<?xml version='1.0' encoding='ISO-8859-1'?>
<xml>
<title>Illinois General Assembly - Bill Status for HB 4595         </title>
<shortdesc>INS-DRUG DISCOUNT PROGRAM</shortdesc>
<sponsor>
<sponsorhead1>House Sponsors</sponsorhead1><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</sponsors>
<sponsorhead2>Senate Sponsors</sponsorhead2><altsponsors>(Sen. Mattie Hunter-David Koehler-Doris Turner, Cristina Castro, Sara Feigenholtz, Laura M. Murphy, Patricia Van Pelt-Emil Jones, III-Mike Simmons and Celina Villanueva)</altsponsors>
</sponsor>
<lastaction>
<statusdate>5/13/2022</statusdate><chamber>House</chamber><action>Public Act . . . . . . . . . 102-0778</action>
</lastaction>
<synopsis>
<synopsistitle></synopsistitle>
<reference>215 ILCS 5/424</reference><aliasreference>from Ch. 73, par. 1031</aliasreference><reference>215 ILCS 5/513b1</reference><aliasreference></aliasreference><reference>305 ILCS 5/5-5.12</reference><aliasreference>from Ch. 23, par. 5-5.12</aliasreference><reference>305 ILCS 5/5-36</reference><aliasreference></aliasreference><SynopsisText>     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.</SynopsisText><synopsistitle>House Floor Amendment No. 1</synopsistitle>
<SynopsisText>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.</SynopsisText></synopsis>
<actions>
<statusdate>1/18/2022</statusdate><chamber>House</chamber><action>Filed with the Clerk by Rep. Greg Harris</action>
<statusdate>1/19/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Maurice A. West, II</action>
<statusdate>1/19/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Delia C. Ramirez</action>
<statusdate>1/19/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Deb Conroy</action>
<statusdate>1/19/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Ryan Spain</action>
<statusdate>1/19/2022</statusdate><chamber>House</chamber><action>Removed Co-Sponsor Rep. Maurice A. West, II</action>
<statusdate>1/20/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Dagmara Avelar</action>
<statusdate>1/21/2022</statusdate><chamber>House</chamber><action>First Reading</action>
<statusdate>1/21/2022</statusdate><chamber>House</chamber><action>Referred to Rules Committee</action>
<statusdate>1/21/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Margaret Croke</action>
<statusdate>1/21/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Kelly M. Cassidy</action>
<statusdate>1/21/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Theresa Mah</action>
<statusdate>1/21/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Robyn Gabel</action>
<statusdate>1/24/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Will Guzzardi</action>
<statusdate>1/24/2022</statusdate><chamber>House</chamber><action>Added Chief Co-Sponsor Rep. Natalie A. Manley</action>
<statusdate>1/25/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. LaToya Greenwood</action>
<statusdate>1/25/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Bob Morgan</action>
<statusdate>1/25/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Dave Vella</action>
<statusdate>1/26/2022</statusdate><chamber>House</chamber><action>Added Chief Co-Sponsor Rep. Maurice A. West, II</action>
<statusdate>1/26/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Debbie Meyers-Martin</action>
<statusdate>1/26/2022</statusdate><chamber>House</chamber><action>Added Chief Co-Sponsor Rep. Tim Butler</action>
<statusdate>1/27/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Denyse Wang Stoneback</action>
<statusdate>1/27/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Paul Jacobs</action>
<statusdate>1/31/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Katie Stuart</action>
<statusdate>1/31/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Lamont J. Robinson, Jr.</action>
<statusdate>1/31/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Ann M. Williams</action>
<statusdate>2/2/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Justin Slaughter</action>
<statusdate>2/9/2022</statusdate><chamber>House</chamber><action>Assigned to Prescription Drug Affordability &amp; Accessibility Committee</action>
<statusdate>2/9/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Maura Hirschauer</action>
<statusdate>2/9/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Stephanie A. Kifowit</action>
<statusdate>2/9/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Eva Dina Delgado</action>
<statusdate>2/10/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Kelly M. Burke</action>
<statusdate>2/10/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Michelle Mussman</action>
<statusdate>2/14/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Anne Stava-Murray</action>
<statusdate>2/16/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Michael Halpin</action>
<statusdate>2/16/2022</statusdate><chamber>House</chamber><action>Do Pass / Short Debate Prescription Drug Affordability &amp; Accessibility Committee;  018-000-000</action>
<statusdate>2/17/2022</statusdate><chamber>House</chamber><action>Placed on Calendar 2nd Reading - Short Debate</action>
<statusdate>2/22/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Daniel Swanson</action>
<statusdate>2/22/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Amy Elik</action>
<statusdate>2/24/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Nicholas K. Smith</action>
<statusdate>2/24/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Janet Yang Rohr</action>
<statusdate>2/28/2022</statusdate><chamber>House</chamber><action>House Floor Amendment No. 1 Filed with Clerk by Rep. Greg Harris</action>
<statusdate>2/28/2022</statusdate><chamber>House</chamber><action>House Floor Amendment No. 1 Referred to Rules Committee</action>
<statusdate>3/2/2022</statusdate><chamber>House</chamber><action>House Floor Amendment No. 1 Rules Refers to Prescription Drug Affordability &amp; Accessibility Committee</action>
<statusdate>3/2/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Jennifer Gong-Gershowitz</action>
<statusdate>3/2/2022</statusdate><chamber>House</chamber><action>Second Reading - Short Debate</action>
<statusdate>3/2/2022</statusdate><chamber>House</chamber><action>Held on Calendar Order of Second Reading - Short Debate</action>
<statusdate>3/3/2022</statusdate><chamber>House</chamber><action>House Floor Amendment No. 1 Recommends Be Adopted Prescription Drug Affordability &amp; Accessibility Committee;  015-000-000</action>
<statusdate>3/3/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Anthony DeLuca</action>
<statusdate>3/3/2022</statusdate><chamber>House</chamber><action>House Floor Amendment No. 1 Adopted</action>
<statusdate>3/3/2022</statusdate><chamber>House</chamber><action>Placed on Calendar Order of 3rd Reading - Short Debate</action>
<statusdate>3/3/2022</statusdate><chamber>House</chamber><action>Third Reading - Short Debate - Passed 104-000-001</action>
<statusdate>3/3/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Joyce Mason</action>
<statusdate>3/3/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Elizabeth Hernandez</action>
<statusdate>3/3/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Emanuel Chris Welch</action>
<statusdate>3/4/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Dan Caulkins</action>
<statusdate>3/4/2022</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Angelica Guerrero-Cuellar</action>
<statusdate>3/4/2022</statusdate><chamber>Senate</chamber><action>Arrive in Senate</action>
<statusdate>3/4/2022</statusdate><chamber>Senate</chamber><action>Placed on Calendar Order of First Reading March 8, 2022</action>
<statusdate>3/9/2022</statusdate><chamber>Senate</chamber><action>Chief Senate Sponsor Sen. Mattie Hunter</action>
<statusdate>3/9/2022</statusdate><chamber>Senate</chamber><action>First Reading</action>
<statusdate>3/9/2022</statusdate><chamber>Senate</chamber><action>Referred to Assignments</action>
<statusdate>3/9/2022</statusdate><chamber>Senate</chamber><action>Added as Alternate Chief Co-Sponsor Sen. David Koehler</action>
<statusdate>3/10/2022</statusdate><chamber>Senate</chamber><action>Added as Alternate Chief Co-Sponsor Sen. Doris Turner</action>
<statusdate>3/10/2022</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Cristina Castro</action>
<statusdate>3/11/2022</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Sara Feigenholtz</action>
<statusdate>3/14/2022</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Laura M. Murphy</action>
<statusdate>3/16/2022</statusdate><chamber>Senate</chamber><action>Assigned to Insurance</action>
<statusdate>3/23/2022</statusdate><chamber>Senate</chamber><action>Do Pass Insurance;  011-000-000</action>
<statusdate>3/23/2022</statusdate><chamber>Senate</chamber><action>Placed on Calendar Order of 2nd Reading</action>
<statusdate>3/23/2022</statusdate><chamber>Senate</chamber><action>Second Reading</action>
<statusdate>3/23/2022</statusdate><chamber>Senate</chamber><action>Placed on Calendar Order of 3rd Reading March 24, 2022</action>
<statusdate>3/24/2022</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Patricia Van Pelt</action>
<statusdate>3/29/2022</statusdate><chamber>Senate</chamber><action>Added as Alternate Chief Co-Sponsor Sen. Emil Jones, III</action>
<statusdate>3/30/2022</statusdate><chamber>Senate</chamber><action>Third Reading - Passed; 055-000-000</action>
<statusdate>3/30/2022</statusdate><chamber>House</chamber><action>Passed Both Houses</action>
<statusdate>3/31/2022</statusdate><chamber>Senate</chamber><action>Added as Alternate Chief Co-Sponsor Sen. Mike Simmons</action>
<statusdate>4/4/2022</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Celina Villanueva</action>
<statusdate>4/28/2022</statusdate><chamber>House</chamber><action>Sent to the Governor</action>
<statusdate>5/13/2022</statusdate><chamber>House</chamber><action>Governor Approved</action>
<statusdate>5/13/2022</statusdate><chamber>House</chamber><action>Effective Date July 1, 2022</action>
<statusdate>5/13/2022</statusdate><chamber>House</chamber><action>Public Act . . . . . . . . . 102-0778</action>
</actions>
</xml>

