HB4430sam001 102ND GENERAL ASSEMBLY

Sen. Mike Simmons

Filed: 3/16/2022

10200HB4430sam001 LRB102 22176 AMQ 37352 a

AMENDMENT TO HOUSE BILL 4430

AMENDMENT NO. ______. Amend House Bill 4430 on page 3, line 6, by replacing "356z.1a" with "356z.45"; and

on page 3, by replacing lines 7 through 19 as follows:

"(215 ILCS 5/356z.45)

Sec. 356z.45 356z.43. Coverage for patient care services provided by a pharmacist. A group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2023 shall provide coverage for health care or patient care services provided by a pharmacist if:

(1) the pharmacist meets the requirements and scope of practice as set forth in Section 43 or Section 43.5 of the Pharmacy Practice Act;

(2) the health plan provides coverage for the same service provided by a licensed physician, an advanced practice registered nurse, or a physician assistant;

(3) the pharmacist is included in the health benefit plan's network of participating providers; and

(4) a reimbursement has been successfully negotiated in good faith between the pharmacist and the health plan.

(Source: P.A. 102-103, eff. 1-1-23; revised 10-26-21.)".