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IL SB3543

Bill

Status

Failed

1/13/2021

Primary Sponsor

Andy Manar

Click for details

Origin

Senate

101st General Assembly

AI Summary

  • Requires all Medicaid managed care organizations (MCOs) to reimburse pharmacy providers for dispensing fees and drug acquisition costs at rates no less than those established under the state's fee-for-service Medicaid program

  • Applies whether the MCO reimburses pharmacies directly or contracts with a pharmacy benefit manager (PBM) to handle pharmacy reimbursements

  • Covers all pharmacy services for persons receiving Medicaid benefits, including services reimbursed under Section 5-36 of the Illinois Public Aid Code

  • Amends Section 5-5.12 (Pharmacy payments) and Section 5-36 (Pharmacy benefits) of the Illinois Public Aid Code

  • Takes effect immediately upon becoming law

Legislative Description

MEDICAID-MCO-PHARMACY FEE

Last Action

Session Sine Die

1/13/2021

Committee Referrals

Assignments4/12/2020
Insurance3/3/2020
Assignments2/14/2020

Full Bill Text

No bill text available