Illinois 2023-2024 Regular Session

Illinois House Bill HB0023 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB0023 Introduced , by Rep. La Shawn K. Ford SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-5.12f new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to conduct a study on managed care pharmacy access standards. Provides that the study shall review the current access standards, with a focus on disproportionately impacted areas. Requires the Department to seek input from consumers of pharmacy services. Requires the Department to report its findings to the Governor and the General Assembly by January 1, 2024 and to publish the report on the Department's website. Provides that any retail pharmacy that is enrolled as an eligible retail pharmacy provider in the medical assistance program and is not sanctioned under investigation for fraud, waste, or abuse shall provide retail pharmacy services to any medical assistance recipient who resides in the same zip code as the pharmacy, regardless of whether the retail pharmacy is contracted to provide pharmacy services for the managed care organization that the recipient is enrolled with. Requires the managed care organization to pay the retail pharmacy the managed care organization's standard contractual rate. Effective immediately. LRB103 03512 KTG 48518 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB0023 Introduced , by Rep. La Shawn K. Ford SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-5.12f new 305 ILCS 5/5-5.12f new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to conduct a study on managed care pharmacy access standards. Provides that the study shall review the current access standards, with a focus on disproportionately impacted areas. Requires the Department to seek input from consumers of pharmacy services. Requires the Department to report its findings to the Governor and the General Assembly by January 1, 2024 and to publish the report on the Department's website. Provides that any retail pharmacy that is enrolled as an eligible retail pharmacy provider in the medical assistance program and is not sanctioned under investigation for fraud, waste, or abuse shall provide retail pharmacy services to any medical assistance recipient who resides in the same zip code as the pharmacy, regardless of whether the retail pharmacy is contracted to provide pharmacy services for the managed care organization that the recipient is enrolled with. Requires the managed care organization to pay the retail pharmacy the managed care organization's standard contractual rate. Effective immediately. LRB103 03512 KTG 48518 b LRB103 03512 KTG 48518 b A BILL FOR
2	2	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB0023 Introduced , by Rep. La Shawn K. Ford SYNOPSIS AS INTRODUCED:
3	3	305 ILCS 5/5-5.12f new 305 ILCS 5/5-5.12f new
4	4	305 ILCS 5/5-5.12f new
5	5	Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to conduct a study on managed care pharmacy access standards. Provides that the study shall review the current access standards, with a focus on disproportionately impacted areas. Requires the Department to seek input from consumers of pharmacy services. Requires the Department to report its findings to the Governor and the General Assembly by January 1, 2024 and to publish the report on the Department's website. Provides that any retail pharmacy that is enrolled as an eligible retail pharmacy provider in the medical assistance program and is not sanctioned under investigation for fraud, waste, or abuse shall provide retail pharmacy services to any medical assistance recipient who resides in the same zip code as the pharmacy, regardless of whether the retail pharmacy is contracted to provide pharmacy services for the managed care organization that the recipient is enrolled with. Requires the managed care organization to pay the retail pharmacy the managed care organization's standard contractual rate. Effective immediately.
6	6	LRB103 03512 KTG 48518 b LRB103 03512 KTG 48518 b
7	7	LRB103 03512 KTG 48518 b
8	8	A BILL FOR
9	9	HB0023LRB103 03512 KTG 48518 b HB0023 LRB103 03512 KTG 48518 b
10	10	HB0023 LRB103 03512 KTG 48518 b
11	11	1 AN ACT concerning public aid.
12	12	2 Be it enacted by the People of the State of Illinois,
13	13	3 represented in the General Assembly:
14	14	4 Section 5. The Illinois Public Aid Code is amended by
15	15	5 adding Section 5-5.12f as follows:
16	16	6 (305 ILCS 5/5-5.12f new)
17	17	7 Sec. 5-5.12f. Pharmacy services; report on access
18	18	8 standards.
19	19	9 (a) The Department shall conduct a study on managed care
20	20	10 pharmacy access standards. The study shall review the current
21	21	11 access standards, with a focus on disproportionately impacted
22	22	12 areas. The Department shall seek input from consumers of
23	23	13 pharmacy services. The Department shall report its findings to
24	24	14 the Governor and the General Assembly by January 1, 2024. The
25	25	15 Department shall post the report on its website.
26	26	16 (b) Any retail pharmacy that is enrolled as an eligible
27	27	17 retail pharmacy provider in the medical assistance program and
28	28	18 is not sanctioned under investigation for fraud, waste, or
29	29	19 abuse shall provide retail pharmacy services to any medical
30	30	20 assistance recipient who resides in the same zip code as the
31	31	21 pharmacy, regardless of whether the retail pharmacy is
32	32	22 contracted to provide pharmacy services for the managed care
33	33	23 organization that the recipient is enrolled with. The managed
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37	37	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB0023 Introduced , by Rep. La Shawn K. Ford SYNOPSIS AS INTRODUCED:
38	38	305 ILCS 5/5-5.12f new 305 ILCS 5/5-5.12f new
39	39	305 ILCS 5/5-5.12f new
40	40	Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to conduct a study on managed care pharmacy access standards. Provides that the study shall review the current access standards, with a focus on disproportionately impacted areas. Requires the Department to seek input from consumers of pharmacy services. Requires the Department to report its findings to the Governor and the General Assembly by January 1, 2024 and to publish the report on the Department's website. Provides that any retail pharmacy that is enrolled as an eligible retail pharmacy provider in the medical assistance program and is not sanctioned under investigation for fraud, waste, or abuse shall provide retail pharmacy services to any medical assistance recipient who resides in the same zip code as the pharmacy, regardless of whether the retail pharmacy is contracted to provide pharmacy services for the managed care organization that the recipient is enrolled with. Requires the managed care organization to pay the retail pharmacy the managed care organization's standard contractual rate. Effective immediately.
41	41	LRB103 03512 KTG 48518 b LRB103 03512 KTG 48518 b
42	42	LRB103 03512 KTG 48518 b
43	43	A BILL FOR
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49	49	305 ILCS 5/5-5.12f new
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53	53	LRB103 03512 KTG 48518 b
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63	63	HB0023 LRB103 03512 KTG 48518 b
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66	66	HB0023- 2 -LRB103 03512 KTG 48518 b HB0023 - 2 - LRB103 03512 KTG 48518 b
67	67	HB0023 - 2 - LRB103 03512 KTG 48518 b
68	68	1 care organization shall pay such a retail pharmacy the managed
69	69	2 care organization's standard contractual rate.
70	70	3 Section 99. Effective date. This Act takes effect upon
71	71	4 becoming law.
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77	77	HB0023 - 2 - LRB103 03512 KTG 48518 b