Illinois House Bill 5804

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Sponsorship: Partisan Bill (Democrat 1)
Status: Introduced on July 22 2026 - 25% progression
Action: 2026-07-22 - Filed with the Clerk by Rep. Dave Vella
Text: Latest bill text (Introduced) [HTML]

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.

MEDICAID-MCO RX PAYMENTS

Rep. Dave Vella [D]

Date	Chamber	Action
2026-07-22	House	Filed with the Clerk by Rep. Dave Vella

Chapter	Article	Section	Citation Type	Statute Text
305	5	5-5.12	Amended Code	Citation Text

Type	Source
Summary	https://www.ilga.gov/Legislation/BillStatus?DocNum=5804&GAID=18&DocTypeID=HB&LegId=168815&SessionID=114
Text	https://www.ilga.gov/Legislation/BillStatus/FullText?LegDocId=211533&DocName=10400HB5804&DocNum=5804&DocTypeID=HB&LegID=168815&GAID=18&SessionID=114&SpecSess=&Session=