IL HB0465 | 2019-2020 | 101st General Assembly
Status
Completed Legislative Action
Spectrum: Slight Partisan Bill (Democrat 34-17)
Status: Passed on August 23 2019 - 100% progression
Action: 2019-08-23 - Public Act . . . . . . . . . 101-0452
Text: Latest bill text (Chaptered) [HTML]
Spectrum: Slight Partisan Bill (Democrat 34-17)
Status: Passed on August 23 2019 - 100% progression
Action: 2019-08-23 - Public Act . . . . . . . . . 101-0452
Text: Latest bill text (Chaptered) [HTML]
Summary
Reinserts the provisions of House Amendment No. 1, but with the following changes: Further amends the Illinois Insurance Code. In a provision concerning contracts between health insurers and pharmacy benefit managers, provides that such contracts must require pharmacy benefit managers to: (1) update maximum allowable cost pricing information at least every 7 calendar days; (2) provide access to its maximum allowable cost list to each pharmacy or pharmacy services administrative organization, as defined, subject to the maximum allowable cost list; (4) provide a process by which a contracted pharmacy can appeal the provider's reimbursement for a drug subject to maximum allowable cost pricing; and other matters. Regarding a drug on the maximum allowable cost list, requires pharmacy benefits managers to ensure that: (i) if a drug is a generically equivalent drug, it is listed as therapeutically equivalent and pharmaceutically equivalent to certain rating standards; (ii) the drug is available for purchase by each pharmacy in the State from national or regional wholesalers operating in Illinois; and (ii) the drug is not obsolete (rather than requiring a drug to have at least 3 or more nationally available, therapeutically equivalent, multiple source generic drugs with a significant cost difference and be available for purchase without limitations by all pharmacies in the State from national or regional wholesalers). Permits the Director of Insurance to examine a pharmacy benefit manager's designee, representative, or other specified persons (rather than any individual) about the business of the pharmacy benefit manager. Contains provisions concerning the denial of a pharmacy benefits manager's registration application or the suspension or revocation of a pharmacy benefits manager's registration. Defines terms. Further amends the Managed Care Reform and Patient Rights Act. Makes changes to the definition of "emergency medical condition". Removes changes made to a provision concerning the denial of coverage and payment for emergency services provided without prior authorization or an approved plan. Further amends the Illinois Public Aid Code. Makes changes to certain reporting requirements imposed on the Director of Healthcare and Family Services. Requires a pharmacy benefit manager to make certain disclosures to the Department of Healthcare and Family Services upon request. Requires a pharmacy benefit manager to make certain written disclosures to a pharmacy provider or pharmacy services administrative organization. Defines "pharmacy services administrative organization." Requires the Department to adopt rules establishing reasonable dispensing fees for fee-for-service payments in accordance with guidance or guidelines from the federal Centers for Medicare and Medicaid Services.
Title
REGULATION-TECH
Sponsors
Roll Calls
2019-05-29 - Senate - Third Reading in Senate (Y: 57 N: 0 NV: 2 Abs: 0) [PASS]
2019-04-11 - House - Third Reading in House (Y: 113 N: 0 NV: 1 Abs: 0) [PASS]
2019-04-11 - House - Third Reading in House (Y: 113 N: 0 NV: 1 Abs: 0) [PASS]
History
Date | Chamber | Action |
---|---|---|
2019-08-23 | House | Public Act . . . . . . . . . 101-0452 |
2019-08-23 | House | Effective Date January 1, 2020 |
2019-08-23 | House | Governor Approved |
2019-06-27 | House | Sent to the Governor |
2019-05-29 | House | Passed Both Houses |
2019-05-29 | Senate | Third Reading - Passed; 057-000-000 |
2019-05-29 | Senate | Added as Alternate Co-Sponsor Sen. Napoleon Harris, III |
2019-05-24 | Senate | Rule 2-10 Third Reading Deadline Established As May 31, 2019 |
2019-05-23 | Senate | Added as Alternate Co-Sponsor Sen. Chapin Rose |
2019-05-23 | Senate | Added as Alternate Co-Sponsor Sen. Chuck Weaver |
2019-05-16 | Senate | Placed on Calendar Order of 3rd Reading May 17, 2019 |
2019-05-16 | Senate | Second Reading |
2019-05-14 | Senate | Added as Alternate Co-Sponsor Sen. Paul Schimpf |
2019-05-09 | Senate | Added as Alternate Co-Sponsor Sen. Steve McClure |
2019-05-09 | Senate | Placed on Calendar Order of 2nd Reading May 14, 2019 |
2019-05-09 | Senate | Do Pass Insurance; 018-000-000 |
2019-05-03 | Senate | Added as Alternate Co-Sponsor Sen. Sue Rezin |
2019-05-02 | Senate | Added as Alternate Co-Sponsor Sen. Jennifer Bertino-Tarrant |
2019-05-01 | Senate | Added as Alternate Co-Sponsor Sen. Dan McConchie |
2019-05-01 | Senate | Added as Alternate Chief Co-Sponsor Sen. Melinda Bush |
2019-04-30 | Senate | Added as Alternate Chief Co-Sponsor Sen. Laura M. Murphy |
2019-04-30 | Senate | Added as Alternate Chief Co-Sponsor Sen. Dale Fowler |
2019-04-29 | Senate | Added as Alternate Chief Co-Sponsor Sen. Linda Holmes |
2019-04-25 | Senate | Alternate Chief Sponsor Changed to Sen. Andy Manar |
2019-04-24 | Senate | Assigned to Insurance |
2019-04-12 | Senate | Referred to Assignments |
2019-04-12 | Senate | First Reading |
2019-04-12 | Senate | Chief Senate Sponsor Sen. John J. Cullerton |
2019-04-12 | Senate | Placed on Calendar Order of First Reading |
2019-04-12 | Senate | Arrive in Senate |
2019-04-11 | House | Third Reading - Short Debate - Passed 113-000-001 |
2019-04-11 | House | Added Co-Sponsor Rep. Tim Butler |
2019-04-11 | House | Placed on Calendar Order of 3rd Reading - Short Debate |
2019-04-11 | House | House Floor Amendment No. 2 Adopted |
2019-04-11 | House | Added Co-Sponsor Rep. Aaron M. Ortiz |
2019-04-11 | House | Added Co-Sponsor Rep. Joyce Mason |
2019-04-11 | House | Added Co-Sponsor Rep. Maurice A. West, II |
2019-04-11 | House | Added Co-Sponsor Rep. Lamont J. Robinson, Jr. |
2019-04-11 | House | Added Co-Sponsor Rep. Jennifer Gong-Gershowitz |
2019-04-11 | House | Added Co-Sponsor Rep. Anne Stava-Murray |
2019-04-11 | House | Added Co-Sponsor Rep. Kelly M. Cassidy |
2019-04-11 | House | Added Co-Sponsor Rep. Delia C. Ramirez |
2019-04-11 | House | Added Co-Sponsor Rep. Celina Villanueva |
2019-04-11 | House | Added Co-Sponsor Rep. Carol Ammons |
2019-04-11 | House | Added Co-Sponsor Rep. Keith P. Sommer |
2019-04-11 | House | House Floor Amendment No. 2 Recommends Be Adopted Prescription Drug Affordability & Accessibility Committee; 011-000-000 |
2019-04-10 | House | Held on Calendar Order of Second Reading - Short Debate |
2019-04-10 | House | Second Reading - Short Debate |
2019-04-10 | House | House Floor Amendment No. 2 Rules Refers to Prescription Drug Affordability & Accessibility Committee |
2019-04-10 | House | Added Co-Sponsor Rep. Yehiel M. Kalish |
2019-04-09 | House | House Floor Amendment No. 2 Referred to Rules Committee |
2019-04-09 | House | House Floor Amendment No. 2 Filed with Clerk by Rep. Gregory Harris |
2019-04-02 | House | Added Co-Sponsor Rep. Thomas M. Bennett |
2019-04-01 | House | Added Co-Sponsor Rep. Kelly M. Burke |
2019-03-29 | House | Added Chief Co-Sponsor Rep. Elizabeth Hernandez |
2019-03-29 | House | Added Co-Sponsor Rep. Brad Halbrook |
2019-03-29 | House | Placed on Calendar 2nd Reading - Short Debate |
2019-03-27 | House | Do Pass as Amended / Short Debate Prescription Drug Affordability & Accessibility Committee; 016-000-000 |
2019-03-27 | House | House Committee Amendment No. 1 Adopted in Prescription Drug Affordability & Accessibility Committee; by Voice Vote |
2019-03-26 | House | Added Co-Sponsor Rep. Dave Severin |
2019-03-19 | House | House Committee Amendment No. 1 Rules Refers to Prescription Drug Affordability & Accessibility Committee |
2019-03-19 | House | Re-assigned to Prescription Drug Affordability & Accessibility Committee |
2019-03-14 | House | Added Co-Sponsor Rep. Sara Feigenholtz |
2019-03-14 | House | Added Co-Sponsor Rep. Grant Wehrli |
2019-03-14 | House | Added Co-Sponsor Rep. Mike Murphy |
2019-03-14 | House | Added Co-Sponsor Rep. Dan Caulkins |
2019-03-14 | House | Added Co-Sponsor Rep. Emanuel Chris Welch |
2019-03-14 | House | Added Co-Sponsor Rep. Jerry Costello, II |
2019-03-14 | House | Added Co-Sponsor Rep. Jaime M. Andrade, Jr. |
2019-03-14 | House | Added Co-Sponsor Rep. Michael Halpin |
2019-03-14 | House | Added Co-Sponsor Rep. Robert Martwick |
2019-03-14 | House | Added Co-Sponsor Rep. Robyn Gabel |
2019-03-14 | House | Added Co-Sponsor Rep. Will Guzzardi |
2019-03-14 | House | Added Co-Sponsor Rep. Martin J. Moylan |
2019-03-14 | House | Added Co-Sponsor Rep. Ann M. Williams |
2019-03-14 | House | Added Co-Sponsor Rep. Michael J. Zalewski |
2019-03-14 | House | Added Co-Sponsor Rep. Mark L. Walker |
2019-03-14 | House | Added Co-Sponsor Rep. Monica Bristow |
2019-03-14 | House | Added Co-Sponsor Rep. Darren Bailey |
2019-03-14 | House | Added Chief Co-Sponsor Rep. Anna Moeller |
2019-03-14 | House | Chief Sponsor Changed to Rep. Gregory Harris |
2019-03-14 | House | Added Chief Co-Sponsor Rep. C.D. Davidsmeyer |
2019-03-11 | House | House Committee Amendment No. 1 Referred to Rules Committee |
2019-03-11 | House | House Committee Amendment No. 1 Filed with Clerk by Rep. Gregory Harris |
2019-02-05 | House | Assigned to Executive Committee |
2019-01-18 | House | Referred to Rules Committee |
2019-01-18 | House | First Reading |
2019-01-17 | House | Filed with the Clerk by Rep. Michael J. Madigan |
Code Citations
Chapter | Article | Section | Citation Type | Statute Text |
---|---|---|---|---|
205 | 616 | 20 | Amended Code | Citation Text |