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IL SB3543
Bill
AI Summary
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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
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Applies whether the MCO reimburses pharmacies directly or contracts with a pharmacy benefit manager (PBM) to handle pharmacy reimbursements
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Covers all pharmacy services for persons receiving Medicaid benefits, including services reimbursed under Section 5-36 of the Illinois Public Aid Code
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Amends Section 5-5.12 (Pharmacy payments) and Section 5-36 (Pharmacy benefits) of the Illinois Public Aid Code
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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