To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to provide for requirements for electronic-prescribing for controlled substances under group health plans and group and individual health insurance coverage.
About This Bill
Committee
Latest Action · July 27, 2023
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
The EPCS 2.0 Act requires health insurance plans and insurers to implement electronic prescribing for controlled substances starting January 1, 2025. The requirement applies to prescriptions for Schedule II through V controlled drugs covered by group health plans, individual health insurance, and employer-sponsored plans. The bill includes exceptions for situations like hospice care, nursing facility residents, technology failures, and public health emergencies, and it prohibits insurance plans from penalizing pharmacies or denying claims based on how prescriptions are submitted. The legislation also preserves patient choice in pharmacy selection and prevents insurers from burdening pharmacies with excessive verification requirements beyond normal prescription processing.
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