Illinois General Assembly - Bill Status for HB 5614

Amends the Third Party Prescription Programs Article of the Insurance Code to change the name of the Article to the Pharmacy Benefits Management Programs Law. Provides for the registration of all pharmacy benefits management programs and pharmacy benefits managers (PBMs) doing business in the State with the Director of the Division of Insurance of the Department of Financial and Professional Regulation. Creates the Advisory Council on Pharmacy Benefits Managers. Makes changes concerning fiduciary and bonding, notice, and contractual requirements, cancellation procedures, denial of payment, and failure to register. Sets forth provisions concerning drug substitution, pricing, claims, maximum allowable cost (MAC) adjustments, audit standards, contact of covered persons, record keeping, information sharing with out-of-network pharmacies, prohibitions, the collection and payment of taxes and fees, and failure to comply. Grants rulemaking authority to the Director of the Division of Insurance. Effective immediately.

Deletes everything after the enacting clause. Amends the Third Party Prescription Programs Article of the Illinois Insurance Code. Provides that references throughout the Article to "Director" mean the Director of the Division of Insurance of the Department of Financial and Professional Regulation and that references to "Division" mean the Division of Insurance of the Department.

Deletes everything after the enacting clause. Amends the Third Party Prescription Programs Article of the Insurance Code to change the name of the Article to the Pharmacy Benefits Management Programs Law. Provides for the licensure of all pharmacy benefits management programs and pharmacy benefits managers (PBMs) doing business in the State with the Director of the Division of Insurance of the Department of Financial and Professional Regulation. Removes certain fiduciary and bonding requirements. Makes changes concerning contractual provisions, cancellation procedures, and denial of payment. Adds provisions concerning disclosures, recoupment and audits, and the examination of business and affairs. Provides that certain provisions of the Law do not apply to licensed insurance companies, Health Maintenance Organizations, Limited Health Services Organizations, and Voluntary Health Services Plans.

Date	Chamber	Action
1/13/2009	House	Session Sine Die

Date	Chamber	Action
2/15/2008	House	Filed with the Clerk by Rep. Dan Reitz
2/15/2008	House	First Reading
2/15/2008	House	Referred to Rules Committee
2/20/2008	House	Assigned to State Government Administration Committee
2/26/2008	House	Added Chief Co-Sponsor Rep. Thomas Holbrook
2/27/2008	House	Added Chief Co-Sponsor Rep. Brandon W. Phelps
2/27/2008	House	Added Chief Co-Sponsor Rep. Patrick J Verschoore
2/27/2008	House	Added Chief Co-Sponsor Rep. Robert W. Pritchard
2/27/2008	House	Added Co-Sponsor Rep. Gary Hannig
2/28/2008	House	Added Co-Sponsor Rep. Robert Rita
2/28/2008	House	Added Co-Sponsor Rep. David E. Miller
2/28/2008	House	Added Co-Sponsor Rep. Linda Chapa LaVia
3/5/2008	House	House Amendment No. 1 Filed with Clerk by State Government Administration Committee
3/5/2008	House	House Amendment No. 1 Adopted in State Government Administration Committee; by Voice Vote
3/5/2008	House	Do Pass as Amended / Short Debate State Government Administration Committee; 013-000-000
3/6/2008	House	Placed on Calendar 2nd Reading - Short Debate
3/6/2008	House	Added Co-Sponsor Rep. Franco Coladipietro
3/6/2008	House	Added Co-Sponsor Rep. David Reis
3/6/2008	House	Added Co-Sponsor Rep. Harry R. Ramey, Jr.
3/13/2008	House	Second Reading - Short Debate
3/13/2008	House	Placed on Calendar Order of 3rd Reading - Short Debate
3/17/2008	House	Added Co-Sponsor Rep. Jim Watson
4/1/2008	House	Third Reading - Short Debate - Passed 106-000-002
4/2/2008	Senate	Arrive in Senate
4/2/2008	Senate	Placed on Calendar Order of First Reading
4/3/2008	Senate	Chief Senate Sponsor Sen. John J. Cullerton
4/3/2008	Senate	First Reading
4/3/2008	Senate	Referred to Rules
4/17/2008	Senate	Assigned to Licensed Activities
5/8/2008	Senate	Postponed - Licensed Activities
5/13/2008	Senate	Senate Committee Amendment No. 1 Filed with Secretary by Sen. John J. Cullerton
5/13/2008	Senate	Senate Committee Amendment No. 1 Referred to Rules
5/14/2008	Senate	Senate Committee Amendment No. 1 Rules Refers to Licensed Activities
5/14/2008	Senate	Senate Committee Amendment No. 1 Adopted
5/15/2008	Senate	Held in Licensed Activities
5/15/2008	Senate	Rule 2-10 Committee Deadline Established As May 22, 2008; Substantive House Bills Out of Committee
7/1/2008	Senate	Pursuant to Senate Rule 3-9(b) / Referred to Rules
1/13/2009	House	Session Sine Die

	Deletes reference to:
	215 ILCS 5/Art. XXXI.5 heading

	Adds reference to:
	215 ILCS 5/Art. XXXI.5 heading