IllinoisHB0004104th General Assembly (2025–2026)House

MEDICAID-PHARMACY SERVICES

Sponsored By: La Shawn K. Ford (Democratic)

In Committee

Summary

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, 2026 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.

appropriations-health and human services

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • La Shawn K. Ford

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. House Committee Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee

    3/21/2025House
  2. Rule 19(a) / Re-referred to Rules Committee

    3/21/2025House
  3. House Committee Amendment No. 1 Rules Refers to Appropriations-Health and Human Services Committee

    3/11/2025House
  4. House Committee Amendment No. 1 Referred to Rules Committee

    3/5/2025House
  5. House Committee Amendment No. 1 Filed with Clerk by Rep. La Shawn K. Ford

    3/5/2025House
  6. Assigned to Appropriations-Health and Human Services Committee

    2/4/2025House
  7. Referred to Rules Committee

    1/9/2025House
  8. First Reading

    1/9/2025House
  9. Prefiled with Clerk by Rep. La Shawn K. Ford

    12/2/2024House

Bill Text

  • House Amendment 1

  • Introduced

Related Bills

Back to State Legislation