Federal and state regulations

In response to America’s national opioid abuse epidemic, electronic prescribing of controlled substances (EPCS) continues to gain momentum among federal and state lawmakers to reduce “doctor shopping” and minimize the risk of altered, stolen, or fraudulent prescriptions.

SUPPORT for Patients and Communities Act

In October 2018, the SUPPORT for Patients and Communities Act was signed into federal law by President Trump. This sweeping legislation implements a number of initiatives to address America’s opioid abuse epidemic. 

Included in the bill is an electronic prescribing requirement for all controlled substance prescriptions for a covered part D drug under a prescription drug plan (or an MA–PD plan). The deadline to comply is January 1, 2021.

State EPCS requirements

In addition to the federal mandate, many states are implementing similar laws. New York became the first state to mandate EPCS when its groundbreaking Internet System for Tracking Over-Prescribing (I-STOP) Act took effect in 2016. Since then, many additional states have passed similar legislation, and many other legislatures are considering proposed EPCS mandates:

*Click on highlighted states for more information


EPCS mandated by law

Enabling EPCS with Imprivata Confirm ID™

Imprivata Confirm ID™ is the fast, secure signing solution for EPCS. It is the most comprehensive platform for provider identity proofing, supervised enrollment of credentials, two-factor authentication, and auditing and reporting to help healthcare organizations meet the DEA requirements for EPCS. Imprivata Confirm ID integrates with leading EHRs and e-prescribing applications, and it supports the most complete set of two-factor authentication modalities, including Hands Free Authentication, to make EPCS as fast and convenient as possible for care providers.