Votes: IL HB5804 | 2025-2026 | 104th General Assembly

Bill Title: 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.

Sponsorship: Partisan Bill (Democrat 1)

Status: (Introduced - Dead) 2026-07-22 - Filed with the Clerk by Rep. Dave Vella [HB5804 Detail]

Text: Latest bill text (Introduced) [HTML]

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