215 ILCS 5/356z.45

Current through Public Act 103-1052
Section 215 ILCS 5/356z.45 - Coverage for patient care services provided by a pharmacist

A group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2023 shall provide coverage for health care or patient care services provided by a pharmacist if:

(1) the pharmacist meets the requirements and scope of practice as set forth in Section 43 or Section 43.5 of the Pharmacy Practice Act;
(2) the health plan provides coverage for the same service provided by a licensed physician, an advanced practice registered nurse, or a physician assistant;
(3) the pharmacist is included in the health benefit plan's network of participating providers; and
(4) a reimbursement has been successfully negotiated in good faith between the pharmacist and the health plan.

215 ILCS 5/356z.45

Renumbered from 215 ILCS 5/356z.43 and amended by P.A. 102-1051,§ 10, eff. 1/1/2023.
Renumbered from 215 ILCS 5/356z.43 by P.A. 102-0813,§ 425, eff. 5/13/2022.
Added by P.A. 102-0103,§ 25, eff. 1/1/2023.