215 ILCS 5/356z.63

Current through Public Act 103-1052
Section 215 ILCS 5/356z.63 - Coverage of pharmacy testing, screening, vaccinations, and treatment

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, 2025 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 described in paragraph (15), (16), or (17) of subsection (d) of Section 3 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) reimbursement has been successfully negotiated in good faith between the pharmacist and the health plan.

215 ILCS 5/356z.63

Amended without change by P.A. 103-0605,§ 350, eff. 7/1/2024.
Renumbered from 215 ILCS 5/356z.61 by P.A. 103-0605,§ 350, eff. 7/1/2024.
Added by P.A. 103-0001,§ 35, eff. 4/27/2023.
Section 1 of P.A. 103-0001 provides: "This Act may be referred to as the Health Care Workforce Reinforcement Act."