Illinois HB 5046: BUSINESS TRANSACTIONS-TECH

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB5046

Introduced 2/10/2026, by Rep. Kelly M. Cassidy 

SYNOPSIS AS INTRODUCED:

225 ILCS 85/19 from Ch. 111, par. 4139

720 ILCS 570/311.6

 Amends the Illinois Controlled Substances Act. Provides that, if a pharmacy is unable to fill an initial prescription received electronically because the prescribed drug is not in stock, the dispenser must immediately contact the patient to notify the patient of the situation and ask if the patient would like the prescription transferred electronically to a pharmacy of the patient's choosing, consistent with federal regulations concerning the prescribing of controlled substances. 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. Amends the Pharmacy Practice Act to make conforming changes. Effective immediately.

LRB104 17659 RLC 31090 b

A BILL FOR

HB5046LRB104 17659 RLC 31090 b

1 AN ACT concerning electronic prescriptions.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section 5. The Pharmacy Practice Act is amended by 

5changing Section 19 as follows:

6 (225 ILCS 85/19) (from Ch. 111, par. 4139)

7 (Section scheduled to be repealed on January 1, 2028)

8 Sec. 19. Nothing contained in this Act shall be construed 

9to prohibit a pharmacist licensed in this State from filling 

10or refilling a valid prescription for prescription drugs which 

11is on file in a pharmacy licensed in any state and has been 

12transferred