Bill Status of HB 4095   99th General Assembly


Short Description:  MEDICAID-MCCN-PHARMACY RATES

House Sponsors
Rep. Sara Feigenholtz

Last Action  View All Actions

DateChamber Action
  1/10/2017HouseSession Sine Die

Statutes Amended In Order of Appearance
305 ILCS 5/5-11from Ch. 23, par. 5-11

Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision listing certain requirements imposed on a managed care community network that contracts with the Department of Healthcare and Family Services to furnish health care services to or arrange those services for enrollees participating in programs administered by the Department, adds that the managed care community network shall establish, maintain, and provide a fair and reasonable reimbursement rate to pharmacy providers for pharmaceutical services, prescription drugs and drug products, and pharmacy or pharmacist-provided services. Provides that this reimbursement rate shall include a fair and reasonable professional dispensing fee for pharmaceutical services, prescription drugs, and drug products and a fair and reasonable professional fee for pharmacy or pharmacist-provided services; and that this reimbursement rate shall not be less than the reimbursement rate utilized by the Department for reimbursement for prescription and pharmacy or pharmacist-provided services under a provision of the Code concerning pharmacy payments under the medical assistance program. Effective January 1, 2016.

Actions 
DateChamber Action
  2/27/2015HouseFiled with the Clerk by Rep. Sara Feigenholtz
  2/27/2015HouseFirst Reading
  2/27/2015HouseReferred to Rules Committee
  3/16/2015HouseAssigned to Appropriations-Human Services Committee
  3/27/2015HouseRule 19(a) / Re-referred to Rules Committee
  1/10/2017HouseSession Sine Die

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