Legislation


HB 3479 (see companion bill SB 1888) – Illinois

Status: Inactive / Dead
Year Introduced: 2017
Link: http://www.ilga.gov/legislation/billstatus.asp?DocNum=3479&GAID=14&GA=100&DocTypeID=HB&LegID=105305&SessionID=91

MEDICAID-MCCN-PHARMACY RATES: Requires a managed care community network that contracts with the Department of Healthcare and Family Services to establish, maintain, and provide a fair and reasonable reimbursement rate to pharmacy providers for pharmaceutical services, prescription drugs and drug products, and pharmacy or pharmacist-provided services. Provides that the reimbursement methodology shall not be less than the current reimbursement rate utilized by the Department for prescription and pharmacy or pharmacist-provided services and shall not be below the actual acquisition cost of the pharmacy provider. Requires a managed care community network to ensure that the pharmacy formulary used by the managed care community network and its contract providers is no more restrictive than the Department’s pharmaceutical program.


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