Illinois 100th Regular Session Status: To Executive 2 D cosponsors

HB 4096 — MEDICAID-MCO-PREFERRED RX LIST

Last action — Total Veto Stands - No Positive Action Taken

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 100th Regular Session. It reached “To Executive” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall require each Medicaid Managed Care Organization to list as preferred on the Medicaid Managed Care Organization's preferred drug list every pharmaceutical that is listed as preferred on the Department's preferred drug list. Provides that the Department shall not prohibit, or adopt any rules or policies that prohibit, a Medicaid Managed Care Organization from: (i) covering additional pharmaceuticals that are not listed on the Department's preferred drug list; or (ii) removing from the Medicaid Managed Care Organization's preferred drug list any prior approval requirements applicable under the Department's preferred drug list. Provides that the Department shall not require a Medicaid Managed Care Organization to utilize a single, statewide preferred drug list and shall not prohibit a plan from negotiating drug pricing concessions or rebates on any drug with pharmaceutical companies, unless otherwise required by federal law. Provides that no later than July 1, 2018, the Department shall develop a standardized format for all Medicaid Managed Care Organization preferred drug lists in cooperation with Medicaid Managed Care Organizations and stakeholders, including, but not limited to, community-based organizations, providers, and individuals or entities with expertise in drug formulary development. Requires each Medicaid Managed Care Organization to post its preferred drug list on its website without restricting access to enrolled members and to update the preferred drug list posted on its website within 2 business days of making any changes to the preferred drug list, including, but not limited to, any and all changes to requirements for prior approval. Effective immediately.

Bill Text

What changed in the latest version

5 added · 5 removed

Plain-language change summary

The latest version of HB 4096 includes new lines that replace previous ones, indicating updates to the bill’s language or provisions. These changes suggest a refinement or clarification in the bill's intent or implementation details. Such updates are important because they can impact how the law is understood and enforced, potentially affecting stakeholders involved.

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Previous
Latest
HB4096 Engrossed LRB100 14436 KTG 29218 b AN ACT concerning public aid.
HB4096 Enrolled LRB100 14436 KTG 29218 b AN ACT concerning public aid.
Beginning January 1, 2019 and continuing through January 1, 2022, the Illinois Department shall require each Medicaid managed care organization to list as preferred on the Medicaid managed care HB4096 Engrossed - 2 - LRB100 14436 KTG 29218 b organization's preferred drug list at least the same number, and no fewer, of drugs per drug class as are listed on the Illinois Department's preferred drug list.
Beginning January 1, 2019 and continuing through January 1, 2022, the Illinois Department shall require each Medicaid managed care organization to list as preferred on the Medicaid managed care HB4096 Enrolled - 2 - LRB100 14436 KTG 29218 b organization's preferred drug list at least the same number, and no fewer, of drugs per drug class as are listed on the Illinois Department's preferred drug list.
(e) No later than January 1, 2019, the Illinois Department HB4096 Engrossed - 3 - LRB100 14436 KTG 29218 b shall develop a standardized format for all Medicaid managed care organization preferred drug lists in collaboration with Medicaid managed care organizations and other stakeholders, including, but not limited to, organizations that serve individuals impacted by HIV/AIDS or epilepsy, and community-based organizations, providers, and entities with expertise in drug formulary development.
(e) No later than January 1, 2019, the Illinois Department HB4096 Enrolled - 3 - LRB100 14436 KTG 29218 b shall develop a standardized format for all Medicaid managed care organization preferred drug lists in collaboration with Medicaid managed care organizations and other stakeholders, including, but not limited to, organizations that serve individuals impacted by HIV/AIDS or epilepsy, and community-based organizations, providers, and entities with expertise in drug formulary development.
The Illinois Department shall provide administrative support to the Board HB4096 Engrossed - 4 - LRB100 14436 KTG 29218 b and the Board shall:
The Illinois Department shall provide administrative support to the Board HB4096 Enrolled - 4 - LRB100 14436 KTG 29218 b and the Board shall:
(D) one clinician representing the Illinois HB4096 Engrossed - 5 - LRB100 14436 KTG 29218 b Department;
(D) one clinician representing the Illinois HB4096 Enrolled - 5 - LRB100 14436 KTG 29218 b Department;
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Action History

  1. Total Veto Stands - No Positive Action Taken

  2. Placed on Calendar Total Veto

  3. Governor Vetoed

  4. Sent to the Governor

  5. Passed Both Houses

  6. Third Reading - Passed; 047-009-000

  7. Added as Alternate Co-Sponsor Sen. Kwame Raoul

  8. Added as Alternate Co-Sponsor Sen. Mattie Hunter

  9. Placed on Calendar Order of 3rd Reading May 17, 2018

  10. Second Reading

  11. Added as Alternate Co-Sponsor Sen. Patricia Van Pelt

  12. Placed on Calendar Order of 2nd Reading May 15, 2018

  13. Do Pass Special Committee on Oversight of Medicaid Managed Care; 007-002-000

  14. Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford

  15. Assigned to Special Committee on Oversight of Medicaid Managed Care

  16. Added as Alternate Chief Co-Sponsor Sen. Cristina Castro

  17. Added as Alternate Chief Co-Sponsor Sen. Laura M. Murphy

  18. Added as Alternate Chief Co-Sponsor Sen. Daniel Biss

  19. Referred to Assignments

  20. First Reading

  21. Chief Senate Sponsor Sen. Heather A. Steans

  22. Placed on Calendar Order of First Reading

  23. Arrive in Senate

  24. Third Reading - Short Debate - Passed 070-037-000

  25. Placed on Calendar Order of 3rd Reading - Short Debate

  26. House Floor Amendment No. 1 Adopted

  27. Recalled to Second Reading - Short Debate

  28. House Floor Amendment No. 1 Recommends Be Adopted Appropriations-Human Services Committee; 009-006-000

  29. House Floor Amendment No. 1 Rules Refers to Appropriations-Human Services Committee

  30. House Floor Amendment No. 1 Referred to Rules Committee

  31. House Floor Amendment No. 1 Filed with Clerk by Rep. Gregory Harris

  32. Added Co-Sponsor Rep. Natalie A. Manley

  33. Added Co-Sponsor Rep. Robert Martwick

  34. Added Co-Sponsor Rep. Emanuel Chris Welch

  35. Added Co-Sponsor Rep. Sam Yingling

  36. Added Co-Sponsor Rep. Theresa Mah

  37. Placed on Calendar Order of 3rd Reading - Short Debate

  38. Approved for Consideration Rules Committee; 004-000-000

  39. Rule 19(b) / Re-referred to Rules Committee

  40. Added Co-Sponsor Rep. Camille Y. Lilly

  41. Placed on Calendar Order of 3rd Reading - Short Debate

  42. Second Reading - Short Debate

  43. Added Co-Sponsor Rep. Carol Ammons

  44. Added Chief Co-Sponsor Rep. William Davis

  45. Placed on Calendar 2nd Reading - Short Debate

  46. Do Pass / Short Debate Appropriations-Human Services Committee; 010-006-000

  47. Assigned to Appropriations-Human Services Committee

  48. Referred to Rules Committee

  49. First Reading

  50. Added Chief Co-Sponsor Rep. Juliana Stratton

  51. Added Co-Sponsor Rep. Thaddeus Jones

  52. Added Co-Sponsor Rep. Michelle Mussman

  53. Chief Co-Sponsor Changed to Rep. Mary E. Flowers

  54. Added Chief Co-Sponsor Rep. Sara Feigenholtz

  55. Added Chief Co-Sponsor Rep. Mary E. Flowers

  56. Added Co-Sponsor Rep. Elizabeth Hernandez

  57. Added Co-Sponsor Rep. Kathleen Willis

  58. Added Co-Sponsor Rep. Laura Fine

  59. Added Co-Sponsor Rep. Rita Mayfield

  60. Added Co-Sponsor Rep. Cynthia Soto

  61. Added Co-Sponsor Rep. Kelly M. Cassidy

  62. Added Co-Sponsor Rep. Jaime M. Andrade, Jr.

  63. Added Co-Sponsor Rep. La Shawn K. Ford

  64. Added Co-Sponsor Rep. Robyn Gabel

  65. Filed with the Clerk by Rep. Gregory Harris

Sponsors

Sponsorship breakdown

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0 sponsors · 5 co-sponsors · 178 not signed on · 14 voted No

Sponsors (0)

None.

Co-sponsors (5)

Not signed on (178)

178 members have not signed on to this bill.

Show all 178 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Third Reading

Passed 47 Yea · 9 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 27503
Democrat 15000
Republican 5400
Total 47903
% of votes cast 80%15%0%5%
How each member voted (59)
Member Party Vote
Bertino-Tarrant — Yea
Biss — Yea
Bivins — Nay
Mulroe — Yea
Link — Yea
Rooney — Yea
Manar — Yea
McCann — Not Voting
McCarter — Nay
McConnaughay — Yea
Muñoz — Yea
Bennett — Yea
Harris — Yea
Nybo — Yea
McGuire — Yea
Raoul — Yea
Silverstein — Yea
Steans — Yea
Cullerton — Yea
Cullerton, T. — Yea
Brady — Nay
Bush — Yea
Clayborne — Yea
Connelly — Yea
Haine — Yea
Hutchinson — Yea
Oberweis — Nay
Righter — Not Voting
Sandoval — Yea
Schimpf — Yea
Landek — Not Voting
Althoff — Yea
Martinez — Yea
Barickman — Nay
Van Pelt — Yea
Bill Cunningham Democrat Yea
Cristina Castro Democrat Yea
David Koehler Democrat Yea
Don Harmon Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Emil Jones, III Democrat Yea
Julie A. Morrison Democrat Yea
Kimberly A. Lightford Democrat Yea
Lakesia Collins Democrat Yea
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Yea
Mattie Hunter Democrat Yea
Michael E. Hastings Democrat Yea
Omar Aquino Democrat Yea
Steve Stadelman Democrat Yea
Chapin Rose Republican Nay
Dale Fowler Republican Yea
Dan McConchie Republican Nay
Dave Syverson Republican Nay
Jil Tracy Republican Yea
John F. Curran Republican Yea
Neil Anderson Republican Yea
Sue Rezin Republican Yea
Travis Weaver Republican Nay

Official roll call →

Third Reading

Passed 70 Yea · 37 Nay · 11 Other
Party YeaNayPresentNot Voting
Unaffiliated 392708
Republican 11001
Democrat 30002
Total 7037011
% of votes cast 59%31%0%9%
How each member voted (118)
Member Party Vote
Batinick — Nay
Bellock — Nay
Bourne — Nay
Breen — Nay
Bristow — Yea
Carroll — Yea
McAuliffe — Yea
McDermed — Nay
Greenwood — Yea
Frese — Nay
Long — Yea
McSweeney — Yea
Harris, Gregory — Yea
Parkhurst — Nay
Burke, Daniel — Yea
Riley — Yea
Burke, Kelly — Yea
Stratton — Yea
Tabares — Yea
Jones — Yea
Thapedi — Yea
Unes — Yea
Wallace — Yea
Willis — Yea
Yingling — Yea
Zalewski — Yea
Davis — Yea
Mitchell, Bill — Yea
Williams — Yea
Mitchell, Christian — Yea
Finnie, Natalie — Yea
Connor — Yea
Conroy — Yea
Conyears-Ervin — Yea
Costello — Yea
Currie — Yea
D'Amico — Yea
Drury — Yea
Flowers — Yea
Bennett — Nay
Brady — Nay
Olsen — Nay
Phillips — Not Voting
Skillicorn — Nay
Wheeler, Barbara — Nay
Wheeler, Keith — Nay
Stewart — Nay
Sauer — Not Voting
Hernandez — Not Voting
Harris, David — Not Voting
Turner — Not Voting
Wehrli — Nay
Welter — Nay
Winger — Nay
Butler — Nay
Cavaletto — Nay
Demmer — Nay
Durkin — Nay
Fortner — Nay
Hays — Nay
Ives — Not Voting
Jesiel — Nay
Jimenez — Nay
Hurley — Yea
Pritchard — Nay
Reis — Not Voting
Sente — Yea
Sommer — Nay
Soto — Not Voting
Lang — Yea
Madigan — Yea
Andersson — Yea
Arroyo — Yea
Chapa LaVia — Yea
Anna Moeller Democrat Yea
Anthony DeLuca Democrat Yea
Camille Y. Lilly Democrat Yea
Carol Ammons Democrat Yea
Emanuel "Chris" Welch Democrat Yea
Fred Crespo Democrat Yea
Jaime M. Andrade, Jr. Democrat Yea
Jay Hoffman Democrat Yea
Jehan Gordon-Booth Democrat Yea
Julie A. Morrison Democrat Not Voting
Justin Slaughter Democrat Yea
Katie Stuart Democrat Yea
Kelly M. Cassidy Democrat Yea
La Shawn K. Ford Democrat Yea
Laura Fine Democrat Yea
Lawrence "Larry" Walsh, Jr. Democrat Yea
Marcus C. Evans, Jr. Democrat Yea
Martin J. Moylan Democrat Yea
Michael W. Halpin Democrat Yea
Michelle Mussman Democrat Yea
Natalie A. Manley Democrat Yea
Nicholas K. Smith Democrat Yea
Rita Mayfield Democrat Yea
Robert "Bob" Rita Democrat Yea
Robert F. Martwick Democrat Yea
Robyn Gabel Democrat Not Voting
Sara Feigenholtz Democrat Yea
Sonya M. Harper Democrat Yea
Stephanie A. Kifowit Democrat Yea
Sue Scherer Democrat Yea
Theresa Mah Democrat Yea
Will Guzzardi Democrat Yea
Brad Halbrook Republican Nay
Charles Meier Republican Nay
Christopher "C.D." Davidsmeyer Republican Nay
Dan Swanson Republican Nay
Dave Severin Republican Nay
Joe C. Sosnowski Republican Not Voting
John M. Cabello Republican Nay
Norine K. Hammond Republican Yea
Ryan Spain Republican Nay
Steven Reick Republican Nay
Terri Bryant Republican Nay
Tony M. McCombie Republican Nay

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does HB 4096 do?
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall require each Medicaid Managed Care Organization to list as preferred on the Medicaid Managed Care Organization's preferred drug list every pharmaceutical that is listed as preferred on the Department's preferred drug list. Provides that the Department shall not prohibit, or adopt any rules or policies that prohibit, a Medicaid Managed Care Organization from: (i) covering additional pharmaceuticals that are not listed on the Department's preferred drug list; or (ii) removing from the Medicaid Managed Care Organization's preferred drug list any prior approval requirements applicable under the Department's preferred drug list. Provides that the Department shall not require a Medicaid Managed Care Organization to utilize a single, statewide preferred drug list and shall not prohibit a plan from negotiating drug pricing concessions or rebates on any drug with pharmaceutical companies, unless otherwise required by federal law. Provides that no later than July 1, 2018, the Department shall develop a standardized format for all Medicaid Managed Care Organization preferred drug lists in cooperation with Medicaid Managed Care Organizations and stakeholders, including, but not limited to, community-based organizations, providers, and individuals or entities with expertise in drug formulary development. Requires each Medicaid Managed Care Organization to post its preferred drug list on its website without restricting access to enrolled members and to update the preferred drug list posted on its website within 2 business days of making any changes to the preferred drug list, including, but not limited to, any and all changes to requirements for prior approval. Effective immediately.
Who sponsors HB 4096?
HB 4096 is sponsored by Gregory Harris, Kimberly A. Lightford (Democrat), Mattie Hunter (Democrat), Kwame Raoul, and Van Pelt.
What is the current status of HB 4096?
This bill died with 100th Regular Session. It reached “To Executive” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB 4096?
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Last checked for changes 3 months ago · updated continuously

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