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HB5804Introduced in the House

MEDICAID-MCO RX PAYMENTS

Introduced

Introduced by Dave Vella, District 68

What does this bill do?

Plain-English breakdown

Writing a plain-English summary of this bill… this can take a few seconds the first time.

Official description

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires a Medicaid managed care organization to reimburse a pharmacy provider that is not a critical access care pharmacy for dispensing fees and acquisition costs at no less than the amounts established under the fee-for-service program whether the Medicaid managed care organization directly reimburses those pharmacy providers or contracts with a pharmacy benefit manager to reimburse those pharmacy providers. Provides that the reimbursement requirement applies to all pharmacy services for persons receiving benefits under the Code including other specified pharmacy services.

Where it stands

Filed with the Clerk by Rep. Dave Vella

July 22, 2026

How did lawmakers vote?

No recorded vote is available for this bill yet.

Bill history

  1. Filed with the Clerk by Rep. Dave Vella

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