Illinois General Assembly - Bill Status for SB1465
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 Bill Status of SB1465  99th General Assembly


Short Description:  MEDICAID-HEPATITIS C-TREATMENT

Senate Sponsors
Sen. Donne E. Trotter - Heather A. Steans - Jacqueline Y. Collins and Emil Jones, III

House Sponsors
(Rep. Sara Feigenholtz - Robyn Gabel)

Last Action
DateChamber Action
  1/10/2017SenateSession Sine Die

Statutes Amended In Order of Appearance
305 ILCS 5/5-5.12b new


Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that prior approval by the Department of Healthcare and Family Services to administer to a recipient of medical assistance any interferon-free therapy for the treatment of the hepatitis C virus shall be limited to certain criteria, including that: (i) the recipient must be 18 years of age; (ii) the recipient must have a diagnosis of chronic hepatitis C infection, genotype 1, 2, 3, or 4, confirmed by stage 2 fibrosis; (iii) the recipient must not have end stage renal disease requiring dialysis; and (iv) the recipient may not have abused a controlled substance within the past 6 months. Provides that the Department may not use certain criteria as a basis for requiring prior approval to administer to a recipient of medical assistance any interferon-free therapy for the treatment of the hepatitis C virus, including: (a) any evidence or known diagnosis of malignancy of any body organ; (b) the recipient's mental capacity or any determination related to the recipient's ability to make appropriate decisions about the interferon-free therapy treatment or to comply with related instructions; and (c) the fact that the recipient was previously administered an interferon-free therapy for the treatment of the hepatitis C virus. Contains provisions concerning persons authorized to prescribe an interferon-free therapy for the treatment of the hepatitis C virus to a recipient of medical assistance; the submission of lab results; an appeals process; and payments to managed care entities for any interferon-free therapy for the treatment of the hepatitis C virus that is prescribed to a recipient of medical assistance. Effective immediately.

Senate Floor Amendment No. 1
In the list of persons authorized to prescribe any interferon-free therapy for the treatment of the hepatitis C virus to a recipient of medical assistance, changes the list of authorized persons to include "any physician licensed to practice medicine in all its branches with a current license who has received a written consultation report" from a board-certified gastroenterologist or specialist in a relevant sub-specialty or from an infectious disease specialist (rather than any physician holding a current unrestricted license to practice medicine who, within 6 months prior to submitting a prior approval request as prescribed by the Department, has (i) completed a course in Illinois with a 3-year certification period that is provided by a program which aims to build the healthcare system's capacity to diagnose and cure persons with the hepatitis C virus or (ii) received a written consultation report from a board-certified gastroenterologist or specialist in a relevant sub-specialty or from an infectious disease specialist). Provides that a formal request for prior approval to administer to a medical assistance recipient any interferon-free therapy for the treatment of the hepatitis "C virus shall not be submitted to the Department without a written" consultation report (rather than a formal request for prior approval to administer to a medical assistance recipient any interferon-free therapy for the treatment of the hepatitis C virus shall not be submitted before the Department receives either documentation that the physician has satisfied the 3-year certification period of an eligible program or a written consultation report).

Actions 
DateChamber Action
  2/20/2015SenateFiled with Secretary by Sen. Donne E. Trotter
  2/20/2015SenateFirst Reading
  2/20/2015SenateReferred to Assignments
  3/3/2015SenateAssigned to Human Services
  3/4/2015SenateAdded as Chief Co-Sponsor Sen. Heather A. Steans
  3/4/2015SenateAdded as Chief Co-Sponsor Sen. Jacqueline Y. Collins
  3/11/2015SenatePostponed - Human Services
  3/18/2015SenatePostponed - Human Services
  3/25/2015SenateDo Pass Human Services; 006-003-000
  3/25/2015SenatePlaced on Calendar Order of 2nd Reading March 26, 2015
  4/17/2015SenateSenate Floor Amendment No. 1 Filed with Secretary by Sen. Donne E. Trotter
  4/17/2015SenateSenate Floor Amendment No. 1 Referred to Assignments
  4/21/2015SenateSecond Reading
  4/21/2015SenatePlaced on Calendar Order of 3rd Reading April 22, 2015
  4/21/2015SenateSenate Floor Amendment No. 1 Assignments Refers to Human Services
  4/22/2015SenateSenate Floor Amendment No. 1 Recommend Do Adopt Human Services; 008-000-000
  4/22/2015SenateRecalled to Second Reading
  4/22/2015SenateSenate Floor Amendment No. 1 Adopted; Trotter
  4/22/2015SenatePlaced on Calendar Order of 3rd Reading
  4/22/2015SenateAdded as Co-Sponsor Sen. Emil Jones, III
  4/22/2015SenateThird Reading - Passed; 032-020-000
  4/23/2015HouseArrived in House
  4/23/2015HouseChief House Sponsor Rep. Michael P. McAuliffe
  4/23/2015HouseFirst Reading
  4/23/2015HouseReferred to Rules Committee
  4/24/2015HouseAlternate Chief Sponsor Changed to Rep. Robyn Gabel
  4/24/2015HouseAdded Alternate Co-Sponsor Rep. Michael P. McAuliffe
  5/4/2015HouseAssigned to Appropriations-Human Services Committee
  5/8/2015HouseCommittee Deadline Extended-Rule 9(b) May 15, 2015
  5/22/2015HouseRule 19(a) / Re-referred to Rules Committee
  11/18/2016HouseAlternate Chief Sponsor Changed to Rep. Sara Feigenholtz
  11/18/2016HouseAdded Alternate Chief Co-Sponsor Rep. Robyn Gabel
  11/22/2016HouseAssigned to Appropriations-Human Services Committee
  11/29/2016HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Sara Feigenholtz
  11/29/2016HouseHouse Committee Amendment No. 1 Referred to Rules Committee
  11/29/2016HouseHouse Committee Amendment No. 1 Rules Refers to Appropriations-Human Services Committee
  11/30/2016HouseAlternate Co-Sponsor Removed Rep. Michael P. McAuliffe
  1/3/2017HouseRule 19(b) / Re-referred to Rules Committee
  1/3/2017HouseHouse Committee Amendment No. 1 Rule 19(b) / Re-referred to Rules Committee
  1/10/2017SenateSession Sine Die

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