Creates the Prior Authorization Reform Act. Provides requirements concerning disclosure and review of prior authorization requirements, denial of claims or coverage by a utilization review organization, and the implementation of prior authorization requirements or restrictions. Provides requirements concerning a utilization review organization's obligations with respect to prior authorizations in nonurgent circumstances, urgent health care services, and emergency health care services. Provides that a utilization review organization shall not require prior authorization under specified circumstances. Provides requirements concerning the length of prior authorizations. Provides that health care services are automatically deemed authorized if a utilization review organization fails to comply with the requirements of the Act. Provides that the Director of Insurance may impose an administrative fine not to exceed $250,000 for violations of the Act. Defines terms. Amends the Illinois Insurance Code to change the definition of "emergency medical condition". Amends the Managed Care Reform and Patient Rights Act to provide that companies that transact accident and health insurance shall comply with specified requirements of the Managed Care Reform and Patient Rights Act. Amends the Illinois Public Aid Code to provide that all managed care organizations shall comply with the requirements of the Prior Authorization Reform Act. Makes other changes. Effective January 1, 2022.
Sponsored bills
Appropriates $3,327,139.80 from the General Revenue Fund to the Department of Corrections to hire additional educators and vocational instructors. Effective July 1, 2021.
Amends the Illinois Income Tax Act. Extends a tax credit allowable for qualified expenditures incurred by a qualified taxpayer in the restoration and preservation of a qualified historic structure located in a River Edge Redevelopment Zone to January 1, 2031 (currently, through January 1, 2022). Provides that, in order to qualify for such a tax credit, expenditures must: (i) equal $5,000 or more, (ii) exceed the adjusted basis of the qualified historic structure on the first day the qualified rehabilitation plan begins, and (iii) be a part of a qualified rehabilitation plan or phase of a qualified rehabilitation plan that received final approval to begin the expenditures no later than December 31, 2026 (currently, only (i) and (ii) are required). Effective immediately. Senate Floor Amendment No. 1 Makes a technical correction to the introduced bill by providing that the credit for restoration of qualified historic properties in a River Edge Redevelopment Zone applies for taxable years ending prior to January 1, 2027 (currently, January 1, 2022).
Appropriates $ 250,000,000, or so much thereof as may be necessary, from the State Coronavirus Urgent Remediation Emergency Fund to the Department of Commerce and Economic Opportunity for the purposes of the Hotel Jobs Recovery Grant Program, as allowed under the American Rescue Plan Act of 2021 and any associated federal guidance. Effective July 1, 2022.
Amends the Livestock Management Facilities Act. Provides that it is unlawful to use or create livestock waste lagoons; makes conforming changes. Repeals provisions concerning the standards for livestock waste lagoon construction. Effective immediately.
Amends the Property Tax Code. Provides that the abatement for property located in an area of urban decay also applies to newly remodeled single-family or duplex residential dwelling units (currently, only newly constructed single-family or duplex dwelling units). Provides that provisions requiring the abatement to be reduced in 20% increments annually during the last 4 years of the abatement period apply only to abatements granted prior to the effective date.
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, for the purpose of removing barriers to the timely treatment of serious mental illnesses, prior authorization mandates and utilization management controls shall not be imposed under the fee-for-service and managed care medical assistance programs on any FDA approved prescription drug that is recognized by a generally accepted standard medical reference as effective in the treatment of conditions specified in the most recent Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association. Senate Committee Amendment No. 1 Replaces everything after the enacting clause. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, for the purpose of removing barriers to the timely treatment of serious mental illnesses, insurance cost containment prior authorization mandates and insurance utilization management controls shall not be imposed under the fee-for-service and managed care medical assistance programs on any FDA approved prescription drug that is recognized by a generally accepted standard medical reference as effective in the treatment of conditions specified in the most recent Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association.
Amends the Use Tax Act. Makes a technical change in a Section concerning the short title.
Amends the Election Code. Makes a technical change in a Section of the campaign finance Article concerning definitions. Senate Floor Amendment No. 2 Deletes reference to: 10 ILCS 5/9-1 Adds reference to: 10 ILCS 5/25-6 from Ch. 46, par. 25-6 Replaces everything after the enacting clause. Amends the Election Code. Provides that when a vacancy occurs in the office of State Senator or State Representative in the General Assembly, the legislative or representative committee of that legislative or representative district that fills the vacancy shall provide members of the public within the district with notice of the vacancy and the replacement process. Provides that the committee shall also provide members of the public with notice of an impending vote to fill the vacancy. Provides that any meeting held by a legislative or representative committee for purposes of filling a vacancy in the General Assembly shall be open to the public and shall also be recorded and broadcast by electronic means for public consumption. Provides requirements for appointments that may be filled by the Governor. House Committee Amendment No. 1 Deletes reference to: 10 ILCS 5/25-6 Adds reference to: 10 ILCS 5/1-18 new 10 ILCS 5/3-5 from Ch. 46, par. 3-5 10 ILCS 5/19A-20 730 ILCS 5/5-5-5 from Ch. 38, par. 1005-5-5 730 ILCS 5/3-14-1 from Ch. 38, par. 1003-14-1 Replaces everything after the enacting clause. Amends the Election Code. Provides that a person convicted of a felony or otherwise under sentence in a correctional institution shall have his or her right to vote restored and shall be eligible to vote not later than 14 days following his or her conviction or not later than 5 days before the first election following the person's confinement (rather than prohibiting a person who has been convicted of any crime and is serving a sentence of confinement from voting until his or her release from confinement). Requires the election authority to collaborate with a correctional institution to facilitate an opportunity for voting by mail for eligible electors to vote in that election jurisdiction who are incarcerated in the correctional institution. Provides that all requirements of the federal Voting Rights Act of 1965 and other federal, State, and local laws regarding language access and disability access apply to the provisions. Requires the correctional institution to make available to persons in custody resource materials relating to an election. Requires the State Board of Elections in coordination with correctional institutions to annually report certain data regarding compliance with the provisions. Makes conforming changes throughout the Code and in the Unified Code of Corrections. Effective July 1, 2022. Pension Note, House Committee Amendment No. 1 (Dept. of Transportation) SB 0828, as amended by HA I, will not impact any public pension fund or retirement system in the State of Illinois. State Debt Impact Note, House Committee Amendment No. 1 (Government Forecasting & Accountability) SB 0828, as amended by House Amendment 1, would not change the amount of authorization for any type of State-issued bond, and, therefore, would not affect the level of State indebtedness. Balanced Budget Note, House Committee Amendment No. 1 (Office of Management and Budget) Please be advised that the Balanced Budget Note Act does not apply to Senate Bill 0828, as amended by House Amendment 1 as it is not a supplement.al appropriation that increases or decreases appropriaiions. Under the Act, a balanced budget note must be prepared only for bills that change a genCral funds appropriation for the fiscal year in which the new bill is enacted. Fiscal Note, House Committee Amendment No. 1 (State Board of Elections) The State Board of Elections does not anticipate any fiscal impact by the passage of 5B828, HCA1. Total Fiscal Impact: N/A House Floor Amendment No. 2 Adds reference to: 5 ILCS 100/5-45.8 new 10 ILCS 5/1-19 new In provisions amending the Election Code concerning post-conviction voting, removes the requirement that a person convicted of a felony, or otherwise under sentence in a correctional institution or jail, be eligible to vote not later than 5 days before the first primary, general, consolidated, or special election immediately following his or her conviction. Makes changes to the requirements of the annual report by the State Board of Elections. Provides that the provisions apply to all elections beginning with the general primary election in 2022. Provides the State Board of Elections with rulemaking authority, including emergency rules, to implement the provisions. Creates the Post-Conviction Task Force to study how to implement provisions restoring voting rights and allowing voting while a person is under sentence in a correctional institution. Requires the Task Force to submit a report on its findings and recommendations on or before December 31, 2021. Dissolves the Task Force on January 1, 2023. Makes conforming changes in the Illinois Administrative Procedure Act. Changes the effective date to immediate rather than July 1, 2022. Balanced Budget Note, House Floor Amendment No. 2 (Office of Management and Budget) Please be advised that the Balanced Budget Note Act does not apply to Senate Bill 0828, as amended by House Amendment 2 as it is not a supplemental appropriation that increases or decreases appropriations. Under the Act, a balanced budget note must be prepared only for bills that change a general funds appropriation for the fiscal year in which the new bill is enacted. Fiscal Note, House Floor Amendment No. 2 (State Board of Elections) The State Board of Elections does not anticipate any fiscal impact by the passage of SB828 (H-AM). Total Fiscal Impact: N/A Land Conveyance Appraisal Note, House Floor Amendment No. 2 (Dept. of Transportation) No land conveyances are included in Senate Bill 828 House Amendment #2; therefore, there are no appraisals to be filed. Pension Note, House Floor Amendment No. 2 (Government Forecasting & Accountability) SB 0828, as amended by HA 2, will not impact any public pension fund or retirement system in the State of Illinois. State Debt Impact Note, House Floor Amendment No. 2 (Government Forecasting & Accountability) SB 0828, as amended by House Amendment 2, w8uld not change the amount of authorization for any type of State-issued bond, and, therefore, would not affect the level of State indebtedness. Land Conveyance Appraisal Note, House Committee Amendment No. 1 (Dept. of Transportation) No land conveyances are included in Senate Bill 828 House Amendment #2; therefore, there are no appraisals to be filed. Home Rule Note, House Committee Amendment No. 1 (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority. State Mandates Fiscal Note, House Committee Amendment No. 1 (Dept. of Commerce & Economic Opportunity) This bill does not create a State Mandate. Housing Affordability Impact Note, House Committee Amendment No. 1 (Housing Development Authority) This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. Housing Affordability Impact Note, House Floor Amendment No. 2 (Housing Development Authority) This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. Home Rule Note, House Floor Amendment No. 2 (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority. State Mandates Fiscal Note, House Floor Amendment No. 2 (Dept. of Commerce & Economic Opportunity) This bill does not create a State Mandate under the State Mandates Act. Judicial Note, House Floor Amendment No. 2 (Admin Office of the Illinois Courts) The proposed legislation would neither increase nor decrease the number of judges needed in the State of Illinois. Judicial Note, House Committee Amendment No. 1 (Admin Office of the Illinois Courts) The proposed legislation would neither increase nor decrease the number of judges needed in the State of Illinois. House Floor Amendment No. 3 Deletes reference to: 10 ILCS 5/1-18 new Adds reference to: 10 ILCS 5/1-21 new Replaces everything after the enacting clause. Amends the Election Code. Provides that a person convicted of a felony or otherwise under sentence in a correctional institution or jail shall have his or her right to vote restored and shall be eligible to vote not later than 14 days following his or her conviction. Provides that correctional institutions shall make available to persons in custody certain current resource materials related to elections. Creates the Post-Conviction Task Force to strengthen and improve provisions that restore the right to vote for a person convicted of a felony or otherwise under sentence in a correctional institution or jail. Amends the Unified Code of Corrections to make conforming changes. Effective June 1, 2022. Fiscal Note, House Floor Amendment No. 3 (State Board of Elections) The State Board of Elections does not anticipate any fiscal impact by the passage of SB828 (H-AM 3) Pension Note, House Floor Amendment No. 3 (Government Forecasting & Accountability) SB 0828, as amended by HA 3, will not impact any public pension fund or retirement system in the State of Illinois. State Debt Impact Note, House Floor Amendment No. 3 (Government Forecasting & Accountability) SB 0828, as amended by House Amendment 3, would not change the amount of authorization for any type of State-issued bond, and, therefore, would not affect the level of State indebtedness. Judicial Note, House Floor Amendment No. 3 (Admin Office of the Illinois Courts) The proposed legislation would neither increase nor decrease the number of judges needed in the State of Illinois. Balanced Budget Note, House Floor Amendment No. 3 (Office of Management and Budget) Please be advised that the Balanced Budget Note Act does not apply to Senate Bill 828, as amended by House Amendment 3 as it is not a supplemental appropriation that increases or decreases appropriations. Under the Act, a balanced budget note must be prepared only for bills that change a general funds appropriation for the fiscal year in which the new bill is enacted. Land Conveyance Appraisal Note, House Floor Amendment No. 3 (Dept. of Transportation) No land conveyances are included in this bill; therefore, there are no appraisals to be filed. Housing Affordability Impact Note, House Floor Amendment No. 3 (Housing Development Authority) This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. Home Rule Note, House Floor Amendment No. 3 (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority. State Mandates Fiscal Note, House Floor Amendment No. 3 (Dept. of Commerce & Economic Opportunity) This bill does not create a State Mandate. Correctional Note, House Floor Amendment No. 3 (Dept of Corrections) Therefore, Senate Bill 0828 as Amended by House Amendment 003 would result in no increase in the corrections population and have an unknown fiscal impact on the Department over the first ten years after enactment. House Floor Amendment No. 4 Makes changes to the bill as amended by House Amendment No. 3. Provides that a correctional institution shall make available to a person in its custody resource materials current to an election, which are requested by that person in its custody and received at the correctional institution from a local election authority in response to that person's request. In provisions concerning temporary branch polling places at county jails, provides that a voter entitled to vote in another county, other than the county in which the jail is located, shall only be allowed to vote by mail. Pension Note, House Floor Amendment No. 4 (Government Forecasting & Accountability) SB 0828, as amended by HA 4, will not impact any public pension fund or retirement system in the State of Illinois. Home Rule Note, House Floor Amendment No. 4 (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority. State Mandates Fiscal Note, House Floor Amendment No. 4 (Dept. of Commerce & Economic Opportunity) This bill does not create a State mandate. State Debt Impact Note, House Floor Amendment No. 4 (Government Forecasting & Accountability) This bill would not change the amount of authorization for any type of State-issued bond, and, therefore, would not affect the level of State indebtedness. Balanced Budget Note, House Floor Amendment No. 4 (Office of Management and Budget) Please be advised that the Balanced Budget Note Act does not apply to this bill as it is not a supplemental appropriation that increases or decreases appropriations. Under the Act, a balanced budget note must be prepared only for bills that change a general funds appropriation for the fiscal year in which the new bill is enacted. Housing Affordability Impact Note, House Floor Amendment No. 4 (Housing Development Authority) This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. Judicial Note, House Floor Amendment No. 4 (Admin Office of the Illinois Courts) The proposed legislation would neither increase nor decrease the number of judges needed in the State of Illinois. Fiscal Note, House Floor Amendment No. 4 (State Board of Elections) The State Board of Elections does not anticipate any fiscal impact by the passage of SB828, HCA4.
Amends the Illinois Insurance Code. Provides that if a generic equivalent for a brand name drug is approved by the federal Food and Drug Administration, plans that provide coverage for prescription drugs through the use of a drug formulary that are amended, delivered, issued, or renewed in the State on or after January 1, 2022 shall comply with specified requirements. Provides that the Department of Insurance may adopt rules to implement provisions concerning notice of change of drug formulary. In provisions concerning a contract between a health insurer and a pharmacy benefit manager, provides that a pharmacy benefit manager must update and publish maximum allowable cost pricing information according to specified requirements, must provide a reasonable administrative appeal procedure to allow pharmacies to challenge maximum allowable costs, and must comply with specified requirements if an appeal is denied. Sets forth provisions concerning pharmacy benefit manager contracts; specified requirements that a pharmacy benefit manager shall comply with; specified requirements that an auditing entity shall comply with when conducting a pharmacy audit; and specified requirements concerning pharmacy network access standards. Provides that a violation of specified provisions is an unfair method of competition and unfair and deceptive act or practice in the business of insurance. Sets forth provisions concerning applicability of the Pharmacy Benefit Managers Article of the Illinois Insurance Code, and provisions concerning fiduciary responsibility of a pharmacy benefit manager. Defines terms. Makes other changes. Amends the Illinois Public Aid Code. Sets forth provisions concerning reimbursement of professional dispensing fees and acquisition costs for pharmacy providers. Senate Committee Amendment No. 1 Adds reference to: 215 ILCS 5/513b7 new 215 ILCS 5/513b8 new 215 ILCS 124/35 new Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Provides that a pharmacy may not be subject to a chargeback or recoupment for a clerical or recordkeeping error in a required document or record unless the pharmacy benefit manager can provide proof of intent to commit fraud or such error results in actual financial harm to the pharmacy benefit manager, a health plan managed by the pharmacy benefit manager, or a consumer. Removes various provisions concerning pharmacy benefit manager contracts. Defines "spread pricing". Removes various definitions. Amends the Network Adequacy and Transparency Act. In provisions concerning pharmacy payments under the Medical Assistance Article of the Illinois Public Aid Code, provides that the Department of Healthcare and Family Services may reimburse a pharmacy owned by an entity participating in the federal Drug Pricing Program under the federal Public Health Service Act, for drugs purchased under the Program, an amount equal to or greater than the ceiling price calculated under the federal Act. Provides that all Medicaid managed care organizations must reimburse a pharmacy participating in the federal Drug Pricing Program, for drugs purchased under the Program, an amount equal to or greater than the current national average drug acquisition cost listing for the pharmaceutical product. Provides that the Department, a Medicaid managed care organization, and a pharmacy benefit manager under contract with a Medicaid managed care provider to reimburse pharmacy providers shall not prohibit any entity or pharmacy participating in the federal Drug Pricing Program from using drugs purchased under the federal Act when submitting claims for pharmaceutical reimbursement. Makes other changes.