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<xml>
<title>Illinois General Assembly - Bill Status for HB 2438         </title>
<shortdesc>MEDICAID-RX-MENTAL ILLNESS</shortdesc>
<sponsor>
<sponsorhead1>House Sponsors</sponsorhead1><sponsors>Rep. Maurice A. West, II</sponsors>
</sponsor>
<lastaction>
<statusdate>2/4/2025</statusdate><chamber>House</chamber><action>Referred to Rules Committee</action>
</lastaction>
<synopsis>
<synopsistitle></synopsistitle>
<reference>305 ILCS 5/5-5.12f</reference><aliasreference></aliasreference><SynopsisText>     Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions prohibiting prior authorization mandates and utilization management controls under the fee-for-service and managed care medical assistance programs on specified FDA-approved prescription drugs for mental illness, provides that the prohibition shall apply if a preferred or non-preferred drug is prescribed to an adult patient to treat a serious mental illness and during the preceding 60 days, the patient who experienced an inadequate response was prescribed and unsuccessfully treated with a 14-day treatment trial of a drug for the same clinical condition that is included on the preferred drug list. Removes provisions conditioning the receipt of prescription drugs without prior authorization on: (i) the patient changing providers while receiving a previously authorized prescription drug; (ii) the patient changing insurance coverage while receiving a previously authorized prescription drug; and (iii) the patient's prescription for a previously authorized drug modifies the dosage, dosage frequency, or both, of the drug as part of the same treatment for which the drug was previously prescribed.</SynopsisText></synopsis>
<actions>
<statusdate>2/3/2025</statusdate><chamber>House</chamber><action>Filed with the Clerk by Rep. Maurice A. West, II</action>
<statusdate>2/4/2025</statusdate><chamber>House</chamber><action>First Reading</action>
<statusdate>2/4/2025</statusdate><chamber>House</chamber><action>Referred to Rules Committee</action>
</actions>
</xml>

