The Federal Government has declared the opioid crisis in the USA to be a public health emergency. This has resulted in stricter limitations on new and existing opioid prescriptions. Doctors who prescribe opioids must take great precaution to prevent patient abuse. Patients should be drug tested on a regular basis to rule out abuse of drugs not prescribed. Early refills, whatever the reason, must be strongly discouraged. Doctors must regularly check the PMP Prescription Monitoring Program for each and every patient they prescribe to. Bottom line is that Illinois doctors will be under more and more scrutiny in the days and months to come.