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Government Affairs ReportThe Beat Goes On!by Jim Owens and Scott Meyers

The second major deadline has passed in the Spring Session of the IllinoisGeneral Assembly and the pace of activity has picked up a little. Thedeadline in question occurred on April 13th when substantive bills needed tomove out of their respective committees in Springfield and on to 2nd Readingor be referred back to the Rules and Assignment Committees of the Houseand Senate. While a handful of bills were given extensions for morediscussion at the committee level, we did see significant movement andamendments to some of the bills we have been monitoring and working onfor the first three months of this session.

HB0274 – Michelle Mussman, Schaumburg, D – The pharmacist hormonalbirth control prescribing bill came out of the Health Care Licenses Committeewith the support of the OB/GYN doctors and a neutral stance by the IllinoisState Medical Society (ISMS). The only concerns lie with the Department ofHealthcare and Family Services (DHFS) with regard to payment for thecognitive services that will accompany the actual dispensing. We hope thatmore compromise can be accomplished but this is a great step in the rightdirection!

HB4707 – Sue Scherer, Decatur, D – This bill initially intended to makehydrocodone a schedule I controlled substance in Illinois but a variety ofhealth care associations expressed serious concerns for patient care and thesponsor amended the bill removing that change and in its place establishedthe Prescription Drug Task Force made up of legislators, law enforcementrepresentatives and representatives from various health care associationsincluding ICHP. The bill is now on 2nd Reading in the House.

HB4907 - Mike McAuliffe, Chicago, R – Intended to require HIPAA trainingfor prescriber and dispenser PMP designees has been amended to allowonly licensed pharmacy personnel to be designated access to the PMP bypharmacists and therefore removes any concerns ICHP and IPhA had withits initial language. This bill also adds one dentist to the PMP Peer ReviewSubcommittee of the PMP Advisory Committee. The bill has been placed on2nd Reading in the House as amended.

HB5442 – Jim Durkin, Burr Ridge, R – Would have amended the ControlledSubstance Act to require all hospitals to post all administered doses ofcontrolled substance to the PMP but has now been tabled. ICHP, IPhA andIRMA strongly opposed this bill.

May 2018

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HB5602 – Jonathan Carroll, Buffalo Grove, D – This bill removes therequirement of U.S. citizenship or legal immigration status as criteria forobtaining a pharmacist license. This bill is on 2nd Reading in the House andICHP has taken a neutral position on it.

SB2524 – Chapin Rose, Champaign, R – Amends the EnvironmentalProtection Act by creating the Pharmaceutical Disposal Task Force. TheTask Force will coordinate statewide efforts regarding proper disposal ofunused medications. This bill has passed out of the Senate and awaitscommittee assignment in the House.

SB2952 – Melinda Bush, Grayslake, D – The Senate version of HB4907mentioned above. Placed on 2nd Reading in the Senate.

SB3170 – Steve Stadelman, Rockford, D – Provides that a prescription formedication other than controlled substances shall be valid for up to 15months from date of issue for the purpose of refills unless the prescriptionstate otherwise. This bill is on 3rd Reading in the Senate.

SB3431 – Sue Rezin, Peru, R – Would have restricted initial prescriptions foropiate medications to a 7-day supply for patients 18 years old and older andrestrict all opiate prescriptions for patients younger than 18 to 7-daysupplies. This bill has been referred back to the Assignments Committeeand will probably not move further.

A list of all the bills ICHP is monitoring is provided below. If you see a billsponsored by your State Senator or Representative, it provides a greatopportunity to talk to them to find out more about their intentions and to see ifyou there is a way for you to provide feedback or assist in the bill’s passage. At the same time, building a better relationship with one or both of theindividuals representing you in Springfield. ICHP is working for you and theprofession to advance patient care and excellence in pharmacy. Look foropportunities like that to do your part!

2018 Illinois General Assembly Bill Summary

Bill Number Sponsor Summary Location ICHPPosition

SB0316 Steans –Chicago, D

Amends the Illinois ClinicalLaboratory and BloodBank Act. Makes atechnical change in aSection concerning theshort title. Cannabis taxation – 21 orolder buy cannabis betaxed like alcohol purchase

In Assignments

SB0336 Sam001

Harmon - OakPark, D

Amends SB336 byreplacing everything afterthe enacting clause withthe following:“Section 1. This Act maybe referred to as theAlternatives to Opioids Actof 2018.

Placed onCalendar Orderof 3rd ReadingFebruary 27th

2018 2/22/2018

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Section 5. theCompassionate Use ofMedical Cannabis PilotProgram Act is amendedby changing sections 5,10, 60, and 160 asfollows…”Sam001 supportingcannabis as MAT foropioid use disorder

Added co-sponsor DanielBiss 2/20/2018

SB1888 &HB3479

McCann-Jacksonville,R Feigenholtz –Chicago, D

Amends the MedicalAssistance Article of theIllinois Public Aid Code. Inaddition to other specifiedactions required under theCode, requires a managedcare community networkthat contracts with theDepartment of Healthcareand Family Services toestablish, maintain, andprovide a fair andreasonable reimbursementrate to pharmacy providersfor pharmaceuticalservices, prescriptiondrugs and drug products,and pharmacy orpharmacist-providedservices. Provides that thereimbursementmethodology shall not beless than the currentreimbursement rate utilizedby the Department forprescription and pharmacyor pharmacist-providedservices and shall not bebelow the actualacquisition cost of thepharmacy provider.Requires a managed carecommunity network toensure that the pharmacyformulary used by themanaged care communitynetwork and its contractproviders is no morerestrictive than theDepartment'spharmaceutical program.Effective July 1, 2018.

Assignments inSenate Rules inHouse 5/5/2017

SB2189 Connelly –Napeerville, R

Creates the MedicaidSmart Card Pilot ProgramAct. Requires the Directorof the Department ofHealthcare and FamilyServices to establish aMedicaid Smart Card PilotProgram to reduce the

Referred toAssignmentsComm. 4/13/2018

Neutral



total amount ofexpenditures under theState's Medical AssistanceProgram. Provides that thepilot program shall bedesigned to reduce theaverage monthly costunder the State's MedicalAssistance Program forrecipients within the pilotprogram area by anamount that is at leastsufficient to recover thecost of implementing thepilot program. Providesthat the Director shalldetermine the geographicarea to be included in thepilot program and maycontract with anindependent entity for thepurpose of developing andimplementing the pilotprogram. Containsprovisions on requiredactivities under the pilotprogram, including thedistribution of MedicaidSmart Cards to designatedrecipients; measures theDepartment might take toimplement the pilotprogram; annualevaluations; reportingrequirements; extension orexpansion of the pilotprogram; the confidentialityof health information;reports to the InspectorGeneral; and rulemakingauthority.

SB2226 Nybo -Lombard, R

Amends the State PoliceAct. Provides that aphysician, physician'sassistant with prescriptiveauthority, or advancedpractice registered nursewith prescriptive authoritywho provides a standingorder or prescription forepinephrine auto-injectorsin the name of theDepartment of State Policeshall incur no civil orprofessional liability,except for willful andwanton conduct, as aresult of any injury or deatharising from the use of anepinephrine auto-injector.

First ReadingReferred toRules Committeein the House 2/27/2018 Chief HouseSponsor DebConroy 2/21/2018



Amends the Illinois PoliceTraining Act. Provides thata physician, physician'sassistant with prescriptiveauthority, or advancedpractice registered nursewith prescriptive authoritywho provides a standingorder or prescription forepinephrine auto-injectorsin the name of a localgovernmental agency shallincur no civil orprofessional liability,except for willful andwanton conduct, as aresult of any injury or deatharising from the use of anepinephrine auto-injector.Makes conformingchanges to the MedicalPractice Act of 1987 andthe Public Health StandingOrders Act. Effectiveimmediately.

SB2334 Murphy - ElkGrove Village,D

Amends the University ofIllinois Hospital Act andHospital Licensing Act.Provides that a hospitalshall maintain a metaldetector at each point ofentry into the hospital.Provides that a hospitalshall ensure that allmembers of the public,other than the employeesof the hospital who displayproper credentials, whoenter the hospital at a pointof entry are subjected toscreening by a metaldetector. Provides thatindividuals subject toscreening shall include, butnot be limited to,individuals in wheelchairs.Defines "point of entry".Effective July 1, 2018.

Postponed -Public Health 4/11/2018

Neutral

SB2465 Mulroe-Chicago, D

Amends the Illinois PublicAid Code. Makes atechnical change in aSection concerningmedical services.

Referred toAssignments 1/30/2018

SB2524SAM002

Rose -Champaign, R

Sen. Amendment 1:Amends the EnvironmentalProtection Act by creatingthe PharmaceuticalDisposal Task Force. Thetask force will coordinate astatewide public

Passed in theSenate Sent to RulesComm. in theHouse

Neutral



information campaign tohighlight the benefits andopportunities of properlydisposing ofpharmaceutical products. Identifies the members ofthe task force andresponsibilities. Sen. Amendment 2: Addedrepresentatives ofphysician, coroner andpharmaceuticalmanufacturer to the taskforce.

4/17/2018

SB2529

Stadelman -Rockford, D

Amends various acts toremove provisions allowingor requiring licensingauthorities to deny, notrenew, suspend, or revokeprofessional licenses fordefaulting on aneducational loan orscholarship provided by orguaranteed by a Stateagency. Effectiveimmediately.

Referred toAssignmentsComm. 4/13/2018

Support

SB2827HB2511

Murphy - ElkGrove Village,D

Amends the MedicalAssistance Article of theIllinois Public Aid Code.Provides that drugsprescribed to residents ofthe following facilities arenot subject to priorapproval as a result of the4-prescription limit: long-term care facilities asdefined in the NursingHome Care Act;community-integratedliving arrangements asdefined in the Community-Integrated LivingArrangements Licensureand Certification Act; andsupportive living facilitiesas defined in the Code.

Placed on 2nd

Reading in theSenate Added Chief Co-Sponsor 3/13/2018

Neutral

SB2834 Syverson –Rockford, R

Amends the Alcoholismand Other Drug Abuse andDependency Act. Changesthe short title of the Act tothe Substance UseDisorder Act. Removes theterms "addict", "addiction","alcoholic", "alcoholism",and "substance abuse"and their correspondingdefinitions. Requires theDepartment of HumanServices to reduce the

Placed on 3rd

Reading in theSenate 4/19/2018



incidence of substance usedisorders (rather thanreduce the incidence andconsequences of theabuse of alcohol and otherdrugs). Defines "substanceuse disorder". Requiresthe Department to design,coordinate, and fundprevention, earlyintervention, treatment,and other recovery supportservices for substance usedisorders that areaccessible and addressthe needs of at-riskindividuals and theirfamilies. Requires theDepartment to develop acomprehensive plan on theprovision of such services;assist other State agenciesin developing andestablishing substance usedisorder services for theagencies' clients; adoptmedical and clinicalstandards on how todetermine a substance usedisorder diagnosis; andother matters. Containsprovisions concerning thelicensing of substance usedisorder treatmentproviders; licensurecategories and services;the identification ofindividuals who needsubstance use disordertreatment using "SBIRT";patients' rights; servicesfor pregnant women,mothers, and criminaljustice clients; and othermatters. Repeals aprovision of the Actestablishing the Committeeon Women's Alcohol andSubstance AbuseTreatment. Repeals aprovision of the Act settingforth the powers and dutiesof the Medical AdvisoryCommittee. Makesconforming changesconcerning the SubstanceUse Disorder Act toseveral Acts including theDepartment of HumanServices Act, the Children



and Family Services Act,and the Mental Health andDevelopmental DisabilitiesAdministrative Act.Effective January 1, 2019.

SB2849Sam001

Van Pelt -Chicago, D

Creates the PrescriptionDrug Repository ProgramAct. Requires theDepartment of PublicHealth to, by rule, establisha prescription drugrepository program, underwhich any person maydonate a prescription drugor supplies needed toadminister a prescriptiondrug for use by anindividual who meetseligibility criteria specifiedby the Department. Setsforth requirements thatprescription drugs orsupplies must meet inorder to be accepted anddispensed under theprogram. Provides that nodrugs or supplies donatedunder the prescription drugrepository program may beresold. Provides thatnothing in the Act requiresthat a pharmacy orpharmacist participate inthe prescription drugrepository program.Provides for civil andcriminal immunity for drugand supply manufacturersand individuals in relationto the donation,acceptance, or dispensingof prescription drugs orsupplies under theprescription drugrepository program.Imposes conditions on anyrulemaking authority.Amends the PharmacyPractice Act, theWholesale DrugDistribution Licensing Act,the Senior PharmaceuticalAssistance Act, the IllinoisFood, Drug and CosmeticAct, the Illinois ControlledSubstances Act, and theCannabis and ControlledSubstances Tort ClaimsAct to provide that personsengaged in donating or

Referred toAssignments 4/13/2018

Neutral



accepting, or packaging,repackaging, or labeling,prescription drugs to theextent permitted orrequired under thePrescription DrugRepository Program Actare exempt from provisionsof those other Acts thatmight prohibit or otherwiseregulate such activity. Senate Amendment 001:Added clause that gaveuninsured andunderinsured individualpriority over other eligiblepersons and person who isengaged in packing andrelabeling of donatedmedication is notconsidered “manufacturer”.

SB2889 Rose –Champaign, R

Creates the EpinephrineAdministration Act.Provides that a health carepractitioner may prescribeepinephrine pre-filledsyringes in the name of anauthorized entity whereallergens capable ofcausing anaphylaxis maybe present. Provides thatan authorized entity mayacquire and stock a supplyof undesignatedepinephrine pre-filledsyringes provided theundesignated epinephrinepre-filled syringes arestored in a specifiedlocation. Requires eachemployee, agent, or otherindividual of the authorizedentity to complete aspecified training programbefore using a pre-filledsyringe to administerepinephrine. Provides thata trained employee, agent,or other individual of theauthorized entity mayeither provide oradminister an epinephrinepre-filled syringe to aperson whom theemployee, agent, or otherindividual believes in goodfaith is experiencinganaphylaxis. Provides that

Placed onCalendar Orderof 3rd ReadingApril 10, 20183/14/2018



training under the Act shallbe valid for 2 years.Requires the Departmentof Public Health to approvetraining programs, to listthe approved programs onthe Department's website,and to include links totraining providers' websiteson the Department'swebsite. Containsprovisions concerningcosts, limitations, andrulemaking. Defines terms.Amends the School Code.In provisions concerningepinephrine administration,provides that epinephrinemay be administered witha pre-filled syringe. Makesconforming changes.Senate Amendment 1:Changed “auto-injectors”to “injectors”Senate Amendment 2:Removes provisioncreating EpinephrineAdministration Act.

SB2951HB4950

Bush -Grayslake, D

Creates the Early MentalHealth and AddictionsTreatment Act. Requiresthe Department ofHealthcare and FamilyServices, and otherspecified agencies andentities, to develop a pilotprogram under which aqualifying adolescent oryoung adult may receivecommunity-based mentalhealth treatment from ayouth-focused communitysupport team for earlytreatment that isspecifically tailored to theneeds of youth and youngadults in the early stagesof a serious emotionaldisturbance or seriousmental illness. Requiresthe Department to apply,no later than September30, 2019, for anynecessary federal waiveror State Plan amendmentto implement the pilotprogram. Requires theDepartment to implementthe pilot program no laterthan December 31, 2019 if

Postponed –Human Service 3/14/2018 Added Co-Sponsor 3/14/2018



federal approval is notnecessary. Containsprovisions concerning thecreation of a community-based treatment modelunder the pilot program;the development of a pay-for-performance paymentmodel; Department rules toimplement the pilotprogram; and analytics andoutcomes report. Requiresthe Department to developan Assertive Engagementand Community-BasedClinical Treatment PilotProgram for individualswith opioid and other drugaddictions. Containsprovisions on in-office, in-home, and in-communityservices provided underthe pilot program;application for a federalwaiver or State Planamendment to implementthe pilot program;development of a pay-for-performance paymentmodel; Department rules toimplement the pilotprogram; and analytics andoutcomes report. Effectiveimmediately.

SB2952HB4907

Bush –Grayslake, D

Amends the IllinoisControlled Substances Act.Provides that theDepartment of HumanServices, in consultationwith the AdvisoryCommittee, shall adoptrules allowing licensedprescribers or pharmacistswho have registered toaccess the PrescriptionMonitoring Program toauthorize a licensed ornon-licensed designee(rather than any designee)employed in that licensedprescriber's office orlicensed pharmacist'spharmacy and who hasreceived training in thefederal Health InsurancePortability andAccountability Act toconsult the PrescriptionMonitoring Program ontheir behalf. Requires the

Placed onCalendar Orderof 2nd ReadingFeb 28th, 2018Do Pass PublicHealth; 009-000-000 2/27/2018



Clinical Director of thePrescription MonitoringProgram to select 6members (rather than 5members), 3 physicians, 2pharmacists, and onedentist, of the PrescriptionMonitoring ProgramAdvisory Committee toserve as members of thepeer review subcommittee.Effective immediately

SB3015 Koehler -Peoria, D

Amends the School Code.With regard to the self-administration and self-carry of asthmamedication, provides that aschool district, publicschool, charter school, ornonpublic school mayauthorize a school nurse ortrained personnel to (i)provide undesignatedasthma medication to astudent for self-administration only or toany personnel authorizedunder a student'sIndividual Health CareAction Plan or asthmaaction plan, plan pursuantto Section 504 of thefederal Rehabilitation Actof 1973, or individualizededucation program plan toadminister to the studentthat meets the student'sprescription on file, (ii)administer anundesignated asthmamedication that meets theprescription on file to anystudent who has anIndividual Health CareAction Plan or asthmaaction plan, plan pursuantto Section 504 of thefederal Rehabilitation Actof 1973, or individualizededucation program planthat authorizes the use ofasthma medication; and(iii) administer anundesignated asthmamedication to any personthat the school nurse ortrained personnel believesin good faith is havingrespiratory distress;defines "undesignated

Sen.Amendments 1-3adopted. Placedon 2nd Readingin the Senate 4/17/2018



asthma medication" and"respiratory distress".Changes the definition of"asthma medication" tomean quick-relief asthmamedication that isapproved by the UnitedStates Food and DrugAdministration for thetreatment of respiratorydistress. Provides that aschool nurse or trainedpersonnel may administerundesignated asthmamedication to any personwhom the school nurse ortrained personnel in goodfaith believes to beexperiencing respiratorydistress (i) while in school,(ii) while at a school-sponsored activity, (iii)while under thesupervision of schoolpersonnel, or (iv) before orafter normal schoolactivities. Provides that aschool district, publicschool, charter school, ornonpublic school maymaintain a supply of anasthma medication in anysecure location where aperson is most at risk.Provides that a trainingcurriculum to recognizeand respond to respiratorydistress may be conductedonline or in person.Specifies trainingrequirements. Makes otherchanges. Effectiveimmediately.Senate Amendment 1:Added must notify thechild’s health care providerAND school nurse within24 hours after theadministration of anundesignated asthmamedication.

SB3116 Hunter –Chicago, D

Amends the NursePractice Act. In provisionsconcerning writtencollaborative agreements,restores the ability ofpodiatric physicians tocollaborate with advancedpractice registered nurses.Makes other changes.

Placed on 2nd

Reading in theSenate 4/19/2018



Effective immediately.SB3170 Stadelman -

Rockford, DAmends the PharmacyPractice Act and the IllinoisFood, Drug and CosmeticAct. Provides that aprescription for medicationother than controlledsubstances shall be validfor up to 15 months fromthe date issued for thepurpose of refills, unlessthe prescription statesotherwise.

On 3rd Readingin the Senate 4/18/2018

SB3431 Rezin - Peru,R

Amends the IllinoisControlled Substances Act.Provides that when issuinga prescription for an opiateto a patient 18 years ofage or older for outpatientuse for the first time, apractitioner may not issuea prescription for morethan a 7-day supply.Provides that a practitionermay not issue an opiateprescription to a personunder 18 years of age formore than a 7-day supplyat any time and shalldiscuss with the parent orguardian of the personunder 18 years of age therisks associated withopiate use and the reasonswhy the prescription isnecessary. Provides thatnotwithstanding thisprovision, if, in theprofessional medicaljudgment of a practitioner,more than a 7-day supplyof an opiate is required totreat the patient's acutemedical condition or isnecessary for thetreatment of chronic painmanagement, painassociated with a cancerdiagnoses, or for palliativecare, then the practitionermay issue a prescriptionfor the quantity needed totreat that acute medicalcondition, chronic pain,pain associated with acancer diagnosis, or painexperienced while thepatient is in palliative care.Provides that the conditiontriggering the prescription

Referred toAssignments

Neutral



of an opiate for more thana 7-day supply shall bedocumented in thepatient's medical recordand the practitioner shallindicate that a non-opiatealternative was notappropriate to address themedical condition.Provides that theseprovisions do not apply tomedications designed forthe treatment of substanceabuse or opioiddependence. Effectiveimmediately.

SB3498

Sims, Jr. -Chicago, D

Amends the ManagedCare Reform and PatientRights Act. Requires apolicy or plan sponsor tonotify the prescribingphysician and the patientin writing 60 days beforemaking a formulary changethat alters the terms ofcoverage or discontinuescoverage for a prescribeddrug that the patient isreceiving. Containsprovisions for receiving thenotice electronically.Provides that a policy orplan sponsor may providethe patient with the writtennotification, along with a60-day supply of theprescription drug, at thetime the patient requests arefill. Provides that nothingin the provisions prohibitsinsurers or pharmacybenefit managers fromusing certain managedpharmacy care tools solong as an exceptionprocess is in placeallowing the prescriber topetition for coverage anon-preferred drug ifsufficient clinical reasonsjustify an exception to thenormal protocol.

Assigned toInsurance2/27/2018

Neutral

HB0274 Mussman –Schaumburg,D

Amends the PharmacyPractice Act. Provides that"practice of pharmacy"includes the prescribingand dispensing ofhormonal contraceptivepatches and self-

2nd Reading inthe House

Support



administered oralhormonal contraceptives.Defines "hormonalcontraceptive patch" as atransdermal patch appliedto the skin of a patient, bythe patient or by apractitioner, that releases adrug composed of acombination of hormonesthat is approved by theUnited States Food andDrug Administration toprevent pregnancy and"self-administered oralhormonal contraceptive"as a drug composed of acombination of hormonesthat is approved by theUnited States Food andDrug Administration toprevent pregnancy andthat the patient to whomthe drug is prescribed maytake orally. Allowspharmacists to prescribeand dispensecontraceptives to a personover 18 years of age and aperson under 18 years ofage only if the person hasevidence of a previousprescription from a primarycare or a women's healthcare practitioner. Requiresthe Department ofFinancial and ProfessionalRegulation to adopt rulesto establish standardprocedures forpharmacists to prescribecontraceptives. Providesrequirements for the rulesto be adopted by theDepartment. Provides thatall State and federal lawsgoverning insurancecoverage of contraceptivedrugs and products shallapply to the provisions.

HB3479SB1888

Feigenholtz –Chicago, D

Amends the MedicalAssistance Article of theIllinois Public Aid Code. Inaddition to other specifiedactions required under theCode, requires a managedcare community networkthat contracts with theDepartment of Healthcareand Family Services to

Referred toRules Comm. 4/13/2018



establish, maintain, andprovide a fair andreasonable reimbursementrate to pharmacy providersfor pharmaceuticalservices, prescriptiondrugs and drug products,and pharmacy orpharmacist-providedservices. Provides that thereimbursementmethodology shall not beless than the currentreimbursement rate utilizedby the Department forprescription and pharmacyor pharmacist-providedservices and shall not bebelow the actualacquisition cost of thepharmacy provider.Requires a managed carecommunity network toensure that the pharmacyformulary used by themanaged care communitynetwork and its contractproviders is no morerestrictive than theDepartment'spharmaceutical program.Effective July 1, 2018.

HB4096 Harris –Chicago, D

Amends the MedicalAssistance Article of theIllinois Public Aid Code.Provides that theDepartment of Healthcareand Family Services shallrequire each MedicaidManaged CareOrganization to list aspreferred on the MedicaidManaged CareOrganization's preferreddrug list everypharmaceutical that islisted as preferred on theDepartment's preferreddrug list. Provides that theDepartment shall notprohibit, or adopt any rulesor policies that prohibit, aMedicaid Managed CareOrganization from: (i)covering additionalpharmaceuticals that arenot listed on theDepartment's preferreddrug list; or (ii) removingfrom the Medicaid

Placed onCalendar Orderof 3rd Reading -Short Debate 1/30/2018



Managed CareOrganization's preferreddrug list any prior approvalrequirements applicableunder the Department'spreferred drug list.Provides that theDepartment shall notrequire a MedicaidManaged CareOrganization to utilize asingle, statewide preferreddrug list and shall notprohibit a plan fromnegotiating drug pricingconcessions or rebates onany drug withpharmaceuticalcompanies, unlessotherwise required byfederal law. Provides thatno later than July 1, 2018,the Department shalldevelop a standardizedformat for all MedicaidManaged CareOrganization preferreddrug lists in cooperationwith Medicaid ManagedCare Organizations andstakeholders, including,but not limited to,community-basedorganizations, providers,and individuals or entitieswith expertise in drugformulary development.Requires each MedicaidManaged CareOrganization to post itspreferred drug list on itswebsite without restrictingaccess to enrolledmembers and to updatethe preferred drug listposted on its websitewithin 2 business days ofmaking any changes to thepreferred drug list,including, but not limitedto, any and all changes torequirements for priorapproval. Effectiveimmediately.

HB4146 Fine –Glenview, D

House Amendment 1 : nlanguage providing that ahealth care plan is notprohibited from requiring apharmacist to effectsubstitutions of

Placed on 2nd

Reading in theHouse 4/10/2018



prescription drugs,provides that the healthcare plan is not prohibitedfrom requiring apharmacist to effectsubstitutions consistentwith provisions from thePharmacy Practice Act thatallow a pharmacist tosubstitute aninterchangeable biologicfor a prescribed biologicproduct and select ageneric drug determined tobe therapeuticallyequivalent by the UnitedStates Food and DrugAdministration and inaccordance with the IllinoisFood, Drug and CosmeticAct.

HB4166 Harris –Chicago, D

Creates the HealthInsurance ClaimsAssessment Act. Imposesan assessment of 1% onclaims paid by a healthinsurance carrier or third-party administrator.Provides that the moneysreceived and collectedunder the Act shall bedeposited into theHealthcare Provider ReliefFund and used solely forthe purpose of fundingMedicaid services providedunder the medicalassistance programsadministered by theDepartment of Healthcareand Family Services.

Referred toRules Comm. 4/13/2018

HB4270 Olsen -DownersGrove, R

Amends the GoodSamaritan Act. Providesthat a free medical clinicshall not be liable for civildamages as a result ofacts or omissions inproviding medicaltreatment, diagnosis, oradvice, except for willful orwanton misconduct.

Referred toRules Comm.4/13/2018

HB4331 Conner –Romeoville, D

Amends the CountiesCode. Provides that inevery case in which anopioid overdose isdetermined to be acontributing factor in adeath, the coroner shallreport the death and theage, gender, race, and

Placed onCalendar 2nd

Reading- Short Debate 3/8/2018



county of residence, ifknown, of the decedent tothe Department of PublicHealth. Amends theUniversity of IllinoisHospital Act and theHospital Licensing Act.Requires every hospital toreport the age, gender,race, and county ofresidence, if known, ofeach patient diagnosed ashaving an opioid overdoseto the Department within48 hours of the diagnosis.Amends the Department ofPublic Health Powers andDuties Law of the CivilAdministrative Code ofIllinois. Requires theDepartment to adopt rulesto implement the reportingrequirements. Requires theDepartment to annuallyreport to the GeneralAssembly the datacollected.

HB4436 Chapa LaVia -Aurora, D

Amends the Mental Healthand DevelopmentalDisabilities Code. Providesthat notwithstanding any ofthe provisions of the Codeconcerning theadministration ofpsychotropic medicationand electroconvulsivetherapy, psychotropicmedication orelectroconvulsive therapymay be administeredpursuant to a power ofattorney for health careunder the Powers ofAttorney for Health CareLaw or a declaration formental health treatmentunder the Mental HealthTreatment PreferenceDeclaration Act over theobjection of the recipient ifthe recipient has notrevoked the power ofattorney or declaration formental health treatment asprovided in the relevantstatute. Effectiveimmediately.

Referred toRules 1/31/2018

HB4440 Gabel -Evanston, D

Amends the Nursing HomeCare Act. Provides that theDepartment of Public

Arrived in SenateReferred toAssignments



Health shall providefacilities with educationalinformation on all vaccinesrecommended by theCenters for DiseaseControl and Prevention'sAdvisory Committee onImmunization Practices,including, but not limitedto, the risks associatedwith shingles and how toprotect oneself against thevaricella-zoster virus.Requires a facility todistribute the information toeach resident whorequests the informationand each newly admittedresident. Allows the facilityto distribute the informationto residents electronically.Effective January 1, 2019.

3/9/2018

HB4479 Cabello –Rockford, R

Amends the Criminal Codeof 2012 relating to firstdegree murder. Adds andeliminates aggravatingfactors for which the deathpenalty may be imposed.Amends the Code ofCriminal Procedure of1963. Eliminates provisionthat abolishes thesentence of death. Enactsthe Capital CrimesLitigation Act of 2018.Provides that allunobligated andunexpended moneysremaining in the DeathPenalty Abolition Fund onthe effective date of theamendatory Act shall betransferred into the CapitalLitigation Trust Fund.Amends the StateAppellate Defender Act.Provides that in cases inwhich a death sentence isan authorized disposition,the State AppellateDefender shall provide trialcounsel with legalassistance and theassistance of expertwitnesses, investigators,and mitigation specialistsfrom funds appropriated tothe State AppellateDefender specifically forthat purpose by the

Referred toRules Committee 2/2/2018



General Assembly.Provides that the Office ofState Appellate Defendershall not be appointed toserve as trial counsel incapital cases.

HB4571

Ammons -Champaign, D

Amends the CannabisControl Act. Makes atechnical change in aSection concerning theshort title.


HB4643

Burke -Chicago, D

Amends the IllinoisPhysical Therapy Act.Provides that the limitationon determining adifferential diagnosis shallnot in any manner limit aphysical therapist fromestablishing a relevantdiagnosis. In the definitionof "documented currentand relevant diagnosis"and in provisionsconcerning disciplinaryactions, removes languagerequiring a diagnosis to besubstantiated by aphysician, dentist,advanced practiceregistered nurse, physicianassistant, or podiatricphysician. Effectiveimmediately.

Placed on 2nd


HB4650

Zalewski -Riverside, D

Amends the IllinoisControlled Substance Act.In a provision allowingpharmacists to authorize adesignee to consult thePrescription MonitoringProgram on their behalf,defines "pharmacist" toinclude, but be not limitedto, a pharmacistassociated with a healthmaintenance organizationor a Medicaid managedcare entity providingservices under the IllinoisPublic Aid Code. Effectiveimmediately.

On 2nd Readingin the House

Oppose

HB4696

Olsen -DownersGrove, R

Amends the Use Tax Act,the Service Use Tax Act,the Service OccupationTax Act, and the Retailers'Occupation Tax Act.Provides that, beginningon January 1, 2019, thetax is not imposed onprescription medicines orprescription drugs.




Effective immediately.HB4699

Carroll -Buffalo Grove,D

Amends the GoodSamaritan Act. Providesthat a person who in goodfaith and without feeadministers epinephrine toanother person who issuffering from a severeallergic reaction shall notbe liable for civil damagesas a result of his or heracts or omissions, exceptfor willful or wantonmisconduct on the part ofthe person in administeringthe epinephrine.


HB4707HouseAmendment001

Scherer -Decatur, D

House Amendment 003:Creates the PrescriptionDrug Task Force Act and aPrescription drug taskForce with 18 members,one member from ICHPthat will study the extent ofover prescribing of opioidsto patients and to makerecommendations forfuture legislation toaddress the issue.

Placed onCalendar 2nd

Reading – ShortDebate 3/8/2018

Neutral

HB4795 Demmer –Rochelle, R

Amends the Alcoholismand Other Drug Abuse andDependency Act. Changesthe short title of the Act tothe Substance UseDisorder Act. Removes theterms "addict", "addiction","alcoholic", "alcoholism",and "substance abuse"and their correspondingdefinitions. Requires theDepartment of HumanServices to reduce theincidence of substance usedisorders (rather thanreduce the incidence andconsequences of theabuse of alcohol and otherdrugs). Defines "substanceuse disorder". Requiresthe Department to design,coordinate, and fundprevention, earlyintervention, treatment,and other recovery supportservices for substance usedisorders that areaccessible and addressthe needs of at-riskindividuals and theirfamilies. Requires theDepartment to develop a

Placed on 2nd




comprehensive plan on theprovision of such services;assist other State agenciesin developing andestablishing substance usedisorder services for theagencies' clients; adoptmedical and clinicalstandards on how todetermine a substance usedisorder diagnosis; andother matters. Containsprovisions concerning thelicensing of substance usedisorder treatmentproviders; licensurecategories and services;the identification ofindividuals who needsubstance use disordertreatment using "SBIRT";patients' rights; servicesfor pregnant women,mothers, and criminaljustice clients; and othermatters. Repeals aprovision of the Actestablishing the Committeeon Women's Alcohol andSubstance AbuseTreatment. Repeals aprovision of the Act settingforth the powers and dutiesof the Medical AdvisoryCommittee. Makesconforming changesconcerning the SubstanceUse Disorder Act toseveral Acts including theDepartment of HumanServices Act, the Childrenand Family Services Act,and the Mental Health andDevelopmental DisabilitiesAdministrative Act.Effective January 1, 2019.

HB4825 Evans, Jr –Chicago, D

Amends the IllinoisInsurance Code. Providesthat all entities providingprescription drug coverageshall permit and apply aprorated daily cost-sharingrate to prescriptions thatare dispensed by apharmacy for less than a30-day supply if theprescriber or pharmacistindicates the fill or refillcould be in the bestinterest of the patient or is

Rules Committee 2/14/2018



for the purpose ofsynchronizing the patient'schronic medications.Provides that no entityproviding prescription drugcoverage shall denycoverage for thedispensing of any drugprescribed for thetreatment of a chronicillness that is made inaccordance with a planamong the insured, theprescriber, and apharmacist to synchronizethe refilling of multipleprescriptions for theinsured. Provides that noentity providingprescription drug coverageshall use paymentstructures incorporatingprorated dispensing feesdetermined by calculationof the days' supply ofmedication dispensed.Provides that dispensingfees shall be determinedexclusively on the totalnumber of prescriptionsdispensed. Establishescriteria for an entityconducting audits (eitheron-site or remotely) ofpharmacy records.Provides that theDepartment of Insuranceand Director of Insuranceshall have the authority toenforce the provisions ofthe Act and imposefinancial penalties.Effective January 1, 2019.

HB4900 Guzzardi -Chicago, D

Creates the Illinois GenericDrug Pricing Fairness Act.Provides that amanufacturer or wholesaledrug distributor shall notengage in price gouging inthe sale of an essential off-patent or generic drug.Provides that the Directorof Healthcare and FamilyServices or Director ofCentral ManagementServices may notify theAttorney General of anyincrease in the price of anyessential off-patent orgeneric drug under the

Held on 3rd




Medical AssistanceProgram under the IllinoisPublic Aid Code or a Statehealth plan, respectively,that amounts to pricegouging. Provides thatwhenever the AttorneyGeneral has reason tobelieve that amanufacturer or wholesaledrug distributor of anessential off-patent orgeneric drug has violatedthe Act, the AttorneyGeneral shall send anotice to the manufactureror wholesale drugdistributor requesting aspecified statement.Provides that within 45days after receipt of therequest, the manufactureror wholesale drugdistributor shall submit thestatement to the AttorneyGeneral. Provides that toaccomplish the objectivesand carry out the dutiesprescribed in the Act, theAttorney General mayissue subpoenas orexamine under oath anyperson to determinewhether a manufacturer orwholesale drug distributorhas violated the Act.Provides that upon petitionof the Attorney General, acircuit court may issuespecified orders againstviolations of the Act.Contains provisionsconcerning the disclosureof financial informationprovided by amanufacturer or wholesaledrug distributor to theAttorney General. EffectiveJanuary 1, 2019.

HB4907SB2952

McAuliffe -Chicago, R

Amends the IllinoisControlled Substances Act.Provides that theDepartment of HumanServices, in consultationwith the AdvisoryCommittee, shall adoptrules allowing licensedprescribers or pharmacistswho have registered toaccess the Prescription

Placed on 2nd




Monitoring Program toauthorize a licensed ornon-licensed designee(rather than any designee)employed in that licensedprescriber's office orlicensed pharmacist'spharmacy and who hasreceived training in thefederal Health InsurancePortability andAccountability Act toconsult the PrescriptionMonitoring Program ontheir behalf. HouseAmendment 1 nowrequires the designee inthe pharmacy must be alicensed individual. Requires the ClinicalDirector of the PrescriptionMonitoring Program toselect 6 members (ratherthan 5 members), 3physicians, 2 pharmacists,and one dentist, of thePrescription MonitoringProgram AdvisoryCommittee to serve asmembers of the peerreview subcommittee.Effective immediately

HB4950SB2951

Feigenholtz –Chicago, D

Creates the Early MentalHealth and AddictionsTreatment Act. Requiresthe Department ofHealthcare and FamilyServices, and otherspecified agencies andentities, to develop a pilotprogram under which aqualifying adolescent oryoung adult may receivecommunity-based mentalhealth treatment from ayouth-focused communitysupport team for earlytreatment that isspecifically tailored to theneeds of youth and youngadults in the early stagesof a serious emotionaldisturbance or seriousmental illness. Requiresthe Department to apply,no later than September30, 2019, for anynecessary federal waiveror State Plan amendmentto implement the pilot

Referred toRules Committee 2/14/2018 Added Chief Co-Sponsor 3/12/2018



program. Requires theDepartment to implementthe pilot program no laterthan December 31, 2019 iffederal approval is notnecessary. Containsprovisions concerning thecreation of a community-based treatment modelunder the pilot program;the development of a pay-for-performance paymentmodel; Department rules toimplement the pilotprogram; and analytics andoutcomes report. Requiresthe Department to developan Assertive Engagementand Community-BasedClinical Treatment PilotProgram for individualswith opioid and other drugaddictions. Containsprovisions on in-office, in-home, and in-communityservices provided underthe pilot program;application for a federalwaiver or State Planamendment to implementthe pilot program;development of a pay-for-performance paymentmodel; Department rules toimplement the pilotprogram; and analytics andoutcomes report. Effectiveimmediately.

HB4995 Crespo-Streamwood,D

Amends the IllinoisInsurance Code and theIllinois Public Aid Code.Requires that on or beforeJuly 1, 2019, theDepartment of Insuranceand Department ofHealthcare and FamilyServices to jointly developa uniform priorauthorization form to beused by prescribingproviders to request priorauthorization forprescription drug benefits.Provides that on and afterJanuary 1, 2020, or 6months after the uniformprior authorization form isdeveloped, whichever islater, health insurers,managed care

Rules Comm.



organizations, and fee-for-service medical assistanceprograms that provideprescription drug benefitsshall utilize and accept theuniform prior authorizationform and prescribingproviders may use theuniform prior authorizationform. Provides criteria fordeveloping the uniformprior authorization form.Provides requirements andlimitations of priorauthorization requests.

HB5070 Bellock –Westmont, R

Amends the TelehealthAct. Includes clinicianslicensed to provide medicalservices under Illinois lawin the definition of "healthcare professional".Amendment 001: Addedpharmacists and otherlicensed practitionersunder the definition of“health care professional”.

Passed in theHouse4/18/2018 Referred toAssignmentsComm. in theSenate.

HB5442 Durkin - BurrRidge, R

Amends the OpenMeetings Act. Providesthat, for the purposes ofthe Act, "public body" doesnot include a MetropolitanEnforcement Group (MEG)Policy Board or drug taskforce composed or createdby any combination of locallaw enforcement agencies.Amends the Criminal Codeof 2012. Provides that aperson commits drug-induced homicide when heor she violates delivery ofa controlled substance ormethamphetamine or asimilar law of anotherjurisdiction, by unlawfullydelivering a controlledsubstance to another, andthe injection, inhalation,absorption, or ingestion ofany amount of thatcontrolled substance is acontributing cause of theperson's death. Amendsthe Illinois ControlledSubstances Act. Providesthat controlled substanceswhich are lawfullyadministered in hospitalsor institutions licensedunder the Hospital

Tabled04/12/2018

Neutral



Licensing Act shall bereported under (ratherthan, exempt from)specified reportingprovisions under the Act,and the prescription for thecontrolled substancesordered and the quantityactually administered(rather than, the reportingrequirement only appliesfor more than a 72-hoursupply of a dischargemedication to beconsumed outside of thehospital or institution).Provides that theinformation required to betransmitted under theprescription monitoringprogram must betransmitted not later thanthe end of the businessday on which a controlledsubstance is dispensed, orat such other time as maybe required by theDepartment of HumanServices by administrativerule (rather than, at theend of the next businessday on which thecontrolled substance isdispensed).

HB5482 Guzzardi –Chicago, D

Amends the Department ofProfessional RegulationLaw of the CivilAdministrative Code ofIllinois. Provides that theDepartment of Financialand ProfessionalRegulation shall allow anapplicant to provide his orher individual taxpayeridentification number as analternative to provide asocial security numberwhen applying for alicense. Provides that noapplicant shall be denied alicense solely based on hisor her immigration statusor citizenship status.Makes conformingchanges in the SchoolCode, Pharmacy PracticeAct, and the Attorney Act.Makes other changes.

Placed on 2nd


HB5602 Carroll -Buffalo Grove,

Amends the SafePharmaceutical Disposal

Referred toRules Committee



D Act. Provides that "unusedmedication" means anyunopened, expired, orexcess medication that hasbeen dispensed for patientor resident care and that isin a liquid or solid form(rather than in a solidform). Makes relatedchanges.

2/16/2018 Added Co-Sponsor3/12/2018

HB5747 Mussman -Schaumburg,D

Amends the PharmacyPractice Act. Provides that"practice of pharmacy"includes the prescribingand dispensing ofhormonal contraceptivepatches and self-administered oralhormonal contraceptives.Defines "hormonalcontraceptive patch" as atransdermal patch appliedto the skin of a patient, bythe patient or by apractitioner, that releases adrug composed of acombination of hormonesthat is approved by theUnited States Food andDrug Administration toprevent pregnancy and"self-administered oralhormonal contraceptive"as a drug composed of acombination of hormonesthat is approved by theUnited States Food andDrug Administration toprevent pregnancy andthat the patient to whomthe drug is prescribed maytake orally. Allowspharmacists to prescribeand dispensecontraceptives to a personover 18 years of age and aperson under 18 years ofage only if the person hasevidence of a previousprescription from a primarycare or a women's healthcare practitioner. Requiresthe Department ofFinancial and ProfessionalRegulation to adopt rulesto establish standardprocedures forpharmacists to prescribecontraceptives. Providesrequirements for the rules

Referred toRules Committee2/16/2018 Added Co-Sponsor Reps3/8/2018

Support



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to be adopted by theDepartment. Provides thatall State and federal lawsgoverning insurancecoverage of contraceptivedrugs and products shallapply to the provisions.

Senate Deadlines HouseDeadlines

Bill Introduction February 16, 2018 February 16, 2018 Bill IntroductionSenate bills out of Committee April 13, 2018 April13, 2018 House Bills out of CommitteeThird Reading for Senate Bills April 27, 2018 April27, 2018 Third Reading House BillsHouse Bills out of Committee May 11, 2018 May18, 2018 Senate Bills out of CommitteeThird Reading House Bills May 25, 2018 May25, 2018 Third Reading Senate BillsAdjournment May 31, 2018 May31, 2018 Adjournment


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