DHFS-INS-RX DRUGS-FORMS
Summary
Amends the Illinois Public Aid Code and the Illinois Insurance Code. Requires the Department of Healthcare and Family Services and the Department of Insurance to jointly develop a uniform prior authorization form for prescription drug benefits on or before July 1, 2014. Provides that on and after January 1, 2015, or 6 months after the form is developed, whichever is later, every prescribing provider may use that uniform prior authorization form to request prior authorization for coverage of prescription drug benefits and every health care service plan shall accept that form as sufficient to request prior authorization for prescription drug benefits. Provides that on and after January 1, 2015, a health insurer that provides prescription drug benefits shall utilize and accept the prior authorization form when requiring prior authorization for prescription drug benefits; and that if a health care service plan fails to utilize or accept the prior authorization form, or fails to respond within 2 business days upon receipt of a completed prior authorization request from a prescribing provider, the prior authorization request shall be deemed to have been granted. Exempts certain providers. Sets forth certain criteria for the prior authorization form. Provides that "prescribing provider" includes a provider authorized to write a prescription as described in the Pharmacy Practice Act. Effective January 1, 2014.
Bill status
failed
1 of 4 stages cleared
Introduction
May 2013
Committee Review
Floor Vote
Governor
Introduced May 29, 2013
Last action Jan 13, 2015
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
22
Key actions
0
Committee
7
Amendments
1
Jan 13, 2015
Senate · Failed
Session Sine Die
Apr 11, 2014
Senate · Referred to committee
Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments
Apr 11, 2014
Senate · Referred to committee
Rule 3-9(a) / Re-referred to Assignments
Apr 4, 2014
Senate · Referred to committee
Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Human Services
Mar 28, 2014
Senate · Reported by committee
Rule 2-10 Committee Deadline Established As April 11, 2014
Mar 27, 2014
Senate · Referred to committee
Senate Committee Amendment No. 1 Referred to Assignments
Mar 27, 2014
Senate · Amendment offered
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Dan Kotowski
Jan 29, 2014
Senate · Referred to committee
Assigned to Human Services
May 29, 2013
Senate · Referred to committee
Referred to Assignments
0 primary · 1 co-sponsor
Sponsors
Role
Legislator
Party
State
District
Co
Dan Kotowski
DDemocratic
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