IllinoisSB1844104th General Assembly (2025–2026)Senate

MEDICAID-MENTAL HLTH-DRUG RPTS

Sponsored By: Sara Feigenholtz (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.

assignmentsbehavioral and mental health

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Sara Feigenholtz

    Democratic • Senate

Cosponsors

  • Graciela Guzmán

    Democratic • Senate

  • Laura Fine

    Democratic • Senate

  • Mary Edly-Allen

    Democratic • Senate

  • Mike Simmons

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 8 • No: 0

Senate vote • 3/5/2025

Do Pass Behavioral and Mental Health;

Yes: 8 • No: 0

Actions Timeline

  1. Rule 3-9(a) / Re-referred to Assignments

    6/2/2025Senate
  2. Added as Co-Sponsor Sen. Graciela Guzmán

    5/27/2025Senate
  3. Rule 2-10 Third Reading Deadline Established As June 1, 2025

    5/23/2025Senate
  4. Rule 2-10 Third Reading Deadline Established As May 23, 2025

    5/9/2025Senate
  5. Rule 2-10 Third Reading Deadline Established As May 9, 2025

    4/11/2025Senate
  6. Added as Co-Sponsor Sen. Mike Simmons

    4/9/2025Senate
  7. Added as Co-Sponsor Sen. Mary Edly-Allen

    3/20/2025Senate
  8. Placed on Calendar Order of 2nd Reading March 6, 2025

    3/5/2025Senate
  9. Do Pass Behavioral and Mental Health; 008-000-000

    3/5/2025Senate
  10. Added as Chief Co-Sponsor Sen. Laura Fine

    2/28/2025Senate
  11. Assigned to Behavioral and Mental Health

    2/18/2025Senate
  12. Referred to Assignments

    2/6/2025Senate
  13. First Reading

    2/6/2025Senate
  14. Filed with Secretary by Sen. Sara Feigenholtz

    2/6/2025Senate

Bill Text

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