Illinois General Assembly - Bill Status for HB4430
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 Bill Status of HB4430  102nd General Assembly


Short Description:  PHARMACY-HIV PATIENT CARE

House Sponsors
Rep. Kelly M. Cassidy - Margaret Croke - Greg Harris - Lamont J. Robinson, Jr. - Dagmara Avelar, Ann M. Williams, Anne Stava-Murray, Sam Yingling, Bob Morgan, Robyn Gabel, Michelle Mussman, Kathleen Willis, Aaron M. Ortiz, Lindsey LaPointe, Carol Ammons, La Shawn K. Ford, Camille Y. Lilly, Lakesia Collins, Edgar Gonzalez, Jr., William Davis, Stephanie A. Kifowit, Mark L. Walker, Will Guzzardi, Marcus C. Evans, Jr., Jaime M. Andrade, Jr., Janet Yang Rohr, Michael J. Zalewski, Anna Moeller, Jennifer Gong-Gershowitz, Theresa Mah, LaToya Greenwood, Katie Stuart and Kambium Buckner

Senate Sponsors
(Sen. Mike Simmons - Cristina H. Pacione-Zayas - Doris Turner - Mattie Hunter - Robert Peters, Laura Fine, Cristina Castro, Sara Feigenholtz, Celina Villanueva, Christopher Belt, Bill Cunningham, Adriane Johnson, John Connor, Ann Gillespie, Laura M. Murphy, Diane Pappas, Karina Villa, Ram Villivalam, Emil Jones, III, Jason A. Barickman, Melinda Bush, Jacqueline Y. Collins, Kimberly A. Lightford, Omar Aquino and Robert F. Martwick)

Last Action
DateChamber Action
  6/10/2022HousePublic Act . . . . . . . . . 102-1051

Statutes Amended In Order of Appearance
225 ILCS 85/3
225 ILCS 85/43
305 ILCS 5/5-5.12d


Synopsis As Introduced
Amends the Pharmacy Practice Act. Provides that the definition of "practice of pharmacy" includes the initiation, dispensing, or administration of drugs, laboratory tests, assessments, referrals, and consultations for human immunodeficiency virus pre-exposure prophylaxis and human immunodeficiency virus post-exposure prophylaxis. Provides that as applicable to the State's Medicaid program and other payers, patient care services ordered and administered by a pharmacist shall be covered and reimbursed at no less than 85% of the rate that the services are covered and reimbursed when ordered or administered by physicians. Provides that a pharmacist shall provide patient care services for human immunodeficiency virus pre-exposure prophylaxis and human immunodeficiency virus post-exposure prophylaxis to a patient after satisfying specified requirements. Amends the Illinois Public Aid Code. Provides that specified provisions concerning coverage of patient care services provided by a pharmacist shall apply to all patient care services provided by a pharmacist (rather than patient care services for hormonal contraceptives assessment and consultation only). Effective immediately.

House Floor Amendment No. 1
Deletes reference to:
225 ILCS 85/43
Adds reference to:
210 ILCS 25/7-101from Ch. 111 1/2, par. 627-101
210 ILCS 25/7-102from Ch. 111 1/2, par. 627-102
215 ILCS 5/356z.1a new
225 ILCS 85/9from Ch. 111, par. 4129
225 ILCS 85/43.5 new

Replaces everything after the enacting clause. Amends the Pharmacy Practice Act. Provides that in accordance with a standing order by a physician licensed to practice medicine in all its branches or the medical director of a county or local health department, a pharmacist may provide patients with prophylaxis drugs for human immunodeficiency virus pre-exposure prophylaxis or post-exposure prophylaxis. Provides that a pharmacist may provide initial assessment and dispensing of prophylaxis drugs for human immunodeficiency virus pre-exposure prophylaxis or post-exposure prophylaxis. Contains requirements for the standing order. Provides that a pharmacist must communicate the services provided under the provisions to the patient and the patient's primary health care provider or other health care professional or clinic, if known. Provides that if there is no primary health care provider provided by the patient, then the pharmacist must give a list of primary health care providers or clinics in the area. Provides that a pharmacist shall complete an educational training program accredited by the Accreditation Council for Pharmacy Education or Department of Financial and Professional Regulation related to human immunodeficiency virus pre-exposure prophylaxis and human immunodeficiency virus post-exposure prophylaxis. Makes conforming and other changes. Makes corresponding changes in the Illinois Clinical Laboratory and Blood Bank Act. Amends the Illinois Insurance Code. Provides that an insurance carrier or third-party payor shall reimburse a pharmacist or other health care professional for dispensing HIV prophylaxis medications and providing other services to a covered person in accordance with the current version of the guidelines of the Centers for Disease Control and Prevention and the United States Preventive Services Task Force. Provides that reimbursement shall provide an adequate consultation fee or, if medical billing is not available, an enhanced dispensing fee that is equivalent to 85% of the fees for services provided by an advanced practice registered nurse or physician. Amends the Illinois Public Aid Code. Provides that services provided by the pharmacist under the provisions concerning HIV prophylaxis in the Pharmacy Practice Act shall be covered and reimbursed at no less than 85% of the rate that the services are reimbursed when provided by a physician. Makes other changes. Effective January 1, 2023.

Senate Committee Amendment No. 1
Deletes reference to:
215 ILCS 5/356z.1a new
Adds reference to:
215 ILCS 5/356z.45

Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2023 shall provide coverage for health care or patient care services provided by a pharmacist if the pharmacist meets the requirements and scope of practice as set forth in provisions concerning HIV prophylaxis of the Pharmacy Practice Act (instead of a provision providing that an insurance carrier or third-party payor shall reimburse a pharmacist or other health care professional for dispensing HIV prophylaxis drugs and providing services under provisions concerning HIV prophylaxis of the Pharmacy Practice Act to a covered person in accordance with the current version of the guidelines of the Centers for Disease Control and Prevention and the United States Preventive Services Task Force).

Actions 
DateChamber Action
  1/10/2022HouseFiled with the Clerk by Rep. Kelly M. Cassidy
  1/18/2022HouseAdded Chief Co-Sponsor Rep. Margaret Croke
  1/18/2022HouseAdded Chief Co-Sponsor Rep. Greg Harris
  1/19/2022HouseAdded Co-Sponsor Rep. Ann M. Williams
  1/19/2022HouseAdded Co-Sponsor Rep. Anne Stava-Murray
  1/19/2022HouseAdded Co-Sponsor Rep. Sam Yingling
  1/21/2022HouseFirst Reading
  1/21/2022HouseReferred to Rules Committee
  1/24/2022HouseAdded Co-Sponsor Rep. Bob Morgan
  1/31/2022HouseAdded Co-Sponsor Rep. Robyn Gabel
  1/31/2022HouseAdded Co-Sponsor Rep. Michelle Mussman
  1/31/2022HouseAdded Co-Sponsor Rep. Kathleen Willis
  1/31/2022HouseAdded Co-Sponsor Rep. Aaron M. Ortiz
  1/31/2022HouseAdded Co-Sponsor Rep. Lindsey LaPointe
  2/1/2022HouseAssigned to Health Care Licenses Committee
  2/9/2022HouseAdded Chief Co-Sponsor Rep. Lamont J. Robinson, Jr.
  2/9/2022HouseAdded Co-Sponsor Rep. Carol Ammons
  2/9/2022HouseAdded Co-Sponsor Rep. La Shawn K. Ford
  2/16/2022HouseDo Pass / Short Debate Health Care Licenses Committee; 008-000-000
  2/16/2022HouseAdded Co-Sponsor Rep. Camille Y. Lilly
  2/16/2022HouseAdded Co-Sponsor Rep. Lakesia Collins
  2/16/2022HouseAdded Co-Sponsor Rep. Edgar Gonzalez, Jr.
  2/16/2022HouseAdded Co-Sponsor Rep. William Davis
  2/16/2022HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit
  2/16/2022HouseAdded Co-Sponsor Rep. Mark L. Walker
  2/16/2022HouseAdded Co-Sponsor Rep. Will Guzzardi
  2/16/2022HouseAdded Co-Sponsor Rep. Marcus C. Evans, Jr.
  2/16/2022HouseAdded Co-Sponsor Rep. Jaime M. Andrade, Jr.
  2/16/2022HouseAdded Co-Sponsor Rep. Janet Yang Rohr
  2/16/2022HouseAdded Co-Sponsor Rep. Michael J. Zalewski
  2/16/2022HouseAdded Co-Sponsor Rep. Anna Moeller
  2/16/2022HouseAdded Co-Sponsor Rep. Jennifer Gong-Gershowitz
  2/16/2022HouseAdded Chief Co-Sponsor Rep. Dagmara Avelar
  2/17/2022HousePlaced on Calendar 2nd Reading - Short Debate
  2/23/2022HouseAdded Co-Sponsor Rep. Theresa Mah
  3/1/2022HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Kelly M. Cassidy
  3/1/2022HouseHouse Floor Amendment No. 1 Referred to Rules Committee
  3/2/2022HouseAdded Co-Sponsor Rep. LaToya Greenwood
  3/2/2022HouseHouse Floor Amendment No. 1 Rules Refers to Health Care Licenses Committee
  3/2/2022HouseSecond Reading - Short Debate
  3/2/2022HouseHeld on Calendar Order of Second Reading - Short Debate
  3/2/2022HouseHouse Floor Amendment No. 1 Recommends Be Adopted Health Care Licenses Committee; 008-000-000
  3/3/2022HouseHouse Floor Amendment No. 1 Adopted
  3/3/2022HousePlaced on Calendar Order of 3rd Reading - Short Debate
  3/3/2022HouseThird Reading - Short Debate - Passed 071-024-000
  3/3/2022HouseMotion Filed to Reconsider Vote Rep. Kelly M. Cassidy
  3/3/2022HouseAdded Co-Sponsor Rep. Katie Stuart
  3/4/2022HouseMotion to Reconsider Vote - Withdrawn Rep. Kelly M. Cassidy
  3/7/2022SenateArrive in Senate
  3/7/2022SenatePlaced on Calendar Order of First Reading
  3/7/2022SenateChief Senate Sponsor Sen. Mike Simmons
  3/7/2022SenateFirst Reading
  3/7/2022SenateReferred to Assignments
  3/8/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Cristina H. Pacione-Zayas
  3/8/2022SenateAdded as Alternate Co-Sponsor Sen. Laura Fine
  3/9/2022SenateAdded as Alternate Co-Sponsor Sen. Cristina Castro
  3/9/2022SenateAdded as Alternate Co-Sponsor Sen. Sara Feigenholtz
  3/10/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Doris Turner
  3/10/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Mattie Hunter
  3/10/2022SenateAdded as Alternate Co-Sponsor Sen. Celina Villanueva
  3/16/2022SenateAssigned to Executive
  3/16/2022SenateAdded as Alternate Co-Sponsor Sen. Christopher Belt
  3/16/2022SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Mike Simmons
  3/16/2022SenateSenate Committee Amendment No. 1 Referred to Assignments
  3/16/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Robert Peters
  3/21/2022SenateAdded as Alternate Co-Sponsor Sen. Bill Cunningham
  3/22/2022SenateSenate Committee Amendment No. 1 Assignments Refers to Executive
  3/22/2022SenateAdded as Alternate Co-Sponsor Sen. Adriane Johnson
  3/22/2022SenateAdded as Alternate Co-Sponsor Sen. John Connor
  3/23/2022SenateAdded as Alternate Co-Sponsor Sen. Ann Gillespie
  3/23/2022SenateAdded as Alternate Co-Sponsor Sen. Laura M. Murphy
  3/23/2022SenateAdded as Alternate Co-Sponsor Sen. Diane Pappas
  3/23/2022SenateSenate Committee Amendment No. 1 Adopted
  3/23/2022SenateDo Pass as Amended Executive; 014-002-000
  3/23/2022SenatePlaced on Calendar Order of 2nd Reading
  3/23/2022SenateAdded as Alternate Co-Sponsor Sen. Karina Villa
  3/23/2022SenateSecond Reading
  3/23/2022SenatePlaced on Calendar Order of 3rd Reading March 24, 2022
  3/24/2022SenateAdded as Alternate Co-Sponsor Sen. Ram Villivalam
  3/29/2022SenateAdded as Alternate Co-Sponsor Sen. Emil Jones, III
  3/29/2022SenateAdded as Alternate Co-Sponsor Sen. Jason A. Barickman
  3/30/2022SenateAdded as Alternate Co-Sponsor Sen. Melinda Bush
  3/30/2022SenateAdded as Alternate Co-Sponsor Sen. Jacqueline Y. Collins
  3/31/2022SenateAdded as Alternate Co-Sponsor Sen. Kimberly A. Lightford
  4/1/2022SenateAdded as Alternate Co-Sponsor Sen. Omar Aquino
  4/1/2022SenateThird Reading - Passed; 037-012-000
  4/1/2022SenateAdded as Alternate Co-Sponsor Sen. Robert F. Martwick
  4/1/2022HouseArrived in House
  4/1/2022HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1
  4/4/2022HouseAdded Co-Sponsor Rep. Kambium Buckner
  4/5/2022HouseSenate Committee Amendment No. 1 Motion Filed Concur Rep. Kelly M. Cassidy
  4/5/2022HouseSenate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
  4/5/2022HouseSenate Committee Amendment No. 1 Motion to Concur Rules Referred to Health Care Licenses Committee
  4/6/2022HouseSenate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Licenses Committee; 005-003-000
  4/7/2022HouseSenate Committee Amendment No. 1 House Concurs 072-030-000
  4/7/2022HouseHouse Concurs
  4/7/2022HouseMotion Filed to Reconsider Vote Rep. Margaret Croke
  4/12/2022HouseMotion to Reconsider Vote - Withdrawn Rep. Margaret Croke
  4/12/2022HousePassed Both Houses
  4/20/2022HouseSent to the Governor
  6/10/2022HouseGovernor Approved
  6/10/2022HouseEffective Date January 1, 2023
  6/10/2022HousePublic Act . . . . . . . . . 102-1051

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