HB5804Introduced in the House
MEDICAID-MCO RX PAYMENTS
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
Filed with the Clerk by Rep. Dave Vella
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