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IL HB5514
Bill
Status
Introduced
2/6/2026
Primary Sponsor
Nabeela Syed
Click for details
AI Summary
- Requires Illinois to select a single state pharmacy benefit manager (PBM) for the entire Medicaid program, with procurement to be completed within one year of the law taking effect
- Beginning January 1, 2028, the selected PBM must manage and process all pharmacy claims for Medicaid, including claims from all contracted managed care organizations
- Prospective PBMs must disclose conflicts of interest, common ownership with managed care organizations, pharmacies, drug wholesalers, and third-party payers
- Requires disclosure of all fees imposed on pharmacies and financial arrangements with drug manufacturers, including formulary management and rebate agreements
- The Department of Healthcare and Family Services must develop a master contract incorporating PBM requirements from the Illinois Insurance Code
Legislative Description
MEDICAID-PBM-PROCUREMENT
Last Action
Referred to Rules Committee
2/13/2026
Committee Referrals
Rules2/13/2026
Full Bill Text
No bill text available