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IL HB1029
Bill
Status
1/7/2025
Primary Sponsor
Mary Flowers
Click for details
AI Summary
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Requires the Department of Healthcare and Family Services to transition pharmacy services for managed care enrollees from managed care back to traditional fee-for-service coverage under the state's direct administration.
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Transition shall occur upon expiration of existing managed care contracts with managed care organizations as of the bill's effective date.
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Mandates the Department take four specific actions to prevent service interruptions: hire an additional licensed pharmacist, stress-test claims processing systems, increase prior authorization capacity, and educate the public and help desk staff about the pharmacy coverage change.
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Grants the Department rulemaking authority to implement the transition provisions.
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Repeals existing authority permitting the Department to contract with third parties for pharmacy benefit administration under fee-for-service models.
Legislative Description
MEDICAID-PHARMACY SERVICES
Last Action
Session Sine Die
1/7/2025