Illinois House Bill 1029

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Spectrum: Partisan Bill (Democrat 1-0)
Status: Introduced on January 12 2023 - 25% progression
Action: 2023-05-19 - Rule 19(a) / Re-referred to Rules Committee
Pending: House Rules Committee
Text: Latest bill text (Introduced) [HTML]

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall transition pharmacy services for managed care enrollees from the State's managed care medical assistance program back to the State's traditional fee-for-service program, thereby assuming direct responsibility for all pharmacy services provided under the Article. Provides that the transition back to a fee-for-service reimbursement model for pharmacy services shall be implemented by the Department upon the expiration of any managed care contracts the Department has with managed care organizations on the effective date of the amendatory Act. Provides that, to ensure managed care enrollees do not experience an interruption in pharmacy services during the transition from managed care to fee-for-service coverage, the Department must, at a minimum, do the following: add an additional pharmacist to its staff; stress-test its existing claims processing system; increase its capacity for prior authorizations; and educate the public and its help desk staff about the change in coverage for pharmacy services. Grants the Department rulemaking authority. Repeals a provision that permits the Department to enter into a contract with a third party on a fee-for-service reimbursement model for the purpose of administering pharmacy benefits for recipients not enrolled in a Medicaid managed care organization. Effective immediately.

MEDICAID-PHARMACY SERVICES

Rep. Mary Flowers [D]

Date	Chamber	Action
2023-05-19	House	Rule 19(a) / Re-referred to Rules Committee
2023-03-10	House	Committee/3rd Reading Deadline Extended-Rule May 19, 2023
2023-03-09	House	To Medicaid & Managed Care Subcommittee
2023-02-21	House	Assigned to Appropriations-Health & Human Services Committee
2023-01-12	House	Referred to Rules Committee
2023-01-12	House	First Reading
2022-12-19	House	Prefiled with Clerk by Rep. Mary E. Flowers

Chapter	Article	Section	Citation Type	Statute Text
305	5	5-36	Repealed Code	Citation Text
305	5	5-36.3	New Code	See Bill Text

Type	Source
Summary	https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1029&GAID=17&DocTypeID=HB&SessionID=112&GA=103
Text	https://www.ilga.gov/legislation/103/HB/10300HB1029.htm