IllinoisHB2398104th General Assembly (2025–2026)House

DHFS-MCO-MENTAL HLTH MEDS

Sponsored By: Lindsey LaPointe (Democratic)

In Committee

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision prohibiting prior authorization mandates and utilization management controls under the fee-for-service and managed care medical assistance programs for FDA-approved prescription drugs that treat mental illness, requires the Department of Healthcare and Family Services and managed care organizations to report quarterly on compliance with the specified prohibitions beginning with dates of service on and after July 1, 2025. Requires the Department to post on its website a report on fee-for-service prescriptions and the reports from each managed care organization. Sets forth the information that must be contained in the quarterly reports, including, but not limited to: (i) the number of denied prescriptions and estimated net cost to the State for those covered prescriptions summarized by each of the allowed categories specified in the Code; (ii) the number of denied prescriptions and estimated net cost to the State for those prescriptions summarized by each of the non-allowed categories specified in the Code; and (iii) the number of denied prescriptions and estimated gross cost to the State for those prescriptions summarized by any other reason not specified in the Code. Requires the Department to sanction those managed care organizations that do not file the required reports. Effective immediately.

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

  • Lindsey LaPointe

    Democratic • House

Cosponsors

  • Edgar González, Jr.

    Democratic • House

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Added Co-Sponsor Rep. Edgar González, Jr.

    3/28/2025House
  2. Rule 19(a) / Re-referred to Rules Committee

    3/21/2025House
  3. To Medicaid Subcommittee

    3/4/2025House
  4. Assigned to Human Services Committee

    2/25/2025House
  5. Referred to Rules Committee

    2/4/2025House
  6. First Reading

    2/4/2025House
  7. Filed with the Clerk by Rep. Lindsey LaPointe

    1/31/2025House

Bill Text

Related Bills

Back to State Legislation