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IL HB1029

Bill

Status

Failed

1/7/2025

Primary Sponsor

Mary Flowers

Click for details

Origin

House of Representatives

103rd General Assembly

AI Summary

  • 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.

  • Transition shall occur upon expiration of existing managed care contracts with managed care organizations as of the bill's effective date.

  • 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.

  • Grants the Department rulemaking authority to implement the transition provisions.

  • 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

Committee Referrals

Rules5/19/2023
Medicaid & Managed Care3/9/2023
Appropriations-Health & Human Services2/21/2023
Rules1/12/2023

Full Bill Text

No bill text available