Sen. Mike Simmons
Filed: 3/16/2022
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1 | AMENDMENT TO HOUSE BILL 4430
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2 | AMENDMENT NO. ______. Amend House Bill 4430 on page 3, | ||||||
3 | line 6, by replacing "356z.1a" with "356z.45"; and | ||||||
4 | on page 3, by replacing lines 7 through 19 as follows:
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5 | "(215 ILCS 5/356z.45)
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6 | Sec. 356z.45 356z.43 . Coverage for patient care services | ||||||
7 | provided by a pharmacist. A group or individual policy of | ||||||
8 | accident and health insurance or a managed care plan that is | ||||||
9 | amended, delivered, issued, or renewed on or after January 1, | ||||||
10 | 2023 shall provide coverage for health care or patient care | ||||||
11 | services provided by a pharmacist if: | ||||||
12 | (1) the pharmacist meets the requirements and scope of | ||||||
13 | practice as set forth in Section 43 or Section 43.5 of the | ||||||
14 | Pharmacy Practice Act; | ||||||
15 | (2) the health plan provides coverage for the same | ||||||
16 | service provided by a licensed physician, an advanced |
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1 | practice registered nurse, or a physician assistant; | ||||||
2 | (3) the pharmacist is included in the health benefit | ||||||
3 | plan's network of participating providers; and | ||||||
4 | (4) a reimbursement has been successfully negotiated | ||||||
5 | in good faith between the pharmacist and the health plan.
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6 | (Source: P.A. 102-103, eff. 1-1-23; revised 10-26-21.)".
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