HB 2434 Arizona House · 57th Legislature - Second Regular Session

controlled substances prescription monitoring program

This bill updates Arizona's rules for prescribing controlled substances, requiring pharmacies to maintain separate records for different drug schedules (I-II vs. III-V) and mandating electronic prescriptions for opioids. It sets strict requirements for emergency dispensing, verbal prescription changes, and prohibits refills for Schedule II drugs. These rules directly affect pharmacies, pharmacists, and prescribers of controlled substances. The changes aim to improve tracking and reduce diversion of high-risk medications.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
House Passage
Mar 2026
Senate Passage
Jun 2026
Signed into Law
Jun 2026
Introduced Jan 20, 2026 Signed Jun 4, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

House Engrossed Version (03/10/2026) Chaptered Version · 5 edits
MODERATE
This bill converts a draft legislative text into an official enacted law by adding chapter numbers, dates, and formal formatting. Substantively, it amends Arizona's controlled substances prescription monitoring program to mandate electronic prescribing for Schedule II opioids, establish a task force to oversee the program, and require medical practitioners to check patient prescription history before prescribing certain pain medications.
Scope change
The bill's scope remains focused on the controlled substances prescription monitoring program, but it adds specific mandates for electronic prescribing and expands the definition of who must participate in the program's reporting requirements.
REQUIREMENT

Added a strict requirement that electronic prescriptions must be used for Schedule II opioids, with limited exceptions for emergencies or specific care settings.

Mandated that medical practitioners obtain a patient utilization report from the monitoring database before prescribing Schedule II, III, or IV opioids or benzodiazepines.

Established a compliance workgroup to advise the board on exceptions to electronic prescribing rules and to identify noncompliance.

Required electronic medical record vendors to integrate with the state's prescription monitoring database by December 31, 2026.

TIMELINE

Updated reporting deadlines, specifying that prescription fill dates must be reported starting July 1, 2027, while dispensing dates are reported through June 30, 2027.

Floor votes · Senate Jun 1, 2026 · House Mar 10, 2026

How they voted

260
Passed · 4 other
Total votes 30
Jun 1, 2026
D Democratic13
13 Yea
100% Yea
R Republican17
13 Yea 4
76% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
13
Key actions
6
Committee
1
Amendments
2
Jun 4, 2026
Signed into law
Signed by Governor
executive
Jun 1, 2026
Upper · Passed
PASSED
upper
Mar 25, 2026
Upper · Passed
DP
upper
Mar 10, 2026
Lower · Passed
PASSED
lower
Mar 5, 2026
Lower · Passed
DPA
lower
Feb 19, 2026
Lower · Passed
DPA
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Selina Bliss
Selina Bliss
RRepublican
AZ
1