# Illinois HB0004: MEDICAID-PHARMACY SERVICES

Illinois HB0004, MEDICAID-PHARMACY SERVICES, is a 104th General Assembly (2025–2026) House bill sponsored by La Shawn K. Ford (Democratic); status in committee, last action 2025-03-21 (House Committee Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/IL-HB0004-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois HB0004
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: MEDICAID-PHARMACY SERVICES
- Status: in committee
- Chamber: House
- Introduced: 2024-12-02
- Last action: 2025-03-21, House Committee Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee
- Sponsor: La Shawn K. Ford (Democratic)
- Cosponsors: 0
- Subjects: appropriations-health and human services
- Touches household money: no
- Economic provisions PRIA read: 0

## 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.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: La Shawn K. Ford (Democratic), House

## Actions (9)

- 2025-03-21: House Committee Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee (House)
- 2025-03-21: Rule 19(a) / Re-referred to Rules Committee (House)
- 2025-03-11: House Committee Amendment No. 1 Rules Refers to Appropriations-Health and Human Services Committee (House)
- 2025-03-05: House Committee Amendment No. 1 Referred to Rules Committee (House)
- 2025-03-05: House Committee Amendment No. 1 Filed with Clerk by Rep. La Shawn K. Ford (House)
- 2025-02-04: Assigned to Appropriations-Health and Human Services Committee (House)
- 2025-01-09: Referred to Rules Committee (House)
- 2025-01-09: First Reading (House)
- 2024-12-02: Prefiled with Clerk by Rep. La Shawn K. Ford (House)

## Bill text

- House Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB0004ham001.pdf)
- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB0004.pdf)

## Related bills

- HB5198: AFFORDABLE HOUSING-CILAS (passed house)
- SB1937: PENSION CODE-VARIOUS (passed senate)
- HB2563: CONDO-RESERVE STUDY (in committee)
- HB4701: LIMITATIONS FACILITY FEES ACT (in committee)
- SB3008: DHS-ABLE PROGRAM INFO MATERIAL (passed senate)
- SB3484: VEH CD-PLATES-REGISTRATION (signed)

## Sources
- [House Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB0004ham001.pdf)
- [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB0004.pdf)

## Related
- [HB5198: AFFORDABLE HOUSING-CILAS](https://policyrisk.com/state-bill/IL-HB5198-2025-2026)
- [SB1937: PENSION CODE-VARIOUS](https://policyrisk.com/state-bill/IL-SB1937-2025-2026)
- [HB2563: CONDO-RESERVE STUDY](https://policyrisk.com/state-bill/IL-HB2563-2025-2026)
- [HB4701: LIMITATIONS FACILITY FEES ACT](https://policyrisk.com/state-bill/IL-HB4701-2025-2026)
- [SB3008: DHS-ABLE PROGRAM INFO MATERIAL](https://policyrisk.com/state-bill/IL-SB3008-2025-2026)
- [SB3484: VEH CD-PLATES-REGISTRATION](https://policyrisk.com/state-bill/IL-SB3484-2025-2026)
- [Illinois bills](https://policyrisk.com/states/illinois/bills)
- [Illinois state hub](https://policyrisk.com/states/illinois)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/IL-HB0004-2025-2026 (as of 2026-11-01).