See Florida E-Prescribing for more information.
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.
Iowa - 1/1/2020
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. See Iowa E-Prescribing for more information.
Kansas - 7/1/2021
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
Kentucky - 1/1/2021
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.
Massachusetts - 1/1/2021
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. Massachusetts amended their legislation in late 2019 delaying the effective date for the mandate from January 1, 2020 to January 1, 2021. See Massachusetts E-Prescribing for further details.
Missouri - 1/1/2021
Missouri Senate Bill 275 mandates that all controlled-substance prescriptions be prescribed electronically. The bill outlines penalties for not complying.
Nevada - 1/1/2021
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.
North Carolina - 1/1/2020
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 North Carolina E-Prescribing for more information.
Oklahoma - 1/1/2020
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. See Oklahoma E-Prescribing for more information.
Pennsylvania Act 96 mandates e-Prescribing for Schedule II through V controlled substances. The Act lists penalties but also allows for exceptions and exemptions. See Pennsylvania E-Prescribing for more information.
Rhode Island - 1/1/2020
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. See Rhode Island E-Prescribing for more information.
South Carolina - 1/1/2021
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.
Tennessee - 1/1/2021
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.
Texas - 1/1/2021
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.
Virginia - 7/1/2020
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. See Virginia E-Prescribing for more information.
Washington - 1/1/2021
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.
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
States with Pending Legislation
Michigan - 1/1/2020
Michigan Senate Bill 248 proposes requiring e-prescribing for all prescriptions. The bill includes exceptions, waivers, and lists specific penalties for non-compliance.
PFOA Board of Directors
Todd Pendergraft

Dirk Andrepont
David Spence
Doug Coyle

Gabriel Guijarro
Ty Stout
Phil Rigsby

Gaye Moseman
John Zuzak

Larry McIntosh

Eric Pusey 

PFOA-MS Board of Directors
Doug Coyle
David Cole

Phil Rigsby

PFOA-MC Board of Directors

Eric Pusey
Gene Windom
Bobbie Barbrey

For Board of Directors contact information, please call 314-843-5977