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ArizonaHB 2434Fifty-seventh Legislature - Second Regular SessionHouse

controlled substances prescription monitoring program

Sponsored By: Selina Bliss (Republican)

Signed by Governor

compliance workgroupcontrolled substances prescription monitoring programpublic health and safety - title 36

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 0 benefits, 3 costs, 2 mixed.

More prescription checks before treatment

Beginning on the later of October 1, 2017, or 60 days after the statewide health exchange connects to the database, practitioners must review a 12-month report before prescribing covered opioids or benzodiazepines and before each refill. Pharmacists and remote-site staff must review a report before dispensing a Schedule II drug. Exceptions include hospice and palliative care, cancer care, dialysis, inpatient or residential care, and certain short-term supplies for procedures or acute pain; the short-term exception does not cover back pain. The Board appoints a workgroup to identify possible failures to use the program, replacing a task force with database, education, and support duties.

Pharmacies face faster drug reporting

Pharmacies and other required dispensers must report covered Schedule II–V sales electronically within one business day, using Arizona’s latest data guide. Reports include identifying details about the drug, patient, prescriber, and dispenser. Through June 30, 2027, they include the dispensing date; starting July 1, 2027, they include both the fill date and the sale date. Dispensers with no reportable transactions must submit a zero report; exemptions include samples, wholesale sales, drugs given directly to patients, and certain treatment programs and limited facility supplies.

Medical record systems must link database

By December 31, 2026, vendors serving Arizona practitioners must connect their electronic medical-record systems to the state prescription database. They can connect directly or through the statewide health information exchange or another vendor.

New rules for prescription database access

More practitioners can register to use the database if they have a qualifying Arizona license and a controlled-substance registration with an Arizona address. Some office staff need specified privacy and security training, and pharmacy staff must work for an Arizona pharmacy or hospital. The Board can no longer issue replacement program registrations for lost or damaged copies.

Arizona limits and shares drug records

Arizona tracks prescribing and dispensing of Schedule II–V drugs, not how much people consume. The database includes state information identifying residents with registry identification cards. The Board protects program dispensing data and shares it only as the law allows. Authorized care providers, health insurers, and state health officials can access data for specified care, safety, review, or public health purposes; the public cannot. The Board keeps search warrants for two years when they relate to an open law-enforcement investigation.

Sponsors & Cosponsors

Sponsor

  • Selina Bliss

    Republican • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 106 • No: 0

Senate vote • 6/1/2026

Third Reading: Passed

Yes: 26 • No: 0

Senate vote • 3/25/2026

Health and Human Services: DP

Yes: 7 • No: 0

House vote • 3/10/2026

Third Reading: Passed

Yes: 55 • No: 0

House vote • 3/2/2026

Rules: C&P

Yes: 6 • No: 0

House vote • 2/19/2026

Health & Human Services: DPA

Yes: 12 • No: 0

Actions Timeline

  1. Signed by Governor

    6/4/2026Governor

  2. Third Reading: Passed

    6/1/2026Senate

  3. Rules: PFC

    3/30/2026Senate

  4. Health and Human Services: DP

    3/25/2026Senate

  5. Senate Second Reading

    3/17/2026Senate

  6. Senate First Reading

    3/16/2026Senate

  7. Third Reading: Passed

    3/10/2026House

  8. Committee of the Whole: do pass amended

    3/5/2026House

  9. Rules: C&P

    3/2/2026House

  10. Health & Human Services: DPA

    2/19/2026House

  11. House Second Reading

    1/21/2026House

  12. House First Reading

    1/20/2026House

Bill Text

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