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IllinoisSB2469104th General Assembly (2025–2026)SenateWALLET

OPIOIDS-VETERINARIAN PRESCRIPT

Sponsored By: Michael E. Hastings (Democratic)

Became Law

assignmentslicensed activitieshealth care licenses

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 2 benefits, 0 costs, 2 mixed.

Protections for prescribers and pharmacists

A prescriber who tried in good faith to e‑prescribe but could not for reasons beyond their control is protected from discipline. A pharmacist who fills a valid non‑electronic prescription in good faith is also protected. Pharmacists do not have to enforce prescriber compliance and cannot refuse to fill a valid prescription just because it is not electronic. For actions started before Dec 31, 2030, the Department first issues a warning letter or citation, unless there is bad faith, a pattern of violations, or the provider ignores the warning.

Who is excused from e‑prescribing

Some prescriptions do not have to be electronic. A prescriber who certifies 150 or fewer prescriptions in a year is excused from Jan 1, 2024 through Dec 31, 2028; starting Jan 1, 2029 the limit is 50 a year. Other exceptions include financial hardship before Jan 1, 2026 or a CMS waiver after that date, tech or power failures, and when delay would harm the patient. Non‑electronic prescriptions are also allowed for nursing or assisted living residents, hospice or palliative care, dialysis‑related care, VA care, people who are incarcerated, research protocols, standing orders or public health needs, same‑entity prescriber and dispenser, and compound drugs. Prescriptions from licensed veterinarians are exempt for seven years after November 17, 2023.

Electronic prescriptions required for controlled drugs

Prescribers must send Schedule II–V prescriptions electronically. Pharmacies must accept electronic prescriptions. Prescribers and dispensers cannot set office policies that conflict with these rules.

Agency can set e‑prescribing rules

The Department of Financial and Professional Regulation can issue rules to run and enforce the e‑prescribing law.

Sponsors & Cosponsors

Sponsor

  • Michael E. Hastings

    Democratic • Senate

Cosponsors

  • Anne Stava

    Democratic • House

  • Paul Faraci

    Democratic • Senate

  • Rick Ryan

    Democratic • House

  • Terra Costa Howard

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 254 • No: 39

House vote • 5/23/2025

Third Reading - Short Debate - Passed

Yes: 107 • No: 0

House vote • 5/21/2025

Do Pass / Short Debate Health Care Licenses Committee;

Yes: 13 • No: 0

House vote • 5/20/2025

Motion to Suspend Rule 21 - Prevailed

Yes: 72 • No: 39

Senate vote • 5/14/2025

Third Reading - Passed;

Yes: 55 • No: 0

Senate vote • 5/8/2025

Do Pass as Amended Licensed Activities;

Yes: 7 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0424

    8/15/2025Senate

  2. Effective Date August 15, 2025

    8/15/2025Senate

  3. Governor Approved

    8/15/2025Senate

  4. Sent to the Governor

    6/20/2025Senate

  5. Passed Both Houses

    5/23/2025Senate

  6. Third Reading - Short Debate - Passed 107-000-000

    5/23/2025House

  7. Placed on Calendar Order of 3rd Reading - Short Debate

    5/23/2025House

  8. Held on Calendar Order of Second Reading - Short Debate

    5/21/2025House

  9. Second Reading - Short Debate

    5/21/2025House

  10. Added Alternate Co-Sponsor Rep. Terra Costa Howard

    5/21/2025House

  11. Placed on Calendar 2nd Reading - Short Debate

    5/21/2025House

  12. Do Pass / Short Debate Health Care Licenses Committee; 013-000-000

    5/21/2025House

  13. Motion to Suspend Rule 21 - Prevailed 072-039-000

    5/20/2025House

  14. Motion Filed to Suspend Rule 21 Health Care Licenses Committee; Rep. Marcus C. Evans, Jr.

    5/20/2025House

  15. Added Alternate Co-Sponsor Rep. Anne Stava

    5/20/2025House

  16. Committee/Final Action Deadline Extended-9(b) May 31, 2025

    5/20/2025House

  17. Referred to Health Care Licenses Committee

    5/15/2025House

  18. First Reading

    5/15/2025House

  19. Chief House Sponsor Rep. Rick Ryan

    5/14/2025House

  20. Arrived in House

    5/14/2025House

  21. Third Reading - Passed; 055-000-000

    5/14/2025Senate

  22. Rule 2-10 Third Reading Deadline Established As May 23, 2025

    5/9/2025Senate

  23. Placed on Calendar Order of 3rd Reading May 13, 2025

    5/8/2025Senate

  24. Second Reading

    5/8/2025Senate

  25. Placed on Calendar Order of 2nd Reading May 13, 2025

    5/8/2025Senate

Bill Text

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