# Illinois HB5804: MEDICAID-MCO RX PAYMENTS

Illinois HB5804, MEDICAID-MCO RX PAYMENTS, is a 104th General Assembly (2025–2026) House bill sponsored by Dave Vella (Democratic); status filed, last action 2026-09-04 (Added Co-Sponsor Rep. Theresa Mah) (as of 2026-11-01).

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- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois HB5804
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: MEDICAID-MCO RX PAYMENTS
- Status: filed
- Chamber: House
- Introduced: 2026-07-22
- Last action: 2026-09-04, Added Co-Sponsor Rep. Theresa Mah
- Sponsor: Dave Vella (Democratic)
- Cosponsors: 2
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires a Medicaid managed care organization to reimburse a pharmacy provider that is not a critical access care pharmacy for dispensing fees and acquisition costs at no less than the amounts established under the fee-for-service program whether the Medicaid managed care organization directly reimburses those pharmacy providers or contracts with a pharmacy benefit manager to reimburse those pharmacy providers. Provides that the reimbursement requirement applies to all pharmacy services for persons receiving benefits under the Code including other specified pharmacy services.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Dave Vella (Democratic), House
- Cosponsor: Maurice A. West, II (Democratic), House
- Cosponsor: Theresa Mah (Democratic), House

## Actions (3)

- 2026-09-04: Added Co-Sponsor Rep. Theresa Mah (House)
- 2026-09-04: Added Co-Sponsor Rep. Maurice A. West, II (House)
- 2026-07-22: Filed with the Clerk by Rep. Dave Vella (House)

## Bill text

- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5804.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
- [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5804.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-HB5804-2025-2026 (as of 2026-11-01).