HB 4595

  • Illinois House Bill
  • 102nd Regular Session
  • Introduced in House Mar 04, 2022
  • Passed House Mar 03, 2022
  • Passed Senate Mar 30, 2022
  • Became Law May 13, 2022

Ins-Drug Discount Program

Abstract

Amends the Illinois Insurance Code. Provides that a contract between a pharmacy benefit manager or third-party payer and a covered entity under Section 340B of the federal Public Health Service Act shall not contain specified provisions. Provides that a violation by a pharmacy benefit manager constitutes an unfair or deceptive act or practice in the business of insurance, and that a provision that violates the prohibition on certain provisions in a contract between a pharmacy benefit manager or a third-party payer and a 340B covered entity that is entered into, amended, or renewed after July 1, 2022 shall be void and unenforceable. Defines terms. Amends the Illinois Public Aid Code. In provisions concerning pharmacy payments, provides that no later than January 1, 2023, the Department of Healthcare and Family Services shall implement a mechanism for entities participating in the federal drug pricing program and their contracted pharmacies to submit quarterly retrospective utilization files containing the minimum fields necessary to accurately identify the drugs to the Department or its contractor for processing Medicaid drug rebate requests to Medicaid beneficiaries or Medicaid managed care organization enrollees. Provides that the Department or its contractor shall use the utilization files to remove 340B claims from the Department's Medicaid drug rebate requests and that the Department shall not require the entities or their contracted pharmacies to use any other method or billing code to identify 340B drugs billed to Medicaid or Medicaid managed care organizations. In provisions concerning pharmacy benefits, provides that a Medicaid managed care organization or pharmacy benefit manager administering or managing benefits on behalf of a Medicaid managed organization shall not include specified provisions in a contract with a covered entity or with any pharmacy owned by or contracted with the covered entity. Provides that a violation by a Medicaid managed care organization or its pharmacy benefit manager constitutes an unfair or deceptive act or practice in the business of insurance, and that a provision that violates the prohibition on certain provisions in a contract between a Medicaid managed care organization or its pharmacy benefit manager and a 340B covered entity entered into, amended, or renewed after July 1, 2022 shall be void and unenforceable. Effective July 1, 2022. House Floor Amendment No. 1 Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that a contract between a pharmacy benefit manager or third-party payer and a 340B entity or 340B pharmacy shall not contain specified provisions. Provides that a violation by a pharmacy benefit manager constitutes an unfair or deceptive act or practice in the business of insurance, and that a provision that violates the prohibition on certain provisions in a contract between a pharmacy benefit manager or a third-party payer and a 340B entity that is entered into, amended, or renewed after July 1, 2022 shall be void and unenforceable. In provisions concerning pharmacy benefit managers, provides that the provisions apply to contracts entered into or renewed on or after July 1, 2022 (rather than July 1, 2020). Defines terms. Amends the Illinois Public Aid Code. In provisions concerning pharmacy benefits, provides that a Medicaid managed care organization or pharmacy benefit manager administering or managing benefits on behalf of a Medicaid managed organization shall not include specified provisions in a contract with a 340B entity or 340B pharmacy. Provides that a provision that violates the prohibition on certain provisions in a contract between a Medicaid managed care organization or its pharmacy benefit manager and a 340B entity entered into, amended, or renewed after July 1, 2022 shall be void and unenforceable. Effective July 1, 2022.

Bill Sponsors (51)

Votes


Actions


May 13, 2022

House

Public Act . . . . . . . . . 102-0778

House

Effective Date July 1, 2022

House

Governor Approved

Apr 28, 2022

House

Sent to the Governor

Apr 04, 2022

Senate

Added as Alternate Co-Sponsor Sen. Celina Villanueva

Mar 31, 2022

Senate

Added as Alternate Chief Co-Sponsor Sen. Mike Simmons

Mar 30, 2022

House

Passed Both Houses

Senate

Third Reading - Passed; 055-000-000

Mar 29, 2022

Senate

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

Mar 24, 2022

Senate

Added as Alternate Co-Sponsor Sen. Patricia Van Pelt

Mar 23, 2022

Senate

Do Pass Insurance; 011-000-000

Senate

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

Senate

Second Reading

Senate

Placed on Calendar Order of 2nd Reading

Mar 16, 2022

Senate

Assigned to Insurance

Mar 14, 2022

Senate

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

Mar 11, 2022

Senate

Added as Alternate Co-Sponsor Sen. Sara Feigenholtz

Mar 10, 2022

Senate

Added as Alternate Co-Sponsor Sen. Cristina Castro

Senate

Added as Alternate Chief Co-Sponsor Sen. Doris Turner

Mar 09, 2022

Senate

First Reading

Senate

Added as Alternate Chief Co-Sponsor Sen. David Koehler

Senate

Referred to Assignments

Senate

Chief Senate Sponsor Sen. Mattie Hunter

Mar 04, 2022

House

Added Co-Sponsor Rep. Angelica Guerrero-Cuellar

Senate

Placed on Calendar Order of First Reading March 8, 2022

Senate

Arrive in Senate

House

Added Co-Sponsor Rep. Dan Caulkins

Mar 03, 2022

House

Added Co-Sponsor Rep. Anthony DeLuca

House

Added Co-Sponsor Rep. Emanuel Chris Welch

House

Added Co-Sponsor Rep. Elizabeth Hernandez

House

Added Co-Sponsor Rep. Joyce Mason

House

Third Reading - Short Debate - Passed 104-000-001

House

Placed on Calendar Order of 3rd Reading - Short Debate

House

House Floor Amendment No. 1 Adopted

House

House Floor Amendment No. 1 Recommends Be Adopted Prescription Drug Affordability & Accessibility Committee; 015-000-000

Mar 02, 2022

House

Added Co-Sponsor Rep. Jennifer Gong-Gershowitz

House

Held on Calendar Order of Second Reading - Short Debate

House

Second Reading - Short Debate

House

House Floor Amendment No. 1 Rules Refers to Prescription Drug Affordability & Accessibility Committee

Feb 28, 2022

House

House Floor Amendment No. 1 Filed with Clerk by Rep. Greg Harris

House

House Floor Amendment No. 1 Referred to Rules Committee

Feb 24, 2022

House

Added Co-Sponsor Rep. Janet Yang Rohr

House

Added Co-Sponsor Rep. Nicholas K. Smith

Feb 22, 2022

House

Added Co-Sponsor Rep. Amy Elik

House

Added Co-Sponsor Rep. Daniel Swanson

Feb 17, 2022

House

Placed on Calendar 2nd Reading - Short Debate

Feb 16, 2022

House

Added Co-Sponsor Rep. Michael Halpin

House

Do Pass / Short Debate Prescription Drug Affordability & Accessibility Committee; 018-000-000

Feb 14, 2022

House

Added Co-Sponsor Rep. Anne Stava-Murray

Feb 10, 2022

House

Added Co-Sponsor Rep. Michelle Mussman

House

Added Co-Sponsor Rep. Kelly M. Burke

Feb 09, 2022

House

Assigned to Prescription Drug Affordability & Accessibility Committee

House

Added Co-Sponsor Rep. Eva Dina Delgado

House

Added Co-Sponsor Rep. Stephanie A. Kifowit

House

Added Co-Sponsor Rep. Maura Hirschauer

Feb 02, 2022

House

Added Co-Sponsor Rep. Justin Slaughter

Jan 31, 2022

House

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

House

Added Co-Sponsor Rep. Ann M. Williams

House

Added Co-Sponsor Rep. Katie Stuart

Jan 27, 2022

House

Added Co-Sponsor Rep. Denyse Wang Stoneback

House

Added Co-Sponsor Rep. Paul Jacobs

Jan 26, 2022

House

Added Chief Co-Sponsor Rep. Tim Butler

House

Added Co-Sponsor Rep. Debbie Meyers-Martin

House

Added Chief Co-Sponsor Rep. Maurice A. West, II

Jan 25, 2022

House

Added Co-Sponsor Rep. LaToya Greenwood

House

Added Co-Sponsor Rep. Dave Vella

House

Added Co-Sponsor Rep. Bob Morgan

Jan 24, 2022

House

Added Chief Co-Sponsor Rep. Natalie A. Manley

House

Added Co-Sponsor Rep. Will Guzzardi

Jan 21, 2022

House

First Reading

House

Added Co-Sponsor Rep. Robyn Gabel

House

Added Co-Sponsor Rep. Theresa Mah

House

Added Co-Sponsor Rep. Kelly M. Cassidy

House

Added Co-Sponsor Rep. Margaret Croke

House

Referred to Rules Committee

Jan 20, 2022

House

Added Co-Sponsor Rep. Dagmara Avelar

Jan 19, 2022

House

Added Co-Sponsor Rep. Maurice A. West, II

House

Removed Co-Sponsor Rep. Maurice A. West, II

House

Added Co-Sponsor Rep. Ryan Spain

House

Added Co-Sponsor Rep. Deb Conroy

House

Added Co-Sponsor Rep. Delia C. Ramirez

Jan 18, 2022

House

Filed with the Clerk by Rep. Greg Harris

Bill Text

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

Related Documents

Document Format
Public Act

Sources

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