Date	Chamber	Action
3/21/2025	House	Rule 19(a) / Re-referred to Rules Committee

Statutes Amended In Order of Appearance

305 ILCS 5/5-5.12f

Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision prohibiting prior authorization mandates and utilization management controls under the fee-for-service and managed care medical assistance programs for FDA-approved prescription drugs that treat mental illness, requires the Department of Healthcare and Family Services and managed care organizations to report quarterly on compliance with the specified prohibitions beginning with dates of service on and after July 1, 2025. Requires the Department to post on its website a report on fee-for-service prescriptions and the reports from each managed care organization. Sets forth the information that must be contained in the quarterly reports, including, but not limited to: (i) the number of denied prescriptions and estimated net cost to the State for those covered prescriptions summarized by each of the allowed categories specified in the Code; (ii) the number of denied prescriptions and estimated net cost to the State for those prescriptions summarized by each of the non-allowed categories specified in the Code; and (iii) the number of denied prescriptions and estimated gross cost to the State for those prescriptions summarized by any other reason not specified in the Code. Requires the Department to sanction those managed care organizations that do not file the required reports. Effective immediately.

Actions 

Date	Chamber	Action
1/31/2025	House	Filed with the Clerk by Rep. Lindsey LaPointe
2/4/2025	House	First Reading
2/4/2025	House	Referred to Rules Committee
2/25/2025	House	Assigned to Human Services Committee
3/4/2025	House	To Medicaid Subcommittee
3/21/2025	House	Rule 19(a) / Re-referred to Rules Committee
3/28/2025	House	Added Co-Sponsor Rep. Edgar González, Jr.

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