ELECTRONIC PRESCRIPTIONS
Summary
Amends the Pharmacy Practice Act. Provides that prescriptions for drugs in Schedule II of the Illinois Controlled Substances Act may be transferred only once and may not be further transferred, consistent with federal regulations. Amends the Illinois Controlled Substances Act. Provides that the prescriber shall not be required to issue prescriptions electronically if the prescriptions need to be filled outside of typical retail pharmacy operating hours or may be difficult to obtain because of drug shortages or pharmacy inventory limitations. Effective immediately.
Bill status
signed
all 5 stages cleared
Introduction
Apr 2026
Committee Review
May 2026
Senate Passage
May 2026
House Passage
May 2026
Signed into Law
Aug 2026
Introduced Apr 17, 2026
Signed Aug 21, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
Engrossed
→
Enrolled
·
4 edits
·
Aug 21, 2026
MODERATE
The bill was finalized as Enrolled, incorporating new provisions that require pharmacies to transfer prescriptions to other pharmacies upon patient request, including Schedule II controlled substances, unless specific exceptions apply. A new section mandates that prescriptions for Schedule II through V substances must be sent electronically, with limited exceptions for clinical reasons or federal law prohibitions. These changes aim to improve medication access and standardize electronic prescribing practices.
Scope change
The bill's scope expanded to include mandatory electronic transmission for Schedule II controlled substances and introduced a new requirement for pharmacy-to-pharmacy prescription transfers upon patient request.
REQUIREMENT
Added a requirement for pharmacies to transfer prescriptions to another pharmacy upon patient request, including Schedule II controlled substances, if the prescription has been received but not yet filled.
Added new exceptions to the transfer requirement, allowing the prescriber to prohibit transfer in writing with a documented clinical reason or if federal law prohibits the transfer.
Added a mandate that prescriptions for Schedule II, III, IV, or V substances must be sent electronically, aligning with federal standards and improving data accuracy.
DEFINITION
Clarified that licensed pharmacy technicians may perform prescription transfers if delegated by a pharmacist, provided federal law permits electronic or facsimile transfers.
Floor votes · Senate Apr 16, 2026 · House May 27, 2026
How they voted
56–0
Passed · 2 other
Total votes 58
Apr 16, 2026
D
Democratic39
94% Yea
R
Republican19
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
56
Key actions
13
Committee
17
Amendments
10
Aug 21, 2026
Signed into law
Governor Approved
upper
May 31, 2026
Upper · Passed
Passed Both Houses
upper
May 31, 2026
Introduced
House Floor Amendment No. 1 Senate Concurs 056-000-000
upper
May 29, 2026
Introduced
House Floor Amendment No. 1 Motion To Concur Recommended Do Adopt Licensed Activities; 007-000-000
upper
May 28, 2026
Committee
House Floor Amendment No. 1 Motion to Concur Assignments Referred to Licensed Activities
upper
May 28, 2026
Committee
House Floor Amendment No. 1 Motion to Concur Referred to Assignments
upper
May 28, 2026
Introduced
Placed on Calendar Order of Concurrence House Amendment(s) 1 - May 29, 2026
upper
May 28, 2026
Introduced
Secretary's Desk - Concurrence House Amendment(s) 1
upper
May 27, 2026
Lower · Passed
Third Reading - Short Debate - Passed 106-000-000
lower
May 27, 2026
Lower · Passed
House Floor Amendment No. 1 Adopted by Voice Vote
lower
May 20, 2026
Lower · Passed
House Floor Amendment No. 1 Recommends Be Adopted Prescription Drug Affordability & Accessibility Committee; 013-000-000
lower
May 19, 2026
Lower · Passed
House Floor Amendment No. 1 Rules Refers to Prescription Drug Affordability & Accessibility Committee
lower
May 15, 2026
Committee
House Floor Amendment No. 1 Referred to Rules Committee
lower
May 15, 2026
Introduced
House Floor Amendment No. 1 Filed with Clerk by Rep. Kelly M. Cassidy
lower
May 13, 2026
Lower · Passed
Do Pass / Short Debate Prescription Drug Affordability & Accessibility Committee; 013-000-000
lower
May 7, 2026
Lower · Passed
Committee Deadline Extended-Rule 9(b) May 15, 2026
lower
Apr 27, 2026
Committee
Assigned to Prescription Drug Affordability & Accessibility Committee
lower
Apr 17, 2026
Committee
Referred to Rules Committee
lower
Apr 17, 2026
Introduced
Arrived in House
lower
Apr 16, 2026
Upper · Passed
Third Reading - Passed; 057-000-000
upper
Mar 13, 2026
Committee
Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments
upper
Mar 11, 2026
Upper · Passed
Senate Floor Amendment No. 2 Adopted; McClure
upper
Mar 10, 2026
Introduced
Senate Floor Amendment No. 2 Be Approved for Consideration Assignments
upper
Mar 5, 2026
Committee
Senate Floor Amendment No. 2 Referred to Assignments
upper
Mar 5, 2026
Introduced
Senate Floor Amendment No. 2 Filed with Secretary by Sen. Steve McClure
upper
Mar 5, 2026
Upper · Passed
Do Pass Licensed Activities; 008-000-000
upper
Mar 4, 2026
Upper · Passed
Senate Committee Amendment No. 1 Postponed - Licensed Activities
upper
Feb 24, 2026
Upper · Passed
Senate Committee Amendment No. 1 Assignments Refers to Licensed Activities
upper
Feb 20, 2026
Committee
Senate Committee Amendment No. 1 Referred to Assignments
upper
Feb 20, 2026
Introduced
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Steve McClure
upper
Feb 10, 2026
Committee
Assigned to Licensed Activities
upper
Feb 2, 2026
Committee
Referred to Assignments
upper
2 primary · 6 co-sponsors
Sponsors
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