HB 4430

  • Illinois House Bill
  • 102nd Regular Session
  • Introduced in House Apr 01, 2022
  • Passed House Mar 03, 2022
  • Passed Senate Apr 01, 2022
  • Governor

Pharmacy-Hiv Patient Care

Abstract

Amends the Pharmacy Practice Act. Provides that the definition of "practice of pharmacy" includes the initiation, dispensing, or administration of drugs, laboratory tests, assessments, referrals, and consultations for human immunodeficiency virus pre-exposure prophylaxis and human immunodeficiency virus post-exposure prophylaxis. Provides that as applicable to the State's Medicaid program and other payers, patient care services ordered and administered by a pharmacist shall be covered and reimbursed at no less than 85% of the rate that the services are covered and reimbursed when ordered or administered by physicians. Provides that a pharmacist shall provide patient care services for human immunodeficiency virus pre-exposure prophylaxis and human immunodeficiency virus post-exposure prophylaxis to a patient after satisfying specified requirements. Amends the Illinois Public Aid Code. Provides that specified provisions concerning coverage of patient care services provided by a pharmacist shall apply to all patient care services provided by a pharmacist (rather than patient care services for hormonal contraceptives assessment and consultation only). Effective immediately. House Floor Amendment No. 1 Deletes reference to: 225 ILCS 85/43 Adds reference to: 210 ILCS 25/7-101 from Ch. 111 1/2, par. 627-101 210 ILCS 25/7-102 from Ch. 111 1/2, par. 627-102 215 ILCS 5/356z.1a new 225 ILCS 85/9 from Ch. 111, par. 4129 225 ILCS 85/43.5 new Replaces everything after the enacting clause. Amends the Pharmacy Practice Act. Provides that in accordance with a standing order by a physician licensed to practice medicine in all its branches or the medical director of a county or local health department, a pharmacist may provide patients with prophylaxis drugs for human immunodeficiency virus pre-exposure prophylaxis or post-exposure prophylaxis. Provides that a pharmacist may provide initial assessment and dispensing of prophylaxis drugs for human immunodeficiency virus pre-exposure prophylaxis or post-exposure prophylaxis. Contains requirements for the standing order. Provides that a pharmacist must communicate the services provided under the provisions to the patient and the patient's primary health care provider or other health care professional or clinic, if known. Provides that if there is no primary health care provider provided by the patient, then the pharmacist must give a list of primary health care providers or clinics in the area. Provides that a pharmacist shall complete an educational training program accredited by the Accreditation Council for Pharmacy Education or Department of Financial and Professional Regulation related to human immunodeficiency virus pre-exposure prophylaxis and human immunodeficiency virus post-exposure prophylaxis. Makes conforming and other changes. Makes corresponding changes in the Illinois Clinical Laboratory and Blood Bank Act. Amends the Illinois Insurance Code. Provides that an insurance carrier or third-party payor shall reimburse a pharmacist or other health care professional for dispensing HIV prophylaxis medications and providing other services to a covered person in accordance with the current version of the guidelines of the Centers for Disease Control and Prevention and the United States Preventive Services Task Force. Provides that reimbursement shall provide an adequate consultation fee or, if medical billing is not available, an enhanced dispensing fee that is equivalent to 85% of the fees for services provided by an advanced practice registered nurse or physician. Amends the Illinois Public Aid Code. Provides that services provided by the pharmacist under the provisions concerning HIV prophylaxis in the Pharmacy Practice Act shall be covered and reimbursed at no less than 85% of the rate that the services are reimbursed when provided by a physician. Makes other changes. Effective January 1, 2023. Senate Committee Amendment No. 1 Deletes reference to: 215 ILCS 5/356z.1a new Adds reference to: 215 ILCS 5/356z.45 Provides that 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 the pharmacist meets the requirements and scope of practice as set forth in provisions concerning HIV prophylaxis of the Pharmacy Practice Act (instead of a provision providing that an insurance carrier or third-party payor shall reimburse a pharmacist or other health care professional for dispensing HIV prophylaxis drugs and providing services under provisions concerning HIV prophylaxis of the Pharmacy Practice Act to a covered person in accordance with the current version of the guidelines of the Centers for Disease Control and Prevention and the United States Preventive Services Task Force).

Bill Sponsors (58)

Diane Pappas

     
Cosponsor

Votes


Actions


Apr 20, 2022

House

Sent to the Governor

Apr 12, 2022

House

Motion to Reconsider Vote - Withdrawn Rep. Margaret Croke

House

Passed Both Houses

Apr 07, 2022

House

House Concurs

House

Motion Filed to Reconsider Vote Rep. Margaret Croke

House

Senate Committee Amendment No. 1 House Concurs 072-030-000

Apr 06, 2022

House

Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Licenses Committee; 005-003-000

Apr 05, 2022

House

Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Health Care Licenses Committee

House

Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee

House

Senate Committee Amendment No. 1 Motion Filed Concur Rep. Kelly M. Cassidy

Apr 04, 2022

House

Added Co-Sponsor Rep. Kambium Buckner

Apr 01, 2022

Senate

Added as Alternate Co-Sponsor Sen. Omar Aquino

Senate

Third Reading - Passed; 037-012-000

House

Placed on Calendar Order of Concurrence Senate Amendment(s) 1

Senate

Added as Alternate Co-Sponsor Sen. Robert F. Martwick

House

Arrived in House

Mar 31, 2022

Senate

Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford

Mar 30, 2022

Senate

Added as Alternate Co-Sponsor Sen. Melinda Bush

Senate

Added as Alternate Co-Sponsor Sen. Jacqueline Y. Collins

Mar 29, 2022

Senate

Added as Alternate Co-Sponsor Sen. Emil Jones, III

Senate

Added as Alternate Co-Sponsor Sen. Jason A. Barickman

Mar 24, 2022

Senate

Added as Alternate Co-Sponsor Sen. Ram Villivalam

Mar 23, 2022

Senate

Added as Alternate Co-Sponsor Sen. Ann Gillespie

Senate

Added as Alternate Co-Sponsor Sen. Diane Pappas

Senate

Senate Committee Amendment No. 1 Adopted

Senate

Do Pass as Amended Executive; 014-002-000

Senate

Placed on Calendar Order of 2nd Reading

Senate

Added as Alternate Co-Sponsor Sen. Karina Villa

Senate

Second Reading

Senate

Placed on Calendar Order of 3rd Reading March 24, 2022

Senate

Added as Alternate Co-Sponsor Sen. Laura M. Murphy

Mar 22, 2022

Senate

Added as Alternate Co-Sponsor Sen. Adriane Johnson

Senate

Added as Alternate Co-Sponsor Sen. John Connor

Senate

Senate Committee Amendment No. 1 Assignments Refers to Executive

Mar 21, 2022

Senate

Added as Alternate Co-Sponsor Sen. Bill Cunningham

Mar 16, 2022

Senate

Added as Alternate Co-Sponsor Sen. Christopher Belt

Senate

Added as Alternate Chief Co-Sponsor Sen. Robert Peters

Senate

Senate Committee Amendment No. 1 Referred to Assignments

Senate

Senate Committee Amendment No. 1 Filed with Secretary by Sen. Mike Simmons

Senate

Assigned to Executive

Mar 10, 2022

Senate

Added as Alternate Co-Sponsor Sen. Celina Villanueva

Senate

Added as Alternate Chief Co-Sponsor Sen. Doris Turner

Senate

Added as Alternate Chief Co-Sponsor Sen. Mattie Hunter

Mar 09, 2022

Senate

Added as Alternate Co-Sponsor Sen. Cristina Castro

Senate

Added as Alternate Co-Sponsor Sen. Sara Feigenholtz

Mar 08, 2022

Senate

Added as Alternate Chief Co-Sponsor Sen. Cristina H. Pacione-Zayas

Senate

Added as Alternate Co-Sponsor Sen. Laura Fine

Mar 07, 2022

Senate

Placed on Calendar Order of First Reading

Senate

Arrive in Senate

Senate

First Reading

Senate

Referred to Assignments

Senate

Chief Senate Sponsor Sen. Mike Simmons

Mar 04, 2022

House

Motion to Reconsider Vote - Withdrawn Rep. Kelly M. Cassidy

Mar 03, 2022

House

House Floor Amendment No. 1 Adopted

House

Third Reading - Short Debate - Passed 071-024-000

House

Motion Filed to Reconsider Vote Rep. Kelly M. Cassidy

House

Added Co-Sponsor Rep. Katie Stuart

House

Placed on Calendar Order of 3rd Reading - Short Debate

Mar 02, 2022

House

Second Reading - Short Debate

House

Held on Calendar Order of Second Reading - Short Debate

House

House Floor Amendment No. 1 Recommends Be Adopted Health Care Licenses Committee; 008-000-000

House

Added Co-Sponsor Rep. LaToya Greenwood

House

House Floor Amendment No. 1 Rules Refers to Health Care Licenses Committee

Mar 01, 2022

House

House Floor Amendment No. 1 Filed with Clerk by Rep. Kelly M. Cassidy

House

House Floor Amendment No. 1 Referred to Rules Committee

Feb 23, 2022

House

Added Co-Sponsor Rep. Theresa Mah

Feb 17, 2022

House

Placed on Calendar 2nd Reading - Short Debate

Feb 16, 2022

House

Added Co-Sponsor Rep. Janet Yang Rohr

House

Do Pass / Short Debate Health Care Licenses Committee; 008-000-000

House

Added Co-Sponsor Rep. Camille Y. Lilly

House

Added Co-Sponsor Rep. Lakesia Collins

House

Added Co-Sponsor Rep. Edgar Gonzalez, Jr.

House

Added Co-Sponsor Rep. William Davis

House

Added Co-Sponsor Rep. Stephanie A. Kifowit

House

Added Co-Sponsor Rep. Mark L. Walker

House

Added Co-Sponsor Rep. Will Guzzardi

House

Added Co-Sponsor Rep. Jaime M. Andrade, Jr.

House

Added Co-Sponsor Rep. Marcus C. Evans, Jr.

House

Added Chief Co-Sponsor Rep. Dagmara Avelar

House

Added Co-Sponsor Rep. Jennifer Gong-Gershowitz

House

Added Co-Sponsor Rep. Anna Moeller

House

Added Co-Sponsor Rep. Michael J. Zalewski

Feb 09, 2022

House

Added Chief Co-Sponsor Rep. Lamont J. Robinson, Jr.

House

Added Co-Sponsor Rep. Carol Ammons

House

Added Co-Sponsor Rep. La Shawn K. Ford

Feb 01, 2022

House

Assigned to Health Care Licenses Committee

Jan 31, 2022

House

Added Co-Sponsor Rep. Kathleen Willis

House

Added Co-Sponsor Rep. Michelle Mussman

House

Added Co-Sponsor Rep. Robyn Gabel

House

Added Co-Sponsor Rep. Lindsey LaPointe

House

Added Co-Sponsor Rep. Aaron M. Ortiz

Jan 24, 2022

House

Added Co-Sponsor Rep. Bob Morgan

Jan 21, 2022

House

First Reading

House

Referred to Rules Committee

Jan 19, 2022

House

Added Co-Sponsor Rep. Ann M. Williams

House

Added Co-Sponsor Rep. Sam Yingling

House

Added Co-Sponsor Rep. Anne Stava-Murray

Jan 18, 2022

House

Added Chief Co-Sponsor Rep. Margaret Croke

House

Added Chief Co-Sponsor Rep. Greg Harris

Jan 10, 2022

House

Filed with the Clerk by Rep. Kelly M. Cassidy

Bill Text

Bill Text Versions Format
Introduced HTML PDF
Engrossed HTML PDF
Enrolled HTML PDF
House Amendment 001 HTML PDF
Senate Amendment 001 HTML PDF

Related Documents

Document Format
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Sources

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