Bill Status of HB4595  102nd General Assembly


Short Description:  INS-DRUG DISCOUNT PROGRAM

House Sponsors
Rep. Greg Harris - Natalie A. Manley - Maurice A. West, II - Tim Butler, Delia C. Ramirez, Deb Conroy, Ryan Spain, Dagmara Avelar, Margaret Croke, Kelly M. Cassidy, Theresa Mah, Robyn Gabel, Will Guzzardi, LaToya Greenwood, Bob Morgan, Dave Vella, Debbie Meyers-Martin, Denyse Wang Stoneback, Paul Jacobs, Katie Stuart, Lamont J. Robinson, Jr., Ann M. Williams, Justin Slaughter, Maura Hirschauer, Stephanie A. Kifowit, Eva Dina Delgado, Kelly M. Burke, Michelle Mussman, Anne Stava-Murray, Michael Halpin, Daniel Swanson, Amy Elik, Nicholas K. Smith, Janet Yang Rohr, Jennifer Gong-Gershowitz, Anthony DeLuca, Joyce Mason, Elizabeth Hernandez, Emanuel Chris Welch, Dan Caulkins and Angelica Guerrero-Cuellar

Senate Sponsors
(Sen. Mattie Hunter - David Koehler - Doris Turner - Emil Jones, III - Mike Simmons, Cristina Castro, Sara Feigenholtz, Laura M. Murphy, Patricia Van Pelt and Celina Villanueva)

Last Action
DateChamber Action
  5/13/2022HousePublic Act . . . . . . . . . 102-0778

Statutes Amended In Order of Appearance
215 ILCS 5/424from Ch. 73, par. 1031
215 ILCS 5/513b1
305 ILCS 5/5-5.12from Ch. 23, par. 5-5.12
305 ILCS 5/5-36


Synopsis As Introduced
Amends the Illinois Insurance Code. Provides that a contract between a pharmacy benefit manager or third-party payer and a covered entity under Section 340B of the federal Public Health Service Act shall not contain specified provisions. Provides that a violation by a pharmacy benefit manager constitutes an unfair or deceptive act or practice in the business of insurance, and that a provision that violates the prohibition on certain provisions in a contract between a pharmacy benefit manager or a third-party payer and a 340B covered entity that is entered into, amended, or renewed after July 1, 2022 shall be void and unenforceable. Defines terms. Amends the Illinois Public Aid Code. In provisions concerning pharmacy payments, provides that no later than January 1, 2023, the Department of Healthcare and Family Services shall implement a mechanism for entities participating in the federal drug pricing program and their contracted pharmacies to submit quarterly retrospective utilization files containing the minimum fields necessary to accurately identify the drugs to the Department or its contractor for processing Medicaid drug rebate requests to Medicaid beneficiaries or Medicaid managed care organization enrollees. Provides that the Department or its contractor shall use the utilization files to remove 340B claims from the Department's Medicaid drug rebate requests and that the Department shall not require the entities or their contracted pharmacies to use any other method or billing code to identify 340B drugs billed to Medicaid or Medicaid managed care organizations. In provisions concerning pharmacy benefits, provides that a Medicaid managed care organization or pharmacy benefit manager administering or managing benefits on behalf of a Medicaid managed organization shall not include specified provisions in a contract with a covered entity or with any pharmacy owned by or contracted with the covered entity. Provides that a violation by a Medicaid managed care organization or its pharmacy benefit manager constitutes an unfair or deceptive act or practice in the business of insurance, and that a provision that violates the prohibition on certain provisions in a contract between a Medicaid managed care organization or its pharmacy benefit manager and a 340B covered entity entered into, amended, or renewed after July 1, 2022 shall be void and unenforceable. Effective July 1, 2022.

House Floor Amendment No. 1
Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that a contract between a pharmacy benefit manager or third-party payer and a 340B entity or 340B pharmacy shall not contain specified provisions. Provides that a violation by a pharmacy benefit manager constitutes an unfair or deceptive act or practice in the business of insurance, and that a provision that violates the prohibition on certain provisions in a contract between a pharmacy benefit manager or a third-party payer and a 340B entity that is entered into, amended, or renewed after July 1, 2022 shall be void and unenforceable. In provisions concerning pharmacy benefit managers, provides that the provisions apply to contracts entered into or renewed on or after July 1, 2022 (rather than July 1, 2020). Defines terms. Amends the Illinois Public Aid Code. In provisions concerning pharmacy benefits, provides that a Medicaid managed care organization or pharmacy benefit manager administering or managing benefits on behalf of a Medicaid managed organization shall not include specified provisions in a contract with a 340B entity or 340B pharmacy. Provides that a provision that violates the prohibition on certain provisions in a contract between a Medicaid managed care organization or its pharmacy benefit manager and a 340B entity entered into, amended, or renewed after July 1, 2022 shall be void and unenforceable. Effective July 1, 2022.

Actions 
DateChamber Action
  1/18/2022HouseFiled with the Clerk by Rep. Greg Harris
  1/19/2022HouseAdded Co-Sponsor Rep. Maurice A. West, II
  1/19/2022HouseAdded Co-Sponsor Rep. Delia C. Ramirez
  1/19/2022HouseAdded Co-Sponsor Rep. Deb Conroy
  1/19/2022HouseAdded Co-Sponsor Rep. Ryan Spain
  1/19/2022HouseRemoved Co-Sponsor Rep. Maurice A. West, II
  1/20/2022HouseAdded Co-Sponsor Rep. Dagmara Avelar
  1/21/2022HouseFirst Reading
  1/21/2022HouseReferred to Rules Committee
  1/21/2022HouseAdded Co-Sponsor Rep. Margaret Croke
  1/21/2022HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
  1/21/2022HouseAdded Co-Sponsor Rep. Theresa Mah
  1/21/2022HouseAdded Co-Sponsor Rep. Robyn Gabel
  1/24/2022HouseAdded Co-Sponsor Rep. Will Guzzardi
  1/24/2022HouseAdded Chief Co-Sponsor Rep. Natalie A. Manley
  1/25/2022HouseAdded Co-Sponsor Rep. LaToya Greenwood
  1/25/2022HouseAdded Co-Sponsor Rep. Bob Morgan
  1/25/2022HouseAdded Co-Sponsor Rep. Dave Vella
  1/26/2022HouseAdded Chief Co-Sponsor Rep. Maurice A. West, II
  1/26/2022HouseAdded Co-Sponsor Rep. Debbie Meyers-Martin
  1/26/2022HouseAdded Chief Co-Sponsor Rep. Tim Butler
  1/27/2022HouseAdded Co-Sponsor Rep. Denyse Wang Stoneback
  1/27/2022HouseAdded Co-Sponsor Rep. Paul Jacobs
  1/31/2022HouseAdded Co-Sponsor Rep. Katie Stuart
  1/31/2022HouseAdded Co-Sponsor Rep. Lamont J. Robinson, Jr.
  1/31/2022HouseAdded Co-Sponsor Rep. Ann M. Williams
  2/2/2022HouseAdded Co-Sponsor Rep. Justin Slaughter
  2/9/2022HouseAssigned to Prescription Drug Affordability & Accessibility Committee
  2/9/2022HouseAdded Co-Sponsor Rep. Maura Hirschauer
  2/9/2022HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit
  2/9/2022HouseAdded Co-Sponsor Rep. Eva Dina Delgado
  2/10/2022HouseAdded Co-Sponsor Rep. Kelly M. Burke
  2/10/2022HouseAdded Co-Sponsor Rep. Michelle Mussman
  2/14/2022HouseAdded Co-Sponsor Rep. Anne Stava-Murray
  2/16/2022HouseAdded Co-Sponsor Rep. Michael Halpin
  2/16/2022HouseDo Pass / Short Debate Prescription Drug Affordability & Accessibility Committee; 018-000-000
  2/17/2022HousePlaced on Calendar 2nd Reading - Short Debate
  2/22/2022HouseAdded Co-Sponsor Rep. Daniel Swanson
  2/22/2022HouseAdded Co-Sponsor Rep. Amy Elik
  2/24/2022HouseAdded Co-Sponsor Rep. Nicholas K. Smith
  2/24/2022HouseAdded Co-Sponsor Rep. Janet Yang Rohr
  2/28/2022HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Greg Harris
  2/28/2022HouseHouse Floor Amendment No. 1 Referred to Rules Committee
  3/2/2022HouseHouse Floor Amendment No. 1 Rules Refers to Prescription Drug Affordability & Accessibility Committee
  3/2/2022HouseAdded Co-Sponsor Rep. Jennifer Gong-Gershowitz
  3/2/2022HouseSecond Reading - Short Debate
  3/2/2022HouseHeld on Calendar Order of Second Reading - Short Debate
  3/3/2022HouseHouse Floor Amendment No. 1 Recommends Be Adopted Prescription Drug Affordability & Accessibility Committee; 015-000-000
  3/3/2022HouseAdded Co-Sponsor Rep. Anthony DeLuca
  3/3/2022HouseHouse Floor Amendment No. 1 Adopted
  3/3/2022HousePlaced on Calendar Order of 3rd Reading - Short Debate
  3/3/2022HouseThird Reading - Short Debate - Passed 104-000-001
  3/3/2022HouseAdded Co-Sponsor Rep. Joyce Mason
  3/3/2022HouseAdded Co-Sponsor Rep. Elizabeth Hernandez
  3/3/2022HouseAdded Co-Sponsor Rep. Emanuel Chris Welch
  3/4/2022HouseAdded Co-Sponsor Rep. Dan Caulkins
  3/4/2022HouseAdded Co-Sponsor Rep. Angelica Guerrero-Cuellar
  3/4/2022SenateArrive in Senate
  3/4/2022SenatePlaced on Calendar Order of First Reading March 8, 2022
  3/9/2022SenateChief Senate Sponsor Sen. Mattie Hunter
  3/9/2022SenateFirst Reading
  3/9/2022SenateReferred to Assignments
  3/9/2022SenateAdded as Alternate Chief Co-Sponsor Sen. David Koehler
  3/10/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Doris Turner
  3/10/2022SenateAdded as Alternate Co-Sponsor Sen. Cristina Castro
  3/11/2022SenateAdded as Alternate Co-Sponsor Sen. Sara Feigenholtz
  3/14/2022SenateAdded as Alternate Co-Sponsor Sen. Laura M. Murphy
  3/16/2022SenateAssigned to Insurance
  3/23/2022SenateDo Pass Insurance; 011-000-000
  3/23/2022SenatePlaced on Calendar Order of 2nd Reading
  3/23/2022SenateSecond Reading
  3/23/2022SenatePlaced on Calendar Order of 3rd Reading March 24, 2022
  3/24/2022SenateAdded as Alternate Co-Sponsor Sen. Patricia Van Pelt
  3/29/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Emil Jones, III
  3/30/2022SenateThird Reading - Passed; 055-000-000
  3/30/2022HousePassed Both Houses
  3/31/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Mike Simmons
  4/4/2022SenateAdded as Alternate Co-Sponsor Sen. Celina Villanueva
  4/28/2022HouseSent to the Governor
  5/13/2022HouseGovernor Approved
  5/13/2022HouseEffective Date July 1, 2022
  5/13/2022HousePublic Act . . . . . . . . . 102-0778