Sen. Mike Simmons

Filed: 3/16/2022





10200HB4430sam001LRB102 22176 AMQ 37352 a


2    AMENDMENT NO. ______. Amend House Bill 4430 on page 3,
3line 6, by replacing "356z.1a" with "356z.45"; and
4on page 3, by replacing lines 7 through 19 as follows:
5    "(215 ILCS 5/356z.45)
6    Sec. 356z.45 356z.43. Coverage for patient care services
7provided by a pharmacist. A group or individual policy of
8accident and health insurance or a managed care plan that is
9amended, delivered, issued, or renewed on or after January 1,
102023 shall provide coverage for health care or patient care
11services provided by a pharmacist if:
12        (1) the pharmacist meets the requirements and scope of
13    practice as set forth in Section 43 or Section 43.5 of the
14    Pharmacy Practice Act;
15        (2) the health plan provides coverage for the same
16    service provided by a licensed physician, an advanced



10200HB4430sam001- 2 -LRB102 22176 AMQ 37352 a

1    practice registered nurse, or a physician assistant;
2        (3) the pharmacist is included in the health benefit
3    plan's network of participating providers; and
4        (4) a reimbursement has been successfully negotiated
5    in good faith between the pharmacist and the health plan.
6(Source: P.A. 102-103, eff. 1-1-23; revised 10-26-21.)".