IL SB3304

Prescriptions for Schedule II, III, IV, or V controlled substances must be sent electronically, with dispensers required to accept electronic format prescriptions.

Prescribers issuing 150 or fewer controlled substance prescriptions annually may be exempt from electronic prescribing requirements through December 31, 2028; this threshold reduces to 50 prescriptions annually beginning January 1, 2029.

Prescribers are exempt from electronic prescribing requirements in specific circumstances including financial hardship (before January 1, 2026), temporary technological failures, nursing facility patients, hospice patients, research protocols, and veterinarians (within 2 years of enactment).

Pharmacists may not refuse to fill a valid prescription solely because it is not prescribed electronically and are not responsible for ensuring prescriber compliance with electronic prescribing requirements.

Compliance actions initiated by the Department of Financial and Professional Regulation prior to December 31, 2030 are limited to non-disciplinary warning letters or citations, unless the prescriber fails to comply, acts in bad faith, or demonstrates a pattern of violations.