IL HB2398

Requires the Department of Healthcare and Family Services and managed care organizations to submit quarterly compliance reports on prescription drug denials for FDA-approved mental illness medications, beginning with dates of service on or after July 1, 2025

Reports must include the number of denied prescriptions, estimated costs to the State, prior authorization denials, and step therapy exception requests, categorized by allowed safety edits, prohibited utilization controls, and other reasons

Mandates reporting on approved and paid prescriptions, complaints filed regarding denials, emergency room usage, and hospital admissions/readmissions (within 7 or 30 days) for patients with serious mental illness diagnoses

Reports are due 60 calendar days after the end of each quarter, with the Department required to publish fee-for-service and managed care organization reports on its website

Authorizes the Department to sanction managed care organizations that fail to file the required reports; the bill takes effect immediately upon becoming law