Illinois General Assembly - Bill Status for HB4995
Illinois General Assembly

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 Bill Status of HB4995  100th General Assembly


Short Description:  DRUGS-PRIOR AUTHORIZATION FORM

House Sponsors
Rep. Fred Crespo

Last Action
DateChamber Action
  1/8/2019HouseSession Sine Die

Statutes Amended In Order of Appearance
215 ILCS 5/364.3 new
305 ILCS 5/5-5.12b new


Synopsis As Introduced
Amends the Illinois Insurance Code and the Illinois Public Aid Code. Requires that on or before July 1, 2019, the Department of Insurance and Department of Healthcare and Family Services to jointly develop a uniform prior authorization form to be used by prescribing providers to request prior authorization for prescription drug benefits. Provides that on and after January 1, 2020, or 6 months after the uniform prior authorization form is developed, whichever is later, health insurers, managed care organizations, and fee-for-service medical assistance programs that provide prescription drug benefits shall utilize and accept the uniform prior authorization form and prescribing providers may use the uniform prior authorization form. Provides criteria for developing the uniform prior authorization form. Provides requirements and limitations of prior authorization requests.

Actions 
DateChamber Action
  2/14/2018HouseFiled with the Clerk by Rep. Fred Crespo
  2/14/2018HouseFirst Reading
  2/14/2018HouseReferred to Rules Committee
  1/8/2019HouseSession Sine Die

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