Rep. La Shawn K. Ford
Filed: 4/20/2021
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| 1 | AMENDMENT TO HOUSE BILL 591
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| 2 | AMENDMENT NO. ______. Amend House Bill 591 by replacing | ||||||
| 3 | everything after the enacting clause with the following:
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| 4 | "Section 5. The Illinois Public Aid Code is amended by | ||||||
| 5 | adding Section 5-5.12d as follows: | ||||||
| 6 | (305 ILCS 5/5-5.12d new) | ||||||
| 7 | Sec. 5-5.12d. Pharmacy services; report on access | ||||||
| 8 | standards. | ||||||
| 9 | (a) The Department shall conduct a study on managed care | ||||||
| 10 | pharmacy access standards. The study shall review the current | ||||||
| 11 | access standards, with a focus on disproportionately impacted | ||||||
| 12 | areas. The Department shall seek input from consumers of | ||||||
| 13 | pharmacy services. The Department shall report its findings to | ||||||
| 14 | the Governor and the General Assembly by January 1, 2022. The | ||||||
| 15 | Department shall post the report on its website. | ||||||
| 16 | (b) Any retail pharmacy that is enrolled as an eligible | ||||||
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| 1 | retail pharmacy provider in the medical assistance program and | ||||||
| 2 | is not sanctioned under investigation for fraud, waste, or | ||||||
| 3 | abuse shall provide retail pharmacy services to any medical | ||||||
| 4 | assistance recipient who resides in the same zip code as the | ||||||
| 5 | pharmacy, regardless of whether the retail pharmacy is | ||||||
| 6 | contracted to provide pharmacy services for the managed care | ||||||
| 7 | organization that the recipient is enrolled with. The managed | ||||||
| 8 | care organization shall pay such a retail pharmacy the managed | ||||||
| 9 | care organization's standard contractual rate.
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| 10 | Section 99. Effective date. This Act takes effect upon | ||||||
| 11 | becoming law.".
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