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| | 104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB2584 Introduced 2/6/2025, by Rep. Kelly M. Cassidy SYNOPSIS AS INTRODUCED:
| | 215 ILCS 200/52 new | | 305 ILCS 5/5-54 new | |
| Amends the Prior Authorization Reform Act and the Illinois Public Aid Code. Provides that a health insurance issuer, the fee-for-service medical assistance program, and a Medicaid managed care organization may not require prior authorization for the following prescription drug types and their therapeutic equivalents approved by the United States Food and Drug Administration: human immunodeficiency virus pre-exposure prophylaxis and post-exposure prophylaxis medication or human immunodeficiency virus treatment medication. Effective January 1, 2027. |
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| | A BILL FOR |
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| | HB2584 | | LRB104 08321 BAB 18372 b |
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| 1 | | AN ACT concerning regulation.
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| 2 | | Be it enacted by the People of the State of Illinois, |
| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Prior Authorization Reform Act is amended |
| 5 | | by adding Section 52 as follows:
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| 6 | | (215 ILCS 200/52 new) |
| 7 | | Sec. 52. Prior authorization for certain prescription |
| 8 | | drugs; prohibited. A health insurance issuer may not require |
| 9 | | prior authorization for the following prescription drug types |
| 10 | | and their therapeutic equivalents approved by the United |
| 11 | | States Food and Drug Administration: human immunodeficiency |
| 12 | | virus pre-exposure prophylaxis and post-exposure prophylaxis |
| 13 | | medication or human immunodeficiency virus treatment |
| 14 | | medication.
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| 15 | | Section 10. The Illinois Public Aid Code is amended by |
| 16 | | adding Section 5-54 as follows:
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| 17 | | (305 ILCS 5/5-54 new) |
| 18 | | Sec. 5-54. Prior authorization for certain prescription |
| 19 | | drugs; prohibited. The fee-for-service medical assistance |
| 20 | | program and a Medicaid managed care organization may not |
| 21 | | require prior authorization for the following prescription |