Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
14 KiB
type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags
| type | title | description | jurisdiction | legislature | session | identifier | citation | classification | subjects | status | primary_sponsors | version_count | action_count | vote_count | first_action | last_action | source | source_identifier | source_url | source_hash | vintage | source_snapshot | retrieved_at | confidence | tags | ||||||
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| Bill | INS-DRUG DISCOUNT PROGRAM | 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. | us/states/il | Illinois General Assembly | 102nd | HB 4595 | Illinois HB 4595 (102nd) |
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enacted |
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4 | 82 | 2 | 2022-01-18 | 2022-05-13 | openstates | ocd-bill/2031779a-c181-4aa8-948d-a647a924812f | https://ilga.gov/legislation/BillStatus.asp?DocNum=4595&GAID=16&DocTypeID=HB&LegId=138381&SessionID=110&GA=102 | d70542becfd5789c39be4c72c58309287648d7610ec2c95cae7cd25ba681d62c | 2026-07-01 | https://data.openstates.org/daily/2026-07-01/public.pgdump | 2026-07-06 | reported |
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Illinois HB 4595 (102nd) — INS-DRUG DISCOUNT PROGRAM
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.
Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
- Introduced (filed) — source
- Engrossed (committee substitute) — source
- House Amendment 001 (committee substitute) — source
- Enrolled (enrolled) — source
Votes
- Third Reading — 55–0 (pass) · upper
- Third Reading — 104–0 (pass) · lower
Sponsors
- Greg Harris — primary (person)
- Mattie Hunter — primary (person)
- Amy Elik — cosponsor (person)
- Angelica Guerrero-Cuellar — cosponsor (person)
- Ann M. Williams — cosponsor (person)
- Anne Stava-Murray — cosponsor (person)
- Anthony DeLuca — cosponsor (person)
- Bob Morgan — cosponsor (person)
- Celina Villanueva — cosponsor (person)
- Cristina Castro — cosponsor (person)
- Dagmara Avelar — cosponsor (person)
- Dan Caulkins — cosponsor (person)
- Daniel Swanson — cosponsor (person)
- Dave Vella — cosponsor (person)
- David Koehler — cosponsor (person)
- Deb Conroy — cosponsor (person)
- Debbie Meyers-Martin — cosponsor (person)
- Delia C. Ramirez — cosponsor (person)
- Denyse Wang Stoneback — cosponsor (person)
- Doris Turner — cosponsor (person)
- Elizabeth Hernandez — cosponsor (person)
- Emanuel Chris Welch — cosponsor (person)
- Emil Jones, III — cosponsor (person)
- Eva-Dina Delgado — cosponsor (person)
- Janet Yang Rohr — cosponsor (person)
- Jennifer Gong-Gershowitz — cosponsor (person)
- Joyce Mason — cosponsor (person)
- Justin Slaughter — cosponsor (person)
- Katie Stuart — cosponsor (person)
- Kelly M. Burke — cosponsor (person)
- Kelly M. Cassidy — cosponsor (person)
- LaToya Greenwood — cosponsor (person)
- Lamont J. Robinson, Jr. — cosponsor (person)
- Laura M. Murphy — cosponsor (person)
- Margaret Croke — cosponsor (person)
- Maura Hirschauer — cosponsor (person)
- Maurice A. West, II — cosponsor (person)
- Michael Halpin — cosponsor (person)
- Michelle Mussman — cosponsor (person)
- Mike Simmons — cosponsor (person)
- Natalie A. Manley — cosponsor (person)
- Nicholas K. Smith — cosponsor (person)
- Patricia Van Pelt — cosponsor (person)
- Paul Jacobs — cosponsor (person)
- Robyn Gabel — cosponsor (person)
- Ryan Spain — cosponsor (person)
- Sara Feigenholtz — cosponsor (person)
- Stephanie A. Kifowit — cosponsor (person)
- Theresa Mah — cosponsor (person)
- Tim Butler — cosponsor (person)
- Will Guzzardi — cosponsor (person)
Timeline
The legislative action history — every referral, reading, and vote.
- 2022-01-18 Filed with the Clerk by Rep. Greg Harris
filing - 2022-01-19 Added Co-Sponsor Rep. Maurice A. West, II
- 2022-01-19 Added Co-Sponsor Rep. Delia C. Ramirez
- 2022-01-19 Added Co-Sponsor Rep. Deb Conroy
- 2022-01-19 Added Co-Sponsor Rep. Ryan Spain
- 2022-01-19 Removed Co-Sponsor Rep. Maurice A. West, II
- 2022-01-20 Added Co-Sponsor Rep. Dagmara Avelar
- 2022-01-21 First Reading
reading-1 - 2022-01-21 Referred to Rules Committee
referral-committee - 2022-01-21 Added Co-Sponsor Rep. Margaret Croke
- 2022-01-21 Added Co-Sponsor Rep. Kelly M. Cassidy
- 2022-01-21 Added Co-Sponsor Rep. Theresa Mah
- 2022-01-21 Added Co-Sponsor Rep. Robyn Gabel
- 2022-01-24 Added Co-Sponsor Rep. Will Guzzardi
- 2022-01-24 Added Chief Co-Sponsor Rep. Natalie A. Manley
- 2022-01-25 Added Co-Sponsor Rep. LaToya Greenwood
- 2022-01-25 Added Co-Sponsor Rep. Bob Morgan
- 2022-01-25 Added Co-Sponsor Rep. Dave Vella
- 2022-01-26 Added Chief Co-Sponsor Rep. Maurice A. West, II
- 2022-01-26 Added Co-Sponsor Rep. Debbie Meyers-Martin
- 2022-01-26 Added Chief Co-Sponsor Rep. Tim Butler
- 2022-01-27 Added Co-Sponsor Rep. Denyse Wang Stoneback
- 2022-01-27 Added Co-Sponsor Rep. Paul Jacobs
- 2022-01-31 Added Co-Sponsor Rep. Katie Stuart
- 2022-01-31 Added Co-Sponsor Rep. Lamont J. Robinson, Jr.
- 2022-01-31 Added Co-Sponsor Rep. Ann M. Williams
- 2022-02-02 Added Co-Sponsor Rep. Justin Slaughter
- 2022-02-09 Assigned to Prescription Drug Affordability & Accessibility Committee
referral-committee - 2022-02-09 Added Co-Sponsor Rep. Maura Hirschauer
- 2022-02-09 Added Co-Sponsor Rep. Stephanie A. Kifowit
- 2022-02-09 Added Co-Sponsor Rep. Eva-Dina Delgado
- 2022-02-10 Added Co-Sponsor Rep. Kelly M. Burke
- 2022-02-10 Added Co-Sponsor Rep. Michelle Mussman
- 2022-02-14 Added Co-Sponsor Rep. Anne Stava-Murray
- 2022-02-16 Added Co-Sponsor Rep. Michael Halpin
- 2022-02-16 Do Pass / Short Debate Prescription Drug Affordability & Accessibility Committee; 018-000-000
committee-passage - 2022-02-17 Placed on Calendar 2nd Reading - Short Debate
- 2022-02-22 Added Co-Sponsor Rep. Daniel Swanson
- 2022-02-22 Added Co-Sponsor Rep. Amy Elik
- 2022-02-24 Added Co-Sponsor Rep. Nicholas K. Smith
- 2022-02-24 Added Co-Sponsor Rep. Janet Yang Rohr
- 2022-02-28 House Floor Amendment No. 1 Filed with Clerk by Rep. Greg Harris
amendment-introduction - 2022-02-28 House Floor Amendment No. 1 Referred to Rules Committee
referral-committee - 2022-03-02 House Floor Amendment No. 1 Rules Refers to Prescription Drug Affordability & Accessibility Committee
- 2022-03-02 Added Co-Sponsor Rep. Jennifer Gong-Gershowitz
- 2022-03-02 Second Reading - Short Debate
reading-2 - 2022-03-02 Held on Calendar Order of Second Reading - Short Debate
reading-2 - 2022-03-03 House Floor Amendment No. 1 Recommends Be Adopted Prescription Drug Affordability & Accessibility Committee; 015-000-000
committee-passage-favorable - 2022-03-03 Added Co-Sponsor Rep. Anthony DeLuca
- 2022-03-03 House Floor Amendment No. 1 Adopted
amendment-passage - 2022-03-03 Placed on Calendar Order of 3rd Reading - Short Debate
- 2022-03-03 Third Reading - Short Debate - Passed 104-000-001
passage, reading-3 - 2022-03-03 Added Co-Sponsor Rep. Joyce Mason
- 2022-03-03 Added Co-Sponsor Rep. Elizabeth Hernandez
- 2022-03-03 Added Co-Sponsor Rep. Emanuel Chris Welch
- 2022-03-04 Added Co-Sponsor Rep. Dan Caulkins
- 2022-03-04 Added Co-Sponsor Rep. Angelica Guerrero-Cuellar
- 2022-03-04 Arrive in Senate
introduction - 2022-03-04 Placed on Calendar Order of First Reading March 8, 2022
reading-1 - 2022-03-09 Chief Senate Sponsor Sen. Mattie Hunter
- 2022-03-09 First Reading
reading-1 - 2022-03-09 Referred to Assignments
referral-committee - 2022-03-09 Added as Alternate Chief Co-Sponsor Sen. David Koehler
- 2022-03-10 Added as Alternate Chief Co-Sponsor Sen. Doris Turner
- 2022-03-10 Added as Alternate Co-Sponsor Sen. Cristina Castro
- 2022-03-11 Added as Alternate Co-Sponsor Sen. Sara Feigenholtz
- 2022-03-14 Added as Alternate Co-Sponsor Sen. Laura M. Murphy
- 2022-03-16 Assigned to Insurance
referral-committee - 2022-03-23 Do Pass Insurance; 011-000-000
committee-passage - 2022-03-23 Placed on Calendar Order of 2nd Reading
- 2022-03-23 Second Reading
reading-2 - 2022-03-23 Placed on Calendar Order of 3rd Reading March 24, 2022
- 2022-03-24 Added as Alternate Co-Sponsor Sen. Patricia Van Pelt
- 2022-03-29 Added as Alternate Chief Co-Sponsor Sen. Emil Jones, III
- 2022-03-30 Third Reading - Passed; 055-000-000
passage, reading-3 - 2022-03-30 Passed Both Houses
- 2022-03-31 Added as Alternate Chief Co-Sponsor Sen. Mike Simmons
- 2022-04-04 Added as Alternate Co-Sponsor Sen. Celina Villanueva
- 2022-04-28 Sent to the Governor
executive-receipt - 2022-05-13 Governor Approved
executive-signature - 2022-05-13 Effective Date July 1, 2022
- 2022-05-13 Public Act . . . . . . . . . 102-0778
became-law
Source
OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/2031779a-c181-4aa8-948d-a647a924812f. Confidence: reported (aggregated from official Illinois legislature records).