Bill Text: NY S06838 | 2021-2022 | General Assembly | Introduced


Bill Title: Relates to the issuance of prescription medications; removes certain exceptions to the requirement to prescribe medications electronically.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2022-01-05 - REFERRED TO HEALTH [S06838 Detail]

Download: New_York-2021-S06838-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          6838

                               2021-2022 Regular Sessions

                    IN SENATE

                                      May 19, 2021
                                       ___________

        Introduced  by Sen. KAMINSKY -- 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 the issuance of prescription medications

          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  amended by chapter 13 of the  laws  of  2015,  is  amended  to  read  as
     3  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 three years subsequent to the
     9  date on which such regulations are promulgated, no  person  shall  issue
    10  any prescription in this state unless such prescription is made by elec-
    11  tronic  prescription from the person issuing the prescription to a phar-
    12  macy  in  accordance  with  such  regulatory   standards,   except   for
    13  prescriptions:  (a)  [issued  by  veterinarians;  (b)] issued in circum-
    14  stances where electronic prescribing is not available due  to  temporary
    15  technological  or  electrical failure, as set forth in regulation; [(c)]
    16  (b) issued by practitioners [who have received a  waiver  or  a  renewal
    17  thereof  for  a  specified period determined by the commissioner, not to
    18  exceed one year, from the requirement  to  use  electronic  prescribing,
    19  pursuant  to a process established in regulation by the commissioner, in
    20  consultation with the commissioner of education, due to  economic  hard-
    21  ship,  technological  limitations  that  are  not  reasonably within the
    22  control of the practitioner, or other] in such exceptional [circumstance
    23  demonstrated by the practitioner; (d)] circumstances as  may  be  deter-
    24  mined  by  the  commissioner; (c) issued by a practitioner under circum-
    25  stances where, notwithstanding the  practitioner's  present  ability  to

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD10958-01-1

        S. 6838                             2

     1  make  an  electronic  prescription as required by this subdivision, such
     2  practitioner reasonably determines that it would be impractical for  the
     3  patient  to obtain substances prescribed by electronic prescription in a
     4  timely  manner,  and  such  delay  would  adversely impact the patient's
     5  medical  condition,  provided  that  if  such  prescription  is  for   a
     6  controlled  substance,  the  quantity  of controlled substances does not
     7  exceed a five day supply  if  the  controlled  substance  were  used  in
     8  accordance with the directions for use; or [(e)] (d) issued by a practi-
     9  tioner  to  be dispensed by a pharmacy located outside the state, as set
    10  forth in regulation.
    11    § 2. Subdivision 5 of section 281 of the public health law, as amended
    12  by chapter 350 of the laws of 2016, is amended to read as follows:
    13    5. In the case of a prescription for a controlled substance issued  by
    14  a  practitioner  under  paragraph  [(d)] (c) or [(e)] (d) of subdivision
    15  three of  this  section,  the  practitioner  shall,  upon  issuing  such
    16  prescription,  indicate  in  the patient's health record either that the
    17  prescription was issued other than electronically  because  it  (a)  was
    18  impractical  to  issue an electronic prescription in a timely manner and
    19  such delay would have adversely impacted the  patient's  medical  condi-
    20  tion,  or  (b)  was  to  be  dispensed by a pharmacy located outside the
    21  state.
    22    § 3. Subdivision 10 of section 6810 of the education law,  as  amended
    23  by chapter 13 of the laws of 2015, is amended to read as follows:
    24    10.  Notwithstanding  any other provision of this section or any other
    25  law to the contrary, effective three years subsequent  to  the  date  on
    26  which  regulations  establishing  standards for electronic prescriptions
    27  are promulgated by the commissioner of health, in consultation with  the
    28  commissioner pursuant to subdivision three of section two hundred eight-
    29  y-one  of  the  public  health  law,  no  practitioner  shall  issue any
    30  prescription in this state, unless such prescription is  made  by  elec-
    31  tronic  prescription  from  the  practitioner  to a pharmacy, except for
    32  prescriptions: (a) [issued by veterinarians; (b)] issued or dispensed in
    33  circumstances where electronic  prescribing  is  not  available  due  to
    34  temporary  technological  or  electrical  failure, as set forth in regu-
    35  lation; [(c)] (b) issued by practitioners [who have received a waiver or
    36  a renewal thereof for a specified period determined by the  commissioner
    37  of health, not to exceed one year, from the requirement to use electron-
    38  ic  prescribing,  pursuant to a process established in regulation by the
    39  commissioner of health, in consultation with  the  commissioner  due  to
    40  economic  hardship,  technological  limitations  that are not reasonably
    41  within the control of the practitioner, or other]  in  such  exceptional
    42  [circumstance  demonstrated  by  the practitioner; (d)] circumstances as
    43  may be determined by the commissioner of health; (c) issued by a practi-
    44  tioner under circumstances  where,  notwithstanding  the  practitioner's
    45  present  ability  to make an electronic prescription as required by this
    46  subdivision, such practitioner reasonably determines that  it  would  be
    47  impractical for the patient to obtain substances prescribed by electron-
    48  ic  prescription  in  a  timely  manner,  and such delay would adversely
    49  impact  the  patient's  medical  condition,  provided   that   if   such
    50  prescription  is  for a controlled substance, the quantity that does not
    51  exceed a five day supply if the controlled substance was used in accord-
    52  ance with the directions for use; or [(e)] (d) issued by a  practitioner
    53  to be dispensed by a pharmacy located outside the state, as set forth in
    54  regulation.

        S. 6838                             3

     1    §  4.  Subdivisions 11 and 12 of section 6810 of the education law, as
     2  amended by chapter 350 of the laws of  2016,  are  amended  to  read  as
     3  follows:
     4    11. In the case of a prescription issued by a practitioner under para-
     5  graph  [(b)]  (a)  of  subdivision ten of this section, the practitioner
     6  shall be required to indicate in the patient's health  record  that  the
     7  prescription was issued other than electronically due to temporary tech-
     8  nological or electrical failure.
     9    12. In the case of a prescription issued by a practitioner under para-
    10  graph  [(d)]  (c)  or  [(e)] (d) of subdivision ten of this section, the
    11  practitioner shall, upon issuing  such  prescription,  indicate  in  the
    12  patient's  health  record  either that the prescription was issued other
    13  than electronically because it (a) was impractical to issue an electron-
    14  ic prescription in a timely manner and such delay would  have  adversely
    15  impacted  the patient's medical condition, or (b) was to be dispensed by
    16  a pharmacy located outside the state.
    17    § 5. This act shall take effect on the one hundred eightieth day after
    18  it shall have become a law.
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