HB2584 - 104th General Assembly
INS-PRIOR AUTH HIV DRUG ACCESS
House Sponsors
Rep. Kelly M. Cassidy - Terra Costa Howard - Harry Benton, Lilian Jiménez, Rita Mayfield, Edgar González, Jr., Tracy Katz Muhl, Kevin John Olickal, Will Guzzardi, Mary Beth Canty, Laura Faver Dias, Norma Hernandez, Abdelnasser Rashid, Nabeela Syed, Barbara Hernandez, Lisa Davis, Amy Briel, Michael Crawford, Diane Blair-Sherlock, Stephanie A. Kifowit, Jennifer Gong-Gershowitz, Daniel Didech, Bob Morgan, Jehan Gordon-Booth, Justin Slaughter, Camille Y. Lilly, Martha Deuter, Lindsey LaPointe, Ann M. Williams, Hoan Huynh, Janet Yang Rohr, Anna Moeller and Nicolle Grasse
Senate Sponsors
(Sen. Laura Fine)
Statutes Amended In Order of Appearance
215 ILCS 200/52 new
305 ILCS 5/5-54 new
Synopsis As Introduced
Amends the Prior Authorization Reform Act and the Illinois Public Aid Code. Provides that a health insurance issuer, the fee-for-service medical assistance program, and a Medicaid managed care organization may not require prior authorization for the following prescription drug types and their therapeutic equivalents approved by the United States Food and Drug Administration: human immunodeficiency virus pre-exposure prophylaxis and post-exposure prophylaxis medication or human immunodeficiency virus treatment medication. Effective January 1, 2027.
House Committee Amendment No. 1
Adds reference to:
305 ILCS 5/5-5.12from Ch. 23, par. 5-5.12
Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Amends the Illinois Public Aid Code. In provisions concerning utilization controls, removes provisions concerning drugs for the treatment of HIV or AIDS. Amends the Illinois Insurance Code to include pre-PrEP HIV screening, sexually transmitted infection screening, kidney function analysis, routine laboratory testing, and routine provider visits as covered follow-up services in provisions requiring an individual or group policy of accident and health insurance to provide coverage for all abortifacients, hormonal therapy medication, human immunodeficiency virus pre-exposure prophylaxis, and post-exposure prophylaxis drugs approved by the United States Food and Drug Administration, and follow-up services related to that coverage. Effective on January 1, 2027.
Judicial Note (Admin Office of the Illinois Courts)
Based on a review of HB2584, as amended by House Amendment 1, the legislation will not increase or decrease the number of judges needed in the state of Illinois.
Based on a review of HB2584, as amended by House Amendment 1, the legislation will not increase or decrease the number of judges needed in the state of Illinois.
Balanced Budget Note (Office of Management and Budget)
Please be advised that the Balanced Budget Note Act does not apply to House Bill 2584, as amended by House Amendment 1 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.
Please be advised that the Balanced Budget Note Act does not apply to House Bill 2584, as amended by House Amendment 1 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 (Housing Development Authority)
This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence.
This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence.
Pension Note (Government Forecasting & Accountability)
HB 2584, as amended by HA 1, will not impact any public pension fund or retirement system in the State of Illinois.
HB 2584, as amended by HA 1, will not impact any public pension fund or retirement system in the State of Illinois.
State Debt Impact Note (Government Forecasting & Accountability)
HB 2584, 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.
HB 2584, 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.
Fiscal Note (Dept. of Healthcare & Family Services)
HB2584 has an estimated annualized cost to the Illinois Medical Assistance Program of $48.8 million due to a total loss of supplemental rebate revenue for the Illinois Department of Healthcare and Family Services and utilization shifts to higher-cost medications. The majority of this annual cost is due to the loss of supplemental rebate revenue.
HB2584 has an estimated annualized cost to the Illinois Medical Assistance Program of $48.8 million due to a total loss of supplemental rebate revenue for the Illinois Department of Healthcare and Family Services and utilization shifts to higher-cost medications. The majority of this annual cost is due to the loss of supplemental rebate revenue.
Racial Impact Note (Dept. of Healthcare & Family Services)
Changes to the Public Aid Code proposed in House Bill 2584, as amended by House Amendment # 1, would impact approximately 18,000 Medicaid customers currently utilizing the medications as described. A total of 62% of current Medicaid customers utilizing these medications self-report as racial or ethnic minorities. This is higher than 35% of the entire population of Medicaid customers who identify as racial or ethnic minorities. The trend over the last 3 years is mostly steady for Medicaid customers identifying as racial or ethnic minorities who utilize the medications. The procedural changes proposed by HA #1 would impact all Medicaid customers utilizing or who may utilize these medications in the future.
Changes to the Public Aid Code proposed in House Bill 2584, as amended by House Amendment # 1, would impact approximately 18,000 Medicaid customers currently utilizing the medications as described. A total of 62% of current Medicaid customers utilizing these medications self-report as racial or ethnic minorities. This is higher than 35% of the entire population of Medicaid customers who identify as racial or ethnic minorities. The trend over the last 3 years is mostly steady for Medicaid customers identifying as racial or ethnic minorities who utilize the medications. The procedural changes proposed by HA #1 would impact all Medicaid customers utilizing or who may utilize these medications in the future.
House Floor Amendment No. 2
Deletes reference to:
305 ILCS 5/5-5.12from Ch. 23, par. 5-5.12
305 ILCS 5/5-54 new
Replaces everything after the enacting clause with the provisions of bill, as amended by House Amendment No. 1, with the following change: Removes provisions amending the Illinois Public Aid Code. Effective on January 1, 2027.
Actions
Date | Chamber | Action |
---|---|---|
02/04/2025 | House | Filed with the Clerk by Rep. Kelly M. Cassidy |
02/06/2025 | House | First Reading |
02/06/2025 | House | Referred to Rules Committee |
03/04/2025 | House | Added Co-Sponsor Rep. Lilian Jiménez |
03/04/2025 | House | Added Co-Sponsor Rep. Rita Mayfield |
03/04/2025 | House | Added Co-Sponsor Rep. Edgar González, Jr. |
03/04/2025 | House | Added Co-Sponsor Rep. Tracy Katz Muhl |
03/04/2025 | House | Added Co-Sponsor Rep. Kevin John Olickal |
03/04/2025 | House | Added Co-Sponsor Rep. Will Guzzardi |
03/04/2025 | House | Added Co-Sponsor Rep. Mary Beth Canty |
03/04/2025 | House | Added Co-Sponsor Rep. Laura Faver Dias |
03/04/2025 | House | Added Co-Sponsor Rep. Norma Hernandez |
03/04/2025 | House | Added Co-Sponsor Rep. Abdelnasser Rashid |
03/04/2025 | House | Added Co-Sponsor Rep. Nabeela Syed |
03/04/2025 | House | Added Co-Sponsor Rep. Barbara Hernandez |
03/04/2025 | House | Added Co-Sponsor Rep. Lisa Davis |
03/04/2025 | House | Added Co-Sponsor Rep. Amy Briel |
03/04/2025 | House | Added Co-Sponsor Rep. Michael Crawford |
03/04/2025 | House | Assigned to Insurance Committee |
03/06/2025 | House | Added Co-Sponsor Rep. Diane Blair-Sherlock |
03/06/2025 | House | Added Co-Sponsor Rep. Stephanie A. Kifowit |
03/06/2025 | House | Added Co-Sponsor Rep. Jennifer Gong-Gershowitz |
03/06/2025 | House | Added Co-Sponsor Rep. Daniel Didech |
03/06/2025 | House | Added Co-Sponsor Rep. Bob Morgan |
03/06/2025 | House | Added Co-Sponsor Rep. Jehan Gordon-Booth |
03/06/2025 | House | Added Co-Sponsor Rep. Justin Slaughter |
03/10/2025 | House | House Committee Amendment No. 1 Filed with Clerk by Rep. Kelly M. Cassidy |
03/10/2025 | House | House Committee Amendment No. 1 Referred to Rules Committee |
03/10/2025 | House | Added Co-Sponsor Rep. Camille Y. Lilly |
03/11/2025 | House | House Committee Amendment No. 1 Rules Refers to Insurance Committee |
03/11/2025 | House | Balanced Budget Note Requested by Rep. Kelly M. Cassidy |
03/11/2025 | House | Correctional Note Requested by Rep. Kelly M. Cassidy |
03/11/2025 | House | Fiscal Note Requested by Rep. Kelly M. Cassidy |
03/11/2025 | House | Home Rule Note Requested by Rep. Kelly M. Cassidy |
03/11/2025 | House | Housing Affordability Impact Note Requested by Rep. Kelly M. Cassidy |
03/11/2025 | House | Judicial Note Requested by Rep. Kelly M. Cassidy |
03/11/2025 | House | Land Conveyance Appraisal Note Requested by Rep. Kelly M. Cassidy |
03/11/2025 | House | Pension Note Requested by Rep. Kelly M. Cassidy |
03/11/2025 | House | Racial Impact Note Requested by Rep. Kelly M. Cassidy |
03/11/2025 | House | State Debt Impact Note Requested by Rep. Kelly M. Cassidy |
03/11/2025 | House | State Mandates Fiscal Note Requested by Rep. Kelly M. Cassidy |
03/11/2025 | House | House Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote |
03/11/2025 | House | Do Pass as Amended / Short Debate Insurance Committee; 013-003-000 |
03/12/2025 | House | Judicial Note Filed |
03/12/2025 | House | Balanced Budget Note Filed |
03/12/2025 | House | Placed on Calendar 2nd Reading - Short Debate |
03/12/2025 | House | Housing Affordability Impact Note Filed |
03/12/2025 | House | Pension Note Filed |
03/12/2025 | House | State Debt Impact Note Filed |
03/13/2025 | House | Added Chief Co-Sponsor Rep. Terra Costa Howard |
03/13/2025 | House | Chief Co-Sponsor Changed to Rep. Terra Costa Howard |
03/24/2025 | House | Added Co-Sponsor Rep. Martha Deuter |
03/24/2025 | House | Added Co-Sponsor Rep. Lindsey LaPointe |
03/26/2025 | House | Second Reading - Short Debate |
03/26/2025 | House | Held on Calendar Order of Second Reading - Short Debate |
03/27/2025 | House | Added Co-Sponsor Rep. Ann M. Williams |
03/31/2025 | House | Added Co-Sponsor Rep. Hoan Huynh |
04/02/2025 | House | Fiscal Note Filed |
04/02/2025 | House | Racial Impact Note Filed |
04/04/2025 | House | Added Co-Sponsor Rep. Janet Yang Rohr |
04/07/2025 | House | House Floor Amendment No. 2 Filed with Clerk by Rep. Kelly M. Cassidy |
04/07/2025 | House | House Floor Amendment No. 2 Referred to Rules Committee |
04/08/2025 | House | House Floor Amendment No. 2 Rules Refers to Insurance Committee |
04/08/2025 | House | House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 010-004-000 |
04/09/2025 | House | Added Co-Sponsor Rep. Anna Moeller |
04/11/2025 | House | House Floor Amendment No. 2 Adopted |
04/11/2025 | House | Placed on Calendar Order of 3rd Reading - Short Debate |
04/11/2025 | House | Third Reading - Short Debate - Passed 078-035-000 |
04/11/2025 | House | Added Co-Sponsor Rep. Nicolle Grasse |
04/11/2025 | House | Added Chief Co-Sponsor Rep. Harry Benton |
04/14/2025 | Senate | Arrive in Senate |
04/14/2025 | Senate | Placed on Calendar Order of First Reading |
04/14/2025 | Senate | Chief Senate Sponsor Sen. Laura Fine |
04/14/2025 | Senate | First Reading |
04/14/2025 | Senate | Referred to Assignments |