S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         2486
                              2015-2016 Regular Sessions
                                   I N  S E N A T E
                                   January 23, 2015
                                      ___________
       Introduced  by  Sens.  HANNON,  VALESKY,  BOYLE,  CARLUCCI, DeFRANCISCO,
         FARLEY, GOLDEN, GRIFFO, LAVALLE,  MARTINS,  O'MARA,  RITCHIE,  SAVINO,
         SERINO  --  read  twice  and  ordered  printed, and when printed to be
         committed to the Committee on Health
       AN ACT to amend the public health law and the education law, in relation
         to electronic prescriptions
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section  1.  Subdivision 3 of section 281 of the public health law, as
    2  added by section 2 of part B of chapter 447 of  the  laws  of  2012,  is
    3  amended to read as follows:
    4    3.  On  or  before  December  thirty-first,  two  thousand twelve, the
    5  commissioner shall promulgate  regulations,  in  consultation  with  the
    6  commissioner   of   education,  establishing  standards  for  electronic
    7  prescriptions. Notwithstanding any other provision of  this  section  or
    8  any other law to the contrary, effective [two] THREE years subsequent to
    9  the  date  on  which  such  regulations are promulgated, no person shall
   10  issue any prescription in this state unless such prescription is made by
   11  electronic prescription from the person issuing the  prescription  to  a
   12  pharmacy  in  accordance  with  such  regulatory  standards,  except for
   13  prescriptions: (a) issued by veterinarians; (b) issued in  circumstances
   14  where  electronic  prescribing is not available due to temporary techno-
   15  logical or electrical failure, as set forth in regulation; (c) issued by
   16  practitioners who have received a waiver or  a  renewal  thereof  for  a
   17  specified period determined by the commissioner, not to exceed one year,
   18  from  the requirement to use electronic prescribing, pursuant to a proc-
   19  ess established in regulation by the commissioner, in consultation  with
   20  the  commissioner  of education, due to economic hardship, technological
   21  limitations that are not reasonably within the control  of  the  practi-
   22  tioner,  or  other  exceptional circumstance demonstrated by the practi-
   23  tioner; (d) issued by a practitioner under circumstances where, notwith-
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD08462-01-5
       S. 2486                             2
    1  standing the  practitioner's  present  ability  to  make  an  electronic
    2  prescription  as required by this subdivision, such practitioner reason-
    3  ably determines that it would be impractical for the patient  to  obtain
    4  substances prescribed by electronic prescription in a timely manner, and
    5  such  delay  would  adversely  impact  the  patient's medical condition,
    6  provided that if such prescription is for a  controlled  substance,  the
    7  quantity  of  controlled substances does not exceed a five day supply if
    8  the controlled substance were used in accordance with the directions for
    9  use; or (e) issued by a practitioner  to  be  dispensed  by  a  pharmacy
   10  located outside the state, as set forth in regulation.
   11    S  2. Subdivision 10 of section 6810 of the education law, as added by
   12  section 3 of part B of chapter 447 of the laws of 2012,  is  amended  to
   13  read as follows:
   14    10.  Notwithstanding  any other provision of this section or any other
   15  law to the contrary, effective [two] THREE years subsequent to the  date
   16  on which regulations establishing standards for electronic prescriptions
   17  are  promulgated by the commissioner of health, in consultation with the
   18  commissioner pursuant to subdivision three of section two hundred eight-
   19  y-one of  the  public  health  law,  no  practitioner  shall  issue  any
   20  prescription  in  this  state, unless such prescription is made by elec-
   21  tronic prescription from the practitioner  to  a  pharmacy,  except  for
   22  prescriptions:  (a)  issued by veterinarians; (b) issued or dispensed in
   23  circumstances where electronic  prescribing  is  not  available  due  to
   24  temporary  technological  or  electrical  failure, as set forth in regu-
   25  lation; (c) issued by practitioners who have  received  a  waiver  or  a
   26  renewal thereof for a specified period determined by the commissioner of
   27  health,  not  to exceed one year, from the requirement to use electronic
   28  prescribing, pursuant to a process  established  in  regulation  by  the
   29  commissioner  of  health,  in  consultation with the commissioner due to
   30  economic hardship, technological limitations  that  are  not  reasonably
   31  within  the  control  of  the practitioner, or other exceptional circum-
   32  stance demonstrated by the practitioner; (d) issued  by  a  practitioner
   33  under  circumstances  where,  notwithstanding the practitioner's present
   34  ability to make an electronic prescription as required by this  subdivi-
   35  sion, such practitioner reasonably determines that it would be impracti-
   36  cal  for  the  patient  to  obtain  substances  prescribed by electronic
   37  prescription in a timely manner, and such delay would  adversely  impact
   38  the  patient's  medical condition, provided that if such prescription is
   39  for a controlled substance, the quantity that does not exceed a five day
   40  supply if the controlled substance  was  used  in  accordance  with  the
   41  directions for use; or (e) issued by a practitioner to be dispensed by a
   42  pharmacy located outside the state, as set forth in regulation.
   43    S 3. This act shall take effect immediately; provided that if this act
   44  shall  not have become a law on or before March 27, 2015, this act shall
   45  be deemed to have been in full force and effect on and after  March  27,
   46  2015.