Illinois House Bill 2438

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Spectrum: Partisan Bill (Democrat 1-0)
Status: Introduced on February 3 2025 - 25% progression
Action: 2025-02-04 - 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. In provisions prohibiting prior authorization mandates and utilization management controls under the fee-for-service and managed care medical assistance programs on specified FDA-approved prescription drugs for mental illness, provides that the prohibition shall apply if a preferred or non-preferred drug is prescribed to an adult patient to treat a serious mental illness and during the preceding 60 days, the patient who experienced an inadequate response was prescribed and unsuccessfully treated with a 14-day treatment trial of a drug for the same clinical condition that is included on the preferred drug list. Removes provisions conditioning the receipt of prescription drugs without prior authorization on: (i) the patient changing providers while receiving a previously authorized prescription drug; (ii) the patient changing insurance coverage while receiving a previously authorized prescription drug; and (iii) the patient's prescription for a previously authorized drug modifies the dosage, dosage frequency, or both, of the drug as part of the same treatment for which the drug was previously prescribed.

MEDICAID-RX-MENTAL ILLNESS

Rep. Maurice West [D]

Date	Chamber	Action
2025-02-04	House	Referred to Rules Committee
2025-02-04	House	First Reading
2025-02-03	House	Filed with the Clerk by Rep. Maurice A. West, II

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

Type	Source
Summary	https://www.ilga.gov/legislation/BillStatus.asp?DocNum=2438&GAID=18&DocTypeID=HB&SessionID=114&GA=104
Text	https://www.ilga.gov/legislation/104/HB/10400HB2438.htm