HB0591ham001 102ND GENERAL ASSEMBLY

Rep. La Shawn K. Ford

Filed: 4/20/2021

10200HB0591ham001 LRB102 14191 KTG 25644 a

AMENDMENT TO HOUSE BILL 591

AMENDMENT NO. ______. Amend House Bill 591 by replacing everything after the enacting clause with the following:

"Section 5. The Illinois Public Aid Code is amended by adding Section 5-5.12d as follows:

(305 ILCS 5/5-5.12d new)

Sec. 5-5.12d. Pharmacy services; report on access standards.

(a) The Department shall conduct a study on managed care pharmacy access standards. The study shall review the current access standards, with a focus on disproportionately impacted areas. The Department shall seek input from consumers of pharmacy services. The Department shall report its findings to the Governor and the General Assembly by January 1, 2022. The Department shall post the report on its website.

(b) Any retail pharmacy that is enrolled as an eligible retail pharmacy provider in the medical assistance program and is not sanctioned under investigation for fraud, waste, or abuse shall provide retail pharmacy services to any medical assistance recipient who resides in the same zip code as the pharmacy, regardless of whether the retail pharmacy is contracted to provide pharmacy services for the managed care organization that the recipient is enrolled with. The managed care organization shall pay such a retail pharmacy the managed care organization's standard contractual rate.

Section 99. Effective date. This Act takes effect upon becoming law.".