Illinois General Assembly - Illinois Compiled Statutes

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215 ILCS 5/356z.45

(215 ILCS 5/356z.45)

Sec. 356z.45. Coverage for patient care services provided by a pharmacist.

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:

(1) the pharmacist meets the requirements and scope

of practice as set forth in Section 43 or Section 43.5 of the Pharmacy Practice Act;

(2) the health plan provides coverage for the same

service provided by a licensed physician, an advanced practice registered nurse, or a physician assistant;

(3) the pharmacist is included in the health

benefit plan's network of participating providers; and

(4) a reimbursement has been successfully

negotiated in good faith between the pharmacist and the health plan.

(Source: P.A. 102-103, eff. 1-1-23; 102-813, eff. 5-13-22; 102-1051, eff. 1-1-23.)