Illinois HB5804 amends the Medical Assistance Article of the Illinois Public Aid Code to regulate pharmacy reimbursements and drug utilization.

HB5804 mandates that Medicaid managed care organizations reimburse pharmacy providers for dispensing fees and acquisition costs at rates no less than those established under the fee-for-service program. It requires these organizations to enroll in the federal Drug Pricing Program under Section 340B of the federal Public Health Service Act and prohibits them from excluding fee-for-service Medicaid from their participation.

Illinois HB5804 amends the Medical Assistance Article of the Illinois Public Aid Code to regulate pharmacy reimbursements and drug utilization.

HB5804 mandates that Medicaid managed care organizations reimburse pharmacy providers for dispensing fees and acquisition costs at rates no less than those established under the fee-for-service program. It requires these organizations to enroll in the federal Drug Pricing Program under Section 340B of the federal Public Health Service Act and prohibits them from excluding fee-for-service Medicaid from their participation.