103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB0023

 

Introduced 1/12/2023, by Rep. La Shawn K. Ford

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-5.12f new

    Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to conduct a study on managed care pharmacy access standards. Provides that the study shall review the current access standards, with a focus on disproportionately impacted areas. Requires the Department to seek input from consumers of pharmacy services. Requires the Department to report its findings to the Governor and the General Assembly by January 1, 2024 and to publish the report on the Department's website. Provides that any retail pharmacy that is enrolled as an eligible retail pharmacy provider in the medical assistance program and is not sanctioned under investigation for fraud, waste, or abuse shall provide retail pharmacy services to any medical assistance recipient who resides in the same zip code as the pharmacy, regardless of whether the retail pharmacy is contracted to provide pharmacy services for the managed care organization that the recipient is enrolled with. Requires the managed care organization to pay the retail pharmacy the managed care organization's standard contractual rate. Effective immediately.


LRB103 03512 KTG 48518 b

 

 

A BILL FOR

 

HB0023LRB103 03512 KTG 48518 b

1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5adding Section 5-5.12f as follows:
 
6    (305 ILCS 5/5-5.12f new)
7    Sec. 5-5.12f. Pharmacy services; report on access
8standards.
9    (a) The Department shall conduct a study on managed care
10pharmacy access standards. The study shall review the current
11access standards, with a focus on disproportionately impacted
12areas. The Department shall seek input from consumers of
13pharmacy services. The Department shall report its findings to
14the Governor and the General Assembly by January 1, 2024. The
15Department shall post the report on its website.
16    (b) Any retail pharmacy that is enrolled as an eligible
17retail pharmacy provider in the medical assistance program and
18is not sanctioned under investigation for fraud, waste, or
19abuse shall provide retail pharmacy services to any medical
20assistance recipient who resides in the same zip code as the
21pharmacy, regardless of whether the retail pharmacy is
22contracted to provide pharmacy services for the managed care
23organization that the recipient is enrolled with. The managed

 

 

HB0023- 2 -LRB103 03512 KTG 48518 b

1care organization shall pay such a retail pharmacy the managed
2care organization's standard contractual rate.
 
3    Section 99. Effective date. This Act takes effect upon
4becoming law.