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IL HB4095

Bill

Official Source

Status

Introduced

2/27/2015

Primary Sponsor

Sara Feigenholtz

Click for details

Origin

House of Representatives

99th General Assembly

AI Summary

  • Amends Section 5-11 of the Illinois Public Aid Code to require managed care community networks (MCCNs) contracting with the Department of Healthcare and Family Services to establish fair and reasonable reimbursement rates for pharmacy providers.

  • Reimbursement rates must include fair and reasonable professional dispensing fees for pharmaceutical services, prescription drugs, and drug products, as well as professional fees for pharmacy or pharmacist-provided services.

  • Mandates that MCCN reimbursement rates to pharmacies shall not be less than the reimbursement rates the Department itself uses for prescription and pharmacy or pharmacist-provided services under Section 5-5.12 of the Code.

  • Effective January 1, 2016.

Legislative Description

MEDICAID-MCCN-PHARMACY RATES

Last Action

Rule 19(a) / Re-referred to Rules Committee

3/27/2015

Committee Referrals

Rules3/27/2015
Appropriations-Human Services3/16/2015
Rules2/27/2015

Full Bill Text

No bill text available