Date	Chamber	Action
1/15/2019	House	Bill Dead - No Positive Action Taken - Amendatory Veto

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 shall 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, health insurers and managed care organizations 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. Effective January 1, 2019.

House Floor Amendment No. 2
Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Requires the Department of Insurance to develop a uniform electronic prior authorization form to be used by an insurer that provides prescription drug benefits when requiring prior authorization for prescription drug benefits. Provides that the development of the uniform electronic prior authorization form shall include input from specified interested parties and that the Department of Insurance shall take into consideration existing prior authorization forms established by the federal Centers for Medicare and Medicaid Services and the Department of Insurance and national standards pertaining to electronic authorization. Provides that if, upon receipt of a completed and accurate electronic prior authorization request from a prescribing provider using the uniform electronic prior authorization form, an insurer fails to accept the uniform electronic prior authorization form or fails to respond within a certain time period, then the prior authorization request shall be deemed to have been granted. Amends the Illinois Public Aid Code. Requires the Department of Healthcare and Family services to develop a uniform electronic prior authorization form to be used by a managed care organization that provides prescription drug benefits when requiring prior authorization for prescription drug benefits. Provides that the development of the uniform electronic prior authorization form shall include input from specified interested parties and that the Department of Healthcare and Family Services shall take into consideration existing prior authorization forms established by the federal Centers for Medicare and Medicaid Services and the Department of Healthcare and Family Services and national standards pertaining to electronic authorization. Provides that if, upon receipt of a completed and accurate electronic prior authorization request from a prescribing provider using the uniform electronic prior authorization form, a managed care organization fails to accept the uniform electronic prior authorization form or fails to respond within a certain time period, then the prior authorization request shall be deemed to have been granted.

House Floor Amendment No. 3
Adds pharmacists recommended by a State organization that represents pharmacists to the individuals appointed by the Director of Insurance and the Director of Healthcare and Family Services to give input in developing the uniform electronic prior authorization form.

Governor Amendatory Veto Message
The amendatory veto message was delivered to the 100th General Assembly after the 100th General Assembly adjourned sine die. The veto therefore has the effect of a total veto.

Actions 

Date	Chamber	Action
2/16/2018	House	Filed with the Clerk by Rep. Deb Conroy
2/16/2018	House	First Reading
2/16/2018	House	Referred to Rules Committee
3/21/2018	House	Assigned to Insurance: Health & Life Committee
3/26/2018	House	Added Chief Co-Sponsor Rep. Laura Fine
4/9/2018	House	Added Co-Sponsor Rep. Stephanie A. Kifowit
4/9/2018	House	Do Pass / Short Debate Insurance: Health & Life Committee; 009-005-000
4/10/2018	House	Placed on Calendar 2nd Reading - Short Debate
4/11/2018	House	Fiscal Note Requested by Rep. Tom Demmer
4/25/2018	House	Second Reading - Short Debate
4/25/2018	House	Held on Calendar Order of Second Reading - Short Debate
4/27/2018	House	Rule 19(a) / Re-referred to Rules Committee
5/21/2018	House	Approved for Consideration Rules Committee; 005-000-000
5/21/2018	House	Placed on Calendar 2nd Reading - Short Debate
5/21/2018	House	Final Action Deadline Extended-9(b) May 31, 2018
5/24/2018	House	House Floor Amendment No. 1 Filed with Clerk by Rep. Deb Conroy
5/24/2018	House	House Floor Amendment No. 1 Referred to Rules Committee
5/25/2018	House	House Floor Amendment No. 2 Filed with Clerk by Rep. Deb Conroy
5/25/2018	House	House Floor Amendment No. 2 Referred to Rules Committee
5/28/2018	House	House Floor Amendment No. 2 Rules Refers to Insurance: Health & Life Committee
5/29/2018	House	House Floor Amendment No. 3 Filed with Clerk by Rep. Deb Conroy
5/29/2018	House	House Floor Amendment No. 3 Referred to Rules Committee
5/30/2018	House	House Floor Amendment No. 2 Recommends Be Adopted Insurance: Health & Life Committee; 011-000-000
5/30/2018	House	House Floor Amendment No. 3 Recommends Be Adopted Rules Committee; 004-000-000
5/31/2018	House	Added Co-Sponsor Rep. Fred Crespo
5/31/2018	House	House Floor Amendment No. 2 Adopted
5/31/2018	House	House Floor Amendment No. 3 Adopted
5/31/2018	House	Held on Calendar Order of Second Reading - Short Debate
5/31/2018	House	Fiscal Note Requested - Withdrawn by Rep. Tom Demmer
5/31/2018	House	Rule 19(a) / Re-referred to Rules Committee
8/24/2018	House	Added Chief Co-Sponsor Rep. Ann M. Williams
10/18/2018	House	Added Co-Sponsor Rep. Gregory Harris
11/13/2018	House	Approved for Consideration Rules Committee; 003-000-000
11/13/2018	House	Placed on Calendar 2nd Reading - Short Debate
11/14/2018	House	Added Chief Co-Sponsor Rep. Steven A. Andersson
11/14/2018	House	Placed on Calendar Order of 3rd Reading - Short Debate
11/14/2018	House	Third Reading - Short Debate - Passed 110-000-000
11/14/2018	Senate	Arrive in Senate
11/14/2018	Senate	Placed on Calendar Order of First Reading
11/14/2018	Senate	Chief Senate Sponsor Sen. Julie A. Morrison
11/14/2018	Senate	First Reading
11/14/2018	Senate	Referred to Assignments
11/14/2018	Senate	Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford
11/20/2018	Senate	Assigned to Human Services
11/27/2018	Senate	Do Pass Human Services; 008-000-000
11/27/2018	Senate	Placed on Calendar Order of 2nd Reading
11/27/2018	Senate	Second Reading
11/27/2018	Senate	Placed on Calendar Order of 3rd Reading November 28, 2018
11/28/2018	Senate	Third Reading - Passed; 050-000-000
11/28/2018	House	Passed Both Houses
11/28/2018	Senate	Added as Alternate Co-Sponsor Sen. Dave Syverson
12/27/2018	House	Sent to the Governor
1/11/2019	House	Governor Amendatory Veto
1/15/2019	House	Bill Dead - No Positive Action Taken - Amendatory Veto

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