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Legal Status of EPT - Summary Totals

I. Statutes/regs on health care providers’ authority to prescribe for STDs to a patient’s partner(s) w/out prior evaluation (Explanation)

plus sign 30 states feature one or more laws that permit or may facilitate certain health care practitioners to practice EPT.

plus sign Maryland permits EPT in Baltimore on a pilot basis.

minus symbol 23 states feature one or more laws that may limit the ability of some health care practitioners to conduct EPT.

II. Specific judicial decisions concerning EPT (or like practices) (Explanation)

minus symbol 6 states feature one or more judicial decisions that disallow prescriptions to persons without a physical examination or physician-patient relationship.

III. Specific administrative opinions by the Attorney General or medical or pharmacy boards concerning EPT (or like practices) (Explanation)

plus sign 13 states feature an agency opinion that supports EPT or like practices.

minus symbol 13 states feature agency opinions that tend to prohibit EPT or like practices.

IV. Laws that incorporate via reference guidelines as acceptable practices (including EPT) (Explanation)

plus sign 9 states have incorporated via reference CDC’s STD Treatment Guidelines.

plus sign 13 states have incorporated via reference APHA’s CCD Manual.

plus sign 5 states have incorporated via reference the AAP Red Book.

plus sign 6 states have incorporated via reference other guidelines or recommendations.

V. Prescription requirements (Explanation)

minus symbol 36 states feature laws that require some patient identifying information on the prescription order or label.

plus sign 10 states’ laws do not require patient identifying information on prescription order or label.

minus symbol 13 states have statutory provisions prohibiting pharmacists from dispensing medications to individuals who have not undergone a physical examination, failed to establish a physician-patient relationship, or who are not the ultimate user (i.e., a third-party) pursuant to a valid prescription.

VI. Assessment of EPT’s legal status with brief comments (Explanation)

permissible EPT is permissible in 35 states, the District of Columbia, and Baltimore, Maryland.

potentially allowable EPT is potentially allowable in 9 states and Puerto Rico.

prohibited EPT is likely prohibited in 6 states.

Status as of April 30, 2014

permissible EPT is permissible in 35 states:potentially allowable EPT is potentially allowable in 9 states:prohibited EPT is prohibited in 6 states:

Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Hawaii
Idaho
Illinois
Indiana
Iowa
Louisiana
Maine
Massachusetts
Minnesota
Mississippi
Missouri
Nebraska
Nevada
New Hampshire
New Mexico
New York
North Carolina
North Dakota
Oregon
Pennsylvania
Rhode Island
South Carolina
Tennessee
Texas
Utah
Vermont
Washington
Wisconsin
Wyoming

Alabama
Delaware
Georgia
Kansas
Maryland *
Montana
New Jersey
South Dakota
Virginia

EPT is potentially allowable in District of Columbia and Puerto Rico.
Florida
Kentucky
Michigan
Ohio
Oklahoma
West Virginia

* Exception: EPT is permissible in Baltimore, Maryland .

Summary Totals

 

For comments, feedback and updates, please send an email to cdcept@cdc.gov.

 

 

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