E-Prescribing Alert: Request Waivers Today!

Nancy Leveille and Stephen B. Hanse in Clinical & Quality

NYSHFA staff have continued to work with Senator Hannon and Assemblyman Gottfried to amend the NYS I-Stop law that governs E-Prescribing. They have both been very supportive and are drafting legislation to support nurses’ continued ability to act as the agent of the physician for non-controlled substance medication orders. If passed, this would allow the nurse to continue to take verbal orders and have them filled by the pharmacy with the physician signing these orders within 48 hours as they have done for decades.

But this is not confirmed yet for practice. E-Prescribing goes into effect on March 27, 2016.

Therefore, we are recommending that each of you send in a request for an institutional waiver to the NYS Bureau of Narcotic Enforcement as soon as possible and have your Medical Director sign as well. Notate the reason for the waiver is that you cannot safely provide E-Prescribing in your facility without the ability of the nurse to act as the agent of the physician which gives the nurse the ability to take verbal orders and have the pharmacy fill them immediately as the physician signs them within 48 hours. Without this ability, medications will be delayed and the safe process we have in place with the nurse as part of the medication administration process will be compromised which can cause multiple other safety issues to resident care.

To apply for a waiver, see the attached memo. We recommend you apply as soon as possible. There is only 34 days before the law goes into effect.

If you have any questions, please contact Nancy or Stephen


Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

Stephen B. Hanse, Esq.
VP & Counsel
518-462-4800 x25