Date	Chamber	Action
1/10/2017	Senate	Session Sine Die

Statutes Amended In Order of Appearance

305 ILCS 5/5-5.12b new

Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that prior approval by the Department of Healthcare and Family Services to administer to a recipient of medical assistance any interferon-free therapy for the treatment of the hepatitis C virus shall be limited to certain criteria, including that: (i) the recipient must be 18 years of age; (ii) the recipient must have a diagnosis of chronic hepatitis C infection, genotype 1, 2, 3, or 4, confirmed by stage 2 fibrosis; (iii) the recipient must not have end stage renal disease requiring dialysis; and (iv) the recipient may not have abused a controlled substance within the past 6 months. Provides that the Department may not use certain criteria as a basis for requiring prior approval to administer to a recipient of medical assistance any interferon-free therapy for the treatment of the hepatitis C virus, including: (a) any evidence or known diagnosis of malignancy of any body organ; (b) the recipient's mental capacity or any determination related to the recipient's ability to make appropriate decisions about the interferon-free therapy treatment or to comply with related instructions; and (c) the fact that the recipient was previously administered an interferon-free therapy for the treatment of the hepatitis C virus. Contains provisions concerning persons authorized to prescribe an interferon-free therapy for the treatment of the hepatitis C virus to a recipient of medical assistance; the submission of lab results; an appeals process; and payments to managed care entities for any interferon-free therapy for the treatment of the hepatitis C virus that is prescribed to a recipient of medical assistance. Effective immediately.

Senate Floor Amendment No. 1
In the list of persons authorized to prescribe any interferon-free therapy for the treatment of the hepatitis C virus to a recipient of medical assistance, changes the list of authorized persons to include "any physician licensed to practice medicine in all its branches with a current license who has received a written consultation report" from a board-certified gastroenterologist or specialist in a relevant sub-specialty or from an infectious disease specialist (rather than any physician holding a current unrestricted license to practice medicine who, within 6 months prior to submitting a prior approval request as prescribed by the Department, has (i) completed a course in Illinois with a 3-year certification period that is provided by a program which aims to build the healthcare system's capacity to diagnose and cure persons with the hepatitis C virus or (ii) received a written consultation report from a board-certified gastroenterologist or specialist in a relevant sub-specialty or from an infectious disease specialist). Provides that a formal request for prior approval to administer to a medical assistance recipient any interferon-free therapy for the treatment of the hepatitis "C virus shall not be submitted to the Department without a written" consultation report (rather than a formal request for prior approval to administer to a medical assistance recipient any interferon-free therapy for the treatment of the hepatitis C virus shall not be submitted before the Department receives either documentation that the physician has satisfied the 3-year certification period of an eligible program or a written consultation report).

Actions 

Date	Chamber	Action
2/20/2015	Senate	Filed with Secretary by Sen. Donne E. Trotter
2/20/2015	Senate	First Reading
2/20/2015	Senate	Referred to Assignments
3/3/2015	Senate	Assigned to Human Services
3/4/2015	Senate	Added as Chief Co-Sponsor Sen. Heather A. Steans
3/4/2015	Senate	Added as Chief Co-Sponsor Sen. Jacqueline Y. Collins
3/11/2015	Senate	Postponed - Human Services
3/18/2015	Senate	Postponed - Human Services
3/25/2015	Senate	Do Pass Human Services; 006-003-000
3/25/2015	Senate	Placed on Calendar Order of 2nd Reading March 26, 2015
4/17/2015	Senate	Senate Floor Amendment No. 1 Filed with Secretary by Sen. Donne E. Trotter
4/17/2015	Senate	Senate Floor Amendment No. 1 Referred to Assignments
4/21/2015	Senate	Second Reading
4/21/2015	Senate	Placed on Calendar Order of 3rd Reading April 22, 2015
4/21/2015	Senate	Senate Floor Amendment No. 1 Assignments Refers to Human Services
4/22/2015	Senate	Senate Floor Amendment No. 1 Recommend Do Adopt Human Services; 008-000-000
4/22/2015	Senate	Recalled to Second Reading
4/22/2015	Senate	Senate Floor Amendment No. 1 Adopted; Trotter
4/22/2015	Senate	Placed on Calendar Order of 3rd Reading
4/22/2015	Senate	Added as Co-Sponsor Sen. Emil Jones, III
4/22/2015	Senate	Third Reading - Passed; 032-020-000
4/23/2015	House	Arrived in House
4/23/2015	House	Chief House Sponsor Rep. Michael P. McAuliffe
4/23/2015	House	First Reading
4/23/2015	House	Referred to Rules Committee
4/24/2015	House	Alternate Chief Sponsor Changed to Rep. Robyn Gabel
4/24/2015	House	Added Alternate Co-Sponsor Rep. Michael P. McAuliffe
5/4/2015	House	Assigned to Appropriations-Human Services Committee
5/8/2015	House	Committee Deadline Extended-Rule 9(b) May 15, 2015
5/22/2015	House	Rule 19(a) / Re-referred to Rules Committee
11/18/2016	House	Alternate Chief Sponsor Changed to Rep. Sara Feigenholtz
11/18/2016	House	Added Alternate Chief Co-Sponsor Rep. Robyn Gabel
11/22/2016	House	Assigned to Appropriations-Human Services Committee
11/29/2016	House	House Committee Amendment No. 1 Filed with Clerk by Rep. Sara Feigenholtz
11/29/2016	House	House Committee Amendment No. 1 Referred to Rules Committee
11/29/2016	House	House Committee Amendment No. 1 Rules Refers to Appropriations-Human Services Committee
11/30/2016	House	Alternate Co-Sponsor Removed Rep. Michael P. McAuliffe
1/3/2017	House	Rule 19(b) / Re-referred to Rules Committee
1/3/2017	House	House Committee Amendment No. 1 Rule 19(b) / Re-referred to Rules Committee
1/10/2017	Senate	Session Sine Die

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