Illinois HB 4655: PHARMACY-REFUSAL TO DISPENSE

Bill Text

Full Text of HB4655 

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 Illinois General Assembly

 ILGA.GOV 

 HB4655 - 104th General Assembly 

104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB4655

Introduced 2/3/2026, by Rep. William E Hauter 

SYNOPSIS AS INTRODUCED:

225 ILCS 85/4 from Ch. 111, par. 4124

225 ILCS 85/30 from Ch. 111, par. 4150

 Amends the Pharmacy Practice Act. In provisions exempting the practice of specified professionals and their prescribing of such drugs, medicines, or poisons as may seem appropriate to the professionals, provides that this exemption is without regard to whether such drugs, medicines, or poisons are not typically prescribed by such licensed individuals or by licensed individuals in a same or similar specialty or are self-prescribed, with the exception of controlled substances. Provides that a licensee does not act in good faith when the licensee refuses to compound, fill, or dispense prescriptions of physicians licensed to practice medicine in all its branches solely because the prescriptions are not typically issued by that physician or by physicians in the same or similar specialty or are self-prescribed, with the exception of controlled substances. Provides that it is a violation of specified provisions for any prescriber or dispenser to adopt a contrary policy. Effective immediately.

LRB104 19521 BAB 32969 b

A BILL FOR

HB4655LRB104 19521 BAB 32969 b

1 AN ACT concerning regulation.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section 5. The Pharmacy Practice Act is amended by 

5changing Sections 4 and 30 as follows:

6 (225 ILCS 85/4) (from Ch. 111, par. 4124)

7 (Section scheduled to be repealed on January 1, 2028)

8 Sec. 4. Exemptions. Nothing contained in any Section of 

9this Act shall apply to, or in any manner interfere with:

10 (a) the lawful practice of any physician licensed to 

11 practice medicine in all of its branches, dentist, 

12 podiatric physician, veterinarian, or therapeutically or 

13 diagnostically certified optometrist within the limits of 

14 his or her license, or prevent him or her from supplying to 

15 his or her bona fide patients such drugs, medicines, or 

16 poisons as may seem to him appropriate, regardless of 

17 whether such drugs, medicines, or poisons are not 

18 typically prescribed by such licensed individuals or by 

19 licensed individuals in a same or similar specialty or are 

20 self-prescribed, with the exception of controlled 

21 substances;

22 (b) the sale of compressed gases;

23 (c) the sale of patent or proprietary medicines and 

HB4655- 2 -LRB104 19521 BAB 32969 b

1 household remedies when sold in original and unbroken 

2 packages only, if such patent or proprietary medicines and 

3 household remedies be properly and adequately labeled as 

4 to content and usage and generally considered and accepted 

5 as harmless and nonpoisonous when used according to the 

6 directions on the label, and also do not contain opium or 

7 coca leaves, or any compound, salt or derivative thereof, 

8 or any drug which, according to the latest editions of the 

9 following authoritative pharmaceutical treatises and 

10 standards, namely, The United States 

11 Pharmacopoeia/National Formulary (USP/NF), the United 

12 States Dispensatory, and the Accepted Dental Remedies of 

13 the Council of Dental Therapeutics of the American Dental 

14 Association or any or either of them, in use on the 

15 effective date of this Act, or according to the existing 

16 provisions of the Federal Food, Drug, and Cosmetic Act and 

17 Regulations of the Department of Health and Human 

18 Services, Food and Drug Administration, promulgated 

19 thereunder now in effect, is designated, described or 

20 considered as a narcotic, hypnotic, habit forming, 

21 dangerous, or poisonous drug;

22 (d) the sale of poultry and livestock remedies in 

23 original and unbroken packages only, labeled for poultry 

24 and livestock medication;

25 (e) the sale of poisonous substances or mixture of 

26 poisonous substances, in unbroken packages, for 

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1 nonmedicinal use in the arts or industries or for 

2 insecticide purposes; provided, they are properly and 

3 adequately labeled as to content and such nonmedicinal 

4 usage, in conformity with the provisions of all applicable 

5 federal, state and local laws and regulations promulgated 

6 thereunder now in effect relating thereto and governing 

7 the same, and those which are required under such 

8 applicable laws and regulations to be labeled with the 

9 word "Poison", are also labeled with the word "Poison" 

10 printed thereon in prominent type and the name of a 

11 readily obtainable antidote with directions for its 

12 administration;

13 (f) the delegation of limited prescriptive authority 

14 by a physician licensed to practice medicine in all its 

15 branches to a physicia