On June 1, 2011, CMS is publishing a proposed rule that would modify the 2011 electronic prescribing (eRx) quality measure to better align the eRX Incentive Program with the technological requirements of the Medicare and Medicaid electronic health record incentive programs. The rule also would provide additional significant hardship exemption categories for eligible professionals and group practices for the 2012 eRx payment adjustment, and it would extend to October 1, 2011 the deadline for requesting a significant hardship exemption for the two exemption categories finalized in the 2011 Medicare physician fee schedule final rule. Comments on the proposed rule will be accepted for 60 days.