Illinois House Bill 1536

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Spectrum: Partisan Bill (Democrat 1-0)
Status: Introduced on January 30 2023 - 25% progression
Action: 2023-01-31 - 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 the no appropriation may be expended to a managed care organization under contract with the Department of Healthcare and Family Services unless the managed care organization, and its pharmacy benefits manager, allows prescription drug benefits to be provided by specialty pharmacies that are certified in the Business Enterprise Program and accredited by at least 2 different accreditation entities for specialty pharmacy services on the same terms and conditions by any willing provider that is qualified for network participation and authorized to dispense prescription drugs. Prescription drug benefits include those that are managed both as a part of the overall healthcare benefits package, medical and pharmacy benefits that are integrated into one package through a managed care organization, and pharmacy benefits that are separately administered or subcontracted through a pharmacy benefits manager. Defines "specialty pharmacy". Effective July 1, 2023.

MEDICAID-PHARMACY PAYMENTS

Rep. Hoan Huynh [D]

Date	Chamber	Action
2023-01-31	House	Referred to Rules Committee
2023-01-31	House	First Reading
2023-01-30	House	Filed with the Clerk by Rep. Hoan Huynh

Chapter	Article	Section	Citation Type	Statute Text
305	5	5-5.12	Amended Code	Citation Text

Type	Source
Summary	https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1536&GAID=17&DocTypeID=HB&SessionID=112&GA=103
Text	https://www.ilga.gov/legislation/103/HB/10300HB1536.htm