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| | 10400SB3507sam002 | - 2 - | LRB104 17899 RLC 35470 a |
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| 1 | | substance or prescription for a controlled substance is |
| 2 | | sought. |
| 3 | | (b) It shall be unlawful for a person knowingly or |
| 4 | | intentionally to fraudulently obtain or fraudulently seek to |
| 5 | | obtain any controlled substance from a pharmacy while being |
| 6 | | supplied with any controlled substance by another pharmacy, |
| 7 | | without disclosing the fact of the existing controlled |
| 8 | | substance to the pharmacy from which the subsequent controlled |
| 9 | | substance is sought. |
| 10 | | (c) A person may be in violation of Section 3.23 of the |
| 11 | | Illinois Food, Drug and Cosmetic Act or Section 406 of this Act |
| 12 | | when medication shopping or pharmacy shopping, or both. |
| 13 | | (c-5) Each Effective January 1, 2018, each prescriber |
| 14 | | possessing an Illinois controlled substances license shall |
| 15 | | register with the Prescription Monitoring Program. A |
| 16 | | prescriber is not subject to criminal liability or |
| 17 | | professional discipline for failure to register with the |
| 18 | | Prescription Monitoring Program due to technological or |
| 19 | | electrical failures or operational issues that prevent |
| 20 | | registration. Notwithstanding any provision of this Act to the |
| 21 | | contrary, beginning on and after the effective date of this |
| 22 | | amendatory Act of the 101st General Assembly, a licensed |
| 23 | | veterinarian shall be exempt from registration and prohibited |
| 24 | | from accessing patient information in the Prescription |
| 25 | | Monitoring Program. Licensed veterinarians that are existing |
| 26 | | registrants shall be removed from the Prescription Monitoring |
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| | 10400SB3507sam002 | - 3 - | LRB104 17899 RLC 35470 a |
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| 1 | | Program. Each prescriber or the prescriber's his or her |
| 2 | | designee shall also document an attempt to access patient |
| 3 | | information in the Prescription Monitoring Program to assess |
| 4 | | patient access to controlled substances when providing an |
| 5 | | initial prescription for any stimulant substances listed in |
| 6 | | Schedule II and all prescriptions an initial prescription for |
| 7 | | Schedule II opioids and Schedule IV benzodiazepine, narcotics |
| 8 | | such as opioids, except for prescriptions for oncology |
| 9 | | treatment or palliative care, or a 7-day or less supply |
| 10 | | provided by a hospital emergency department when treating a an |
| 11 | | acute, traumatic medical condition. This attempt to access |
| 12 | | shall be documented in the patient's medical record. The |
| 13 | | hospital shall facilitate the designation of a prescriber's |
| 14 | | designee for the purpose of accessing the Prescription |
| 15 | | Monitoring Program for services provided at the hospital. |
| 16 | | (d) When a person has been identified as having 5 or more |
| 17 | | prescribers or 5 or more pharmacies, or both, that do not |
| 18 | | utilize a common electronic file as specified in Section 20 of |
| 19 | | the Pharmacy Practice Act for controlled substances within the |
| 20 | | course of a 6-month period, the Prescription Monitoring |
| 21 | | Program may issue an unsolicited report to the prescribers, |
| 22 | | dispensers, and their designees informing them of the |
| 23 | | potential medication shopping. If an unsolicited report is |
| 24 | | issued to a prescriber or prescribers, then the report must |
| 25 | | also be sent to the applicable dispensing pharmacy. |
| 26 | | (e) Nothing in this Section shall be construed to create a |
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| | 10400SB3507sam002 | - 4 - | LRB104 17899 RLC 35470 a |
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| 1 | | requirement that any prescriber, dispenser, or pharmacist |
| 2 | | request any patient medication disclosure, report any patient |
| 3 | | activity, or prescribe or refuse to prescribe or dispense any |
| 4 | | medications. |
| 5 | | (f) This Section shall not be construed to apply to |
| 6 | | inpatients or residents at hospitals or other institutions or |
| 7 | | to institutional pharmacies. |
| 8 | | (g) Any patient feedback, including grades, ratings, or |
| 9 | | written or verbal statements, in opposition to a clinical |
| 10 | | decision that the prescription of a controlled substance is |
| 11 | | not medically necessary shall not be the basis of any adverse |
| 12 | | action, evaluation, or any other type of negative |
| 13 | | credentialing, contracting, licensure, or employment action |
| 14 | | taken against a prescriber or dispenser. |
| 15 | | (Source: P.A. 101-414, eff. 8-16-19; 102-527, eff. 8-20-21.)". |