Sen. Doris Turner

Amends the Illinois Insurance Code. Provides that the amendatory Act may be referred to as the Strengthening Mental Health and Substance Use Parity Act. Provides that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2025, or any third-party administrator administering the behavioral health benefits for the insurer, shall cover all out-of-network medically necessary mental health and substance use benefits and services (inpatient and outpatient) as if they were in-network for purposes of cost sharing for the insured. Provides that the insured has the right to select the provider or facility of their choice and the modality, whether the care is provided via in-person visit or telehealth, for medically necessary care. Sets forth minimum reimbursement rates for certain behavioral health benefits. Sets forth provisions concerning responsibility for compliance with parity requirements; coverage and payment for multiple covered mental health and substance use services, mental health or substance use services provided under the supervision of a licensed mental health or substance treatment provider, and 60-minute individual psychotherapy; timely credentialing of mental health and substance use providers; Department of Insurance enforcement and rulemaking; civil penalties; and other matters. Amends the Illinois Administrative Procedure Act to authorize emergency rulemaking. Effective immediately.

Maddy summaryThis bill makes a minor technical correction to the official short title of a section within the Civil Administrative Code of Illinois. It does not create new laws, change existing policies, or directly affect any individuals or organizations. The change was approved by both the House and Senate and has been sent to the Governor for final approval.

Creates the Patient Access to Pharmacy Protection Act. Defines terms. Provides that no person, including a pharmaceutical manufacturer, may deny, restrict, prohibit, condition, or otherwise interfere with, either directly or indirectly, the acquisition of a 340B drug by, or delivery of a 340B drug to, a 340B covered entity or a 340B contract pharmacy authorized to receive 340B drugs on behalf of the 340B covered entity unless such receipt is prohibited by federal law. Provides that no person, including a pharmaceutical manufacturer, may impose any restriction on the ability of a 340B covered entity to contract with or designate a 340B contract pharmacy including restrictions relating to the number, location, ownership, or type of 340B contract pharmacy. Provides that no person, including a pharmaceutical manufacturer, may require or compel a 340B covered entity or 340B contract pharmacy to submit or otherwise provide ingredient cost or pricing data pertinent to 340B drugs; institute requirements in any way relating to how a 340B covered entity manages its inventory of 340B drugs that are not required by a State or federal agency, including requirements relating to the frequency or scope of audits of inventory management systems of a 340B covered entity or a 340B contract pharmacy; or require a 340B covered entity or its 340B contract pharmacy to submit or otherwise provide data or information that is not required by State or federal law. Sets forth provisions concerning enforcement of this Act; preemption of this Act; and severability of this Act. Effective immediately.

Maddy summaryThis Senate resolution officially congratulates the Christian County Agricultural Fair on reaching its 100th anniversary. The bill recognizes the event's history, which began in 1924 as a small livestock show and has since evolved to include modern attractions like concerts and demolition derbies while maintaining traditional elements. It directs the Senate to present a copy of the resolution to the fair's board as a symbol of appreciation for its century of community service. This measure is purely ceremonial and does not create any new laws or change existing policies.

Declares December 19, 2024 as Illinois ABLE Day in the State of Illinois.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall not enter into a contract with a managed care organization that relies on a pharmacy benefit manager that does not do the following: (i) utilize a pharmacy reimbursement methodology of the lesser of national average drug acquisition cost plus a professional dispensing fee as determined by the Department, the wholesale acquisition cost plus a professional dispensing fee as determined by the Department, or the usual and customary charge by the pharmacy; (ii) reimburse for a legally valid claim at a rate not less than the rate in effect at the time the original claim adjudication was submitted at the point of sale; (iii) agree to move to a transparent pass-through pricing model, in which the pharmacy benefit manager discloses the administrative fee as a percentage of the professional dispensing costs to the Department; (iv) agree to not create new pharmacy administration fees and to not increase current fees more than the rate of inflation; and (v) agree to not terminate an existing contract with a pharmacy licensed under the Pharmacy Practice Act for the sole reason of the additional professional dispensing fee authorized under item (i). Requires each pharmacy benefit manager that receives reimbursement for medical services, either directly or through a Medicaid managed care health plan, to submit by January 15, 2026, and each January 15 thereafter, certain data and information to the Department for the previous fiscal year, including: (1) the total number of prescriptions that were dispensed; (2) the aggregate wholesale acquisition cost for each drug on its formulary; (3) the aggregate amount of rebates, discounts, and price concessions that the pharmacy benefit manager received for each drug on its formulary; (4) the aggregate amount of administrative fees that the pharmacy benefit manager received from all pharmaceutical manufacturers; and (5) any other information considered necessary by the Department. Requires the Department to submit such data and information to the General Assembly and to the Governor's Office of Management and Budget. Provides that such information is confidential and not subject to disclosure under the Freedom of Information Act.

Maddy summaryThis Senate resolution honors the life of Howard R. Veal Sr., a Springfield community leader who passed away in June 2024. The bill formally expresses the Illinois Senate's condolences to his family and friends while acknowledging his decades of service through organizations like the Springfield Urban League and the Illinois Human Rights Commission. It also directs that a copy of the resolution be presented to the Veal family as a gesture of sympathy.

Maddy summaryThis Senate resolution honors Betty Ann Maguire, a resident of Virden who passed away in July 2024, by formally expressing the Illinois Senate's condolences to her family and friends. The document outlines her extensive community service, including her roles on the Virden School Board and Park Board, her work as an election judge, and her dedication to local events like the Christmas parade. It also notes her professional career in various state attorney offices and her recognition as Virden's Citizen of the Year in 2017. The resolution concludes by directing that a copy of the text be presented to her family as a gesture of sympathy.

Maddy summaryThis Senate resolution honors the memory of Wanda Bernot, a resident of Benld who passed away in April 2024. The document formally expresses the Illinois Senate's condolences to her family and friends while acknowledging her career in public service and community involvement. No new laws or policies are established by this text, as it serves solely as a commemorative gesture rather than a legislative change.

Maddy summaryThis Senate Resolution honors the life of Linda Sue (Loving) Williams, who passed away in September 2024, and extends condolences to her surviving family and friends. The document outlines her personal history, including her upbringing in Springfield, her education at the University of Illinois Urbana-Champaign, and her career at the Illinois Department of Public Aid. It also highlights her community involvement with Sigma Gamma Rho Sorority, Inc., her role as a supportive friend, and her personal hobbies such as singing and competitive bid whist. Finally, the resolution directs that a copy of the document be presented to her family as a formal expression of sympathy.