This bill is set to potentially influence the structure and delivery of pharmacy services for Medicaid recipients in Illinois. Notably, it mandates that any retail pharmacy enrolled in the medical assistance program, so long as it is not under sanction for fraud or similar issues, must provide services to any medical assistance recipient residing within the same zip code. This is significant because it increases access to pharmacy services for low-income individuals who may face geographical barriers to obtaining necessary medications.
Summary
House Bill 0023 aims to amend the Medical Assistance Article of the Illinois Public Aid Code by directing the Department of Healthcare and Family Services to conduct a comprehensive study on managed care pharmacy access standards. The bill emphasizes a focused review of these access standards, particularly in areas that are disproportionately impacted. By seeking input from consumers of pharmacy services, the Department will ensure that the voices of those directly affected are considered in their evaluation.
Contention
One of the notable points of contention surrounding HB0023 may revolve around the efficacy and comprehensive nature of the proposed study. Stakeholders may express concerns regarding the thoroughness of the analysis in addressing the existing gaps in pharmacy access, especially for underserved populations. Additionally, the bill does not specify how the study's findings will translate into actionable changes or improvements in policy, leaving some lawmakers and advocates skeptical about the real-world implications for access to care.
Relating to certain contracts between pharmacy benefit managers and the Employees Retirement System of Texas, the Teacher Retirement System of Texas, The Texas A&M University System, or The University of Texas System.