The Medicare Improvement Act or (MIPAA) states that Physicians will not be required to use electronic prescribing as a result of this program. Instead, the program will pay physicians a bonus for the use of a qualified e-prescribing system. The legislation that created the program mandated a gradually decreasing bonus incentive followed by a penalty program. For almost every year, e-prescribers will be paid 2% more than those who do not e-prescribe